The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?
- A. 10
- B. 15
- C. 20
- D. 25
Correct Answer: C
Rationale: Infants typically double their birth weight by around 6 months of age. Since the infant weighed 7 pounds at birth, it is reasonable to expect the infant to weigh approximately 14 pounds at the age of 6 months. Therefore, the closest option among the choices provided is 20 pounds.
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A college student goes to the college clinic and asks the best way to avoid contracting an STD. The nurse provides the clinic's standard STD teaching. Which statement by the student indicates the need for additional instruction?
- A. "There is no guarantee that I won't contract an STD if I choose to be sexually active."
- B. "Abstinence is the only sure way to avoid an STD."
- C. "If I use a condom with spermicide, I will be safer than if I don't use one."
- D. "If I question my partner about past sexual encounters, I can avoid STDs."
Correct Answer: D
Rationale: The statement "If I question my partner about past sexual encounters, I can avoid STDs" indicates a need for additional instruction. While communication with a partner about sexual history is important, relying solely on questioning a partner is not a foolproof method of avoiding STDs. Some individuals may not disclose their complete sexual history or may be unaware that they have an STD. It is crucial to emphasize the importance of using protection such as condoms consistently and correctly, getting tested regularly, and practicing safe sex in general.
A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)
- A. Use of acetaminophen (Tylenol) for fever
- B. Administration of chamomile tea at bedtime
- C. Hypnotherapy for relief of pain
- D. Acupressure to relieve headaches
Correct Answer: B
Rationale: Administration of chamomile tea at bedtime is considered a complementary medical practice, as it involves the use of an herb for its potential therapeutic effects.
Which of the ff is the characteristic of a ketogenic diet that is suggested for children with seizures?
- A. High carbohydrate diet
- B. High fat diet
- C. High protein diet
- D. Low fat diet
Correct Answer: B
Rationale: The characteristic of a ketogenic diet that is suggested for children with seizures is a high-fat diet. Ketogenic diet is a specialized high-fat, low-carbohydrate diet that helps to control seizures in some children with epilepsy, especially those who do not respond well to medication. The high fat content in the diet leads to the production of ketones, which are believed to reduce seizure activity in the brain. Therefore, a high-fat diet is a key aspect of the ketogenic diet for managing seizures in children.
Which of the ff are the symptoms of basilar skull fracture? Choose all that apply
- A. Raccoon eyes
- B. Amnesia
- C. Halo sign
- D. Paresthesia
Correct Answer: A
Rationale: Raccoon eyes and Battle's sign are classic signs of basilar skull fracture. Raccoon eyes refer to the presence of bruising or discoloration around the eyes, resembling the appearance of a raccoon. This occurs due to blood collecting in the soft tissues around the eyes. Battle's sign is bruising behind the ear, which can also indicate a basilar skull fracture.
A nurse is assessing for jaundice in a dark-skinned newborn. Where is the best place to assess for jaundice in this newborn?
- A. Buttocks
- B. Tip of nose and sclera
- C. Sclera, conjunctiva, and oral mucosa
- D. Palms of hands and soles of feet
Correct Answer: C
Rationale: The best place to assess for jaundice in a dark-skinned newborn is in the sclera, conjunctiva, and oral mucosa. Jaundice, which is caused by elevated levels of bilirubin in the blood, is more easily seen in these areas compared to the skin. While jaundice is commonly assessed on the skin in light-skinned individuals, it may not be as readily apparent in dark-skinned newborns. Therefore, examining the sclera, conjunctiva, and oral mucosa for a yellowish discoloration provides a more reliable indication of jaundice in dark-skinned infants. This approach ensures that healthcare providers can accurately detect and monitor jaundice in newborns of all skin tones.