Nokea
The nurse makes an error of omission. What is an example of an error of omission?
- A. placing the fetal monitor incorrectly
- B. not recording input/output amounts
- C. not covering the computer screen when documenting
- D. removing an IV
Correct Answer: B
Rationale: The correct answer is B because not recording input/output amounts can lead to missed vital information affecting patient care. Omission errors involve failing to perform a required action. Placing the fetal monitor incorrectly (A) is an error of commission, actively doing something incorrectly. Not covering the computer screen (C) is a breach of patient confidentiality, not an omission error. Removing an IV (D) is an active intervention, not an omission error.
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An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
What occurred after childbirth migrated from the home to the hospital?
- A. Infection rates dropped in the hospital.
- B. Laboring persons were given greater support in labor.
- C. The childbirth model became a medical model.
- D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C
Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.
Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is
What is a risk factor for osteoporosis?
- A. Multiparity.
- B. Increased body weight.
- C. Late onset of menopause.
- D. Heavy alcohol intake.
Correct Answer: D
Rationale: Heavy alcohol intake negatively affects bone density.
A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?
- A. Contacting the father for informed consent
- B. Obtaining informed consent from the mother
- C. Seeking a court ruling on the course of care
- D. Determining sole or joint custody by the parents
Correct Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by both parents.
What must the woman do to ensure the effectiveness of the diaphragm?
- A. Does not use any cream or jelly with it.
- B. Douches promptly after its removal.
- C. Leaves it in place for 6 hours following intercourse.
- D. Inserts it at least 5 hours prior to having intercourse.
Correct Answer: C
Rationale: Leaving the diaphragm in place for 6 hours ensures spermicide effectiveness.