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In evaluating the level of a pregnant woman's risk of having a low-birth-weight (LBW) infant, which factor is the most important for the nurse to consider?
- A. African-American race
- B. Cigarette smoking
- C. Poor nutritional status
- D. Limited maternal education
Correct Answer: A
Rationale: For African-American births, the incidence of LBW infants is twice that of Caucasian births. Race is a nonmodifiable risk factor. Cigarette smoking, poor nutrition, and limited education are modifiable risk factors.
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Which statement regarding the Family Systems Theory is inaccurate?
- A. Family system is part of a larger suprasystem.
- B. Family, as a whole, is equal to the sum of the individual members.
- C. Family roles are flexible.
- D. The family functions as a whole and adapts to changes.
Correct Answer: B
Rationale: Family Systems Theory posits that the family is greater than the sum of its parts, meaning the family unit's dynamics are not just the sum of individual members. The theory emphasizes family roles and adaptability within the system.
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.
To ensure client safety, the practicing nurse must have knowledge of The Joint Commission's current 'Do Not Use' list of abbreviations. Which term is acceptable for use regarding medication administration?
- A. q.o.or Q.O.D.
- B. MSO4 or MgSO4
- C. International Unit
- D. Lack of a leading zero
Correct Answer: C
Rationale: I.U.' and i.u.' are no longer acceptable because they could be misreaThe leading zero should be used before a decimal point.
Which statement regarding human trafficking is correct?
- A. Human trafficking is a multibillion-dollar business that primarily exists in the United States.
- B. Victims often experience the Stockholm syndrome.
- C. Vast majority of the victims are young boys and girls.
- D. Human trafficking primarily refers to commercial sex work.
Correct Answer: B
Rationale: The Stockholm syndrome is a common response where the victim develops feelings for their captor. Victims of trafficking can be forced into sex work, labor, or organ donation.
Preconception and prenatal care have become important components of women's health. What is the guiding principle of preconception care?
- A. Ensure that pregnancy complications do not occur.
- B. Identify the woman who should not become pregnant.
- C. Encourage healthy lifestyles for families desiring pregnancy.
- D. Ensure that women know about prenatal care.
Correct Answer: C
Rationale: The main focus of preconception care is to encourage healthy lifestyles and address any potential risks before pregnancy occurs.