Nokea
Which of the following skills is the most significant one learned during the school-age period?
- A. Collecting
- B. Ordering
- C. Reading
- D. Sorting
Correct Answer: C
Rationale: Reading is the most significant skill learned during the school-age period, enabling academic and social development. Collecting, ordering, and sorting are less foundational.
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While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?
- A. A strong Moro reflex
- B. A strong parachute reflex
- C. Rolling from front to back
- D. Lifting of head and chest when prone
Correct Answer: D
Rationale: A 3-month-old is expected to lift the head and chest when prone, reflecting motor development. The Moro reflex diminishes by 3 months, the parachute reflex appears at 9 months, and rolling typically occurs at 5 months.
After 4 hours of active labor, the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?
- A. Obtaining an order to begin IV oxytocin infusion
- B. Administering a light sedative to allow the patient to rest for several hour
- C. Preparing for a cesarean section for failure to progress
- D. Increasing the encouragement to the patient when pushing begins
Correct Answer: A
Rationale: The client's labor is not progressing due to inadequate contractions, so the nurse should anticipate obtaining an order for an IV oxytocin infusion to augment labor. Oxytocin increases the frequency and strength of contractions, aiding cervical dilation. Sedatives are used for hypertonic contractions, and a cesarean section is premature at this stage.
The uterus is a muscular, pear-shaped organ that is responsible for:
- A. Cyclic menstruation.
- B. Sex hormone production.
- C. Fertilization.
- D. Sexual arousal.
Correct Answer: A
Rationale: The uterus supports menstruation and pregnancy. Hormones and fertilization occur in ovaries, and arousal involves multiple systems, not primarily the uterus.
A 4-year-old with a history of asthma is brought to the clinic with wheezing and dyspnea. Which of the following medications would the nurse expect to administer first?
- A. Oral corticosteroids
- B. Inhaled bronchodilator
- C. Antihistamine
- D. Intravenous antibiotics
Correct Answer: B
Rationale: An inhaled bronchodilator, such as albuterol, is the first-line treatment for acute asthma symptoms like wheezing and dyspnea, as it quickly opens airways. Corticosteroids, antihistamines, or antibiotics are not immediate treatments for an asthma exacerbation.
A client 12 weeks' pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?
- A. Threatened abortion
- B. Imminent abortion
- C. Complete abortion
- D. Missed abortion
Correct Answer: B
Rationale: Imminent abortion is documented when there is abdominal cramping, moderate vaginal bleeding, and cervical dilation (2-3 cm), indicating inevitable pregnancy loss. Threatened abortion involves bleeding without dilation, complete abortion involves full expulsion of products, and missed abortion involves fetal demise without expulsion.