Nokea
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.
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If a woman’s menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
- A. Jun-10
- B. Jun-16
- C. Jun-29
- D. Jul-05
Correct Answer: B
Rationale: The menstrual cycle is typically 28 days, with ovulation occurring around day 14. In this case, if the cycle started on June 2, ovulation would likely occur around June 16, which is 14 days after the start. Choice A (Jun-10) is too early for ovulation. Choice C (Jun-29) and D (Jul-05) are too late based on the standard 28-day cycle. Therefore, choice B (Jun-16) is the correct answer based on the expected timing of ovulation in a typical menstrual cycle.
The presence of bilirubin in amniotic fluid usually indicates
- A. chromosomal abnormalities
- B. Rh-sensitized pregnancy
- C. infection
Correct Answer: B
Rationale: Bilirubin in amniotic fluid suggests fetal hemolysis in Rh-sensitized pregnancies.
During which phase of the ovarian cycle is progesterone circulating in high amounts?
- A. Proliferative phase
- B. Menstrual phase
- C. Ovulatory phase
- D. Luteal phase
Correct Answer: D
Rationale: During the luteal phase, the corpus luteum forms from the ruptured follicle after ovulation and secretes progesterone at high levels. Progesterone prepares the endometrium for implantation and maintains pregnancy. The proliferative phase (A) is characterized by estrogen dominance, preparing the endometrium for ovulation. The menstrual phase (B) involves shedding of the endometrium due to decreased hormone levels. The ovulatory phase (C) is marked by the release of the egg but not high progesterone levels. Thus, the correct answer is D as it aligns with the physiological events of the ovarian cycle.
The least expensive type of infant formula is
- A. formula concentrate
- B. ready-to-feed formula
- C. powdered formula
Correct Answer: C
Rationale: Powdered formula is generally the least expensive option compared to concentrates and ready-to-feed formulas.
If a neonate's hemoglobin is 19.3 shortly after birth, a typical value at 7 days is
- A. 22.4 g/dL
- B. 19.3 g/dL
- C. 17.4 g/dL
Correct Answer: C
Rationale: Neonatal hemoglobin levels naturally decline as the body adjusts to extrauterine life.