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What role do nurses play in addressing social determinants of health (SDOH)?
- A. Nurses primarily focus on providing medical treatments and interventions.
- B. Nurses have no role in addressing social determinants of health.
- C. Nurses are crucial in identifying and addressing the environmental factors that impact health outcomes.
- D. Nurses solely focus on the physical well-being of individuals and do not address social factors.
Correct Answer: C
Rationale:
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A client in the third trimester reports severe itching without rash. What condition should the nurse suspect?
- A. Cholestasis of pregnancy.
- B. Preeclampsia.
- C. Gestational diabetes.
- D. Fungal infection.
Correct Answer: A
Rationale: Severe itching in pregnancy without a rash is commonly associated with cholestasis of pregnancy.
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
- A. Thick, White Vaginal Discharge
- B. Urinary Frequency
- C. Vulva Lesions
- D. Malodorous Discharge
Correct Answer: D
Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. In pregnant individuals, trichomoniasis can result in adverse pregnancy outcomes such as preterm birth and low birth weight. A common symptom of trichomoniasis is a frothy, yellow-green, malodorous vaginal discharge. Therefore, in this client scenario, the nurse should expect to find a malodorous discharge as a result of trichomoniasis. The other options presented are not typically associated with trichomoniasis.
The nurse is teaching a client with preeclampsia about home care. Which statement indicates understanding?
- A. I should monitor my blood pressure once a week.
- B. I should limit my fluid intake to reduce swelling.
- C. I will report any headache or vision changes immediately.
- D. I can exercise daily to maintain health.
Correct Answer: C
Rationale: Headache and vision changes can signal worsening preeclampsia, requiring prompt medical attention.
The nurse is educating a client about Rh incompatibility. What statement indicates understanding?
- A. Rh incompatibility only occurs in first pregnancies.
- B. I will need Rho(D) immune globulin if my baby is Rh positive.
- C. Rh incompatibility is treated with antibiotics.
- D. Rh incompatibility does not affect the baby.
Correct Answer: B
Rationale: Rho(D) immune globulin prevents the mother's immune system from attacking Rh-positive fetal red blood cells.
What is the recommended response for a pregnant client reporting decreased fetal movements?
- A. Encourage the client to lie on her left side
- B. Schedule an immediate ultrasound
- C. Advise monitoring for fetal heart rate decelerations
- D. Instruct the client to monitor movements over the next 48 hours
Correct Answer: C
Rationale: Encouraging the client to monitor fetal movements can help identify any abnormalities early.