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The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
- A. 1 week
- B. 2 weeks
- C. 3 weeks
- D. 4 weeks
Correct Answer: B
Rationale: The correct answer is B (2 weeks) because for a healthy primigravida at 28 weeks gestation, it is recommended to schedule prenatal visits every 2 weeks during the third trimester. This frequency allows for closer monitoring of both the mother and the baby's well-being as they near the delivery date. Option A (1 week) is too frequent and unnecessary for a healthy pregnancy at this stage. Option C (3 weeks) and Option D (4 weeks) are too far apart and may not provide adequate monitoring and support during the critical final weeks of pregnancy.
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A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
- A. Screening
- B. Education
- C. Dependence
- D. Counseling
Correct Answer: B
Rationale: Health promotion and education are traditionally the primary objectives of home care, yet at present most patients receive home care because they need nursing care. Screening is preventive care. The home health nurse focuses on patient and family independence. Counseling is through psychiatric care.
Which advice to the patient is one of the most effective methods for preventing venous stasis?
- A. Sit with the legs crossed.
- B. Rest often with the feet elevated.
- C. Sleep with the foot of the bed elevated.
- D. Wear elastic stockings in the afternoon.
Correct Answer: B
Rationale: The correct answer is B: Rest often with the feet elevated. Elevating the feet helps to promote venous blood flow back to the heart, reducing the risk of venous stasis. When the legs are elevated, gravity assists in returning the blood to the heart. Sitting with the legs crossed (choice A) can actually impede blood flow. Sleeping with the foot of the bed elevated (choice C) may not be as effective as regularly elevating the feet throughout the day. Wearing elastic stockings in the afternoon (choice D) can provide some support but may not be as effective as elevating the feet.
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?
- A. Determine if a metabolic disorder exists.
- B. Identify the sex of the fetus.
- C. Identify abnormal fetal cells.
- D. Determine fetal lung maturity.
Correct Answer: D
Rationale: The correct answer is D: Determine fetal lung maturity. At 34 weeks of gestation, assessing fetal lung maturity is crucial to determine if the baby's lungs are developed enough for safe delivery. Amniocentesis can provide amniotic fluid for testing lung maturity. Choice A is incorrect as metabolic disorders are not typically assessed through amniocentesis. Choice B is incorrect as determining fetal sex is not the primary purpose of amniocentesis at this gestational age. Choice C is incorrect as identifying abnormal fetal cells is not the main goal of amniocentesis in this scenario.
A nurse should monitor a client who is postpartum from a forceps delivery for which of the following complications?
- A. Placental abruption.
- B. Seizure.
- C. Idiopathic thrombocytopenia.
- D. Infection.
Correct Answer: D
Rationale: Forceps delivery increases the risk of trauma and infection due to potential tissue damage.
A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.)
- A. Empirical quality results
- B. Structural empowerment
- C. Transformational leadership
- D. Exemplary professional practice
Correct Answer: A
Rationale: The American Nurses Credentialing Center (ANCC) established the Magnet Recognition Program to recognize health care organizations that achieve excellence in nursing practice. The five components are Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovation, and Improvements; and Empirical Quality Results.