Nokea
A primipara presents one week after delivery. She is tearful,has spells of cry and lack of appetite and sleep. What is the most likely diagnosis:
- A. Anaemia.
- B. Post-natal depression.
- C. Schizophrenia.
- D. Maniac disorders.
- E. High grade fever.
Correct Answer: B
Rationale: Post-natal depression is common in the first weeks postpartum presenting with tearfulness appetite loss and sleep disturbances. Other diagnoses are less likely without specific symptoms.
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The nurse correctly explains that, during adolescence, being with a peer group and mimicking peer behaviors is part of the process of achieving which developmental task?
- A. Identity
- B. Intimacy
- C. Integrity
- D. Idealism
Correct Answer: A
Rationale: Adolescence involves developing a sense of identity, often through peer group interactions and mimicking behaviors, as teens explore their place in the world.
. A new mother of a full-term, 7-lb newborn asks the nurse how to ensure that her baby is taking the correct amount of formula at each feeding. The nurse explains that the infant needs approximately 3 ounces of fluid per pound of body weight per day. How many ounces of formula should her infant be eating every 4 hours? _________ ounces (Record your answer to the nearest tenth.)
Correct Answer: 3.5
Rationale: Multiplying 3 oz by 7 lb = 21 oz/day. Dividing 21 oz by 6 feedings (every 4 hours) = 3.5 oz per feeding.
Which diet is most appropriate for an adolescent with oral lesions and a herpes simplex infection of the mouth secondary to acquired immunodeficiency syndrome (AIDS)?
- A. High-calorie, bland diet
- B. Soft, low-protein diet
- C. Low-residue, low-fat diet
- D. High-residue, low-cholesterol diet
Correct Answer: A
Rationale: A high-calorie, bland diet supports nutritional needs while minimizing irritation to oral lesions, appropriate for an AIDS patient with oral herpes lesions.
Which finding documented by the nurse is most indicative of the presence of a Curling's ulcer in the burned child?
- A. Absence of bowel sounds
- B. A positive hemoccult test
- C. An elevated hematocrit
- D. A distended abdomen
Correct Answer: B
Rationale: A positive hemoccult test indicates gastrointestinal bleeding, characteristic of a Curling's ulcer, a stress ulcer common in burn patients due to physiological stress and reduced mucosal protection.
The nurse discovers that an African couple from Kenya has not named their 48-hour-old,full-term newborn and the infant and mother are being discharged to home. Which action should the nurse take in response to this information?
- A. Ask the parents to choose a name before discharge.
- B. Encourage other appropriate attachment behaviors.
- C. Document the discharge and that the baby is unnamed.
- D. Delay discharge until parental attachment is addressed.
Correct Answer: C
Rationale: In Kenyan culture naming may occur on the third day with celebration. Documenting the discharge and unnamed status is appropriate; naming isn’t required for attachment.