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A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
- A. “You should gain 11 to 20 pounds during your pregnancy.”
- B. “You should gain 15 to 25 pounds during your pregnancy.”
- C. “You should gain 25 to 35 pounds during your pregnancy.”
- D. “You should gain 28 to 40 pounds during your pregnancy.”
Correct Answer: B
Rationale: Overweight women (BMI 25-29.9) should gain 15-25 pounds during pregnancy.
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Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. Requires interventions for problem drinking
- B. Lacks evidence of problem drinking
- C. Requires interventions for sexually transmitted disease risks
- D. Lacks evidence of sexually transmitted disease risks
Correct Answer: A
Rationale: A score of 2 or more on the T-ACE test indicates evidence of problem drinking, requiring intervention.
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
- A. Health-perception–health-management pattern
- B. Elimination pattern
- C. Activity-rest pattern
- D. Self-perception–self-concept pattern
Correct Answer: A
Rationale: The health-perception-health-management pattern involves health practices, including preventive measures like Pap tests.
Healthy People 2020 objectives provide a framework for:
- A. Assessment
- B. Diagnosis
- C. Prevention
- D. Treatment
Correct Answer: C
Rationale: Healthy People 2020 focuses on providing a framework for prevention.
Which of the following statements summarizes Vygotsky’s theory of development?
- A. All children develop cognitively at the same rate.
- B. Social and cultural influences are not major factors in cognitive development.
- C. Learning is an individual activity.
- D. Experience creates learning.
Correct Answer: D
Rationale: Vygotsky emphasized the role of social and cultural influences on cognitive development and that learning is dependent on experience.