A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
- A. “Your infant is in distress. We should call an ambulance.”
- B. “You need to be more active; take a dance class once a week.”
- C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
- D. “You probably counted incorrectly.”
Correct Answer: C
Rationale: By the second trimester, fetal movement can decrease due to limited space in the uterus.
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A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
- A. Takes a beta-blocker for hypertension
- B. Has a total cholesterol level of 201
- C. Doesn’t participate in any form of regular physical activity
- D. Has a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Physical inactivity is the biggest modifiable risk factor for coronary heart disease.
The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
- A. “I will select the music I listen to carefully. Energetic or rap music is not a good choice.”
- B. “I will need to find someone who has specialized in this type of therapy for best results.”
- C. “Chants, electronic sounds, or ‘designer music’ is generally the best choice.”
- D. “The music I choose may be different than what my spouse prefers.”
Correct Answer: D
Rationale: Music selection is an individual choice. There is no one “best” type of music.
A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?
- A. You should not get a tattoo.
- B. It is okay to get a tattoo if you go to a licensed artist.
- C. Tattoos are popular; however, they can lead to infection and/or bleeding.
- D. A body piercing would be safer and less permanent.
Correct Answer: C
Rationale: The nurse should inform the teenager of the potential risks, such as infection and bleeding, when considering a tattoo.
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- A. Elimination of the school requirement for the MMR vaccine
- B. Regulation of the use of electronic devices used by preschoolers
- C. Regulation of the paint allowed for use with toys
- D. Elimination of WIC programs
Correct Answer: C
Rationale: Regulating the paint used in toys addresses the risk of lead poisoning, a Healthy People 2020 objective.