4.The nurse is conducting a postpartum teaching with a mother who is breastfeeding her infant.
When discussing birth control, which method should the
... [Show More] nurse recommend to thisclient as best
for her to use in preventing an unwanted pregnancy?
a. combined estrogen- progesterone oral contraceptives
b. breastfeed exclusively at least every 3 to 4 hours
c. condoms and contraceptive foam or gel
d. rhythm method (natural family planning)
45.AA full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery
record indicates that the mother is positive for HIV and received zidovudine AZT IV during
labor. What action should the nurse implement?
a. ensure that AZT is given within 6 hours after birth
b. assess for the presence of the Moro reflex
c. collect venous specimen for serum glucose level
d. obtain consent for the Hep B vaccine
46.In determining the one-minute Apgar score of a male infant, the nurse assesses a heartrate of
120 beats per minute and 44 respirations per minute. He has a loud cry with stimulation, good
muscle tone and his color is acrocyanotic. What Apgar score should the nurse assign?
a. 7
b. 9 **
54
c. 10
d. 8
47.AA woman who is trying to get pregnant tells the nurse that she was very disappointed several
months ago when she was informed that her positive pregnancy test was a falsepositive. Which
method of determining pregnancy provides the greatest degree of accuracy?
a. complaints of feeling tired all the time
b. presence of amenorrhea for 2 months
c. visualization of implantation by vaginal ultrasound
d. maternal blood serum tests positive for alpha-fetoprotein
48.Four clients at full term present to the labor and delivery unit at the same time. whichclient
should the nurse assess first?
a. primipara with vaginal show and leaking membranes
b. primipara with burning on urination and urinary frequency
c. multipara scheduled for a non-stress test and biophysical profile
d. multipara with contractions occurring every 3 minutes [Show Less]