Nokea
The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
- A. The United States is ranked last among 27 countries
- B. The United States is ranked similar to 20 other developed countries
- C. The United States is ranked in the middle of 20 other developed countries
- D. The United States is ranked highest among 27 other industrialized countries
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response?
- A. It is best to wait until the child asks about it.
- B. The best time to tell the child is between the ages of 7 and 10 years.
- C. It is not necessary to tell a child who was adopted so young.
- D. Telling the child is an important aspect of their parental responsibilities.
Correct Answer: D
Rationale: It is important to tell children about their adoption early, in an age-appropriate manner, as part of building trust and openness in the family relationship.
One of the most critical needs of the infant is control of body temperature. The nurse caring for a newborn warms all equipment that comes in direct contact with the newborn to help prevent which type of heat loss?
- A. Convection
- B. Evaporation
- C. Conduction
- D. Radiation
Correct Answer: C
Rationale: The correct answer is Conduction (choice C). Conduction heat loss occurs when the newborn's skin comes into direct contact with a cooler surface, so warming equipment helps prevent this. Choice A, Convection, is the transfer of heat through air or water currents, not direct contact. Choice B, Evaporation, is the loss of heat through moisture on the skin evaporating, not direct contact. Choice D, Radiation, is the transfer of heat in the form of waves or particles, not direct contact.
What tool would be most useful to assess maternal and newborn attachment behaviors?
- A. Apgar
- B. Ballard scale
- C. NCAST (Nursing Child Assessment Satellite Training) Feeding Scale
- D. Brazelton Neonatal Behavioral Assessment Scale
Correct Answer: C
Rationale: The NCAST Feeding Scale is the most suitable tool to evaluate maternal and newborn attachment behaviors during feedings. It focuses on observing the interaction between the parent and infant, providing insights into their bonding. The Apgar score is used to assess a neonate's immediate transition to life outside the womb, not specifically maternal and newborn attachment behaviors. The Ballard scale is used to estimate gestational age, not to assess attachment behaviors. The Brazelton Neonatal Behavioral Assessment Scale is designed to evaluate a newborn's responses to various stimuli, not specifically maternal and newborn attachment behaviors.
The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)
- A. Asthma
- B. Hypertension
- C. Dyslipidemia
- D. All of the above
Correct Answer: D
Rationale: Obesity increases the risk for conditions like asthma, hypertension, dyslipidemia, and altered glucose metabolism, but not typically irritable bowel disease.
The nurse is aware that if patients from different cultures are implied to be inferior, the emotional attitude the nurse is displaying is what?
- A. Acculturation
- B. Ethnocentrism
- C. Cultural shock
- D. Cultural sensitivity
Correct Answer: B
Rationale: Ethnocentrism is the belief that one's own culture is superior to others, which can lead to bias and a lack of cultural competence in healthcare.