Nokea
Why is an ultrasound important for a woman who got pregnant with a Copper T intrauterine device (IUD) in place?
- A. To assess for the presence of an ectopic pregnancy.
- B. To check the baby for serious malformations.
- C. To assess for pelvic inflammatory disease.
- D. To check for the possibility of a twin pregnancy.
Correct Answer: A
Rationale: Ectopic pregnancies are a concern with IUD use during pregnancy.
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How should the nurse interpret the results of a study comparing incidence of sexually transmitted diseases between two populations?
- A. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless.
- B. A 95% confidence interval is a statistically significant finding.
- C. A relative risk of 0.80 is moderately powerful.
- D. Because there is no P value reported for the CI, the nurse is unable to make any conclusions about the data.
Correct Answer: A
Rationale: If the confidence interval includes 1, the difference is not statistically significant.
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
- A. Moderate lochia rubra
- B. Fundus three fingerbreadths above the umbilicus
- C. Moderate swelling of the labia
- D. Blood pressure 130/84 mm Hg
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus indicates that the uterus is not adequately contracting, which can obstruct the flow of urine from the bladder. Postpartum clients often experience urinary retention due to decreased sensation in the bladder, trauma from delivery, and decreased bladder tone. Failure to empty the bladder promptly can lead to urinary retention and potential complications such as urinary tract infections or bladder distention. Therefore, the nurse should be alert to the client's need to urinate when assessing the fundal height.
A neonate born at 34 weeks' gestation and weighing 6lbs, 10oz (2750g) is admitted to the nursery, The vital signs are: apical heart rate 130; respiration 58, BP- 60/20. Temp. 98 degrees F; Apgar score of 4 and 8. The nurse should designate the highest priority health outcomes to be:
- A. Oxygenation will remain adequate
- B. Body temperature will remain stable
- C. Weight will increase by 30g per day
- D. Heart rate will recover to an acceptable range
Correct Answer: A
Rationale: Oxygenation is critical for pre-term infants.
During the assessment of a newborn, it is most important for the nurse to report a:
- A. Temperature of 97.7 degrees Fahrenheit
- B. Pale pink, rust-colored stain in the diaper
- C. Heart rate that drops to 120 beats/min
- D. Breathing pattern that is diaphragmatic with sternal retractions
Correct Answer: D
Rationale: Sternal retractions indicate respiratory difficulty.
Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?
- A. Notify the physician so the child can be admitted to the hospital.
- B. Discuss with the girl the need to stop future sexual encounters.
- C. Question the mother about her daughter's menstrual history.
- D. Report the girl's medical findings to child protective services.
Correct Answer: D
Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.