A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?

Nausea

Persistent headaches

Breast tenderness

Abdominal bloating

Answer and Explanation

The Correct Answer is B

A. Nausea is a common and generally mild side effect of oral contraceptives and does not typically require immediate medical attention.
B. Persistent headaches may indicate an increased risk of stroke or hypertension, especially in clients with other risk factors. This could be a sign of a serious adverse effect and should be reported to the provider immediately.
C. Breast tenderness is a common and usually benign side effect of hormonal contraceptives.
D. Abdominal bloating may occur but is not typically dangerous or an urgent concern.

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Correct Answer is A

Explanation

A. A jittery newborn at 4 hours old may be experiencing hypoglycemia, which is a potentially serious condition requiring immediate assessment and intervention.
B. Universal newborn screening is important but can be delayed until the newborn is more stable.
C. The New Ballard Score is an assessment of gestational age and can be done after stabilization.
D. Checking temperature prior to the first bath is important but less urgent than evaluating possible hypoglycemia.

A. Lay the tape measure horizontally over the middle of the client's abdomen. B. Place the client in a left-lateral position to obtain the measurement. C. Measure from the upper border of the symphysis pubis to the upper border of the fundus D. Ensure that the client has a full bladder before taking the measurement.

Correct Answer is C

Explanation

A. The tape measure should be placed vertically, not horizontally, over the abdomen to measure fundal height accurately.
B. The client should be in a supine position, not left-lateral, during the measurement.
C. Fundal height is measured from the upper border of the symphysis pubis to the upper border of the uterine fundus.
D. A full bladder can distort the measurement, so the client should have an empty bladder before measuring fundal height.

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A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?

Correct Answer is A

Explanation

A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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