A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
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How old is a preschooler with a receptive vocabulary of up to 5600 words?
- A. 42 months old
- B. 48 months old
- C. 54 months old
- D. 60 months old
Correct Answer: B
Rationale: By 48 months, most preschoolers have receptive vocabularies of up to 5600 words.
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professionals?
- A. Homelessness should be addressed by improving financial assistance programs.
- B. Homelessness should be of concern to everyone in the neighborhood.
- C. Homelessness should be addressed by encouraging job growth in the area.
- D. Homelessness should be of concern to the mental health providers in the area.
Correct Answer: B
Rationale: Homelessness is a community-wide issue that requires collective action from all members of the neighborhood to address effectively.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?
- A. Establishing a new park with a well-lit track
- B. Establishing a smoking cessation campaign
- C. Providing reduced-cost transportation passes
- D. Providing free condoms at health clinics
Correct Answer: B
Rationale: Smoking cessation aligns with health promotion and disease prevention goals of Healthy People 2020.