Nokea
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
- A. breast tenderness
- B. infrequent nausea
- C. change in appetite
- D. weight loss
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.
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A young man is planning to use the condom as a contraceptive device. The nurse should teach him that which of the following actions is needed to maximize the condom's effectiveness?
- A. Use only water-soluble lubricants.
- B. Use only natural lambskin condoms.
- C. Apply the condom to a flaccid penis.
- D. Apply it tightly to the tip of the penis.
Correct Answer: A
Rationale: Water-soluble lubricants should be used with condoms to prevent breakage. Natural lambskin condoms do not protect against STIs, and condoms should be applied to an erect penis.
A woman has been diagnosed with chlamydia. The nurse would expect the client to complain of which of the following signs/symptoms?
- A. No signs or symptoms.
- B. Painful lesions on the labia.
- C. Foul-smelling discharge.
- D. Severe lower abdominal pain.
Correct Answer: A
Rationale: Chlamydia is often asymptomatic, but if symptoms occur, they may include discharge or pain.
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
- A. Banana.
- B. Cheeseburger.
- C. Strawberries.
- D. Rice.
Correct Answer: B
Rationale: Cheeseburgers provide protein, iron, and calcium, which are essential for the increased nutritional needs of pregnant adolescents.
The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
- A. Pew Health Professions Commission
- B. Healthcare Effectiveness Data and Information Set (HEDIS)
- C. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
- D. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
Correct Answer: B
Rationale: Health plans throughout the United States rely on the Healthcare Effectiveness Data and Information Set (HEDIS) as a quality measure.
A male baby is born with scant amounts of vernix caseosa in his axillae and groin, scant amounts of lanugo on his shoulders, testes in his scrotum, and a strong suck. The nurse would estimate that the baby is which of the following gestational ages?
- A. 22 weeks.
- B. 28 weeks.
- C. 32 weeks.
- D. 38 weeks.
Correct Answer: D
Rationale: These characteristics (scant vernix, scant lanugo, descended testes, and strong suck) are typical of a full-term baby around 38 weeks.