What is an example of a nurse's question that is part of the Four Cs?
- A. What did you do to cause your injury?
- B. What are you concerned about today?
- C. What kind of problems will your traditions cause for other patients?
- D. When will your family move you in to stay with them?
Correct Answer: B
Rationale: The Four Cs (Concerns, Causes, Comfort, and Collaboration) focus on understanding the patient's perspective and concerns.
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A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
- A. A client who has active genital herpes
- B. A client who has gestational diabetes mellitus
- C. A client who has a previous uterine incision
- D. A client who has placenta previa
Correct Answer: C
Rationale: Misoprostol is a prostaglandin E1 analog that is commonly used for labor induction. It is particularly useful in clients with a previous uterine incision, such as a cesarean section scar, because it helps soften the cervix and promote uterine contractions, which can lead to successful vaginal birth after cesarean (VBAC). Misoprostol can be an effective method for inducing labor in these clients while minimizing the risk of uterine rupture. However, it is important to closely monitor clients for signs of uterine hyperstimulation when using misoprostol for labor induction.
The nurse would classify a newborn delivered at 39 weeks' gestation, weighing 2400 g ( 5.0 lbs) as being:
- A. Preterm and immature
- B. Small-for-gestational age
- C. Average-for-gestational age
- D. Average-for-gestational age but pre-term
Correct Answer: B
Rationale: Weight below the 10th percentile indicates small-for-gestational age.
What is the rationale for the nurse's questions regarding a nonpregnant young woman diagnosed with bacterial vaginosis?
- A. Clients with BV can infect their sexual partners.
- B. The nurse is required by law to ask the questions.
- C. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women.
- D. The laboratory needs a full client history to know for which organisms and antibiotic sensitivities it should test.
Correct Answer: C
Rationale: BV increases susceptibility to other STIs, including HIV.
The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?
- A. Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships.
- B. The family serves as a place that encourages members to autonomously function in pursuit of personal pleasures.
- C. Society functions best when families determine how they will interface with others without having to deal with the overall consequences.
- D. Work is an important part of family function but is not necessary for success if one member can fulfill multiple roles.
Correct Answer: A
Rationale: The family is the basic unit of society. In order for this to work well, members of the family must work together. Families make a central contribution to enhance the quality of our society.
Which interpretation of the data from Table 3-1 is correct?
- A. When one considers those who "read/heard" about the vaccine, there is no significant difference between the percentage of students who received the immunization and those who did not receive the immunization.
- B. The likelihood of students who receive the vaccine when they learned about it from the "health history form" was about 1.6 times that of the "health history form" students who did not receive the vaccine.
- C. 44.4% of those who were not vaccinated received their information from "Letters."
- D. The largest percentage of students who received the vaccine learned about it from the "University Health Service (UHS) providers."
Correct Answer: D
Rationale: According to the table, the largest percentage of vaccinated students learned about the vaccine from UHS providers.