Nokea
The newborn's mother is concerned about the shape of the baby's head after delivery. She states that the baby looks like a "cone head." What is the most appropriate response by the nurse?
- A. You don't need to worry about it. It is perfectly normal after birth.
- B. It is molding caused by the pressure during birth and will disappear in a few days.
- C. I will report it to the physician and recommend a diagnostic scan.
- D. It is a collection of blood related to the trauma of delivery and will absorb in a few weeks.
Correct Answer: B
Rationale: Molding is a normal finding after birth and resolves spontaneously.
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A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?
- A. Conduct weekly prenatal appointments in their home.
- B. Draw blood on all pregnant persons to look for anemia.
- C. Assess the health of a baby using an ultrasound.
- D. Develop an educational pamphlet discussing signs of preeclampsia.
Correct Answer: D
Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.
What is important for the nurse to provide a woman with bacterial vaginosis?
- A. The woman must be careful to observe for signs of preterm labor.
- B. The woman must advise her partner to seek therapy as soon as possible.
- C. A common side effect of the medicine is a copious vaginal discharge.
- D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A
Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
What is one purpose of the Healthy People 2030 objectives?
- A. Stop world hunger.
- B. Prevent conflict and war in other countries.
- C. Address issues in health care to solve cancer.
- D. Recommend changes to increase health promotion and disease prevention.
Correct Answer: D
Rationale: The correct answer is D because the Healthy People 2030 objectives aim to recommend changes to increase health promotion and disease prevention. These objectives focus on improving the overall health of the population by setting specific targets and goals for health promotion and disease prevention strategies. Choices A, B, and C are incorrect because the Healthy People 2030 objectives are specifically designed to address public health issues within the United States, not worldwide hunger, conflict in other countries, or solely cancer-related issues.
What is the best description of the history of gynecologic care in the United States over the past century?
- A. Reproductive health care has been under control of persons AFAB since the 1900s.
- B. The health-care system has always been fair to persons AFAB with regard to shared decision making.
- C. Activist groups are fighting sexism in health care.
- D. Researchers had to stop including persons AFAB in pharmacologic research trials.
Correct Answer: C
Rationale: The correct answer is C because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice.
Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.