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An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
- A. Maternal and infant deaths per 100,000 live births per year
- B. Deaths of fetuses weighing more than $500 \mathrm{~g}$ per 10,000 births per year
- C. Deaths of infants up to 1 year of age per 1000 live births per year
- D. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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A community health nurse is providing specialized care to patients in the home setting. What kind of specialized care may this nurse be providing? (Select all that apply.)
- A. Glucose monitoring
- B. Heparin therapy
- C. Family education
- D. Total parenteral nutrition
- E. Provision of referral services
Correct Answer: A,B,D
Rationale: Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may be provided by the community health nurse. Family education and provision of referral are categorized as therapeutic care.
What factors have played a role in meeting the goals of Healthy People 2030 as it relates to the goals for outcomes of pregnancy? (Select all that apply.)
- A. Early prenatal care
- B. Increased number of surgical births
- C. NICU care
- D. Use of prenatal glucocorticoids
- E. Fetal surgery
Correct Answer: A,C,D,E
Rationale: Early prenatal care, fetal surgery, use of prenatal glucocorticoids, technology, and NICU care have played a role in increasing the positive outcome of pregnancy, and the goals of Healthy People 2030 may well be met. Increase in surgical births and multiple gestations do not work toward meeting the goals of Healthy People 2030.
A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child?
- A. Identify measurable outcomes with a timeline.
- B. Choose specific nursing interventions for the child.
- C. Determine appropriate nursing diagnoses.
- D. State nursing actions related to the child's medical diagnosis.
Correct Answer: C
Rationale: The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
Practical nursing students are using critical thinking skills to study for an upcoming test. What will these students include when studying? (Select all that apply.)
- A. Memorization of facts first
- B. Prioritizing information
- C. Relating facts to other facts
- D. Making assumptions
- E. Reviewing before the test
Correct Answer: B,C,E
Rationale: Using critical thinking when studying involves understanding facts before memor?Ž???µ?³?¾ memorizing, prioritizing information to be memorized, relating facts to other facts, using all five senses, reviewing before tests, and reading critically. Critical thinking does not involve assumption as does general thinking.
A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
- A. American Nurses Association
- B. State's Board of Nursing
- C. Joint Commission
- D. Association of Women's Health, Obstetric and Neonatal Nurses
Correct Answer: B
Rationale: The scope of practice of the LVN/LPN is published by the state's board of nursing.