A client is to receive 10 mg nalbuphine by slow intravenous push for pain relief during labor. During which phase of uterine contractions will the nurse plan to administer nalbuphine?

Correct Answer: C

Rationale: The correct answer is C: Between uterine contractions. Administering nalbuphine during contractions can lead to decreased uterine blood flow, potentially compromising fetal oxygenation. Waiting until between contractions allows for optimal fetal oxygenation and minimizes the risk of uterine hyperstimulation. Administering at the end of a contraction or at any time during a contraction may still pose risks to the fetus.

Correct Answer: C

Rationale: Step 1: Maternal consent is required for Hepatitis B vaccine series as it involves administering a vaccine to the newborn, which may have potential risks. Step 2: The Hepatitis B vaccine series is given as a preventive measure against Hepatitis B infection. Step 3: Maternal consent ensures that the mother is informed about the benefits and risks of the vaccine for her newborn. Step 4: Without maternal consent, healthcare providers cannot administer the Hepatitis B vaccine series to the newborn. Summary: Choice A (Erythromycin eye ointment) is typically administered routinely without requiring maternal consent. Choice B (Phytonadione) is a vitamin supplement given to newborns to prevent bleeding disorders, usually without the need for maternal consent. Choice D (Betamethasone injection) is a medication given to pregnant women to help fetal lung development and does not require maternal consent for administration to the newborn.

Correct Answer: A

Rationale: Correct Answer: A Rationale: Depot medroxyprogesterone acetate is a progestin-only contraceptive that commonly causes changes in menstrual patterns. By inhibiting ovulation, it can lead to irregular bleeding, amenorrhea, or spotting. Patients should be informed about these potential changes. Increasing calcium intake is not specifically related to this medication. While patients can experience irregular bleeding initially, it is not accurate to say they do not have any changes in their periods. Depot medroxyprogesterone acetate is safe to use while breastfeeding, as it does not affect milk production or quality.

Correct Answer: D

Rationale: Step 1: Identify the key information - married man with daughters taking finasteride. Step 2: Understand finasteride - primarily used for BPH but can also promote hair growth. Step 3: Critical assessment - hair growth is not a priority for BPH treatment. Step 4: Focus on patient's well-being - libido, urinary retention, and dosing are more relevant. Step 5: Final assessment - D is incorrect as hair growth is not a priority concern.

Correct Answer: D

Rationale: The correct answer is D: Proliferative phase. During this phase, which occurs after the menstrual phase, the endometrium thickens and becomes more vascularized in preparation for potential implantation of a fertilized egg. This phase is characterized by the repair and growth of the endometrium, making it the correct choice. A: Follicular phase - This phase occurs before ovulation and is primarily focused on follicle development, not endometrial repair and growth. B: Luteal phase - This phase occurs after ovulation and is mainly associated with the formation and maintenance of the corpus luteum, not endometrial repair and growth. C: Menstrual phase - This phase involves shedding of the endometrium, not repair and growth.