Nokea
Which situation is most representative of an extended family?
- A. It includes adoptive children.
- B. It is headed by a single-parent.
- C. It contains children from previous marriages.
- D. It is composed of children, parents, and grandparents living in the same house.
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
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The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
- A. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility.
- B. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts.
- C. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk.
- D. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.
Correct Answer: A
Rationale: The education that the nurse should provide to the lesbian patient pertains to her health includes the fact that lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. It is important for the nurse to be aware of potential health risks that may affect lesbians specifically, as this knowledge can help in providing appropriate care and interventions. By addressing these specific health concerns, the nurse can promote the patient's overall well-being and empower her to take proactive steps to maintain her health.
A woman is 16 weeks pregnant and has elected to terminate her pregnancy. Which is the most common technique used for the termination of a pregnancy in the second trimester?
- A. Dilation and evacuation (D&E)
- B. Methotrexate administration
- C. Prostaglandin administration
- D. Vacuum aspiration
Correct Answer: A
Rationale: Dilation and evacuation (D&E) is the most common method used for termination in the second trimester, typically performed between 13 and 16 weeks.
A couple arrives for their first appointment at an infertility center. Which of the following is a noninvasive test performed during the initial diagnostic phase of testing?
- A. Hysterosalpingogram
- B. Endometrial biopsy
- C. Sperm analysis
- D. Laparoscopy
Correct Answer: C
Rationale: Sperm analysis is the basic noninvasive test performed during the initial diagnostic phase of testing for male infertility. The other procedures are invasive.
The nurse is assessing a 64-year-old female patient. The patient states that she is able to reduce the risk of urinary tract infections (UTIs) by drinking a quart of cranberry juice a day. Which health condition, if present in this patient, contraindicates the use of cranberry juice?
- A. Hypertension, managed with lisinopril
- B. Diabetes type 1, managed with insulin
- C. Atrial fibrillation, managed with warfarin
- D. COPD, managed with inhaled steroids
Correct Answer: C
Rationale: Cranberry juice has the potential to interact with warfarin, a common blood thinner prescribed for conditions such as atrial fibrillation. Cranberry juice contains components that can inhibit the metabolism of warfarin in the body, leading to an increased risk of bleeding. Therefore, patients taking warfarin should avoid or limit their intake of cranberry juice to prevent potential negative interactions. In this case, the patient's use of warfarin to manage atrial fibrillation contraindicates the consumption of cranberry juice in large quantities. It is essential to consult a healthcare provider before making any changes to the diet, especially when taking medications that may interact with certain foods or beverages.
Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant patient regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
- A. Staffing by lay midwives
- B. Equipped for obstetric emergencies
- C. Less expensive than acute care hospitals
- D. Safe, homelike births in a familiar setting
Correct Answer: B
Rationale: B. Equipped for obstetric emergencies: Free-standing birth centers are equipped to handle any obstetric emergencies that may arise during labor and birth. They have the necessary equipment and trained staff to respond quickly and effectively to emergencies to ensure the safety of both the mother and baby.