Nokea
Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?
- A. Family planning
- B. Birth control
- C. Contraception
- D. Assisted reproductive therapy
Correct Answer: A
Rationale: Family planning is the process of deciding when and if to have children, while contraception refers to methods of preventing pregnancy during intercourse.
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Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant patient regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
- A. Staffing by lay midwives
- B. Equipped for obstetric emergencies
- C. Less expensive than acute care hospitals
- D. Safe, homelike births in a familiar setting
Correct Answer: B
Rationale: B. Equipped for obstetric emergencies: Free-standing birth centers are equipped to handle any obstetric emergencies that may arise during labor and birth. They have the necessary equipment and trained staff to respond quickly and effectively to emergencies to ensure the safety of both the mother and baby.
What is the nurse's most appropriate response to a concern about multiple pregnancies with Clomid?
- A. Would you like to discuss further the chances of multiple pregnancies?'
- B. No one has ever had more than triplets with Clomid.'
- C. Ovulation will be monitored with ultrasound.'
- D. Ten percent is a very low risk.'
Correct Answer: A
Rationale: The incidence of multiple pregnancies with Clomid is higher than 25%. The client's concern is legitimate and should be discussed to ensure informed decision-making.
A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake?
- A. Daily consumption of alcohol indicates a risk for alcoholism.
- B. She is at risk for abusing other substances as well.
- C. Alcohol places the fetus at risk for altered brain growth.
- D. Alcohol places the fetus at risk for multiple organ anomalies.
Correct Answer: C
Rationale: Alcohol consumption during pregnancy is associated with fetal mental retardation, learning disabilities, and other developmental issues.
Which statement is true regarding the shortage of nurses in the United States?
- A. There are a larger proportion of younger nurses in the workforce as compared with older nurses.
- B. As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
- C. Nursing programs are turning away qualified applicants.
- D. There are adequate classroom and clinical facilities for training RNs.
Correct Answer: C
Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
- A. “I will avoid wearing a bra until I feel better.”
- B. “I should take steps to stop smoking cigarettes.”
- C. “Applying an ice pack to my breasts can help reduce pain.”
- D. “I should take the prescribed antibiotics until I feel better.”
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.