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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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What is the first action for a mother experiencing excessive bleeding two hours postpartum?
- A. Monitor blood pressure and heart rate
- B. Perform uterine massage to stimulate contractions
- C. Prepare for a possible blood transfusion
- D. Notify the healthcare provider immediately
Correct Answer: A
Rationale: Uterine massage stimulates contractions, which can reduce postpartum bleeding.
The nurse is assessing a postpartum client who delivered 2 hours ago. What finding requires immediate action?
- A. Fundus firm and midline.
- B. Lochia rubra with small clots.
- C. Boggy fundus above the umbilicus.
- D. Client reports perineal discomfort.
Correct Answer: C
Rationale: A boggy fundus indicates uterine atony, increasing the risk of hemorrhage.
What is the nurse's role in supporting breastfeeding for a first-time mother?
- A. Provide formula supplements
- B. Demonstrate proper latching techniques
- C. Recommend stopping breastfeeding
- D. Provide pacifiers to prevent overfeeding
Correct Answer: A
Rationale: Proper latching techniques help establish successful breastfeeding and prevent complications.
What is the priority nursing intervention for a newborn with a low Apgar score of 4 at 1 minute?
- A. Place the baby in skin-to-skin contact with the mother
- B. Administer oxygen and stimulate the baby
- C. Delay interventions and reassess in 5 minutes
- D. Begin chest compressions immediately
Correct Answer: B
Rationale: A low Apgar score indicates poor adaptation; oxygen improves function.
When teaching parents about mandatory newborn screening, it is important for the nurse to explain that the main purpose is to:
- A. keep the State records updated.
- B. allow accurate statistical information.
- C. document the number of births.
- D. recognize and treat newborn disorders early.
Correct Answer: D
Rationale: Early recognition and treatment can prevent serious health issues.