Nokea
To provide culturally competent care to an Asian-American family, which question should the nurse include during the assessment interview?
- A. Do you prefer hot or cold beverages?
- B. Do you want some milk to drink?
- C. Do you want music playing while you are in labor?
- D. Do you have a name selected for the baby?
Correct Answer: A
Rationale: Asian-American families may have cultural preferences for warm beverages, especially during labor and delivery. Offering milk may be inappropriate as many in this group exclude milk from their diet. Silence is preferred during labor, and baby naming may be delayed in some traditions.
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Which statement best exemplifies contemporary maternity nursing?
- A. Use of midwives for all vaginal deliveries
- B. Family-centered care
- C. Free-standing birth clinics
- D. Physician-driven care
Correct Answer: B
Rationale: Contemporary maternity nursing focuses on the family's needs and desires, with both midwives and physicians providing care.
Which action would be inappropriate for the nurse to perform before beginning the health history interview?
- A. Smile and ask the client whether she has any special concerns.
- B. Speak in a relaxed manner with an even, nonjudgmental tone.
- C. Make the client comfortable.
- D. Tell the client her questions are irrelevant.
Correct Answer: D
Rationale: Telling the client that her questions are irrelevant is inappropriate. Nurses should make the client feel comfortable and respected.
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
- A. Wear gloves.
- B. Wear mouth, nose, and eye protection.
- C. Wear a mask.
- D. Wash the hands after medication administration.
Correct Answer: A
Rationale: Standard precautions require the use of gloves when providing eye prophylaxis to a newborn.
A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, 'My period is due in a few days, and my temperature has not gone up.' What is the nurse's most appropriate response?
- A. This probably means you're pregnant.
- B. Don't worry; it's probably nothing.
- C. Have you been sick this month?
- D. You probably didn't ovulate during this cycle.
Correct Answer: D
Rationale: The absence of a temperature rise indicates that ovulation has not occurrePregnancy cannot occur without ovulation, so the lack of BBT increase suggests an anovulatory cycle.
Which type of genetic tests in clinical practice are most often offered to clients with a family history of disease?
- A. Single-gene disorders
- B. Carrier screening
- C. Predictive value testing
- D. Predispositional testing
Correct Answer: A
Rationale: Most tests now offered are tests for single-gene disorders in clients with clinical symptoms or clients who have a family history of a genetic disease. Carrier screening is used to identify individuals who have a gene mutation for a genetic condition but do not display symptoms. Predictive value testing is used only to clarify the genetic status of asymptomatic family members. Predispositional testing differs from the other types of genetic screening in that a positive result does not indicate a 100% chance of developing the condition.