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What intervention is highest priority for a woman entering the emergency department after a stranger rape?
- A. Create a safe environment.
- B. Offer postcoital contraceptive therapy.
- C. Provide sexually transmitted disease prophylaxis.
- D. Take a thorough health history.
Correct Answer: A
Rationale: Ensuring safety is paramount immediately after trauma.
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What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.
Which client is the best candidate for birth control pills?
- A. 19-year-old with multiple sex partners.
- B. 27-year-old who bottle feeds her newborn.
- C. 29-year-old with chronic hypertension.
- D. 37-year-old who smokes one pack per day.
Correct Answer: B
Rationale: Birth control pills are generally safe for women without contraindications like smoking or hypertension.
The nurse notes right cephalhematoma on the otherwise healthy one-day-old newborn. Apriority intervention at the time of discharge would be to instruct the parents:
- A. How to observe for signs of jaundice
- B. How to assess the fontanels for tenseness
- C. How to increase the infant's feeding to every 3 hours
- D. To record the number of wet diapers the infant has in 24 hours
Correct Answer: A
Rationale: Cephalhematomas can lead to increased bilirubin levels, necessitating jaundice monitoring.
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. "It would be a good idea because circumcision is known to prevent penile cancer."
- B. "That's something you both will have to decide after you discuss it thoroughly with your doctor."
- C. "The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure."
- D. "I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'.
Correct Answer: B
Rationale: The most appropriate response for the nurse in this situation is to encourage open discussion between the parents and the doctor regarding the decision to circumcise their son. This allows the parents to make an informed decision based on their beliefs, values, and medical advice provided by the healthcare provider. It is important for parents to have all the necessary information and support to make the best decision for their child's well-being. The decision to circumcise is a personal one and should be made after careful consideration and consultation with a healthcare professional.
Which factor is a major barrier to health care for adolescent mothers?
- A. Health care workers have a positive attitude.
- B. The hospital or clinic is within walking distance of the girl's home.
- C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
- D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.