Nokea
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
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Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon's framework is the basis for nursing diagnoses using functional health patterns.
Priorities in Preventative Health Care
- A. Global initiatives for health care needs
- B. Focus mainly on developed countries
- C. Focus mainly on developing countries
- D. Public health agencies lead health care development
Correct Answer: A
Rationale: Global health initiatives address needs in both developed and developing countries.
The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
- A. Rarely identifies children who have developmental delays
- B. Rarely identifies children who do not actually have developmental delays
- C. Has a large number of false positive results
- D. Has a large number of false negative results
Correct Answer: B
Rationale: Specificity measures a test’s ability to correctly identify those who do not have the condition, leading to fewer false positives.
Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
Which action will most effectively reduce work-related injuries?
- A. "Make the work environment smoke-free."
- B. "Reduce environmental noise levels."
- C. "Conduct regular walk-through assessments at the worksite."
- D. "Increase paid personal days from one to three."
Correct Answer: A
Rationale: Smoking increases accident rates, making a smoke-free environment the most effective strategy.