Nokea
What action should the nurse take regarding a young woman with low weight and excessive exercise?
- A. Ask the client the date of her last menstrual period.
- B. Encourage the client to continue her excellent exercise schedule.
- C. Congratulate the client on her ability to maintain such a good weight.
- D. Advise the client that she will have to stop swimming once soccer starts.
Correct Answer: A
Rationale: Absence of menstruation suggests potential anorexia.
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The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
- A. This symptom usually means the baby's head has descended further
- B. Unless you have pain with urination, we don't need to worry it
- C. Come in for an appointment today and we'll check out everything
- D. This might indicate that the baby is no longer in a head down position
Correct Answer: A
Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.
Which aspect of client wellness has not been a focus of health during the 21st century ?
- A. Disease prevention
- B. Health promotion
- C. Wellness
- D. Analysis of morbidity and mortality
Correct Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
During preconception counseling the nurse explains the time-period as when the fetus is most vulnerable to the effects of teratogens occurs is which of the following?
- A. 2 to 8 weeks
- B. 4 to12 weeks
- C. 5 to 10 weeks
- D. 6 to 15 weeks
Correct Answer: A
Rationale: The time period when the fetus is most vulnerable to the effects of teratogens is considered to be between weeks 2 to 8 of pregnancy. This period is known as the embryonic period, during which the organs and major body systems are forming. Exposure to teratogens during this time can lead to structural abnormalities or birth defects. It is crucial for women to be aware of this critical window of susceptibility during preconception counseling to avoid potential harm to the developing fetus.
A postpartum client calls the pediatric clinic to report that her 4-day old female newborn has a spot of blood on her diaper. Which of the following statements made by the nurse is most appropriate?
- A. Your newborn may have a urinary infection, continue to breastfeed frequently
- B. Your newborn has jaundice so it may need phototherapy
- C. This is a normal finding due to withdrawal of maternal hormones
- D. Your baby has an immature immune system, continue to breastfeed frequently
Correct Answer: C
Rationale: Pseudomenstruation is a normal finding due to hormonal withdrawal.
The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which child would potentially be considered an emancipated minor?
- A. A minor with financial independence who is living with his parents
- B. A minor who is pregnant
- C. A child older than 13 years of age who asks for emancipation
- D. A minor who puts his or her medical decisions in writing
Correct Answer: B
Rationale: Emancipation may be considered in any of the following situations, depending on the state's laws: membership in a branch of the armed services, marriage, court-determined emancipation, financial independence and living apart from parents, college attendance, pregnancy, mother younger than 18 years of age, and a runaway.