A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
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A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
The primary objective of social marketing is to:
- A. Plan behavior
- B. Analyze behavior
- C. Limit behavior
- D. Change behavior
Correct Answer: D
Rationale: The main goal of social marketing is to change behavior, particularly in health promotion contexts.
A nurse is reviewing the chart of a 15-year-old girl who has been sexually active since the age of 12. Which of the following findings would be of most concern?
- A. She does not perform self-breast exams.
- B. She has never had a Pap test.
- C. She had one HIV test performed at the age of 13.
- D. She does not use birth control pills.
Correct Answer: B
Rationale: Sexual activity at a young age warrants cervical cancer screening, and the lack of a Pap test is concerning.
Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.