A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
- A. Dilation stage, pressure stage, placental stage, recovery stage
- B. Dilation stage, pushing stage, pain stage, recovery stage
- C. Dilation stage, pushing stage, placental stage, recovery stage
- D. Dilation stage, pushing stage, placental stage, refractory stage
Correct Answer: C
Rationale: The correct sequence of the four stages of labor is dilation, pushing, placental, and recovery stages.
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Which of the following best describes a primary prevention method for colon cancer?
- A. Hemoccult testing
- B. High fiber diet
- C. Colonoscopy
- D. Laparoscopy
Correct Answer: B
Rationale: A high fiber diet is a primary prevention method, while Hemoccult testing and colonoscopy are forms of screening.
A nurse is working with a community to increase its awareness about the dangers of lead poisoning. Which of the following provides the best explanation as to why the nurse is performing this action?
- A. It is a moral responsibility.
- B. It is an ethical responsibility.
- C. It is the role of the nurse.
- D. It is the right thing to do.
Correct Answer: B
Rationale: Raising awareness about lead poisoning is both a moral and ethical responsibility to promote health and prevent harm.
A nurse is planning a comprehensive health promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform?
- A. Obtaining blood pressures and cholesterol levels during a screening
- B. Obtaining blood pressures and family histories during a screening
- C. Obtaining blood pressures and discussing the importance of exercise during a screening
- D. Obtaining blood pressures, cholesterol levels, and glucose levels during a screening
Correct Answer: C
Rationale: Combining health education with screenings helps individuals make informed decisions about managing their health risks.
A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next?
- A. Determine the rate of teenage pregnancies.
- B. Evaluate the success of her plan.
- C. Provide educational programs at local schools regarding pregnancy prevention.
- D. Determine which factors related to teenage pregnancy require intervention.
Correct Answer: C
Rationale: Providing education at local schools is an implementation step in the plan to address teenage pregnancies.
The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
- A. Developing enuresis as a toddler
- B. Having difficulty forming relationships
- C. Becoming a picky eater
- D. Taking longer to toilet train
Correct Answer: B
Rationale: Inadequate attention to an infant’s needs can hinder the development of trust, which may lead to difficulty forming relationships later in life.