Nokea
Which of the following suggestions should a nurse give breast-feeding mothers to prevent or eliminate mastitis and breast abscess?
- A. Offer the opposite breast at each feeding to their infants.
- B. Minimize frequent nursing of the infants.
- C. Avoid breast-feeding.
- D. Avoid bathing or showering regularly.
Correct Answer: A
Rationale: Alternating breasts during feedings helps prevent blockages and infections.
You may also like to solve these questions
Which of the following are the advantages of a vaginal hysterectomy over an abdominal hysterectomy?
- A. Fewer complications
- B. Increased recovery time
- C. Radical hysterectomy can even be done laparoscopically
- D. No pain
Correct Answer: A
Rationale: Vaginal hysterectomies generally have fewer complications and quicker recovery times compared to abdominal procedures.
The inner lining of the vagina is _____ epithelium.
- A. simple cuboidal
- B. simple columnar
- C. mucous
- D. stratified squamous
Correct Answer: D
Rationale: The correct answer is D: stratified squamous epithelium. This type of epithelium is found in the vagina to provide protection against abrasion and infection due to its multiple layers of cells. The stratified nature allows for wear and tear resistance. Simple cuboidal and columnar epithelia are not ideal for this function due to their single layer structure. Mucous epithelium is not a recognized epithelial type.
A 59-year-old woman who had a total abdominal hysterectomy and bilateral salpingo-oophorectomy 3 days ago is complaining of flank pain and a burning sensation with urination. Her total urine output during the previous 8 hours was 210 mL. The client's temperature is 101.3°F. You call the physician to report this information and receive these orders. Which will you implement first?
- A. Insert straight catheter PRN for output less than 300 mL/8 hours.
- B. Administer acetaminophen (Tylenol) 650 mg orally.
- C. Send urine specimen to laboratory for culture and sensitivity.
- D. Administer ceftizoxime (Cefizox) 1 g IV every 12 hours.
Correct Answer: A
Rationale: Low urine output and signs of infection necessitate checking for urinary retention.
Regarding the function of placenta
- A. The foetal blood is separated from maternal body by placenta barrier which is composed of 4 layers.
- B. The placental barrier allows the passage of IgG antibodies.
- C. Progesterone induces preterm labour
- D. Rate of oxygen and carbon dioxide diffusion depends on pressure gradient
Correct Answer: B
Rationale: Step 1: The placental barrier is semi-permeable, allowing small molecules like oxygen and nutrients to pass but blocking larger molecules like antibodies.
Step 2: IgG antibodies are the only type that can cross the placenta through active transport mechanisms.
Step 3: This transfer provides passive immunity to the fetus.
Step 4: Options A, C, and D are incorrect as the placenta has 4 main layers, progesterone does not induce preterm labor, and gas diffusion depends on concentration gradients, not pressure gradients.
Which patients meet the criteria for Chlamydia screening?
- A. A 40-year-old woman who is sexually active and uses barrier protection consistently
- B. A 15-year-old female woman who is sexually active with one partner
- C. A 22-year-old woman who is sexually active and uses barrier protection inconsistently
- D. A 23-year-old woman who has had four sexual partners in the last 3 months
Correct Answer: C
Rationale: The correct answer is C because the 22-year-old woman who is sexually active and uses barrier protection inconsistently is at higher risk for Chlamydia infection. Inconsistent use of barrier protection increases the likelihood of exposure to the infection. The other choices (A, B, D) do not specifically mention increased risk factors for Chlamydia. Choice A mentions consistent barrier protection, which lowers the risk. Choice B mentions having one partner, which may reduce the risk compared to multiple partners. Choice D mentions having multiple partners, which increases the risk, but it does not mention current risky behavior like inconsistent barrier protection.