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A nurse is reinforcing teaching about breastfeeding with a client who is postpartum.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will nurse my baby for 5 to 10 minutes on each breast.
- B. I will make sure that just the nipple is in my baby's mouth.
- C. I will apply vitamin E oil to my nipples after each feeding.
- D. I will lay my baby on a pillow at the level of my breast.
Correct Answer: D
Rationale: Using a pillow to support the baby at breast level ensures proper positioning and latch, making breastfeeding more comfortable and effective, indicating understanding of the teaching.
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A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Restrict fluids to 1,000 mL/day.
- B. Take an over-the-counter antacid
- C. Increase intake of fresh fruits
- D. Eat dry, bland foods in the morning
Correct Answer: D
Rationale: Encouraging the client to eat dry, bland foods in the morning, like crackers or toast, can help alleviate nausea associated with morning sickness by settling the stomach, making it an effective strategy.
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Which of the following statements should the nurse make?
- A. You will be prescribed methadone.
- B. You will be prescribed aripiprazole.
- C. You will be prescribed naloxone.
- D. You will be prescribed diazepam.
Correct Answer: A
Rationale: Methadone maintenance therapy is a commonly used treatment for opioid use disorder in pregnant women. Methadone helps to manage withdrawal symptoms, reduce cravings, and stabilize the individual, promoting healthier outcomes for both the mother and the baby.
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. White blood cell count is an indicator of anemia.
- B. Urine specific gravity identifies my risk for pregnancy induced hypertension.
- C. Platelet count identifies if I am at risk for bleeding.
- D. Sedimentation rate checks for signs of cancer.
Correct Answer: C
Rationale: Platelet count measures the number of platelets in the blood, essential for clotting. A low count can indicate an increased risk of bleeding, relevant in pregnancy, showing the client understands the test's purpose.
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. Serum bilirubin
- B. Liver enzymes
- C. Urinalysis for ketones
- D. CBC
Correct Answer: C
Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.
A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
- A. You will need to receive a medroxyprogesterone acetate injection once per month.
- B. Combined estrogen-progestin contraceptive pills cause longer periods.
- C. Oral contraceptives decrease the risk for endometrial cancer.
- D. You will need to have your diaphragm replaced every 4 years.
Correct Answer: C
Rationale: Oral contraceptives, particularly combined ones, decrease endometrial cancer risk, an important benefit to include in teaching about contraception.