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A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
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A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
- A. Encouraging an active lifestyle during childhood years
- B. Prescribing orlistat (Alli)
- C. Recommending the Jenny Craig program
- D. Recommending gastric banding surgery
Correct Answer: A
Rationale: Primary prevention strategies focus on preventing conditions before they occur, such as encouraging an active lifestyle in childhood to prevent obesity.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
A mainstay of therapy for the management of chronic diseases is:
- A. Lifestyle changes
- B. Occupational and physical therapy
- C. Medications
- D. Surgery
Correct Answer: A
Rationale: Lifestyle changes, including diet and exercise, are crucial in managing chronic diseases effectively.
Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
- A. Infancy
- B. Early childhood
- C. Late childhood
- D. Early adolescence
Correct Answer: B
Rationale: Erikson's task of autonomy vs. shame and doubt occurs during early childhood as children develop independence.
A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?
- A. Unintended allergen added to food
- B. Bacteria on the countertops
- C. Pesticide on the fresh fruit
- D. Metal shavings in the food from a dull can opener
Correct Answer: C
Rationale: Pesticides on fresh fruit are a source of chemical contamination.