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A patient comes to the family planning clinic requesting information.Which information should the nurse obtain initially to determine the patient’s knowledge base?.

The amount of sexual experience that the patient has had.

The type of contraceptive that the patient’s friends are using.

The reason for the patient’s visit at this time.

The method of contraception that the patient believes will provide protection from sexually transmitted diseases.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The reason for the patient’s visit at this time.

This information will help the nurse assess the patient’s motivation, readiness, and urgency for contraception.

It will also help the nurse tailor the education and counseling to the patient’s specific needs and preferences.

Choice A is wrong because the amount of sexual experience that the patient has had is not relevant to determine the patient’s knowledge base.

It may also make the patient feel uncomfortable or judged.

Choice B is wrong because the type of contraceptive that the patient’s friends are using is not a reliable source of information.

Different methods may have different advantages and disadvantages for different people.

The nurse should provide evidence-based information and guidance on various options.

Choice D is wrong because the method of contraception that the patient believes will provide protection from sexually transmitted diseases may not be accurate or effective.

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Correct Answer is C

Explanation

The correct answer is choice C. Arrange for her to meet the staff who will be caring for her during labor and delivery.This measure can help reduce the anxiety and fear of the unknown that a primigravida may have in the last month of pregnancy.Meeting the staff can also help establish rapport and trust, which are essential for a positive birth experience.

Choice A is wrong because an increase in fetal activity does not necessarily require an increase in the need to rest.

Fetal activity is normal and expected, and the mother should monitor it regularly.Resting may help with some discomforts of pregnancy, but it is not directly related to fetal activity.

Choice B is wrong because back labor is not likely for a primigravida with an uncomplicated pregnancy.

Back labor occurs when the fetus is in an occiput posterior position, which puts pressure on the mother’s spine and causes intense pain in the lower back.This position is more common in multiparous women than primigravidas.

Choice D is wrong because testing urine for glucose is not a routine measure for a primigravida with an uncomplicated pregnancy.

Urine glucose testing is done for women who have gestational diabetes or are at risk of developing it.It is not necessary for women who have normal blood glucose levels.

A. The breast milk can be sterilized to kill the HIV virus, then bottle-fed to the infant. B. Colostrum should be expressed and analyzed for the presence of the HIV virus prior to breastfeeding. C. Breastfeeding may be initiated if the infant is determined to be HIV positive. D. Breastfeeding may be a mode of transmission of the HIV virus.

Correct Answer is D

Explanation

This is based on the fact that HIV is a virus that attacks the body’s immune system and is spread through certain body fluids, including breast milk.Perinatal transmission can occur during pregnancy, birth, or breastfeeding.Treatment for HIV (antiretroviral therapy, or ART) substantially reduces the risk of perinatal transmission.

Choice A is wrong because sterilizing breast milk does not kill the HIV virus.

Choice B is wrong because colostrum can also contain the HIV virus and testing it is not feasible or reliable.

Choice C is wrong because breastfeeding may still pose a risk of HIV transmission even if the infant is determined to be HIV positive.

The current recommendation in the United States supports shared decision-making between mothers and their healthcare providers regarding infant feeding.Mothers who have questions about breastfeeding or who want to breastfeed should receive patient-centered, evidence-based counseling on infant feeding options, allowing for shared decision-making.

Counseling should begin before conception, or as early as possible in pregnancy and should be

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A patient comes to the family planning clinic requesting information.Which information should the nurse obtain initially to determine the patient’s knowledge base?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 16-year-old primigravida who is in the last month of an uncomplicated pregnancy. Which measure is most appropriate to include in the patient’s plan of care?

Correct Answer is C

Explanation

A mother of a 3-hour-old infant requests information concerning breastfeeding. The mother has tested positive for human immunodeficiency virus (HIV).A nurse’s response should be based on which fact?

Correct Answer is D

Explanation

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