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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:
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The nurse is caring for a client with gestational hypertension. What symptom should be reported immediately?
- A. Headache unrelieved by acetaminophen.
- B. Slight swelling of the hands.
- C. Mild nausea after eating.
- D. Fatigue at the end of the day.
Correct Answer: A
Rationale: Headache unrelieved by medication may indicate worsening gestational hypertension or preeclampsia.
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:
The pediatric nurse is being pulled to the nursery for the day. The census is six neonates. Which 3 neonates are the best client care assignment for the pediatric nurse?? Select all that apply:
- A. An 18-hour post term, breast-fed neonate with jaundice
- B. A 2-day old who has not passed a meconium stool
- C. A recent admission with Apgar score of 8 out of 10
- D. A 1-day-old with caput succedaneum
Correct Answer: A
Rationale: - A. An 18-hour post-term, breast-fed neonate with jaundice would be a good assignment for the pediatric nurse because a neonate with jaundice requires close monitoring of bilirubin levels and feeding patterns. Breastfeeding can also affect jaundice levels, so the nurse can provide education and support to ensure successful breastfeeding and manage jaundice effectively.
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following.....
- A. A client who gave a birth 1 day ago and needs Rh˳(D) immune globulin.
- B. A client who gave a birth 3 days ago and reports breath fullness.
- C. A client who gave a birth 12 hr. ago and reports and increase in urinary output.
- D. A client who gave a birth 8 hr. ago and is saturating a perineal pad every hour.
Correct Answer: B
Rationale: The client who gave birth 3 days ago and reports breath fullness is showing signs of potential postpartum complications, such as a pulmonary embolism. Pulmonary embolism is a serious condition that can occur postpartum due to blood clot formation. Symptoms like breath fullness, chest pain, and shortness of breath should never be ignored in postpartum clients. This client requires immediate assessment and intervention to prevent further complications. The other options are concerning but do not indicate as urgent of a situation as breath fullness, which could be a life-threatening issue.
A nurse educator is teaching a class to nursing developing cervical cancer. Which client is at students about the incidence of sexually transmitted highest risk? infections (STIs) and their impact on public health.
- A. Client with a Pap test and an HPV screen positive Which is the most commonly reported STI in the for type 12 United States?
- B. Client who is 40 years old and stopped smoking
- C. Syphilis
- D. Gonorrhea
Correct Answer: A
Rationale: Human papillomavirus (HPV) is the most commonly reported sexually transmitted infection (STI) in the United States. HPV infection, especially high-risk types such as HPV-16, is strongly associated with cervical cancer. Therefore, a client who is positive for HPV type 16 on an HPV screen is at the highest risk for developing cervical cancer among the given choices. The nurse educator would need to emphasize the importance of regular screening, follow-up, and prevention strategies for this client to reduce the risk of cervical cancer development.