Nokea
Which information regarding substance abuse is important for the nurse to understand?
- A. Cigarette smoking has little effect on maternity-related health.
- B. Women, ages 21 to 34 years, have the highest rates of specific alcohol-related problems.
- C. Coffee is a stimulant that has been related to birth defects.
- D. Prescription psychotherapeutic drugs do not affect the fetus.
Correct Answer: B
Rationale: Alcohol abuse during pregnancy has been associated with many negative outcomes. Cigarette smoking impairs fertility and causes low-birth-weight infants.
You may also like to solve these questions
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
- A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
- B. It is a premalignant disorder characterized by lumps found in the breast tissue.
- C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
- D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C
Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.
Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.
The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
- A. “Remaining focused on my family will help benefit me and my baby.”
- B. “Most of the time, childbirth is uncomplicated and a healthy event for the family.”
- C. “Because childbirth is normal, after my baby’s birth our family dynamics will not N R I G B.C M U S N T O change.”
- D. “With correct information, I am able to make decisions regarding my health care while I am pregnant.”
Correct Answer: C
Rationale: The correct answer is C because it is important for the nurse to clarify that childbirth can indeed bring about changes in family dynamics, as adding a new member can impact relationships and roles. This is a key principle of family-centered care. Choice A emphasizes the importance of family support, which aligns with the concept. Choice B highlights the commonality of uncomplicated childbirth, which is also relevant. Choice D emphasizes the patient's autonomy in decision-making, which is another important aspect of family-centered care.
A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, 'The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?' What is the name of the test that gave the health care provider this information?
- A. Tumor ploidy
- B. S-phase index
- C. Nuclear grade
- D. Estrogen-receptor assay
Correct Answer: B
Rationale: The S-phase index measures the number of cells in the synthesis phase of cell development. If the number of cells noted is high the cancer is growing quickly. In this case the low index suggests slow growth.
Which contraceptive method best protects against STIs and the HIV?
- A. Periodic abstinence
- B. Barrier methods
- C. Hormonal methods
- D. Same protection with all methods
Correct Answer: B
Rationale: Barrier methods, such as condoms, protect against STIs and HIV the best of all contraceptive methods. Periodic abstinence and hormonal methods do not offer protection against STIs or HIV.