The nurse is preparing a client for cesarean delivery. What is the priority nursing action?

Correct Answer: C

Rationale: In the context of preparing a client for cesarean delivery, the priority nursing action is to verify signed informed consent (Option C). This is crucial because it ensures that the client has been informed about the procedure, its risks, benefits, and alternatives, and has given their voluntary consent. Without valid informed consent, proceeding with the surgery would be ethically and legally inappropriate. Obtaining baseline vital signs (Option A) is important but not the priority in this scenario where ensuring informed consent takes precedence. Inserting an indwelling urinary catheter (Option B) is typically done after the client has been prepared for surgery and is in the operating room. Administering prophylactic antibiotics (Option D) is important in preventing infection but is not the immediate priority compared to ensuring informed consent. Educationally, this question highlights the significance of informed consent in healthcare decision-making. It underscores the nursing responsibility to advocate for patients' rights and autonomy, ensuring they are fully informed and actively participate in their care. Understanding the prioritization of actions in maternal newborn care, especially before surgical interventions, is vital for safe and ethical practice.

Correct Answer: C

Rationale: Rationale: The correct answer is C) It reduces the risk of neural tube defects. Folic acid is crucial during pregnancy as it plays a vital role in the development of the baby's neural tube, which later becomes the brain and spinal cord. Adequate folic acid intake, especially in the early stages of pregnancy, significantly decreases the risk of neural tube defects such as spina bifida and anencephaly. Option A) It helps prevent gestational diabetes is incorrect because folic acid does not have a direct relationship with preventing gestational diabetes. Gestational diabetes is more influenced by factors like diet, exercise, and maternal health. Option B) It promotes fetal brain development is partially correct, as folic acid does contribute to brain development, but its primary role is in preventing neural tube defects. Option D) It increases maternal energy levels is incorrect as folic acid does not function to directly increase energy levels. Energy levels are influenced by factors like nutrition, rest, and overall health during pregnancy. Educationally, it is important for nurses to understand the specific roles of nutrients during pregnancy to educate and support expectant mothers in making informed choices for a healthy pregnancy outcome. Understanding the significance of folic acid in preventing birth defects empowers healthcare providers to emphasize its importance in prenatal care.

Correct Answer: A

Rationale: The patient should be informed that emergency contraception is a temporary measure and they need a long-term contraceptive plan. Choice B, while important for overall sexual health, is not the priority immediately after administering emergency contraception. Choice C is not necessary unless there are complications or a follow-up consultation is needed. Choice D about drinking fluids is unnecessary and not specific to the effectiveness of emergency contraception.

Correct Answer: A

Rationale: One of the primary advantages of the IUD is that it requires no daily action, making it a convenient and reliable method. Choice B is incorrect because it may take a few days for some types of IUDs to provide full protection. Choice C is incorrect because immediate protection may not be ensured immediately after insertion, especially for hormonal IUDs. Choice D is incorrect because IUDs typically last for several years, not just 6 months.

Correct Answer: A

Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.