Nokea
The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
- A. Poor sucking reflex
- B. A decreased metabolic rate
- C. Decreased caloric requirement
- D. Increased absorption of nutrients
Correct Answer: A
Rationale: Pre-term infants often have an immature sucking reflex.
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What is an appropriate response to a client asking if fibrocystic breast disease means she has breast cancer?
- A. I am so sorry. I am sure that the doctor will do everything possible to cure you of the cancer.
- B. I am not the best person to ask about your diagnosis. I suggest that you ask the doctor.
- C. If your lumps are round and mobile they are not cancerous, but if they are hard to the touch you probably do have cancer.
- D. You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes.
Correct Answer: D
Rationale: Fibrocystic changes are benign but warrant monitoring.
A nurse is planning a continuum of care for a client during pregnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience?
- A. Adhering to strict specific routines
- B. Involving a pediatric physician
- C. Educating the client about the importance of a support person
- D. Assigning several nurses as a support team
Correct Answer: C
Rationale: Educating the client about the importance of a support person during labor and delivery has been shown to improve and enhance the birthing experience.
What is the best response by the nurse when a parent questions why their newborn needs hepatitis B vaccination?
- A. The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy.
- B. It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older.
- C. Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood as well as sexually.
- D. Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases.
Correct Answer: C
Rationale: Hepatitis B can be transmitted through non-sexual means such as contact with infected blood.
What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?
- A. Nothing, because her behavior is normal.
- B. Question the young woman to see if she is being abused.
- C. Recommend that the young woman be seen by her doctor.
- D. Follow the young woman to the bathroom.
Correct Answer: C
Rationale: Medical evaluation is necessary to confirm suspected bulimia.
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.