Nokea
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.
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Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
- A. “Ok, just make sure you perform one hour of aerobics every day.”
- B. “Lifting weights is a necessary part of exercise.”
- C. “Weight lifting has many purposes and benefits; can we talk about them?”
- D. “Looking muscular at your age is attractive.”
Correct Answer: C
Rationale: Weight training helps develop healthy muscles and stimulates bone health. The nurse should offer the opportunity to discuss the benefits and address concerns.
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
- A. Asian American
- B. Arab American
- C. Hispanic American
- D. Native American
Correct Answer: C
Rationale: The Hispanic American population saw a 43% increase between 2000 and 2010, making it the fastest-growing minority group.
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 higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.