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 school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent requires that the client be fully aware of all risks before making an informed decisio
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
- A. Highlight past successes
- B. Discuss the benefits of changing
- C. Develop strategies to prevent relapse
- D. Provide information
Correct Answer: C
Rationale: During the maintenance stage, the nurse should focus on developing strategies to prevent relapse and sustain the positive changes.
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.
Which of the following statements about race and culture in the United States is correct?
- A. The United States ranks 22nd in the world for infant mortality rate.
- B. Ethnic minority populations have higher rates of low-birth-weight infants.
- C. Black infants are more likely to have cleft palates than Native American infants.
- D. Whites have more fraternal twin pregnancies than non-Whites.
Correct Answer: B
Rationale: Ethnic minorities, particularly Black populations, face higher rates of low-birth-weight infants.
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