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Questions 164

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Question 1 of 5

The nurse is talking with the parent of a 1-day-old female client who has a small amount of blood-tinged, mucoid vaginal drainage. Which of the following statements would be most appropriate for the nurse to make?

Correct Answer: C

Rationale: Blood-tinged vaginal drainage in a newborn is often due to maternal hormone exposure and typically resolves. Monitoring is appropriate.

Question 2 of 5

The nurse is reinforcing teaching about constipation prevention to a client. Which of the following client statements indicate appropriate understanding of the teaching? Select all that apply.

Correct Answer: B,D,E

Rationale: A routine, high-fiber diet, and exercise prevent constipation. Caffeine can dehydrate, and frequent laxative use is not recommended.

Question 3 of 5

A woman who is pregnant for the first time asks the nurse when during pregnancy is the best time to take Lamaze classes. What should the nurse respond?

Correct Answer: B

Rationale: The second trimester is ideal for Lamaze classes, as it allows time to learn techniques before labor while avoiding early pregnancy discomforts and late-term fatigue.

Question 4 of 5

A client with leukemia has been receiving injections of Neulasta (pegfilgrastim). Which laboratory value reveals that the drug is producing the desired effect?

Correct Answer: B

Rationale: Neulasta (pegfilgrastim) stimulates the production of neutrophils, a type of white blood cell, to reduce the risk of infection in clients with neutropenia. A white blood cell count of 6,000/mm indicates an increase in white blood cells, showing the drug's desired effect. Hemoglobin relates to red blood cells, platelet count relates to clotting, and iron level is unrelated to Neulasta's action.

Question 5 of 5

A nurse is caring for a client following the delivery of a stillborn infant. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,D,E

Rationale: Bathing, holding, and obtaining mementos support grieving. Naming is a personal choice, and organ donation discussions may be inappropriate at this time.

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