Nokea
The clinic nurse observes that a 3-day-old baby girl is jaundiced. A bilirubin level is 11.4 mg/dL (194.99 umol/L). What causes this bilirubin level?
- A. Physiologic jaundice
- B. Hemolytic disease of the newborn
- C. Erythroblastosis fetalis
- D. Sepsis
Correct Answer: A
Rationale: Physiologic jaundice is common in the first few days of life.
You may also like to solve these questions
The nursing assessment of an infant reveals expiratory grunting, substernal retractions, and a temperature of 99° F (32.2° C). What is the first nursing action?
- A. Place the infant in Trendelenburg position.
- B. Begin administration of 40% humidified oxygen via hood.
- C. Increase the temperature of the environment
- D. Perform a complete assessment for congenital anomalies.
Correct Answer: B
Rationale: Oxygen administration addresses potential respiratory distress.
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.
The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?
- A. Some people may not bring up the topic of sex due to taboos and stigma.
- B. All patients will eventually have sexual problems.
- C. Nurses should ask because other health-care providers are not trained to ask those questions.
- D. Sexual dysfunction is a taboo only for persons AFAB.
Correct Answer: A
Rationale: The correct answer is A because sexual dysfunction is a sensitive and often stigmatized topic. By proactively asking all patients about sexual function, regardless of gender, the nurse creates an open and safe space for patients to disclose any issues they may be facing. Some individuals may feel uncomfortable or embarrassed discussing sexual problems, so it is crucial for healthcare providers to initiate the conversation. This approach allows for early identification and intervention, leading to better patient care and outcomes.
Choice B is incorrect because not all patients will experience sexual problems. Choice C is incorrect as it is the responsibility of all healthcare providers to address sexual health concerns. Choice D is incorrect as sexual dysfunction can affect individuals of any gender.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
What signs/symptoms is the client likely to complain of after contracting herpes simplex 2 for the first time?
- A. Flu-like symptoms.
- B. Metrorrhagia.
- C. Amenorrhea.
- D. Abdominal cramping.
Correct Answer: A
Rationale: Initial herpes simplex infection often presents with flu-like symptoms.