Nokea
A 29-year-old low-risk primiparous patient has just placental abruption?
- A. Mild: Grade 1
- B. Moderate: Grade 2
- C. Marked: Grade 3
- D. Severe: Grade 4
Correct Answer: B
Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.
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The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
- A. Mild swelling in the feet.
- B. Headache unrelieved by rest or medication.
- C. Increased appetite.
- D. Frequent urination.
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.
The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?
- A. Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships.
- B. The family serves as a place that encourages members to autonomously function in pursuit of personal pleasures.
- C. Society functions best when families determine how they will interface with others without having to deal with the overall consequences.
- D. Work is an important part of family function but is not necessary for success if one member can fulfill multiple roles.
Correct Answer: A
Rationale: The family is the basic unit of society. In order for this to work well, members of the family must work together. Families make a central contribution to enhance the quality of our society.
What is the rationale for the nurse's questions regarding a nonpregnant young woman diagnosed with bacterial vaginosis?
- A. Clients with BV can infect their sexual partners.
- B. The nurse is required by law to ask the questions.
- C. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women.
- D. The laboratory needs a full client history to know for which organisms and antibiotic sensitivities it should test.
Correct Answer: C
Rationale: BV increases susceptibility to other STIs, including HIV.
The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?
- A. Children older than age 16 can provide their own consent for, or refusal of, medical procedures.
- B. A guardian ad litem may be appointed by the parents to serve to protect the child's best interests.
- C. Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.
- D. When divorce occurs, the parent with whom the child is living on a daily basis will be granted custody of the child.
Correct Answer: C
Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 years of age) can legally provide consent for health care.
What should be included in counseling about Gardasil, a vaccine for human papillomavirus (HPV)?
- A. Gardasil is not recommended for women who are already sexually active.
- B. Gardasil protects recipients from all strains of the virus.
- C. The most common side effect from the vaccine is pain at the injection site.
- D. Anyone who is allergic to eggs is advised against receiving the vaccine.
Correct Answer: C
Rationale: Pain at the injection site is the most common side effect.