Nokea
What is the best response by the nurse when a parent questions why their newborn needs hepatitis B vaccination?
- A. The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy.
- B. It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older.
- C. Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood as well as sexually.
- D. Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases.
Correct Answer: C
Rationale: Hepatitis B can be transmitted through non-sexual means such as contact with infected blood.
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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.
A yellow crust has formed over the circumcision site.
- A. After circumcision, the diaper should be changed frequently and fastened snugly.
- B. This yellow crust is an early sign of infection.
- C. The yellow crust should not be removed.
- D. Discontinue the use of petroleum jelly to the tip of the penis.
Correct Answer: C
Rationale: The yellow crust is part of the healing process and should not be removed.
The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provider see a person at this age?
- A. The person's partner desires permanent sterilization.
- B. Their family told the person they had to get a Pap smear.
- C. The person was late starting care because the first visit should be before the age of 13.
- D. The person may want to discuss their menstrual cycle and hormonal changes.
Correct Answer: D
Rationale: The correct answer is D because at 15 years old, a person AFAB may have questions or concerns about their menstrual cycle and hormonal changes. This age is appropriate for a gynecologic provider visit to address these issues and provide guidance on reproductive health. Choice A is incorrect because partner desires do not dictate gynecologic care. Choice B is incorrect as Pap smears are not typically recommended for individuals under 21. Choice C is incorrect as there is no strict age requirement for the first gynecologic visit.
What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?
- A. Nothing, because her behavior is normal.
- B. Question the young woman to see if she is being abused.
- C. Recommend that the young woman be seen by her doctor.
- D. Follow the young woman to the bathroom.
Correct Answer: C
Rationale: Medical evaluation is necessary to confirm suspected bulimia.
What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.