Nokea
What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
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What occurred after childbirth migrated from the home to the hospital?
- A. Infection rates dropped in the hospital.
- B. Laboring persons were given greater support in labor.
- C. The childbirth model became a medical model.
- D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C
Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.
Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
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.
What is an appropriate statement for the nurse to make to a woman with a swollen eye and bruised cheek?
- A. I am required by law to notify the police department of your injuries.
- B. Women who are abused often have injuries like yours.
- C. You must leave your partner before you are injured again.
- D. It is important that you refrain from doing things that anger your partner.
Correct Answer: B
Rationale: Acknowledging patterns of abuse encourages disclosure.
The best indication that correct attachment to the breast has occurred is when the:
- A. Baby's tongue is securely on top of the nipple.
- B. Baby's mouth covers most of the areolar surface
- C. Baby makes frequent loud clucking sounds while nursing at each breast
- D. Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B
Rationale: Proper latch includes covering most of the areola.