After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence?

developing most often in women in their 30s

feeling a strong need to void

passing a large amount of urine

sneezing as an initiating stimulus

Answer and Explanation

The Correct Answer is D

A. Developing most often in women in their 30s:

Stress incontinence can affect women of various ages, not specifically those in their 30s. While childbirth and hormonal changes associated with aging can increase the risk of stress incontinence, it is not limited to any particular age group.

B. Feeling a strong need to void:

This characteristic is more indicative of urgency incontinence, also known as overactive bladder (OAB), where there is a sudden, strong urge to urinate that is difficult to control. It is different from stress incontinence, which is triggered by physical movements or activities that increase pressure on the bladder.

C. Passing a large amount of urine:

This choice does not specifically describe a characteristic of stress incontinence. Stress incontinence involves the leakage of small amounts of urine during activities such as coughing, sneezing, laughing, or exercising, rather than the passage of a large amount of urine at once.

D. Sneezing as an initiating stimulus:

This is the correct characteristic of stress incontinence. Stress incontinence is characterized by the leakage of urine during physical activities or movements that increase intra-abdominal pressure, such as coughing, sneezing, laughing, lifting, or exercising. Sneezing is a common initiating stimulus for stress incontinence episodes.

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Correct Answer is ["C","D"]

Explanation

A. "Your membranes may rupture earlier than normal." - This statement is not directly associated with chlamydia infection during pregnancy. Premature rupture of membranes (PROM) can occur due to various factors, but chlamydia infection is not a direct cause.

B. "It will not have any effect on your pregnancy." - This statement is incorrect. Chlamydia infection during pregnancy can have implications for both the mother and the baby, so it is not accurate to say it will not have any effect.

C. "Your newborn can be infected during birth." - This is an accurate statement. Chlamydia can be transmitted from the mother to the newborn during vaginal childbirth, leading to neonatal chlamydial infection.

D. "Your newborn may have eye infections from this infection." - This is also correct. Neonatal chlamydial infection can cause conjunctivitis (eye infection) in newborns if they are exposed to the bacteria during delivery.

E. "Your newborn is protected from this infection." - This statement is incorrect. Newborns are not inherently protected from chlamydial infection if the mother is infected. Without appropriate treatment and preventive measures, the newborn can contract the infection during birth.

A. 24 hours before birth and 24 hours after birth B. at 28 weeks' gestation and again within 72 hours after birth C. at 32 weeks' gestation and immediately before discharge D. in the first trimester and within 2 hours of birth

Correct Answer is B

Explanation

A. 24 hours before birth and 24 hours after birth:

This option suggests administering Rho(D) immune globulin (RhIg) both before and after birth. However, the standard recommendation is to administer RhIg at 28 weeks' gestation and again within 72 hours after birth. Administering RhIg before birth in this manner is not a standard practice for preventing Rh isoimmunization.

B. At 28 weeks' gestation and again within 72 hours after birth:

This is the correct choice. Administering RhIg at 28 weeks' gestation helps prevent sensitization of the Rh-negative mother to Rh-positive fetal blood cells that may have entered her circulation during pregnancy. Administering it again within 72 hours after birth helps prevent sensitization from any Rh-positive fetal blood cells that may have entered the mother's circulation during delivery.

C. At 32 weeks' gestation and immediately before discharge:

Administering RhIg at 32 weeks' gestation is not the standard recommendation. The standard timing is at 28 weeks' gestation to cover the critical period of sensitization during pregnancy. Administering it immediately before discharge may not provide adequate protection if sensitization has already occurred during pregnancy.

D. In the first trimester and within 2 hours of birth:

Administering RhIg in the first trimester is not a routine practice unless there is a specific indication, such as miscarriage or invasive procedures that may lead to fetal-maternal hemorrhage. Administering it within 2 hours of birth alone does not provide adequate protection against sensitization during pregnancy. The standard recommendation is to administer RhIg at 28 weeks' gestation and again within 72 hours after birth to cover the critical periods of sensitization during pregnancy and delivery.

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After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

It is determined that a client's blood Rh is negative and her partner's is Rh positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?

Correct Answer is B

Explanation

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