The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

"Transmission can occur via the saliva and urine of the newborn."

"This infection requires that airborne precautions be initiated for the newborn."

"Mothers will receive prophylactic treatment with acyclovir prior to delivery."

“Lesions are visible on the mother's genitalia."

Answer and Explanation

The Correct Answer is A

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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Correct Answer is A

Explanation

Medroxyprogesterone is an injectable form of contraception that is given every 12 to 13 weeks. Therefore, the correct statement is that the client will need to return to the clinic in 8 weeks for her next injection.

Option B is incorrect because the client receives only one shot each time she receives this medication.

Option C is incorrect because medroxyprogesterone can decrease bone density, so the client should increase calcium intake.

Option D is incorrect because spotting is a common side effect of medroxyprogesterone, and the client should not discontinue the medication unless advised to do so by her healthcare provider.

A. "You cannot have an amniocentesis until you are at least 35 years of age." B. "We can schedule the procedure for later today if you'd like." C. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." D. “This procedure determines if your baby has genetic or congenital disorders.”

Correct Answer is D

Explanation

The nurse should inform the client that an amniocentesis is a diagnostic test used to identify genetic or congenital disorders and is not performed solely to determine the sex of the fetus. Therefore, the appropriate response by the nurse would be, "This procedure determines if your baby has genetic or congenital disorders."

Amniocentesis is an invasive procedure that carries a small risk of miscarriage, and it is typically offered to women who are at increased risk of having a baby with a genetic or chromosomal disorder. It is not routinely performed solely for the purpose of determining the sex of the fetus. Therefore, the nurse should educate the client about the purpose and risks of the procedure before the client decides to proceed with the test.

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The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?

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