Nokea
A mother brings her 6-month-old infant to the clinic for a check-up. Which immunization is typically recommended at this age?
- A. Measles, mumps, and rubella (MMR) vaccine
- B. Diphtheria, tetanus, and pertussis (DTaP) vaccine
- C. Hepatitis A vaccine
- D. Noneof the above
Correct Answer: B
Rationale: DTaP and Hib vaccines are typically given at 6 months as part of the routine immunization schedule.
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What education does the nurse provide to a person taking Ella for emergency contraception?
- A. abstain from sex or use a barrier method for 5 days and then restart their COCs
- B. abstain from sex or use a barrier method until their menses occur and then restart their COCs
Correct Answer: B
Rationale: Ella (ulipristal acetate) requires abstinence or barrier methods until the next menses to ensure no further risk of pregnancy, as it may interfere with COC efficacy if restarted too soon.
Which of the following is a permanent method of contraception for females?
- A. Tubectomy
- B. Diaphragm
- C. Hormonal implant
- D. Condoms
Correct Answer: A
Rationale: Tubectomy, also known as tubal ligation, is a surgical procedure that involves cutting or sealing the fallopian tubes, making it a permanent method of female contraception. Diaphragms and condoms are temporary barrier methods, and hormonal implants are reversible.
During pregnancy, which position is considered the most optimal for ensuring adequate blood flow to the fetus?
- A. Supine position
- B. Left lateral position
- C. Right lateral position
- D. Prone position
Correct Answer: B
Rationale: The left lateral position improves uterine blood flow by reducing pressure on the inferior vena cava.
What is the role of the placenta during pregnancy?
- A. Produces sperm
- B. Protects the vagina
- C. Nourishes the fetus
- D. Prevents ovulation
Correct Answer: C
Rationale: The placenta provides oxygen and nutrients to the fetus and removes waste products via the umbilical cord. It does not produce sperm, protect the vagina, or prevent ovulation.
What federal initiative emphasizes health care access for all persons, regardless of their primary language or racial or ethnic background?
- A. Genetic Information Nondiscrimination Act.
- B. Health Insurance Portability and Accountability Act.
- C. Healthy People 2020.
- D. National Standards for Culturally and Linguistically Appropriate Services.
Correct Answer: D
Rationale: The National Standards for Culturally and Linguistically Appropriate Services (CLAS) aim to ensure equitable health care access by addressing language and cultural barriers.