Nokea
Which of the following is a potential cause of male infertility?
- A. Varicocele
- B. Testicular cancer
- C. Erectile dysfunction
- D. All of the above
Correct Answer: D
Rationale: Male infertility can be caused by varicocele, testicular cancer, or erectile dysfunction.
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A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
- A. Use a lubricant during intercourse.
- B. Drink herbal tea two times daily.
- C. Maintain a healthy weight.
- D. Take daily hot baths.
Correct Answer: C
Rationale: Correct Answer: C - Maintain a healthy weight.
Rationale: Maintaining a healthy weight is crucial for fertility as obesity or being underweight can impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can also affect reproductive function. By suggesting the couple to maintain a healthy weight, the nurse is promoting overall reproductive health.
Summary of other choices:
A: Using a lubricant during intercourse does not address the underlying fertility issues.
B: Drinking herbal tea may not have a direct impact on fertility and lacks scientific evidence.
D: Taking daily hot baths can actually decrease sperm count and affect fertility.
E, F, G: These options are not provided but would likely not be as relevant as maintaining a healthy weight.
What is the recommended method of pain relief for a woman who has a cesarean delivery?
- A. Epidural anesthesia
- B. Intravenous opioids
- C. Patient-controlled analgesia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is often recommended to manage postoperative pain effectively. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the woman to self-administer pain medication as needed. This multimodal approach ensures adequate pain control while minimizing side effects. Choosing only one method may not address all aspects of pain management. Therefore, utilizing all three options in combination is the most comprehensive and effective approach in managing pain after a cesarean delivery.
Which stage of labor is characterized by the period between the onset of regular contractions and full cervical dilation?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor begins with the onset of regular contractions and ends with complete cervical dilation at 10 cm. During this stage, the cervix gradually thins and opens to allow the baby to pass through the birth canal. The first stage is further divided into early, active, and transition phases based on the rate of cervical dilation and effacement. The second stage (B) is characterized by the baby's descent through the birth canal and ends with the baby's delivery. The third stage (C) involves the delivery of the placenta. The fourth stage (D) is the immediate postpartum period. These stages come after the first stage of labor.
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
- A. Large for gestational age
- B. Hyperglycemia
- C. Bradypnea
- D. Vomiting
Correct Answer: C, D
Rationale: The correct manifestations of SSRI withdrawal in a newborn are bradypnea (C) and vomiting (D). SSRI use during pregnancy can lead to neonatal withdrawal symptoms due to drug exposure in utero. Bradypnea is a common withdrawal symptom characterized by slow breathing rate in newborns. Vomiting is another withdrawal symptom that can occur in newborns exposed to SSRIs. Large for gestational age (A) and hyperglycemia (B) are not typical manifestations of SSRI withdrawal. Therefore, the nurse should focus on monitoring for bradypnea and vomiting as signs of SSRI withdrawal in the newborn.
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
- A. Determine respiratory function.
- B. Increase the IV fluid rate.
- C. Access emergency medications from the cart.
- D. Collect a maternal blood sample for coagulopathy studies.
Correct Answer: A
Rationale: Determining respiratory function is the first priority in an unresponsive client to ensure that the airway is patent and the client is breathing.