The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality.
What would be most important for the nurse to do when working with this family?.

Inform the family of the need for information.

Present the information in a factual, nondirective manner.

Maintain the confidentiality of the information.

Gather information for three generations.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.

Choice B rationale:

Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.

Choice C rationale:

Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.

Choice D rationale:

Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.

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Correct Answer is D

Explanation

Choice A rationale:

A respiratory rate of 10 breaths/minute is low and could indicate magnesium toxicity.

Choice B rationale:

Difficulty in arousing could also indicate magnesium toxicity.

Choice C rationale:

Urinary output of 20 mL per hour is low and could indicate renal impairment.

Choice D rationale:

Deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug.

A. Offering fluids as indicated. B. Encouraging the woman to void. C. Assessing the uterine fundus. D. Assisting with perineal care. E. Assisting with perineal care.

Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

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The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.

Correct Answer is D

Explanation

Which action is a priority when caring for a woman during the fourth stage of labor?.

Correct Answer is C

Explanation

In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out when I lie down flat on my back.”. The nurse explains that this is due to:.

After teaching a group of adolescents about HIV, the nurse asks them to identify the primary means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute. What flow rate will you set the IV pump to deliver? Numeric values only.

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply.

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality.
What would be most important for the nurse to do when working with this family?.