Nokea
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
- A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
- B. “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
- C. “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
- D. “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”
Correct Answer: A
Rationale: Group B Streptococcus screening is important as this infection can lead to severe complications for the infant.
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A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately:
- A. 10 pounds, 14 ounces
- B. 11 pounds, 7 ounces
- C. 12 pounds, 14 ounces
- D. 13 pounds, 7 ounces
Correct Answer: C
Rationale: The child’s weight should be approximately double the birth weight at 5 months of age, which equals 12 pounds, 14 ounces.
A nurse is using a functional focus to assess a person. Which of the following will the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: A functional focus assesses how visual abilities affect a person's lifestyle, such as driving.
Erikson’s theory of development: Who has achieved ego integrity vs. despair?
- A. "72-year-old man who is reluctant to retire."
- B. "78-year-old woman scheduling her third facelift."
- C. "80-year-old man who made funeral arrangements."
- D. "67-year-old woman depressed about not being promoted."
Correct Answer: C
Rationale: Ego integrity involves accepting aging and preparing for the inevitable, such as making funeral arrangements.
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
- A. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
- B. Partner with high school nurses to educate students about the risks of drinking and driving.
- C. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
- D. Establish support groups for teenagers with alcohol abuse.
Correct Answer: C
Rationale: Diagnosing the community with ineffective health management patterns follows the data collection and analysis phase.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
- A. Educate all employees regarding the benefits of exercise.
- B. Initiate a lunchtime walking group that employees can join.
- C. Provide all employees with an exercise prescription.
- D. Recommend that employees who do not exercise be terminated from their positions.
Correct Answer: B
Rationale: Lunchtime walking groups are effective as they are convenient, social, and easy to access, promoting physical activity.