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NEW QUESTION 31
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

• A. October 15
• B. October 29
• C. October 8
• D. October 22

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) Correct application of Nägele's rule: correctly subtracted 3 months and added 7 days. (D) Incorrect application of Nägele's rule: correctly subtracted 3 months but added 14 days instead of 7 days.

NEW QUESTION 32
Nursing assessment of early evidence of septic shock in children at risk includes:

• A. Normal pulses, hypotension, and oliguria
• B. Fever, tachycardia, and tachypnea
• C. Respiratory distress, cold skin, and pale extremities
• D. Elevated blood pressure, hyperventilation, and thready pulses

Answer: B

Explanation:
(A) Fever, tachycardia, and tachypnea are the classic early signs of septic shock in children. (B) Respiratory distress, cold skin, and pale extremities are later signs of septic shock. (C) Elevated blood pressure, hyperventilation, and thready pulses are later signs of septic shock. (D) Normal pulses, hypotension, and oliguria are not early signs of septic shock.

NEW QUESTION 33
On the third postpartum day, the nurse would expect the lochia to be:

• A. Scant
• B. Rubra
• C. Serosa
• D. Alba

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6thweek. The lochia is yellowish white. (D) This is not a classification of lochia but relates to the amount of discharge.

NEW QUESTION 34
A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?

• A. Chicken
• B. Green beans
• C. Rice
• D. Cantaloupe

Answer: A

Explanation:
Explanation
(A) Cantaloupe is a good source of carbohydrates, vitamin C, and vitamin A.
(B) Rice contains about 4 g of protein per 200 g.
(C) Chicken contains 35 g protein per breast. Chicken is a rich source of vitamin B6 (pyridoxine), which is needed for adequate protein synthesis. As protein intake increases, vitamin B6 intake must also be increased. Vitamin B6 is a coenzyme in amino acid metabolism.
(D) Green beans only contain 2 g of protein per cup.

NEW QUESTION 35
Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

• A. Decreased glomerular filtration and increased tubular absorption
• B. Decreased estrogen levels
• C. Increased human placental lactogen levels
• D. Decreased progesterone levels

Answer: C

Explanation:
Explanation
(A) There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. (B) Insulin is inhibited by increased levels of estrogen. (C) Insulin is inhibited by increased levels of progesterone. (D) Human placental lactogen levels increase later in pregnancy.
This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.

NEW QUESTION 36
......

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