Nokea
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
- A. Gravida 3, Para 2
- B. Gravida 3, Para 3
- C. Gravida 4, Para 2
- D. Gravida 4, Para 3
Correct Answer: C
Rationale: Gravida refers to total pregnancies (4), and Para refers to births after 20 weeks (2 full-term deliveries). The spontaneous abortion does not count in para.
You may also like to solve these questions
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
- A. nausea
- B. fatigue
- C. dizziness
- D. diarrhea
Correct Answer: C
Rationale: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.
When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders?
- A. Anxiety, related to surgical procedures
- B. Disturbed body image, as a result of changes in anatomy
- C. Risk for injury, related to lack of skill for self-care
- D. Interrupted family processes
Correct Answer: C
Rationale: Although risk for injury, related to lack of skill for self-care, is appropriate, this diagnosis is more suited to the client's learning needs than the psychologic effect.
What is the primary role of practicing nurses in the research process?
- A. Designing research studies
- B. Collecting data for other researchers
- C. Identifying researchable problems
- D. Seeking funding to support research studies
Correct Answer: C
Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.
Which factor is least likely to influence the decision to undergo genetic testing?
- A. Anxiety and altered family relationships
- B. Cost of testing or denial of insurance benefits
- C. Imperfection of test results
- D. Ethnic and socioeconomic disparity associated with genetic testing
Correct Answer: B
Rationale: Testing is not 100% accurate and has a high percentage of false-negative results. An individual may not take these results seriously and subsequently fail to have testing completed or to seek necessary follow-up consultation. Anxiety and altered family relationships are often the result of genetic testing. The results of genetic testing may be difficult to keep confidential, and family members may feel pressured to have testing performeDecisions about genetic testing are shaped by socioeconomic status and the ability to pay for the testing. Some types of genetic testing are expensive and are not covered by insurance benefits. Caucasian middle-class families have greater access to genetic screening; therefore, this population is less at likely to decide against genetic testing.
Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.