A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

This method may delay pregnancy for up to 9 months after stopping.

She can use Depo-Provera as a birth control method until she is 40.

Aerobic (cardio) exercises will help prevent bone loss.

She will continue to have menstrual bleeding while using Depo-Provera.

Answer and Explanation

Correct Answer : A,C

Choice A rationale

Depo-Provera may delay the return of fertility for up to 9 months after discontinuation due to its effect on the menstrual cycle.

Choice C rationale

Aerobic exercises are recommended to help prevent bone loss, which can be a side effect of long-term Depo-Provera use.

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Correct Answer is C

Explanation

Choice A rationale

Normal neonatal glucose: >45 mg/dL (ideally 50–110 mg/dL).
A level of 40 is low → risk for hypoglycemia complications (seizures, brain injury).

While it is important to monitor glucose levels, a reading of 40 mg/dL is low and requires immediate attention. Waiting 4 hours could allow the newborn's condition to deteriorate further. Hypoglycemia in newborns can lead to serious complications if not treated promptly.

Choice B rationale

Assessing for hypothermia is essential, but it is not the first priority when a newborn has low blood glucose levels. Immediate steps should be taken to address the hypoglycemia to prevent further complications, as it is a more immediate threat to the newborn's health.

Choice C rationale

Notifying the physician on call is the correct priority intervention. A blood glucose level of 40 mg/dL is concerning, and prompt medical intervention is necessary. The physician can order appropriate treatment to stabilize the newborn's glucose levels and prevent potential complications.

Choice D rationale

Re-evaluating the blood serum glucose is important but comes after initiating immediate intervention. Continuous monitoring should follow initial treatment to ensure the newborn's glucose levels stabilize. Immediate action is crucial to address the hypoglycemia effectively.

A. Oxytocin. B. Prolactin. C. Foremilk. D. Hindmilk.

Correct Answer is D

Explanation

Choice B rationale: Prolactin is the hormone responsible for the production of breast milk. It does not determine the caloric content of the milk released later in the feeding.

Choice C rationale: Foremilk is the initial milk released during breastfeeding. It is higher in water content and lower in calories compared to hindmilk.

Choice D rationale: Hindmilk is the milk released later in the feeding. It is richer in fat and calories, providing essential nutrients and energy to the baby. The higher fat content in hindmilk helps in the baby's growth and development.

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A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

Correct Answer is C

Explanation

The breast milk with more calories released later in the feeding is:

Correct Answer is D

Explanation

A nurse is assessing a client postpartum.Which of the following findings should alert the nurse to the client's need to urinate?

Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.

A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Below are the exhibits. Exhibits Which of the following interventions should the nurse prioritize for this newborn? Select all that apply.

A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan.Which of the following signs or symptoms might the nurse observe in the baby as a result?

The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

The nurse is assessing the client's transition to the taking-hold phase after an uncomplicated vaginal birth.Which behavior by the mother best indicates this transition is occurring?