Nokea
A patient asks the nurse to explain what is meant by 'gene therapy.' What is the nurse's best response?
- A. Gene therapy can replace missing genes.
- B. Gene therapy evaluates the parent's genes.
- C. Gene therapy can change the sex of the fetus.
- D. Gene therapy supports the regeneration of defective genes.
Correct Answer: A
Rationale: Gene therapy can replace missing or defective genes.
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What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select all that apply.)
- A. Use of specialized obstetric instruments
- B. Use of anesthesia
- C. Physicians' closer relationships with hospitals
- D. Focus on family-centered care
- E. Insurance coverage
Correct Answer: A,B,C
Rationale: In the early 1900s, the development of specialized obstetric instruments, better modes of anesthesia, and the physician's reliance on hospital services were instrumental in encouraging women to seek hospitalization for childbirth.
An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
- A. Maternal and infant deaths per 100,000 live births per year
- B. Deaths of fetuses weighing more than $500 \mathrm{~g}$ per 10,000 births per year
- C. Deaths of infants up to 1 year of age per 1000 live births per year
- D. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of various cultures?
- A. Culturally aware
- B. Culturally sensitive
- C. Culturally competent
- D. Culturally adaptive
Correct Answer: C
Rationale: The nurse who is able to adapt health care to meet the needs of various cultures is said to be culturally competent.
A pregnant woman who has recently immigrated to the United States comments to the nurse, 'I am afraid of childbirth. It is so dangerous. I am afraid I will die.' What is the best nursing response reflecting cultural sensitivity?
- A. Maternal mortality in the United States is extremely low.
- B. Anesthesia is available to relieve pain during labor and childbirth.
- C. Tell me why you are afraid of childbirth.
- D. Your condition will be monitored during labor and delivery.
Correct Answer: C
Rationale: Asking the patient about her concerns helps promote understanding and individualizes patient care.
What government program was implemented to increase the educational exposure of preschool children?
- A. WIC
- B. Title XIX of Medicaid
- C. The Children's Charter
- D. Head Start
Correct Answer: D
Rationale: Head Start programs were established to increase educational exposure of preschool children.