Nokea
What are some specific health effects of substance misuse in persons AFAB?
- A. increased risk of lung cancer
- B. higher likelihood of developing diabetes
- C. elevated risk of liver damage and cardiovascular complications
- D. reduced risk of mental health disorders
Correct Answer: C
Rationale:
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The nurse is educating a client about kick counts. When should the client contact the healthcare provider?
- A. Fewer than 10 movements in 2 hours.
- B. Fewer than 5 movements in 1 hour.
- C. No movements after drinking juice.
- D. No movements for 12 hours.
Correct Answer: A
Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.
The patient's family history includes sickle cell disease. The patient's partner also has sickle cell disease in the family history. What type of test should the nurse discuss with the couple due to their family history?
- A. carrier screening for both parents
- B. ultrasound at 6 weeks’ gestation
- C. glucose screening for both parents
- D. thyroid testing
Correct Answer: A
Rationale:
The woman with the lowest risk for sexually trans-
- A. Red swollen area around distal suture repair of mitted pelvic inflammatory disease is one who uses episiotomy site which of the following?
- B. Oral contraceptives
- C. A barrier method of contraception
- D. An intrauterine device for contraception
Correct Answer: C
Rationale: The lowest risk for sexually transmitted pelvic inflammatory disease is associated with using a barrier method of contraception, such as condoms. Barrier methods create a physical barrier that helps prevent the exchange of bodily fluids, reducing the risk of transmission of sexually transmitted infections, including pelvic inflammatory disease. Oral contraceptives, intrauterine devices, and birth control patches do not provide the same level of protection against sexually transmitted infections as barrier methods like condoms.
A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?
- A. Asian
- B. Non-Hispanic White American
- C. Hispanic
- D. African American
Correct Answer: B
Rationale: Non-Hispanic White Americans have been reported to have the lowest incidence of gestational diabetes mellitus (GDM) compared to other ethnicities. Studies have shown that Asian, Hispanic, and African American populations have higher rates of developing GDM during pregnancy. This may be due to genetic predispositions, lifestyle factors, and varying degrees of insulin resistance among different ethnic groups. Therefore, when discussing risk factors for GDM, the community health nurse should identify Non-Hispanic White Americans as having the lowest incidence of GDM.
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.
- A. Meconium "“ start fluid
- B. Placenta previa
- C. Midline episiotomy
- D. Gestational hypertension
Correct Answer: C
Rationale: A midline episiotomy increases the risk for infection in postpartum clients due to the incision made in the perineum during childbirth. This incision can serve as a portal of entry for microorganisms, leading to an increased risk of infection. Meconium-stained amniotic fluid (choice A) can increase the risk of respiratory distress in the newborn but is not directly related to infection in the postpartum client. Placenta previa (choice B) is a condition during pregnancy where the placenta partially or completely covers the cervix, which poses risks related to bleeding rather than infection postpartum. Gestational hypertension (choice D) is a risk factor for developing preeclampsia or eclampsia during pregnancy but does not directly increase the risk of infection in the postpartum period.