Nokea
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
- A. Primary care
- B. Preventive care
- C. Restorative care
- D. Continuing care
Correct Answer: B
Rationale: Preventive care includes immunizations, screenings, counseling, crisis prevention, and community safety legislation.
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The nurse is discussing the purpose of the physical examination with a patient at the first prenatal visit. What information does the nurse include in the discussion?
- A. The physical exam helps to confirm the patient's current health.
- B. The physical exam determines nutritional risk factors.
- C. The physical exam confirms the diagnosis of STIs.
- D. The physical exam includes urinalysis.
Correct Answer: A
Rationale: The correct answer is A because the physical exam at the first prenatal visit aims to confirm the patient's current health status, assess baseline health indicators, and identify any potential risks or issues that may affect the pregnancy. This information is crucial for developing a personalized care plan for the patient and ensuring a healthy pregnancy outcome.
Choice B is incorrect because determining nutritional risk factors typically involves assessing dietary habits, weight, and specific nutrient deficiencies, which are not solely addressed through a physical exam.
Choice C is incorrect as confirming the diagnosis of STIs would require specific testing and not solely rely on a physical examination.
Choice D is incorrect because while urinalysis may be part of the physical exam, its primary purpose is not solely to include urinalysis but to comprehensively evaluate the patient's overall health.
It is noted that a baby admitted to the nursery has translucent skin with visible veins. Because of this finding, the nurse should monitor this baby carefully for which of the following?
- A. Polycythemia.
- B. Hypothermia.
- C. Hyperglycemia.
- D. Polyuria.
Correct Answer: B
Rationale: Translucent skin with visible veins is common in preterm infants, who are at higher risk for hypothermia due to poor thermoregulation.
The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.
- A. Rupture of membranes
- B. Dilated cervix
- C. Vertex fetus
- D. Moderate variability
Correct Answer: A
Rationale: Correct Answer: A - Rupture of membranes
Rationale:
1. Rupture of membranes is necessary for the insertion of intrauterine pressure catheter and fetal spiral electrode.
2. It allows safe passage of the catheter and electrode into the uterus.
3. Without ruptured membranes, there is a risk of infection and difficulty in inserting the devices.
Summary:
- Choice B (Dilated cervix) is not required for the insertion of these devices.
- Choice C (Vertex fetus) is not a factor in the insertion process.
- Choice D (Moderate variability) is related to fetal heart rate monitoring, not device insertion.
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?
- A. We will practice relaxation techniques only in a quiet setting so I can focus.'
- B. Relaxation is important during labor because it will help me conserve my energy.'
- C. If I relax in between contractions, my baby will get more oxygen during labor.'
- D. My partner and I will practice relaxation throughout the remainder of my pregnancy.'
Correct Answer: A
Rationale: The correct answer is A because relaxation techniques should be practiced not just in quiet settings but also during labor, regardless of the environment. This is important to help manage pain and promote a smoother labor process. Choice B is correct as relaxation can indeed help conserve energy. Choice C is incorrect as oxygenation to the baby is not directly related to the mother's relaxation between contractions. Choice D is also incorrect as relaxation techniques should be practiced specifically during labor as well, not just throughout the pregnancy.
The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?
- A. The woman is currently pregnant, has 3 living children.
- B. The woman is currently pregnant, had 2 full-term pregnancies.
- C. The woman is not currently pregnant, had 4 preterm babies.
- D. The woman is not currently pregnant, had 1 abortion.
Correct Answer: A
Rationale: G6 indicates the woman is currently pregnant for the 6th time, and P3214 indicates 3 term births, 2 preterm births, 1 abortion, and 4 living children.