A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
Perform unbiased teaching.
Select the best method of contraception for the client.
Assess the client's socioeconomic status.
Collect a dietary history.
The Correct Answer is A
A. The nurse's role is to provide education and information about available methods of contraception without imposing personal beliefs or preferences.
B. It is not the nurse's role to select the method of contraception for the client. The decision should be made by the client based on their individual preferences and health considerations.
C. While assessing the client's socioeconomic status may be relevant for some aspects of care, it is not directly related to providing information about contraception.
D. Collecting a dietary history is not relevant to a client's inquiry about contraception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Excessive lanugo:
This is incorrect. Excessive lanugo is more commonly seen in preterm newborns. Post-term newborns, such as those born at 43 weeks of gestation, typically have little to no lanugo due to its shedding during late gestation.
B. Hypotonia:
This is incorrect. Hypotonia (reduced muscle tone) is not a characteristic finding in post-term newborns. Post-term infants generally exhibit normal or increased muscle tone, unless there is an underlying condition or birth complication.
C. Absent vernix:
This is correct. Vernix caseosa, a protective substance that coats the skin in utero, is typically absent or minimal in post-term newborns because it is reabsorbed in the amniotic fluid as gestation progresses beyond term.
D. Dry, cracked skin:
This is correct. Post-term newborns often have dry, peeling, or cracked skin due to prolonged exposure to amniotic fluid. The lack of vernix exacerbates this condition, leading to skin that appears weathered or desquamated.
E. Long, hard nails:
This is correct. Post-term newborns frequently have long, hard nails that may extend beyond the fingertips. This is a result of extended fetal development time in utero
Correct Answer is D
Explanation
A. a positive Moro reflex, is a normal and expected finding in a newborn. It is not a cause for concern.
B. erythema toxicum, is a benign rash that is common in newborns and does not require reporting to the provider.
C. acrocyanosis, is a normal finding in newborns and is not typically a cause for concern.
D. an elevated bilirubin level, can indicate jaundice, which may require treatment or further evaluation. This finding should be reported to the provider for appropriate management.
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