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A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
- A. “Yes, you just delivered a healthy, beautiful baby girl.”
- B. “This is your first baby. You can always try again for a boy.”
- C. “Don’t worry, many parents often feel the same way you do.”
- D. “You are tired. I think you should get some rest.”
Correct Answer: A
Rationale: The nurse should acknowledge the mother’s feelings and provide positive reinforcement, emphasizing the health of the baby.
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The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
- A. Avoid hanging a wreath with holly and berries on the front door.
- B. Avoid hanging decorative pictures of a bearded Santa Claus on the window.
- C. Avoid placing poinsettia plants around the home.
- D. Avoid hanging stockings on the fireplace mantle.
Correct Answer: C
Rationale: Poinsettia plants can be toxic if ingested, so they should be kept out of reach of toddlers.
A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: A
Rationale: A BMI at the 80th percentile is within the normal weight range for children.
A nurse is teaching parents of a toddler about nutrition. Which of the following statements should be made by the nurse?
- A. “Raisins are a good finger food because they provide fiber.”
- B. “Grapes are a good snack choice because they help toddlers meet their daily fruit requirements.”
- C. “Hot dogs are not a safe food choice because they may cause choking.”
- D. “A small piece of chewing gum will help strengthen jaw muscle; just be sure he or she does not swallow it.”
Correct Answer: C
Rationale: Raisins, grapes, and chewing gum pose a choking hazard for toddlers.
A school nurse is using height and weight measurements to calculate the BMI of the students. How will the nurse use these data?
- A. BMI can be correlated to a specific percentage of body fat.
- B. BMI can be used to determine if a child is obese or underweight.
- C. BMI can be used to determine if a child will develop Type 2 diabetes.
- D. BMI can be compared with others of the same ethnic background.
Correct Answer: B
Rationale: BMI is a helpful indicator of obesity and being underweight, but it is not diagnostic.
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
- A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
- B. Ask her to elaborate on the difficulties.
- C. Tell her that they should modify their positions during intercourse and that will take care of the problem.
- D. Tell her men like the way pregnant women look.
Correct Answer: B
Rationale: The nurse should ask the woman to elaborate on the difficulties to understand the root of the problem and provide an appropriate intervention.