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Which action would be inappropriate for the nurse to perform before beginning the health history interview?
- A. Smile and ask the client whether she has any special concerns.
- B. Speak in a relaxed manner with an even, nonjudgmental tone.
- C. Make the client comfortable.
- D. Tell the client her questions are irrelevant.
Correct Answer: D
Rationale: Telling the client that her questions are irrelevant is inappropriate. Nurses should make the client feel comfortable and respected.
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What condition is associated with advanced paternal age?
- A. Autosomal dominant disorder
- B. Schizophrenia
- C. Autism spectrum disorder
- D. Down syndrome
Correct Answer: D
Rationale: Advanced paternal age increases the risk of autosomal dominant disorders, schizophrenia, and autism spectrum disorder, but not Down syndrome, which is linked to maternal age.
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
- A. Wear gloves.
- B. Wear mouth, nose, and eye protection.
- C. Wear a mask.
- D. Wash the hands after medication administration.
Correct Answer: A
Rationale: Standard precautions require the use of gloves when providing eye prophylaxis to a newborn.
Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?
- A. Consuming two glasses of wine a week
- B. Smoking two packs of cigarettes a day
- C. Having a body mass index of over 32
- D. Having poor intake of calcium and vegetables
Correct Answer: B
Rationale: The correct answer is B: Smoking two packs of cigarettes a day. Smoking is a major risk factor for multisystem diseases like cardiac issues, gynecological issues, and cancers due to the harmful chemicals in tobacco smoke. Smoking is linked to heart disease, lung cancer, cervical cancer, and other health issues.
A: Consuming two glasses of wine a week is not a significant risk factor for multisystem diseases compared to smoking. Moderate alcohol consumption may even have some health benefits.
C: Having a body mass index of over 32 is a risk factor for certain health conditions like diabetes and hypertension, but it is not as directly linked to multisystem diseases as smoking.
D: Having poor intake of calcium and vegetables can lead to deficiencies and certain health issues, but it is not as strongly associated with multisystem diseases as smoking.
Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?
- A. Situation, background, assessment, recommendation
- B. Situation, baseline, assessment, recommendation
- C. Subjective, background, analysis, recommendation
- D. Subjective, background, analysis, review
Correct Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, which is a communication technique for providing important information.