A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?

Correct Answer: D

Rationale: The correct answer is D: Performing umbilical cord care. Gloves should be worn during this procedure to prevent the spread of infection. The umbilical cord stump is a potential entry point for bacteria, so gloves are necessary to maintain asepsis. A: Assisting a mother with breastfeeding does not require gloves as it is a clean procedure. B: Performing a newborn's initial bath does not require gloves unless there are open wounds on the newborn. C: Administering the measles, mumps, rubella vaccine may require gloves, but the primary concern is needlestick safety rather than infection control through glove use.

Correct Answer: D

Rationale: The correct answer is D: Assist the client into the knee-chest position. This position helps relieve pressure on the umbilical cord, preventing compression and potential harm to the fetus. By positioning the client in knee-chest, gravity can aid in moving the fetus off the cord. Administering oxytocin (choice A) is not appropriate as the priority is to relieve pressure on the cord. Applying oxygen (choice B) does not address the immediate risk posed by the cord prolapse. Insertion of an intrauterine pressure catheter (choice C) is not indicated when the priority is to alleviate cord compression.

Correct Answer: D

Rationale: The correct answer is D because emphasizing the use of condoms is crucial for preventing both sexually transmitted diseases and pregnancy among middle school students who may engage in sexual activity. Condoms are the most effective method for dual protection at this age. Choice A focuses on setting limits but may not address the practical aspect of protection. Choice B is important but not as critical as ensuring proper protection. Choice C is not suitable for this age group due to legal and ethical considerations.

Correct Answer: D

Rationale: Step 1: The nurse should engage the client to gather more information about the craving for chalk. This helps in understanding the underlying cause. Step 2: By asking the client to elaborate on the reason for the craving, the nurse can assess if it's related to a medical condition or nutritional deficiency. Step 3: Understanding the client's perspective can guide the nurse in providing appropriate support and interventions. Step 4: Referring the client to a therapist (option A) without first exploring the issue may not address the root cause effectively. Step 5: Hypotension (option B) and nasal congestion (option C) are not directly related to the issue of chalk craving, making them incorrect choices. In summary, option D is correct as it promotes client-centered care by exploring the client's concerns before considering further interventions.

Correct Answer: D

Rationale: The correct answer is D: Rest until the contractions subside. During Braxton Hicks contractions, rest can help alleviate the discomfort. It allows the body to relax and reduces the intensity of the contractions. Other options are incorrect because: A: Reporting stools with milk curds to the infant's healthcare provider is unrelated to Braxton Hicks contractions. B: Stool color changes are irrelevant to managing Braxton Hicks contractions. C: Drinking water is important for overall health during pregnancy but does not directly address Braxton Hicks contractions.