Nokea
The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?
- A. Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships.
- B. The family serves as a place that encourages members to autonomously function in pursuit of personal pleasures.
- C. Society functions best when families determine how they will interface with others without having to deal with the overall consequences.
- D. Work is an important part of family function but is not necessary for success if one member can fulfill multiple roles.
Correct Answer: A
Rationale: The family is the basic unit of society. In order for this to work well, members of the family must work together. Families make a central contribution to enhance the quality of our society.
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What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.
What advice should the nurse give a woman taking Fosamax (alendronate) for osteoporosis?
- A. Remain upright for 30 minutes after taking the medication.
- B. Take only after eating a full meal.
- C. Take medication in divided doses 3 times each day.
- D. Do not break or crush the tablet.
Correct Answer: A
Rationale: Remaining upright prevents esophageal irritation.
What is the nurse's role when preparing a mother for epidural anesthesia?
- A. Monitor the mother's contractions
- B. Ensure the mother has an empty bladder
- C. Ensure the mother is in a supine position
- D. Administer a test dose of the epidural medication
Correct Answer: C
Rationale: Ensuring the bladder is empty helps prevent complications during epidural anesthesia.
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify
- A. Fetal attitude is in general flexion.
- B. Fetal lie is longitudinal.
- C. Maternal pelvis is gynecoid.
- D. Fetal position is persistent occiput posterior.
Correct Answer: D
Rationale: In a labor where the fetal position is persistent occiput posterior, the baby is positioned face up, which can lead to a longer and more difficult labor. In this position, the baby's head is pressing against the mother's spine, causing severe backache for the mother. This malposition can slow down the progress of labor, making it more prolonged and challenging. It can also increase the likelihood of complications such as increased risk of instrumental delivery or cesarean section. Therefore, identifying the fetal position as persistent occiput posterior as a contributing cause to the difficult, prolonged labor with severe backache is crucial for effective management and intervention.
What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted?
- A. Palpate her lower abdomen each month to check the patency of the device.
- B. Remain on bed rest for 24 hours after insertion of the device.
- C. Report any complaints of painful intercourse to the physician.
- D. Insert spermicidal jelly within 4 hours of every sexual encounter.
Correct Answer: C
Rationale: Painful intercourse may indicate IUD displacement or complications.