Nokea
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
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The goal for the educational session is to have the individual explain when he should check his blood sugar level. Which of the following teaching strategies would be most effective for the nurse to implement?
- A. Provide the individual with one-on-one education about blood sugar monitoring
- B. Provide the individual with a scenario about blood sugar monitoring
- C. Provide the individual with the opportunity to practice blood sugar monitoring
- D. Provide the individual with a blood sugar monitor
Correct Answer: A
Rationale: One-on-one education effectively supports cognitive learning, especially for understanding when to check blood sugar levels.
A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content?
- A. Have a better understanding of genetics and genomics
- B. Can meet the requirements of Healthy People 2010
- C. Can provide more effective health education
- D. Can deliver anticipatory guidance to families
Correct Answer: C
Rationale: Understanding growth and development helps nurses provide more effective health education and deliver anticipatory guidance to families.
Which of the following emphasizes that an individual’s belief in being personally capable of performing the behavior is required to influence one’s own health?
- A. Social cognitive theory
- B. Self-efficacy theory
- C. Health belief model
- D. Transtheoretical model
Correct Answer: A
Rationale: Social cognitive theory focuses on an individual's belief in their ability to perform behaviors that influence their health.
A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?
- A. Physician as medical director
- B. Interdisciplinary staff
- C. Nurse as chief manager
- D. Partnership with an academic institution
Correct Answer: C
Rationale: Nurses should be the chief managers of community nursing centers, accountable for care and professional practice.
A 19-year-old student is distressed over unprotected sex and potential pregnancy. What should the nurse say?
- A. Let’s talk about your options; you must be 21 to purchase emergency contraception.
- B. Don’t worry; you can buy Plan B without a prescription; it will terminate the pregnancy.
- C. Don’t worry, we are in one of the 40 states that allow Plan B; let’s discuss how to use it.
- D. You have several options; let’s discuss what is best for you.
Correct Answer: D
Rationale: The nurse should provide a range of options and let the teen decide the next steps, including discussing emergency contraception.