A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery.
The client is asking about birth control options.
What contraception option would you recommend as being the most reliable?

A male condom.

Vaginal ring.

Hormonal implant.

An oral contraceptive.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Male condoms are effective in preventing pregnancy and sexually transmitted infections, but their reliability can be compromised by improper use or breakage.

Choice B rationale

Vaginal rings provide hormonal contraception and are effective, but they may be less reliable compared to implants due to potential for incorrect use.

Choice C rationale

Hormonal implants are highly reliable because they provide continuous contraception over an extended period (up to 3-5 years) with minimal user intervention.

Choice D rationale

Oral contraceptives are effective when taken correctly, but their reliability can be reduced by missed doses or incorrect use.

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Correct Answer is ["A","B","C","D","G"]

Explanation

Choice A: Respiratory assessment

The newborn is exhibiting signs of respiratory distress, such as mild grunting, nasal flaring, and intermittent retractions. These symptoms indicate potential respiratory issues that need immediate attention.

Choice B: Hemoglobin

The newborn's hemoglobin level is 9 g/dL, which is below the normal range of 14 to 24 g/dL2. This indicates anemia, which can affect the baby's oxygen-carrying capacity and overall health.

Choice C: Serum glucose

The newborn's serum glucose level is 38 mg/dL, which is below the normal range of 40 to 45 mg/dL2. Hypoglycemia in newborns can lead to serious complications if not addressed promptly.

Choice D: Heart rate

The newborn's heart rate is 180 beats per minute, which is above the normal range for a newborn (normal range: 120-160 beats per minute)2. This tachycardia could be a response to stress or an underlying condition that needs evaluation.

Choice G: Hematocrit

The newborn's hematocrit level is 35%, which is below the normal range of 44% to 64%2. This further supports the presence of anemia and the need for intervention2

A. The fetal heartbeat can be heard via Doppler by 4 weeks of pregnancy. B. The fetal heartbeat can be heard by external Doppler around 10-12 weeks of pregnancy. C. You will first feel your baby move in week 24 of pregnancy. D. The heart formation begins in week 5 of pregnancy and we can hear it by Doppler at 6 weeks.

Correct Answer is B

Explanation

Choice A rationale

The fetal heartbeat cannot typically be heard via Doppler as early as 4 weeks of pregnancy. At this stage, the heart is still developing, and it is too soon for external detection with a Doppler device.

Choice B rationale

The fetal heartbeat is generally detectable by an external Doppler device around 10-12 weeks of pregnancy. This is the period when the heartbeat is strong enough to be picked up by the device.

Choice C rationale

Feeling the baby move, known as "quickening," typically occurs around 18-24 weeks of pregnancy, not 6 weeks. This sensation is different from hearing the heartbeat.

Choice D rationale

While the heart begins to form around week 5, it is not detectable by Doppler at 6 weeks. The technology does not have the sensitivity to detect such an early heartbeat externally.

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A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery.The client is asking about birth control options.What contraception option would you recommend as being the most reliable?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn 1 hour following birth in the emergency unit. Exhibits Select the 5 findings the nurse should report to the provider.

Correct Answer is ["A","B","C","D","G"]

Explanation

A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat.What should the nurse include in the teaching regarding cardiac development?

Correct Answer is B

Explanation

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A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery.
The client is asking about birth control options.
What contraception option would you recommend as being the most reliable?