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As a nurse assessing a newborn, what action should you take if the Apgar score of a newborn is less than 7?
- A. Immediately notify the physician
- B. Immediately administer oxygen
- C. Immediately transfer the newborn to the NICU
- D. Repeat assessment at 1-minute intervals until the newborn is stable
Correct Answer: D
Rationale: Reassessment allows continuous monitoring of the newborn's condition.
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Which statement by the client indicates understanding about the intrauterine device (IUD)?
- A. The IUD can remain in place for a year or more.
- B. I will not menstruate while the IUD is in.
- C. Pain during intercourse is a common side effect.
- D. The device will reduce my chances of getting infected.
Correct Answer: A
Rationale: IUDs can remain in place for several years depending on the type.
A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?
- A. Conduct weekly prenatal appointments in their home.
- B. Draw blood on all pregnant persons to look for anemia.
- C. Assess the health of a baby using an ultrasound.
- D. Develop an educational pamphlet discussing signs of preeclampsia.
Correct Answer: D
Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.
A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibilities of the health care providers when obtaining the consent?
- A. The physician is responsible for ensuring that the consent form is completed with signatures from the parents or legal guardians.
- B. The physician is responsible for serving as a witness to the signature process.
- C. The nurse is responsible for informing the child and family about the procedure and obtaining consent.
- D. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions.
Correct Answer: D
Rationale: The nurse's responsibility related to informed consent includes the following: determining that the parents or legal guardians understand what they are signing by asking them pertinent questions, ensuring that the consent form is completed with signatures from the parents or legal guardians, and serving as a witness to the signature process.
During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?
- A. Hepatitis B immune globulin before receiving the vaccine.
- B. Vaccine booster every 10 years.
- C. Complete series of three intramuscular injections.
- D. Vaccine as soon as she becomes 21.
Correct Answer: C
Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.