Nokea
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect?
- A. Bulging Fontanels
- B. Nasal Flaring
- C. Length from head to heel of 40 cm (15.7 in)
- D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Correct Answer: D
Rationale: When a nurse is assessing a newborn upon admission to the nursery, it is expected that the chest circumference will be smaller than the head circumference. This is a normal finding in a newborn, where the head circumference is slightly larger than the chest circumference due to the proportionate sizes of the newborn's head and chest. This difference helps accommodate the vital organs within the chest cavity while allowing for the growth and development of the brain. Therefore, a chest circumference that is 2 cm smaller than the head circumference is a typical and expected finding in a newborn assessment.
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What education does the nurse provide to a person taking Ella for emergency contraception?
- A. abstain from sex or use a barrier method for 5 days and then restart their COCs
- B. abstain from sex or use a barrier method until their menses occur and then restart their COCs
- C. restart their COCs the next day; no backup method is needed
- D. restart their COCs the next day and use a backup method for 7 days
Correct Answer: D
Rationale: The education the nurse should provide to a person taking Ella for emergency contraception is to restart their COCs the next day and use a backup method, such as condoms, for 7 days. This is important to ensure continued protection against pregnancy, as Ella may potentially reduce the effectiveness of the COCs. Using a backup method during this time is essential to prevent unintended pregnancy.
A patient is trying to learn the cervical mucus detec- lung development tion natural family planning method. The patient
- A. Risk for dysfunctional gastrointestinal motility understands that which type of cervical mucus is related to birth before 38 weeks gestation the most fertile?
- B. Activity intolerance related to early gestational age
- C. Scant
- D. Purulent
Correct Answer: C
Rationale: In the cervical mucus detection natural family planning method, the type of cervical mucus that is related to the most fertile period is commonly described as "egg white cervical mucus". This type of mucus is clear, stretchy, and slippery, resembling raw egg whites. In contrast, "scant" cervical mucus refers to mucus that is minimal or in small quantity and is not associated with the peak fertility period. Purulent cervical mucus, on the other hand, is indicative of an infection and is not a normal finding related to fertility.
The nurse is assessing a client at 10 weeks' gestation. Which finding is expected?
- A. Quickening.
- B. Fetal heart tones by Doppler.
- C. Fundus at the level of the umbilicus.
- D. Presence of Braxton Hicks contractions.
Correct Answer: B
Rationale: Fetal heart tones can typically be detected by Doppler around 10 weeks' gestation.
The nurse is reviewing the role of the placenta in fetal development. Which statement should be included?
- A. The placenta stores nutrients for the fetus.
- B. The placenta prevents all infections from reaching the fetus.
- C. The placenta transfers oxygen and nutrients to the fetus.
- D. The placenta produces progesterone only in early pregnancy.
Correct Answer: C
Rationale: The placenta facilitates the transfer of oxygen and nutrients while removing waste products.
Why is it important to consider special considerations, such as age, cultural background, or specific health conditions, during a health history for a well-person exam?
- A. to tailor the examination and screening tests to the individual’s health needs
- B. to assess the risk of occupational and environmental exposures
- C. to determine the individual's immunization history
- D. to identify potential safety considerations, such as intimate partner violence or mental abuse
Correct Answer: A
Rationale: