A clinic nurse is planning care for an adolescent client who is pregnant. Which of the following actions related to family planning should the nurse include in the client's plan of care?

Advise the client they will not need birth control for approximately three months after delivery.

Inform the client that it is best to use the same form of birth control throughout their fertile years.

Once contraception decisions are made, encourage the client to discuss them with their partner.

Begin discussing family planning with the client during the third trimester of their current pregnancy.

Answer and Explanation

The Correct Answer is C

A. Advising the client they will not need birth control for approximately three months after delivery is inaccurate because fertility can return as early as a few weeks postpartum, especially if not breastfeeding exclusively. Relying on this assumption may lead to unintended pregnancy.

B. Informing the client that it is best to use the same form of birth control throughout their fertile years limits flexibility. Birth control needs and preferences often change over time due to health, lifestyle, and reproductive goals, so adaptability is important.

C. Encouraging the client to discuss contraception decisions with their partner supports shared decision-making and relationship communication. This approach can enhance adherence to the family planning method and promote mutual understanding of reproductive goals.

D. Beginning family planning discussions only in the third trimester delays important education. Early conversations during pregnancy provide time for the client to consider options and make informed decisions about postpartum contraception before delivery.

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Correct Answer is B

Explanation

A. Cross legs at the ankles: Crossing legs, even at the ankles, can increase the risk of hip dislocation following total hip arthroplasty by placing stress on the joint and is generally discouraged during recovery.

B. Use an elevated toilet seat: An elevated toilet seat helps maintain hip precautions by preventing excessive hip flexion, reducing dislocation risk, and promoting safety and comfort during toileting.

C. Take baths instead of showers: Baths require more hip flexion and increased risk of falling, so showers are preferred postoperatively to minimize hip strain and improve safety.

D. Use a walker on the stairs: Using a walker on stairs is unsafe due to limited maneuverability; crutches or a cane are usually recommended for stair navigation during hip recovery.

A. Parent is smoking a cigarette in the living room while infant sleeps B. Newborn currently asleep in prone position C. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight D. Temperature 36.9° C (98.4" F) E. Heart rate 138/min F. Respiratory rate 42/min

Correct Answer is ["A","B"]

Explanation

Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.

Rationale for Incorrect Findings:

The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.

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A clinic nurse is planning care for an adolescent client who is pregnant. Which of the following actions related to family planning should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should nurse recommend to promote recovery?

Correct Answer is B

Explanation

Correct Answer is ["A","B"]

Explanation

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