A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

Decrease in production of sebaceous gland secretions

Increase in muscle mass and strength

Stimulation of production of white cells and platelets

Promotion of growth of small bones

Answer and Explanation

The Correct Answer is B

A. Decrease in production of sebaceous gland secretions is incorrect. Testosterone actually increases sebaceous gland activity, leading to an increase in oil production, which can contribute to acne during puberty.

B. Increase in muscle mass and strength is correct. Testosterone plays a key role in the development of secondary male characteristics, including increased muscle mass, strength, and the growth of larger bones.

C. Stimulation of production of white cells and platelets is incorrect. While testosterone affects many bodily functions, it does not directly stimulate the production of white cells or platelets.

D. Promotion of growth of small bones is incorrect. Testosterone is more closely associated with the growth and development of larger bones (e.g., long bones), leading to height increases during puberty. It does not promote the growth of small bones.

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Correct Answer is A

Explanation

A. Supine hypotension syndrome occurs when the gravid uterus compresses the inferior vena cava when the woman is lying flat on her back, leading to decreased venous return, lowered cardiac output, and a drop in blood pressure. This can cause dizziness, lightheadedness, and sometimes fainting. It is more common in the later stages of pregnancy, such as at 38 weeks.

B. Pregnancy-induced hypotension refers to a decrease in blood pressure due to pregnancy, but it typically does not occur specifically when lying on the back, and is not the main cause of dizziness when positioned in that way.

C. Anxiety can cause dizziness, but it is not the most likely cause of dizziness related to lying flat on the back, especially in late pregnancy.

D. Hypoglycemia can cause dizziness, but it is not typically triggered by a change in position like lying on the back, making it less likely in this scenario.

A. Prior to giving birth B. Two weeks before attempting pregnancy again C. When she does not desire future pregnancies D. Prior to discharge from the hospital after giving birth

Correct Answer is C

Explanation

A. The MMR vaccine is contraindicated during pregnancy because it is a live vaccine. It is not safe to administer it during pregnancy due to the risk of teratogenic effects.

B. The MMR vaccine should be administered after the pregnancy is completed, ideally before attempting a future pregnancy. The vaccine is effective in creating immunity but cannot be given while pregnant.

C. The MMR vaccine should be given when the woman is not pregnant, preferably after delivery and before future pregnancies. This allows the body to develop immunity to rubella, measles, and mumps.

D. Administering the MMR vaccine prior to discharge is not recommended while the client is still pregnant, as the vaccine is contraindicated during pregnancy.

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A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

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A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

Correct Answer is C

Explanation

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

The tissue between the vaginal opening and the anus is known as the

A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?

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