Nokea
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
- A. “Your infant is in distress. We should call an ambulance.”
- B. “You need to be more active; take a dance class once a week.”
- C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
- D. “You probably counted incorrectly.”
Correct Answer: C
Rationale: By the second trimester, fetal movement can decrease due to limited space in the uterus.
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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.
A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group?
- A. African
- B. Alaska Native
- C. Asian
- D. Hispanic
Correct Answer: D
Rationale: In Hispanic cultures, health is often viewed as a gift from God, reflecting their spiritual perspective on health.
A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
- A. Leave and tell the mother to call her to reschedule the appointment.
- B. Weigh the infant and contact the Department of Children and Families.
- C. Weigh the infant and offer community resources to the mother.
- D. Offer to go pick up the other children at the bus stop.
Correct Answer: C
Rationale: Offering community resources helps provide support to the mother and helps prevent potential abuse while maintaining a positive relationship.
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
- A. This ethnic culture tends to be future oriented.
- B. Religion plays an important role in this culture.
- C. Traditional cultural practices are infrequently used during a health crisis.
- D. Members of this culture tend to have smaller families.
Correct Answer: B
Rationale: Religion plays a significant role in Arab American culture, influencing dietary rules, prayers, and health practices.
The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
- A. “I will select the music I listen to carefully. Energetic or rap music is not a good choice.”
- B. “I will need to find someone who has specialized in this type of therapy for best results.”
- C. “Chants, electronic sounds, or ‘designer music’ is generally the best choice.”
- D. “The music I choose may be different than what my spouse prefers.”
Correct Answer: D
Rationale: Music selection is an individual choice. There is no one “best” type of music.