Nokea
Which is an opioid medication administered by the intrathecal or epidural route that can provide prolonged pain relief but does not interfere with movement or sensation?
- A. Meperidine
- B. Preservative-free morphine (Duramorph)
- C. Fentanyl
- D. Remifentanil
Correct Answer: B
Rationale: The correct answer is B: Preservative-free morphine (Duramorph). When administered intrathecally or epidurally, preservative-free morphine can provide prolonged pain relief by acting on opioid receptors in the spinal cord without affecting movement or sensation due to its selective action at the spinal level. Meperidine (A) is not commonly used for epidural or intrathecal administration. Fentanyl (C) and remifentanil (D) are potent opioids that may affect movement and sensation when administered via these routes.
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When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?
- A. Ambivalence.
- B. Depression.
- C. Anxiety.
- D. Ecstasy.
Correct Answer: A
Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.
What factor should the nurse consider when counseling a Chinese immigrant?
- A. Many Chinese eat little protein
- B. Many Chinese believe in eating cold foods
- C. Many Chinese are prone to anemia
- D. Many Chinese believe strawberries cause birth defects
Correct Answer: D
Rationale: Cultural beliefs, such as the idea that strawberries might cause birth defects, should be considered to provide culturally sensitive care.
The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
- A. Prenatal vitamins will help ensure my baby is getting the nutrients it needs.
- B. I will take prenatal vitamins every day as prescribed by my doctor.
- C. I will stop taking prenatal vitamins if I feel nauseous.
- D. Prenatal vitamins should be taken throughout the entire pregnancy.
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?
- A. Glucose challenge test.
- B. Amniotic fluid volume assessment.
- C. Vaginal and rectal cultures.
- D. Karyotype analysis.
Correct Answer: C
Rationale: Vaginal and rectal cultures are performed to check for Group B Streptococcus (GBS), which can affect the newborn. Glucose challenge tests are typically done earlier in pregnancy, and karyotype analysis is not routine.
The nurse is assisting a couple to develop decisions for their birth plan. Which of the following decisions should be considered nonnegotiable by the parents?
- A. Whether or not the father will be present during labor.
- B. Whether or not the woman will have an episiotomy.
- C. Whether or not the woman will be able to have an epidural.
- D. Whether or not the father will be able to take pictures of the delivery.
Correct Answer: A
Rationale: The decision regarding the father's presence during labor is deeply personal and should respect the parents' wishes. Medical interventions like episiotomy or epidural can involve clinical judgment, but the presence of a partner is entirely up to the parents.