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A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
- A. "This medication promotes softening of the cervix."
- B. "This medication is used to treat preeclampsia."
- C. "It causes relaxation of the uterine muscles."
- D. "It is used to treat genital herpes simplex virus."
Correct Answer: A
Rationale: The correct answer is A: "This medication promotes softening of the cervix." Dinoprostone gel is a prostaglandin used to ripen the cervix in preparation for labor induction. This explanation is crucial for the client to understand the purpose of the medication. Option B is incorrect because dinoprostone is not used to treat preeclampsia. Option C is incorrect as dinoprostone causes uterine contractions rather than relaxation. Option D is incorrect as dinoprostone is not used to treat genital herpes simplex virus.
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The nurse is teaching the postpartum client about newborn transitional stool. Which should the nurse include in the teaching session? SATA
- A. They have greenish brown color
- B. They are looser consistency
- C. They are seedy with sweet sour smell
- D. They have tar like consistency
Correct Answer: A
Rationale: The correct answer is A because transitional stools in newborns typically have a greenish-brown color due to the presence of meconium and the changing composition of the stool as the baby starts digesting breastmilk or formula.
Rationale:
1. A: Greenish-brown color is characteristic of transitional stools as meconium is being passed out.
Incorrect answers:
2. B: Transitional stools are not necessarily looser in consistency.
3. C: Transitional stools are not typically described as seedy with a sweet-sour smell.
4. D: Tar-like consistency is more indicative of meconium, not transitional stools.
A client at 38 weeks' gestation is admitted for decreased fetal movement. What diagnostic test should the nurse anticipate?
- A. Amniocentesis.
- B. Biophysical profile (BPP).
- C. Contraction stress test.
- D. Maternal serum alpha-fetoprotein (MSAFP).
Correct Answer: B
Rationale: The correct answer is B: Biophysical profile (BPP). At 38 weeks' gestation with decreased fetal movement, BPP is used to assess fetal well-being by evaluating fetal heart rate, fetal movements, fetal tone, amniotic fluid volume, and sometimes placental function. It provides immediate information on fetal status and is non-invasive. Amniocentesis (A) is not indicated for decreased fetal movement. Contraction stress test (C) is contraindicated due to the risk of inducing contractions in a term pregnancy. Maternal serum alpha-fetoprotein (D) is a screening test for neural tube defects and is not relevant in this situation.
If pregnancy does not occur, the corpus luteum will disintegrate and turn into what is called the?
- A. Corpus albicans
- B. Corpus callosum
- C. Corpus cavernosum
- D. Corpus allatum OB Week 1 Practice Questions
Correct Answer: A
Rationale: The correct answer is A: Corpus albicans. After ovulation, if pregnancy does not occur, the corpus luteum regresses and degenerates into the corpus albicans, which is a white scar tissue in the ovary. This process marks the end of the ovarian cycle. The other options are incorrect: B: Corpus callosum is a structure in the brain, C: Corpus cavernosum refers to erectile tissue in the penis, and D: Corpus allatum is a neuroendocrine organ in insects.
The nurse provides education regarding male sterilization. What important information is provided?
- A. “Many people have vasectomies reversed.â€
- B. “You will need to return to the office to check for sperm in your ejaculate.â€
- C. “You will be sterile after 3 months.â€
- D. “Vasectomy consent forms must have both partners’ consent.â€
Correct Answer: B
Rationale: The correct answer is B: "You will need to return to the office to check for sperm in your ejaculate." This information is crucial as it ensures the success of the sterilization procedure. By checking for sperm in the ejaculate, the effectiveness of the vasectomy can be confirmed. This step is important to ensure that the individual is indeed sterile and can rely on the procedure for contraception.
Choice A is incorrect because vasectomy reversal is not always successful and should not be assumed. Choice C is incorrect as sterility is not immediate and may take several months after the procedure. Choice D is incorrect as consent forms for vasectomy typically require only the individual undergoing the procedure to give consent.
In summary, choice B is correct because it emphasizes the need for follow-up to confirm sterility, while the other choices provide incorrect or irrelevant information regarding male sterilization.
What is an advantage of the internal condom?
- A. It can be used by those who have a latex allergy.
- B. It can be used for repeated acts of intercourse.
- C. It has a lower failure rate than external condoms.
- D. It can be used for pleasure purposes.
Correct Answer: A
Rationale: The correct answer is A because the internal condom is made of nitrile, which is a non-latex material. This makes it suitable for individuals with latex allergies. Choice B is incorrect because both internal and external condoms can be used for repeated acts of intercourse. Choice C is incorrect because internal condoms do not necessarily have a lower failure rate than external condoms. Choice D is incorrect because while condoms can enhance pleasure during intercourse, the primary purpose of the internal condom is for protection rather than pleasure.