Nokea
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
- A. Weight gain and hypertension
- B. Nervousness and diarrhea
- C. Nausea and vomiting
- D. Pallor and listlessness
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
You may also like to solve these questions
The nurse assesses that the 8-hour-old infant’s axillary temperature is 97°F (36.1°C). Which intervention should the nurse implement first?
- A. Document the findings as abnormal.
- B. Place the infant under a radiant warmer.
- C. Feed the infant formula that is warmed.
- D. Call the HCP to report the temperature.
Correct Answer: B
Rationale: An axillary temperature of 97°F is below the normal range (97.7°F–98.9°F). The infant should be gradually rewarmed under a radiant warmer. Documentation follows intervention feeding warm formula is unnecessary and HCP notification is needed only if warming fails.
19 years old primigravida comes in emergency at 32 weeks of gestation. She is complaining of blurring of vision,gross edema. On examination her B.P is 170/115 mm Hg. What is the most likely diagnosis:
- A. Hypertension.
- B. Renal disease.
- C. Eclampsia.
- D. Preeclampsia.
- E. Thyroid disease.
Correct Answer: D
Rationale: Preeclampsia is characterized by hypertension (BP ≥140/90 mmHg) after 20 weeks gestation with symptoms like edema and visual disturbances. Eclampsia involves seizures which are not mentioned. Hypertension alone lacks other symptoms and renal or thyroid disease are less likely without specific indicators.
The nurse is caring for a 30-year-old,single female who delivered a term newborn. What is the best way for the nurse to assess the impact of the newborn on the client’s lifestyle?
- A. Observe how the client interacts with her hospital visitors.
- B. Review the prenatal record for clues about the client’s lifestyle.
- C. Ask the client what plans she has made for newborn care at home.
- D. Observe the relationship between the client and her newborn’s father.
Correct Answer: C
Rationale: Open-ended questions about newborn care plans encourage sharing of lifestyle adjustments especially for single parents. Visitors prenatal records or father involvement are less direct.
A 30 years old G5P4 is admitted in labor room with H/O 32 weeks gestation,mild vaginal bleeding and abdominal pain. O/E her blood pressure 140/100 mm Hg abdomen is tense tender and hard. Fetal heart sounds are not audible. What is the most likely diagnosis:
- A. Placenta praevia.
- B. Abruptio placenta.
- C. Preterm labour.
- D. Urinary tract infection.
- E. Vasa praevia.
Correct Answer: B
Rationale: Abruptio placenta presents with vaginal bleeding abdominal pain a tense uterus and fetal distress (absent heart sounds) often with hypertension. Placenta previa typically causes painless bleeding and other options do not match the clinical picture.
As the nurse prepares to administer prophylactic eye treatment to prevent gonorrheal conjunctivitis in the full-term newborn,the newborn’s father asks if it is really necessary to put something into his baby’s eyes. Which statement should be the basis for the nurse’s response?
- A. It is the law in the United States that newborns receive this prophylactic treatment.
- B. This treatment is recommended but may be omitted at the parent’s verbal request.
- C. The antibiotic used for the treatment can be given orally at the parent’s request.
- D. The eye prophylaxis can be given anytime up until the infant is 1 year old.
Correct Answer: A
Rationale: Currently every U.S. state requires that newborns receive prophylactic eye treatment against gonorrheal conjunctivitis. Refusal requires formal documentation the antibiotic is topical only and prophylaxis must be given within 1 hour of birth.