ATI RN Maternal Newborn Nursing UNIT 1 Antepartum Nursing Care

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ATI RN Maternal Newborn Nursing UNIT 1 Antepartum Nursing Care 1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements b... y an adolescent reflects an understanding of the teaching? A. "a water-soluble lubricant should be used with condoms." B. "a diaphragm should be removed 2 hours after intercourse." C. "oral contraceptives can worsen a case of acne." D. "a contraceptive patch is replaced once a month." a. CORRECT: "a water-soluble lubricant should be used with condoms." B. "a diaphragm should be removed no sooner than 6 hr. and no later than 24 hr. after intercourse." C. "acne is reduced when taking oral contraceptives." D. "Contraceptive patches are replaced once a week." 2. A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? A. reduced menstrual flow B. Breast tenderness C. Shortness of breath D. Headaches. 3. C. reduced menstrual flow is a common adverse effect of oral contraceptives and usually subsides after a few months of use. B. Breast tenderness is a common adverse effect of oral contraceptives and usually subsides after a few months of use. C. CORRECT: Shortness of breath can indicate a pulmonary embolus or myocardial infarction and should be reported to the provider immediately. D. Headaches are a common adverse effect of oral contraceptives and usually subside after a few months of use." 4. A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. "an IUD should be replaced annually during a pelvic exam." B. "I cannot get an IUD until after I've had a child." C. "I should expect intermittent abdominal pain while the IUD is in place." D. "a change in the string length of my iUD is [not] expected." 5. D "a. an iUD will be replaced every 3 to 5 years, dependent upon the type of iUD used. B. Clients do not have to have given birth prior to the insertion of an IUD. C. abdominal pain with an IUD can indicate a potential complication and should be reported to the provider. D. CORRECT: a change in the length of the string of an IUD can indicate expulsion and should be reported to the provider." 6. A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (Select all that apply.) A. tinnitus B. irregular vaginal bleeding C. Weight gain D. Breast changes e. gingival hyperplasia. a. tinnitus is not an adverse effect of implantable progestins. B. CORRECT: irregular vaginal bleeding is a potential adverse effect of implantable progestins. C. CORRECT: Weight gain is a potential adverse effect of implantable progestins. D. CORRECT: Breast changes are a potential adverse effect of implantable progestins. E. Gingival hyperplasia is not a potential adverse effect of implantable progestins." [Show More]

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