What is the goal of a long-term treatment plan for an adolescent with an eating disorder?
- A. Managing the effects of malnutrition
- B. Establishing sufficient caloric intake
- C. Improving family dynamics
- D. Restructuring client perception of body image
Correct Answer: D
Rationale: The primary focus of treatment is restructuring cognitive perceptions about the individual's body image, after reestablishing physiologic homeostasis.
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Which nonpharmacologic contraceptive method has a failure rate of less than 25%?
- A. Standard days' variation
- B. Periodic abstinence
- C. Postovulation
- D. Coitus interruptus
Correct Answer: A
Rationale: The standard days variation method, a calendar-based approach, has a lower failure rate than periodic abstinence, postovulation, and coitus interruptus.
A woman is 16 weeks pregnant and has elected to terminate her pregnancy. Which is the most common technique used for the termination of a pregnancy in the second trimester?
- A. Dilation and evacuation (D&E)
- B. Methotrexate administration
- C. Prostaglandin administration
- D. Vacuum aspiration
Correct Answer: A
Rationale: Dilation and evacuation (D&E) is the most common method used for termination in the second trimester, typically performed between 13 and 16 weeks.
During the childbearing experience, which behavior might the nurse expect from an African-American client?
- A. Seeking prenatal care early in her pregnancy
- B. Avoiding self-treatment of pregnancy-related discomfort
- C. Requesting liver in the postpartum period to prevent anemia
- D. Arriving at the hospital in advanced labor
Correct Answer: D
Rationale: African-American women often arrive at the hospital in far-advanced labor due to viewing pregnancy as a state of wellness, which contributes to delayed prenatal care. Many practice self-treatment for discomfort and may request liver postpartum for anemia prevention.
A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
- A. Hypertonia
- B. Jitteriness
- C. Acrocyanosis
- D. Generalized petechiae
Correct Answer: B
Rationale: Jitteriness is a common sign of neonatal hypoglycemia and should be addressed promptly.
Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse first take when meeting with a new client to discuss contraception?
- A. Obtain data about the frequency of coitus.
- B. Determine the woman's level of knowledge concerning contraception and her commitment to any particular method.
- C. Assess the woman's willingness to touch her genitals and cervical mucus.
- D. Evaluate the woman's contraceptive life plan.
Correct Answer: B
Rationale: Determining the woman's level of knowledge about contraception and her commitment to a method is the first step. This provides the nurse with the necessary background before moving on to a diagnosis and appropriate method choices.