Nokea
In fetal period, all are true EXCEPT
- A. returns of midgut to abdomen by 10 weeks
- B. recognizable external genitalia formed by 12 weeks
- C. surfactant production begins by 24 weeks
- D. tripling of weight occurs during the third trimester
Correct Answer: B
Rationale: Recognizable external genitalia are formed by 14 weeks, not 12 weeks.
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A child with a Wilms tumor is scheduled for surgery. Which best describes the procedure?
- A. Only the affected kidney will be removed.
- B. Both kidneys will be removed.
- C. Only the tumor mass will be excised.
- D. The tumor is removed, and a biopsy of the unaffected kidney is done.
Correct Answer: A
Rationale: The standard treatment for Wilms tumor is a nephrectomy of the affected kidney while preserving the other kidney.
Which leading cause of death topic should the nurse emphasize to a group of African- American boys ranging in age from 15 to 19 years?
- A. Suicide
- B. Cancer
- C. Firearm homicide
- D. Occupational injuries
Correct Answer: C
Rationale: The nurse should emphasize the leading cause of death topic related to firearm homicide to a group of African-American boys ranging in age from 15 to 19 years. This population is at a higher risk of being victims of firearm violence due to various socio-economic factors and systemic issues. By addressing the issue of firearm homicide, the nurse can provide important information on violence prevention, conflict resolution strategies, and community resources to help keep these young males safe. This education can potentially help reduce the risk of injury or death from firearm-related incidents within this vulnerable population.
Which foods should be offered to a child with hepatitis?
- A. A tuna sandwich on whole-wheat bread and skim milk.
- B. Clear liquids such as broth and Jell-O.
- C. A hamburger, French fries, and a diet soda.
- D. A peanut butter sandwich and a milkshake.
Correct Answer: B
Rationale: Clear liquids are gentle on the liver and help minimize digestive stress during hepatitis.
Which of the following is usually the first symptom of a cataract that the nurse would expect a patient to report during assessment?
- A. Dry eyes
- B. Blurring of vision
- C. Eye pain
- D. Loss of peripheral vision
Correct Answer: B
Rationale: Blurring of vision is typically the first symptom of a cataract that the nurse would expect a patient to report during assessment. As a cataract develops, it causes clouding of the eye's lens, leading to a decrease in the clarity of vision. This blurriness can progress over time, impacting the patient's ability to see clearly. Other symptoms such as glare sensitivity, poor night vision, double vision, and color fading may also be present as the cataract progresses. Dry eyes, eye pain, and loss of peripheral vision are not typically the initial symptoms associated with cataracts.
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.