A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover?
- A. Positive test for HCG in the maternal urine
- B. Detection of fetal heart tones
- C. Enlargement of the uterus
- D. Palpation of fetal body parts
Correct Answer: B
Rationale: Positive signs of pregnancy include detection of fetal heart tones and palpation of fetal body parts.
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A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: The evaluation phase involves determining if the person is moving toward their goals, such as weight loss, after a plan has been implemented.
Which consideration should be made when planning a health education program for young adults?
- A. The age span encompassing young adulthood is between 20 to 30 years of age.
- B. The number one cause of death for young adults is injury.
- C. The number of young adults in the U.S. is increasing.
- D. The maternal mortality rate is at its lowest point since 1980.
Correct Answer: B
Rationale: Injury is the leading cause of death in young adults, and the age span for young adulthood is typically 18-35 years.
According to Piaget’s theory of cognitive development, which of the following statements is correct?
- A. Cognitive function continues to become refined throughout life.
- B. A child’s greatest task is to make sense of the world around him or her.
- C. Culture plays a major role in cognitive development.
- D. Learning precedes development.
Correct Answer: B
Rationale: Piaget believed a child's greatest task is to make sense of the world, focusing on cognitive development as it pertains to the individual.
A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit?
- A. Blood pressure: 146/88 mm Hg
- B. Waist measurement: 36 inches
- C. HDL: 48 mg/dL
- D. Triglycerides: 140 mg/dL
Correct Answer: A
Rationale: Metabolic syndrome includes elevated blood pressure, among other factors.
When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: The dentition can be directly observed and physically examined, making it an objective measure relevant to nursing intervention.