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How should the nurse interpret the results of a study comparing incidence of sexually transmitted diseases between two populations?
- A. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless.
- B. A 95% confidence interval is a statistically significant finding.
- C. A relative risk of 0.80 is moderately powerful.
- D. Because there is no P value reported for the CI, the nurse is unable to make any conclusions about the data.
Correct Answer: A
Rationale: If the confidence interval includes 1, the difference is not statistically significant.
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The nurse is teaching a prenatal class about breastfeeding. What is a key benefit of colostrum?
- A. It increases the baby’s birth weight.
- B. It provides antibodies that protect against infection.
- C. It eliminates the need for formula supplementation.
- D. It reduces maternal fatigue.
Correct Answer: B
Rationale: Colostrum is rich in antibodies, which provide passive immunity and protect the newborn from infections.
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
- A. Urine protein concentration 200 mg/ 24 hr.
- B. Creatinine 0.8 mg/ Dl
- C. Hemoglobin 14.8 g/ dL
- D. Platelet Count 60.000/ mm3
Correct Answer: D
Rationale: A platelet count of 60,000/mm3 is significantly low and can be indicative of thrombocytopenia, a potential complication of preeclampsia known as HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelet count). Thrombocytopenia increases the risk of bleeding complications during pregnancy and delivery, requiring prompt evaluation and management by the healthcare provider. The nurse should report this finding immediately to prevent any adverse outcomes for the client and baby.
A patient's newborn is neurologically impaired. The most important nursing action should be:
- A. Assist the patient and her family with the grieving process.
- B. Perform neurological assessments of the newborn every four hours.
- C. Arrange for social services to discuss possible placement of the newborn
- D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A
Rationale: Supporting the family through grief is crucial.
The nurse is assessing a client with hyperemesis gravidarum. What finding requires immediate intervention?
- A. Urine output of 50 mL/hr.
- B. Weight loss of 5 pounds in 2 weeks.
- C. Dry mucous membranes and poor skin turgor.
- D. Nausea relieved by eating crackers.
Correct Answer: C
Rationale: Dehydration, indicated by dry mucous membranes and poor skin turgor, requires immediate intervention in hyperemesis gravidarum.
What should the nurse teach a woman about treatment for human papilloma viral warts?
- A. An antiviral injection cures approximately fifty percent of cases.
- B. Aggressive treatment is required to cure warts.
- C. Warts often spread when an attempt is made to remove them surgically.
- D. Warts often recur a few months after a client is treated.
Correct Answer: D
Rationale: Recurrence is common despite treatment.