Nokea
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
- A. The bedroom is located on the second floor.
- B. She has a pet cat.
- C. There is an area rug in the living room.
- D. She has a 1-year-old child.
Correct Answer: B
Rationale: Handling cat litter can expose pregnant women to toxoplasmosis, which can affect the fetus.
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A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps clarify issues, uncover hidden interests, and focus on the most relevant data for decision-making.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.
Which of the following represents a method of primary prevention?
- A. Informational session about healthy lifestyles
- B. Blood pressure screening
- C. Interventional cardiac catheterization
- D. Diagnostic cardiac catheterization
Correct Answer: A
Rationale: Primary prevention aims to prevent disease before it occurs, which is represented by education on healthy lifestyles.
Which of the following is an example of screening?
- A. Obtaining a mammogram
- B. Asking if someone performs self-breast exam
- C. Performing a self-breast exam
- D. Undergoing a needle biopsy
Correct Answer: A
Rationale: Mammograms are considered screening methods to detect cancer in asymptomatic individuals.
A nurse is using the Denver Developmental Screening Test (DDST) II to assess a 10-month-old infant. Which of the following purposes does this screening serve?
- A. Screens apparently healthy infants for developmental problems
- B. Allows the infant’s growth patterns to be compared with other infants
- C. Validates intuitive concerns about an infant’s development using an objective test
- D. Monitors high-risk children for developmental problems
Correct Answer: A
Rationale: The DDST II is used for screening developmental issues and validating concerns in high-risk children.