A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

"The results will show if my baby's lungs are mature."

"This test determines how well my placenta is functioning."

"This test is done if there is a risk of an Rh incompatibility."

"The results can indicate a genetic disorder."

Answer and Explanation

The Correct Answer is A

A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.

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Correct Answer is D

Explanation

A. A history of methicillin-resistant Staphylococcus aureus (MRSA) does not contraindicate the use of a cervical cap. MRSA is an infection issue, but the cervical cap does not pose a significant risk for MRSA-related complications.
B. A history of thrombophlebitis is not a contraindication for the use of a cervical cap. Thrombophlebitis concerns are generally associated with hormonal contraceptives rather than barrier methods like cervical caps.
C. Type 1 diabetes mellitus is not a contraindication for using a cervical cap. Individuals with Type 1 diabetes can use barrier methods for contraception, though they should manage their condition carefully for overall health.
D. A history of toxic shock syndrome (TSS) is a contraindication for using a cervical cap. TSS is a severe, potentially life-threatening condition often associated with the use of barrier methods like tampons or cervical caps, which can increase the risk of infection.

A. Encourage frequent ambulation. B. Prepare the client for catheterization C. Ensure the client maintains a supine position while in bed. D. Check FHR every 30 min. E. Perform a Nitrazine test. F. Check client's temperature every hour. G. Obtain CBC blood sample

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

- Encourage frequent ambulation: Anticipated. Ambulation can help progress labor, unless contraindicated by the healthcare provider.

- Prepare the client for catheterization: Non-essential. There is no current indication for catheterization as the client is voiding adequately and not in active labor.

- Ensure the client maintains a supine position while in bed: Contraindicated. The supine position can cause supine hypotensive syndrome in pregnant clients. A side-lying position is preferred to optimize blood flow.

- Check FHR every 30 min: Anticipated. Regular monitoring of FHR is important to assess fetal well-being during labor.

- Perform a Nitrazine test: Anticipated. Since the client reports fluid leakage, a Nitrazine test can help confirm if the membranes have ruptured.

- Check client's temperature every hour: Non-essential. The client's temperature is stable, and hourly checks are not indicated unless there are signs of infection or the membrane has been ruptured for an extended period.

- Obtain CBC blood sample: Anticipated. A CBC can help identify any underlying issues such as anemia or infection that could affect labor and delivery.

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A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who inquires about a cervical cap for contraception. The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

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