Nokea
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. Which statement would be the most appropriate response from the nurse?
- A. Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.
- B. Everyone is different; it will happen when it happens.
- C. Based on when the breast buds first appeared, she should start menstruating around the age of 14.
- D. She will not start menstruating until her breasts are of adult size and contour.
Correct Answer: C
Rationale: Menstruation typically starts about 2 years after breast buds, around age 14.
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Which person exceeds the recommended activity guidelines?
- A. "A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity."
- B. "A 45-year-old woman who swims and has a pulse rate of 145 during activity."
- C. "A 50-year-old man who jogs and has a pulse rate of 120 during activity."
- D. "A 60-year-old woman who walks briskly and has a pulse rate of 125 during activity."
Correct Answer: D
Rationale: The optimal pulse rate for a 60-year-old woman during activity should not exceed 120.
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy-producing system and improve cardiorespiratory endurance is known as:
- A. Aerobic activity.
- B. Anaerobic activity.
- C. Flexibility.
- D. Muscular fitness.
Correct Answer: A
Rationale: Aerobic activity is designed to improve cardiorespiratory endurance by using large muscle groups.
Healthy People 2020 objectives provide a framework for:
- A. Assessment
- B. Diagnosis
- C. Prevention
- D. Treatment
Correct Answer: C
Rationale: Healthy People 2020 focuses on providing a framework for prevention.
Which of the following emphasizes that an individual’s belief in being personally capable of performing the behavior is required to influence one’s own health?
- A. Social cognitive theory
- B. Self-efficacy theory
- C. Health belief model
- D. Transtheoretical model
Correct Answer: A
Rationale: Social cognitive theory focuses on an individual's belief in their ability to perform behaviors that influence their health.