Which of the following characteristics should the nurse teach the mother about her neonate diagnosed with fetal alcohol syndrome (FAS)?
- A. Neonates are commonly listless and lethargic.
- B. The IQ scores are usually average.
- C. Hyperactivity and speech disorders are common.
- D. The mortality rate is 70% unless treated.
Correct Answer: C
Rationale: Hyperactivity and speech disorders are common in FAS due to neurological and developmental impacts.
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A client is considering the cervical cap. Which of the following statements by the nurse is accurate?
- A. The cervical cap can be left in place for up to 72 hours.
- B. The cervical cap does not require spermicide.
- C. The cervical cap requires a prescription and fitting.
- D. The cervical cap is highly effective for women who have given birth.
Correct Answer: C
Rationale: The cervical cap requires a prescription and fitting by a healthcare provider for proper use. It can be left in place for up to 48 hours, requires spermicide, and is less effective for women who have given birth.
A client asks about the effectiveness of the vaginal contraceptive ring. Which of the following responses by the nurse is accurate?
- A. The ring is 100% effective in preventing pregnancy.
- B. The ring is highly effective when used correctly.
- C. The ring does not require a prescription.
- D. The ring is less effective than condoms.
Correct Answer: B
Rationale: The vaginal contraceptive ring is highly effective when used correctly, with a low failure rate. It is not 100% effective, requires a prescription, and is generally more effective than condoms.
While the nurse is preparing to assist the primiparous client to the bathroom to void 6 hours after a vaginal delivery under epidural anesthesia, the client says that she feels dizzy when sitting up on the side of the bed. The nurse explains that this is most likely caused by which of the following?
- A. Effects of the anesthetic during labor.
- B. Hemorrhage during the delivery process.
- C. Effects of analgesics used during labor.
- D. Decreased blood volume in the vascular system.
Correct Answer: A
Rationale: Dizziness when sitting up is likely due to residual effects of epidural anesthesia, which can cause orthostatic hypotension.
A preterm neonate admitted to the neonatal intensive care unit at about 30 weeks' gestation is placed in an oxygenated isolette. The neonate's mother tells the nurse that she was planning to breast-feed the neonate. Which of the following instructions about breast-feeding would be most appropriate?
- A. Breast-feeding is not recommended because the neonate needs increased fat in the diet.
- B. Once the neonate no longer needs oxygen and continuous monitoring, breast-feeding can be done.
- C. Breast-feeding is contraindicated because the neonate is preterm.
- D. Gavage feedings using breast milk can be given until the neonate can coordinate sucking and swallowing.
Correct Answer: D
Rationale: Gavage feedings with breast milk allow the neonate to receive the benefits of breast milk while accommodating their immature sucking and swallowing reflexes.
A neonate has a large amount of secretions. After vigorously suctioning the neonate, the nurse should assess for what possible result?
- A. Bradycardia.
- B. Rapid eye movement.
- C. Sickness.
- D. Tachycardia.
Correct Answer: A
Rationale: Vigorous suctioning can stimulate the vagus nerve, leading to bradycardia in a neonate.
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