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A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Which of the following statements should the nurse include in the teaching?
- A. A group B streptococcus screening will be performed to determine the presence of STIs.
- B. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
- C. A multiple marker screening will be performed to identify neural tube defects.
- D. A glucose tolerance test will be performed to predict hyperglycemia in your baby.
Correct Answer: C
Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.
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A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Which of the following instructions should the nurse include?
- A. Wash your nipples with soap and water daily.
- B. You should use a breast pump if you plan to return to work.
- C. Cover your breasts immediately after feedings.
- D. Wear an underwire bra between feedings.
Correct Answer: B
Rationale: Using a breast pump prevents milk stasis, a major risk factor for mastitis, by ensuring regular milk expression when away from the baby.
A nurse is caring for a client who had a vaginal delivery 4 hr ago and reports perineal pain of 6 on a scale of 0 to 10.
Which of the following actions should the nurse take?
- A. Catheterize the client's bladder
- B. Offer an ice pack to the client during the first 24 hrs
- C. Apply a corticoid cream to the perineal area twice daily
- D. Increase the client's fluid intake for 48 hrs
Correct Answer: B
Rationale: Ice packs reduce perineal swelling and pain within the first 24 hours post-delivery.
A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
- A. A client who has a positive pregnancy test
- B. A client who smokes one pack of cigarettes per day
- C. A client who has a history of gallbladder disease
- D. A client who is nulliparous
Correct Answer: A
Rationale: An IUD is contraindicated in pregnancy due to risks of miscarriage, infection, and preterm labor.
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 lay my baby on a pillow at the level of my breast.
- D. I will apply vitamin E oil to my nipples after each feeding.
Correct Answer: C
Rationale: Positioning the baby at breast level with a pillow promotes a comfortable latch and effective feeding.
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid.
Which of the following manifestations is the priority?
- A. Fetal heart tones 98 /min
- B. Foul smelling vaginal discharge
- C. Amniotic fluid with meconium noted
- D. Maternal temperature 38.3°C (101°F)
Correct Answer: A
Rationale: Fetal bradycardia (98/min) indicates distress, requiring immediate intervention due to possible cord prolapse after membrane rupture.