What is important for a woman to understand before undergoing a scheduled tubal ligation?

She should schedule it to be done just before a menstrual flow.

The procedure will reduce her menstrual flow in amount.

She will have lessened dysmenorrhea following the procedure.

She must think of the procedure as irreversible.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Scheduling the procedure just before a menstrual flow is not necessary for a tubal ligation.
Choice B rationale
Tubal ligation does not typically reduce menstrual flow. In fact, some women may experience heavier periods after the procedure.
Choice C rationale

While some women may experience changes in their menstrual cycle after tubal ligation, it is not guaranteed that the procedure will lessen dysmenorrhea.
Choice D rationale
Tubal ligation is considered a permanent form of birth control. While reversal procedures exist, they are not always successful and should not be relied upon. Therefore, it is crucial for a woman to understand that she must think of the procedure as irreversible.

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Correct Answer is B

Explanation

Choice A rationale
Increased deposits of fat in the chest and shoulder area are not typically associated with respiratory distress syndrome in a term macrosomic newborn whose mother has poorly controlled type 2 diabetes.
Choice B rationale
Hyperinsulinemia is a condition in which there are excess levels of insulin circulating in the blood. In the case of a term macrosomic newborn whose mother has poorly controlled type 2 diabetes, the baby’s pancreas may produce extra insulin in response to the mother’s high blood glucose levels. This excess insulin can delay surfactant production, which is needed for lung maturation, leading to respiratory distress syndrome.
Choice C rationale
Brachial plexus injury is a type of birth injury that can occur due to the baby’s large size and difficulty being born. However, it is not the most likely cause of respiratory distress syndrome in a term macrosomic newborn whose mother has poorly controlled type 2 diabetes.
Choice D rationale

Increased blood viscosity can occur in newborns of mothers with poorly controlled diabetes due to polycythemia (an abnormally high number of red blood cells). However, this is not the most likely cause of respiratory distress syndrome in a term macrosomic newborn.

A. It prevents the formation of Rh antibodies in mothers who are Rh negative. B. It destroys Rh antibodies in mothers who are Rh negative. C. It prevents the formation of Rh antibodies in newborns who are Rh positive. D. It destroys Rh antibodies in newborns who are Rh positive.

Correct Answer is A

Explanation

Choice A rationale
Rh(D) immunoglobulin prevents the formation of Rh antibodies in mothers who are Rh negative. If an Rh-negative mother is exposed to Rh-positive blood, as can happen during pregnancy or childbirth, her immune system may respond by making antibodies against the Rh antigen. This can cause problems in future pregnancies if the baby is Rh positive. Rh(D) immunoglobulin works by preventing the mother’s immune system from recognizing the Rh antigen, thus preventing the formation of antibodies.
Choice B rationale
Rh(D) immunoglobulin does not destroy Rh antibodies in mothers who are Rh negative. Once antibodies have formed, they cannot be destroyed by Rh(D) immunoglobulin.
Choice C rationale
Rh(D) immunoglobulin does not prevent the formation of Rh antibodies in newborns who are Rh positive. The purpose of Rh(D) immunoglobulin is to prevent the mother from forming Rh antibodies.
Choice D rationale
Rh(D) immunoglobulin does not destroy Rh antibodies in newborns who are Rh positive. The purpose of Rh(D) immunoglobulin is to prevent the mother from forming Rh antibodies.

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What is important for a woman to understand before undergoing a scheduled tubal ligation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most likely cause of respiratory distress syndrome in a term macrosomic newborn whose mother has poorly controlled type 2 diabetes?

Correct Answer is B

Explanation

A nurse is teaching a client who is postpartum and has a new prescription for Rh(D) immunoglobulin. Which of the following should be included in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is 5 hours postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complications?

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and believes she is in labor. Which finding confirms to the nurse that the client is in labor?

A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent defects in the fetus?

Which of the following findings should alert a nurse assessing a client who is 8 hr postpartum and multiparous?

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?

What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD. For example, July 27 is 0727)

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn’s mouth, which of the following responses should the nurse make?

A nurse is educating the mother of a newborn who was born small for gestational age. Which of the following should the nurse mention as a potential cause of this condition?