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The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor’s daughter passed away last year as a result of SIDS. Which of the following statements would be the best response from the nurse?
- A. “You should place the infant in the bed with you until 6 months of age.”
- B. “You should never give the infant a pacifier while she is sleeping.”
- C. “You should try to stop smoking.”
- D. “You should place the infant on her stomach.”
Correct Answer: C
Rationale: Stopping smoking is crucial to reducing the risk of SIDS. Additionally, the infant should be placed on her back to sleep, and pacifiers are safe for sleep.
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The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: C
Rationale: Validity refers to a test’s ability to correctly distinguish between diseased and nondiseased individuals.
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
- A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
- B. Ask her to elaborate on the difficulties.
- C. Tell her that they should modify their positions during intercourse and that will take care of the problem.
- D. Tell her men like the way pregnant women look.
Correct Answer: B
Rationale: The nurse should ask the woman to elaborate on the difficulties to understand the root of the problem and provide an appropriate intervention.
A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student. Which of the following purposes will these tests serve?
- A. Assess verbal development
- B. Assess intelligence development
- C. Assess social development
- D. Assess emotional development
Correct Answer: D
Rationale: The tests assess emotional and intelligence development in preschoolers.
The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative?
- A. The National Institute on Minority Health and Health Disparities
- B. The Centers for Disease Control and Prevention
- C. The Office of Minority Health
- D. The National Institutes of Health
Correct Answer: C
Rationale: The Office of Minority Health focuses on improving the health of racial and ethnic minority populations and would be the primary source for such initiatives.