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The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
- A. Pew Health Professions Commission
- B. Healthcare Effectiveness Data and Information Set (HEDIS)
- C. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
- D. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
Correct Answer: B
Rationale: Health plans throughout the United States rely on the Healthcare Effectiveness Data and Information Set (HEDIS) as a quality measure.
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The nurse is caring for a baby whose blood type is A+ (positive) and direct Coombs’ test is + (positive), and whose mother’s blood type is O+ (positive). Which of the following nursing diagnoses is appropriate for this baby?
- A. Risk for injury to the central nervous system.
- B. Risk for fluid volume deficit.
- C. Risk for interrupted family processes.
- D. Risk for impaired parent-infant attachment.
Correct Answer: A
Rationale: A positive Coombs’ test indicates hemolytic disease of the newborn, which can lead to bilirubin buildup and potential central nervous system damage.
A 36-week-gestation client is having an amniocentesis. For which of the following reasons is the test likely being conducted?
- A. Genetic evaluation.
- B. Assessment of intrauterine growth restriction.
- C. Assessment of fetal lung maturation.
- D. Hormonal studies.
Correct Answer: C
Rationale: Amniocentesis at 36 weeks is often performed to assess fetal lung maturity before delivery.
A woman, contracting every 3 min 60 seconds, suddenly develops an amniotic fluid embolism. Which of the following signs/symptoms would the nurse observe?
- A. Sudden gush of fluid from the vagina.
- B. Intense and unrelenting uterine pain.
- C. Precipitous dilation and expulsion of the fetus.
- D. Chest pain with dyspnea and cyanosis.
Correct Answer: D
Rationale: Amniotic fluid embolism can cause sudden cardiovascular collapse, including chest pain, dyspnea, and cyanosis.
When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
- A. Multigravida
- B. Multipara
- C. Nullipara
- D. Primigravida
Correct Answer: D
Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida.
A: Multigravida refers to a woman who has been pregnant two or more times.
B: Multipara refers to a woman who has given birth two or more times.
C: Nullipara refers to a woman who has never given birth.
Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.
A woman asks the nurse to recommend the best douche for use after menstruation. Which of the following responses by the nurse is appropriate?
- A. Tap water with white vinegar is most refreshing and least allergenic.'
- B. It is really best for women not to douche.'
- C. Any of the over-the-counter douches is satisfactory.'
- D. It is best to douche during menstruation rather than after it is over.'
Correct Answer: B
Rationale: Douching can disrupt the natural vaginal flora and increase the risk of infections, so it is generally not recommended.