Nokea
A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?
- A. The woman drinks about 1 gallon of water a day.
- B. The woman works out at the gym daily.
- C. The woman does not like vegetables.
- D. The woman usually eats three meals a day in addition to two snacks a day.
Correct Answer: C
Rationale: A lack of vegetables can lead to constipation and other nutritional concerns during pregnancy.
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Which dental health advice should be included in an occupational health fair?
- A. "Drinking bottled water helps prevent tooth decay."
- B. "Gingivitis results in bone destruction and can be eliminated by flossing daily."
- C. "Preventive dental care requires a visit to the dentist every 4 months."
- D. "In addition to screening for tooth decay, dentists screen for mouth cancer."
Correct Answer: D
Rationale: Dentists may be the first to detect conditions such as mouth cancer, making regular dental check-ups crucial.
A nurse is completing a home visit of a new mother who is breast-feeding her infant. Which of the following instructions should the nurse provide during this visit?
- A. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss.
- B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.
- C. Use formula to provide the infant supplementation between feedings.
- D. Use a pacifier to help the infant to fall asleep so he does not fall asleep when breast-feeding.
Correct Answer: B
Rationale: Adequate fluid intake is essential for breastfeeding mothers to produce sufficient milk.
The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
- A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
- B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
- C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
- D. Offer all teenagers free condoms when they come in for physical exams.
Correct Answer: A
Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.
A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:
- A. Managed care
- B. Gate keeping
- C. Utilization review
- D. Capitation
Correct Answer: C
Rationale: Utilization review evaluates healthcare usage to minimize unnecessary treatments and reduce costs.