A certified nursing assistant (CN
Do perineal care for a client who just transferred from labor and delivery.
Monitor an area of redness on the incision of a Cesarean section client who is 1 day postpartum.
Provide discharge instructions on using a sitz bath to a client who is going home.
Monitor signs of pre-eclampsia in a client who has gestational hypertension.
The Correct Answer is A
Choice A rationale
Perineal care for a client who just transferred from labor and delivery is within the scope of practice for a certified nursing assistant (CNA). CNAs are trained to provide basic care, such as hygiene and assistance with activities of daily living, to postpartum clients.
Choice B rationale
Monitoring an area of redness on the incision of a Cesarean section client requires clinical assessment skills beyond the scope of a CNA. It involves evaluating the incision for signs of infection or other complications, which is the responsibility of a registered nurse.
Choice C rationale
Providing discharge instructions, such as using a sitz bath, requires teaching and evaluation skills. Registered nurses are responsible for providing education and ensuring client understanding before discharge.
Choice D rationale
Monitoring for signs of pre-eclampsia involves assessment and interpretation of symptoms such as blood pressure, edema, and proteinuria, which are beyond the scope of a CNA. This is a responsibility of a registered nurse.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
A diaphragm must be left in place for at least 6 hours after intercourse to prevent sperm from reaching the uterus. This ensures effective contraception.
Choice B rationale
Depo-Provera is a long-acting contraceptive injection, and fertility can return within a few months after stopping, but it may take up to 9-10 months for some women to regain their regular menstrual cycles and fertility.
Choice C rationale
The Ortho Evra patch is a hormonal contraceptive that is applied weekly, not monthly. It needs to be replaced once a week for three weeks, followed by a patch-free week.
Choice D rationale
Male and female condoms should not be used together because they can create friction and cause either or both condoms to break or slip, reducing their effectiveness as contraceptives and increasing the risk of sexually transmitted infections.
Correct Answer is B
Explanation
Choice A rationale
Applying hot compresses to the breasts prior to feeding is not recommended for painful nipples due to breastfeeding. It may exacerbate pain and discomfort.
Choice B rationale
Teaching latching and releasing of suction techniques helps ensure that the baby latches correctly and releases properly from the breast, which can prevent and alleviate nipple pain and trauma.
Choice C rationale
Rubbing colostrum on the nipples after a feeding session is beneficial as colostrum has healing properties, but it does not address the immediate technique-related cause of painful nipples.
Choice D rationale
Air-drying nipples for 10 minutes at the end of the feeding session can be helpful for healing, but proper latching techniques are more effective in preventing nipple pain.
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