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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A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
- A. “It is safe to eat up to 12 ounces of cooked fish weekly.”
- B. “I should avoid using caffeine during pregnancy.”
- C. “Consumption of one drink per day will not cause any harm to my unborn baby.”
- D. “Use of nicotine during pregnancy may cause my child to be born prematurely.”
Correct Answer: C
Rationale: No level of alcohol use is safe during pregnancy, so the mother should avoid alcohol entirely.
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.
An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?
- A. Inform her of the health risks associated with being overweight
- B. Prepare her for the setbacks
- C. Develop a low-calorie/low-fat diet with her so she can follow it at home
- D. Praise her for her recent successes
Correct Answer: C
Rationale: In the preparation stage, the woman is ready to make changes, so providing tools like a low-calorie diet plan helps facilitate action.
Psychosocial Assessment of Older Adults
- A. Have you thought about harming yourself?
- B. Are you still playing bridge every Thursday?
- C. How does your congestive heart failure affect your life?
- D. Has your financial situation changed since last year?
Correct Answer: A
Rationale: Mental health is crucial in older adults, so asking about suicide risk is essential for early intervention.
A community health nurse is presenting information about the current health of the nation in 2011. What would be included?
- A. Funding of public health programs
- B. Provision of health care
- C. Advances in technology
- D. Consumer education
Correct Answer: A
Rationale: Substantial funding of public health programs improves health outcomes.