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Regarding the scenario in the question above, when would you reassess the APGAR?
- A. 2 minutes after the previous APGAR assessment
- B. 15 minutes after the previous APGAR assessment
- C. 5 minutes after the previous APGAR assessment
- D. No reassessment of the APGAR score is needed.
Correct Answer: C
Rationale: Standard practice is to reassess the APGAR score at 5-minute intervals after the initial 1-minute score, typically at 5 minutes, and again at 10 minutes if needed.
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A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patients obstetric history using the TPALM system?
- A. Gravida 2, para 20120
- B. Gravida 3, para 10011
- C. Gravida 3, para 10110
- D. Gravida 2, para 11110
Correct Answer: C
Rationale: Using the TPALM system: Gravida 3 (3 pregnancies), Para 10110 (1 term, 0 preterm, 1 abortion, 1 living child, 0 multiples).
The nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out 'who they are,' and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:
- A. Identity vs. role confusion.
- B. Adolescent rebellion.
- C. Career experimentation.
- D. Relationship testing
Correct Answer: A
Rationale: Erikson’s stage of 'Identity vs. Role Confusion' occurs during adolescence, where individuals explore their sense of self, roles, and future directions, aligning with the group’s focus on identity, school, life, and peer relationships.
At what point in prenatal development do the lungs begin to produce surfactant?
- A. 17 weeks
- B. 20 weeks
- C. 25 weeks
- D. 30 weeks
Correct Answer: C
Rationale: During week 25, the alveoli begin to produce surfactant, which enables the alveoli to stay open for adequate lung oxygenation to occur.
A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?
- A. Eat three well-balanced meals per day and limit snacks.
- B. Drink a full glass of fluid at the beginning of each meal.
- C. Have crackers handy at the bedside, and eat a few before getting out of bed.
- D. Eat a bland diet and avoid concentrated sweets.
Correct Answer: C
Rationale: The nurse can recommend eating dry toast or crackers before getting out of bed in the morning to alleviate nausea during pregnancy.
The nurse is teaching a group of new parents about sudden infant death syndrome (SIDS). Which recommendation should the nurse emphasize?
- A. Place the infant on a soft mattress for sleep
- B. Ensure the infant sleeps in a prone position
- C. Keep soft objects and loose bedding out of the crib
- D. Dress the infant warmly to prevent hypothermia during sleep
Correct Answer: C
Rationale: Keeping soft objects and loose bedding out of the crib reduces SIDS risk by preventing suffocation, per AAP safe sleep guidelines. Prone position and soft mattresses increase risk.