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Which interpretation of the data from Table 3-1 is correct?
- A. When one considers those who "read/heard" about the vaccine, there is no significant difference between the percentage of students who received the immunization and those who did not receive the immunization.
- B. The likelihood of students who receive the vaccine when they learned about it from the "health history form" was about 1.6 times that of the "health history form" students who did not receive the vaccine.
- C. 44.4% of those who were not vaccinated received their information from "Letters."
- D. The largest percentage of students who received the vaccine learned about it from the "University Health Service (UHS) providers."
Correct Answer: D
Rationale: According to the table, the largest percentage of vaccinated students learned about the vaccine from UHS providers.
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To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.
What action is important for a woman using the contraceptive sponge to maximize its effectiveness?
- A. Insert the sponge at least one hour before intercourse.
- B. Thoroughly moisten the sponge with water before inserting.
- C. Spermicidal jelly must be inserted at the same time the sponge is inserted.
- D. A new sponge must be inserted every time a couple has intercourse.
Correct Answer: B
Rationale: Moistening the sponge ensures proper activation of the spermicide.
A newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36C and a persisting oxygen saturation of <87%. The nurse interprets these findings as:
- A. Cardiac distress
- B. Respiratory Alkalosis
- C. Bronchial pneumonia
- D. Respiratory Distress
Correct Answer: D
Rationale: These signs indicate respiratory distress.
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates the need to discontinue the infusion?
- A. Urine output of 50 mL/hour.
- B. Respiratory rate of 10 breaths per minute.
- C. Blood pressure of 140/90 mmHg.
- D. Deep tendon reflexes +3.
Correct Answer: B
Rationale: A respiratory rate below 12 breaths per minute is a sign of magnesium sulfate toxicity, requiring immediate discontinuation.