Nokea
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
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How old is a preschooler with a receptive vocabulary of up to 5600 words?
- A. 42 months old
- B. 48 months old
- C. 54 months old
- D. 60 months old
Correct Answer: B
Rationale: By 48 months, most preschoolers have receptive vocabularies of up to 5600 words.
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their “road trips” that they take together when the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
- A. Report the father to the Department of Human Services.
- B. Encourage the father to have the child sit in the back seat instead.
- C. Instruct the father on the dangers of having small children in the front seat.
- D. Provide the parent with educational materials about car seat safety.
Correct Answer: C
Rationale: Children under age 13 should sit in the back seat to avoid injury from airbags in the front seat.
A nurse is providing anticipatory guidance to parents about the self-perception–self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?
- A. “Temper tantrums are expected, so always give in to them.”
- B. “Put your toddler in time out if he has a temper tantrum.”
- C. “Childproof your home.”
- D. “Always provide your toddler with challenging toys.”
Correct Answer: C
Rationale: Childproofing the home is essential for safety as toddlers explore their environment, often leading to risky behavior.
Which of the following best describes the nurse’s role in health promotion and disease prevention?
- A. Educating about home safety measures
- B. Identifying areas for family improvement
- C. Implementing the nursing process using a systems perspective
- D. Acting as a role model for the family
Correct Answer: D
Rationale: The nurse’s role involves acting as a role model to encourage healthier behaviors and guide the family through health promotion efforts.
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon developed the framework for functional health patterns, which is foundational for nursing assessment.