A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
- A. Dilation stage, pressure stage, placental stage, recovery stage
- B. Dilation stage, pushing stage, pain stage, recovery stage
- C. Dilation stage, pushing stage, placental stage, recovery stage
- D. Dilation stage, pushing stage, placental stage, refractory stage
Correct Answer: C
Rationale: The correct sequence of the four stages of labor is dilation, pushing, placental, and recovery stages.
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Which of the following health concerns should the nurse have as a priority when planning care for a community?
- A. The limited recreational areas identified through a windshield survey
- B. The high crime rate reported in the town records
- C. The absence of health clinics on the local bus route
- D. The lack of grocery stores within walking distance identified by the community
Correct Answer: D
Rationale: The nurse should prioritize the community's concerns. The lack of grocery stores directly impacts access to nutrition, making it a priority.
Suicide Risk
- A. 16-year-old girl who broke up with her boyfriend
- B. 26-year-old male laid off from his job
- C. 50-year-old female with a history of alcohol abuse
- D. 40-year-old male whose brother died suddenly
Correct Answer: C
Rationale: Alcohol abuse is a significant risk factor for suicide, particularly in middle-aged adults.
Which dietary items should Hispanic women aged 18-35 increase in their diet?
- A. Calcium
- B. Folic acid
- C. Iron
- D. Sodium
Correct Answer: B
Rationale: Folic acid and iron are important for reproductive health and prevention of birth defects in young women.
A woman tells the nurse that she is very nervous about their meeting today. Which of the following relationship stages are the nurse and woman most likely experiencing?
- A. Orientation phase
- B. Working phase
- C. Therapeutic phase
- D. Termination phase
Correct Answer: A
Rationale: The orientation phase involves initial anxiety because neither party knows what to expect.
A new mother has decided to breast-feed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
- A. Breast-fed infants have darker bowel movements than bottle-fed babies.
- B. Breast-fed infants have smellier bowel movements than bottle-fed babies.
- C. Breast-fed infants have more frequent bowel movements than bottle-fed babies.
- D. Breast-fed infants have harder bowel movements than bottle-fed babies.
Correct Answer: C
Rationale: Breast-fed infants tend to have more frequent, softer stools compared to bottle-fed infants.