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 is the most common poison ingested by infants?
- A. Houseplants
- B. Lead
- C. Cleaning agents
- D. Aspirin
Correct Answer: D
Rationale: Aspirin is the most commonly ingested poison by infants, followed by houseplants and cleaning agents.
Which statement is most appropriate when discussing a woman concerned about osteoporosis and menopause?
- A. “The American diet is much better now.”
- B. “You have a strong genetic risk factor.”
- C. “You need about 1000 mg of calcium a day.”
- D. “Tell me about your diet, walking, and medications.”
Correct Answer: D
Rationale: The nurse should gather more information about the client’s lifestyle before providing specific advice, including dietary habits and physical activity.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
- A. Put the child in time out whenever he skips a meal
- B. Offer him foods he likes such as cookies and chips
- C. Limit the child’s consumption of juices and cookies
- D. Talk to the child about how important it is to eat three meals a day
Correct Answer: C
Rationale: Toddlers often assert independence by refusing food, and empty calorie foods like juices and cookies should be limited to promote healthy eating habits.
A 62-year-old person reports difficulty with peripheral vision. Which disorder is likely?
- A. Presbyopia
- B. Glaucoma
- C. Cataracts
- D. Diabetic retinopathy
Correct Answer: B
Rationale: Glaucoma affects peripheral vision due to damage to the optic nerve.