Maternal Infant CPP practice questions ch. 1, 2, 3, 4, 5, 6, 8, 12

The nurse is reviewing the medical record of a female patient. The history reveals that the patient believes that her gender identity and sex match. The nurse would identify the patient's gender identity by which term?

Cisgender

A 13-year-old client who is newly diagnosed with type 1 diabetes is being discharged home with home care follow-up. What is the most appropriate goal for the nurse to select related to the nursing diagnosis of Health-Seeking Behaviors related to Skills Needed to Continue Home Care?

Client will self-administer insulin injections using appropriate technique.

When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?

Birth results in changes in relationships

A nurse is receiving a client from the post anesthesia unit to the recovery unit at the ambulatory surgery center. The client just had a laparoscopic tubal ligation. Which is the nurse's priority assessment?

Bleeding

A client asks about a child inheriting an autosomal recessive disorder. What must occur for an offspring to demonstrate signs and symptoms of the disorder with this type of inheritance?

Both parents must be carriers.

A nurse is talking to a group of young couples who wish to conceive. One young woman asks the nurse if any tests predict fetal abnormalities. Which of the following tests should the nurse include in the discussion?

CVS MSAFP Amniocentesis

The United States has one of the highest gross national products in the world and is known for its technological capabilities, but its infant mortality rate among developed nations in 2004 was ranked 29th. Which factor has the greatest impact on decreasing these rates?

Ensuring early and adequate prenatal care

Morbidity rates among children are most highly associated with which cause?

Environmental factors

A pregnant client complains to the nurse about the discomforts of pregnancy. Which of the following should the nurse assure her is a common discomfort of pregnancy?

Frequent urination

A nurse is conducting a routine well-check assessment on an 18-year-old female who is experiencing normal menstrual cycles. When the client questions the nurse concerning the menstrual process, the nurse can point out which hormone is primarily responsible for ovulation?

LH

A 12-year-old client with Crohn's disease is being discharged from the hospital and will receive total parenteral nutrition (TPN) at home. About what should the nurse educate the client's parents prior to administering a new bag of TPN?

Store the formula in the refrigerator until 1 to 2 hours prior to use.

What important information should the nurse give a client about the use of a diaphragm during menstruation?

Toxic shock syndrome is possible

A client is at the clinic for her annual pelvic exam and asks the nurse about ovulation and where the eggs come from. What educational information would the nurse share with this client?

A woman is born with all the ova that she will ever have and they are stored within the ovaries.

A nurse is developing a plan of care for a 7-year-old client with precious puberty. Which would be the priority nursing diagnosis for this client?

Risk for disturbance in body image related to early development of secondary sex characteristics.

A mother comes to the clinic nurse concerned about whether her adolescent daughter is sexually active. She requests a physical examination of the daughter's hymen. Which statement by the nurse accurately addresses this issue?

A torn hymen can result from heavy exertion or the use of tampons and is not a reliable method of determining virginity

Which concept characterizes transcultural nursing?

Planning care compatible with the client's health belief system

A nurse is conducting a teaching session on sudden infant death syndrome (SIDS) for expectant parents. Which information should the nurse include?

Sharing a room allows for monitoring of the infant. Place the infant on his or her back to sleep. Maintain neutral temperatures and avoid overheating.

The nurse is caring for a 5-year-old girl with meningitis. What action by the nurse may be considered ethical behavior?

Starting intravenous fluids even though the child protests

A pregnant client in her first trimester states, "I think I must be having a miscarriage. I have sharp pains in my lower abdomen sometimes!" What does the nurse understand is happening to this client?

The client is experiencing stretching of the round and broad ligaments.

When assessing the postpartum client 2 hours after giving birth, which finding indicates the need for further action?

The fundus is firm and deviated sharply to the right side of the abdomen.

A 22-year-old female client asks about forms of chemical barrier contraception. The nurse tells the client that which is a form of a chemical barrier contraceptive?

Vaginal foam

A woman in her first trimester of pregnancy has noted an increase in a thick, whitish vaginal discharge even though she showers daily. The woman shares this information with the clinic nurse who provides some client education on the topic of leukorrhea. Which interventions should be addressed in this discussion?

Wear cotton underwear during the day. A perineal pad to absorb the discharge may help.

A pregnant client in her second trimester informs the nurse that she needs to travel by air the following week. Which precaution should the nurse instruct the client to take during the flight?

Wear support hose.

A client is to receive home care, but her condition is considered low risk. How often will the nurse most likely make home care visits to this client?

Weekly

The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations?

excitement

When educating parents on recessive genetic disease statistics, the nurse understands that which statement by the parents indicates an accurate understanding of genetic inheritance?

"Each child will have a 25% chance of developing the disease."

When a pregnant client explains to the nurse that strawberries cause birthmarks, what is the nurse's best response?

"Wow, that's very interesting. Where did you learn that?"

A community health nurse is actively involved in various community projects. The nurse is providing a secondary prevention activity by organizing which event?

A skin cancer screening fair

What behaviors might the nurse expect to see in a 3-year-old child whose parents have been recently divorced?

Clinginess, bed-wetting, and thumb sucking

The school nurse is counseling a sexually active 16-year-old adolescent about the various forms of contraception. She is afraid of getting pregnant or contracting a sexually transmitted infection because her boyfriend refuses to use a condom. In answering the client's questions as to which option will be best suit her needs, which form should the nurse recommend?

Female condom

A 7-year-old child who has recently immigrated with his family is brought to the school nurse because he refuses to eat lunch. Which response should the nurse prioritize?

Investigate for potential cultural issues.

A client in her second trimester of pregnancy visits a health care facility. The client frequently engages in aerobic exercise and asks the nurse about doing so during her pregnancy. Which precaution should the nurse instruct the pregnant client to take when practicing aerobic exercises?

Maintain tolerable intensity of exercise.

A nurse is instructing students about trends in maternal health in developed and developing countries. Which indicator provides the most information about the global adequacy of maternal and perinatal health?

Maternal mortality rate

A nursing student asks the instructor why nurses focus on assessing sociocultural aspects of clients. Which response from the nurse is most accurate?

Such assessment can reveal why people take certain preventive or treatment measures related to their health.

The nurse is caring for a 17-year-old who is scheduled to undergo surgery. What are the nurse's responsibilities with regard to obtaining consent?

The nurse will witness the parent sign the consent forms. The nurse will ensure the parents understand the information contained in the consent. The nurse will ensure the parent signing the consent has the legal authority to do so.

Home care is most successful when:

each member of the family can share the household tasks of the patient

A pregnant client reports occasional headaches. She wants to know what she can take to alleviate the discomfort. What would be the best response by the nurse?

"The safest medication to take for your headaches during your pregnancy would be acetaminophen."

The nurse is providing education to a male client on vasectomy. What teaching should the nurse include?

"The vas deferens is cut or cauterized to stop the passage of sperm." "You can resume sexual intercourse in about one week."

A parent caring for a 5-year-old at home after recent abdominal surgery. The parent states to the nurse, "I don't know how to get her to eat now. She doesn't seem to want anything. What can I do?" What is the best response by the nurse?

"Try to provide some healthy snacks several times a day rather than a formal meal."

A client is seen in the clinic requesting an emergency postcoital contraception pill levonorgestrel. The client states that she had unprotected sex 3 ½ days ago. What is the mostappropriate response by the nurse?

"Unfortunately you are past the time frame to take that prescription."

The nurse is preparing to do an altered family function risk assessment on a client. Which question should the nurse ask first?

"What are the potential sources of stress in your family?"

A group of nursing students are comparing the various changes in maternity care over the course of history and discover that the development of what medical treatment was mostinfluential in moving birth from the home into the hospital setting?

Anesthesia and analgesic therapy

A child is hospitalized with complications related to hemophilia. The health care provider has discussed the child's plan of care with the parents, but they continue to ask questions. What action will the nurse take?

Answer the parents' questions as completely as possible.

A nurse who specializes in maternal and child health care performs many varied functions in diverse settings over the course of a year. Which action would be outside the nurse's scope of practice?

Assist in the treatment and recovery of a woman with ovarian cancer.

The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape?

At the top of the fundus

A nurse is working with a family that is experiencing stress. Which action would the nurse encourage the family to do first?

Attempt to describe the reason for feeling stressed

Which action should a nurse perform to avoid disrupting family routine when visiting to provide home care?

Avoid coming during mealtimes.

Pediatric nurses are important members of the staff of ambulatory care centers. What is a major factor in treating children in an ambulatory care center?

Avoidance of separating children from their families when providing care.

A client in her second trimester of pregnancy has developed varicose veins and experiences leg cramps. Which suggestion would be most appropriate?

Elevate legs while sitting.

When providing family-centered care for a new mother and infant, which is the appropriate action by the nurse?

Encourage rooming-in to develop bonding

ovaries mature each month. Which hormone is responsible for stimulating the ovum?

FSH

The nurse is caring for a woman who had a dilation and curettage (surgical abortion) 1 hour prior. What assessment finding would alert the nurse to immediately intervene?

Pulse rate of 122 beats/min

A school-aged child from Japanese background expresses concern to the school nurse about feeling embarrassed over the parents' speaking broken English. After counseling the child, the nurse understands that which evaluation reflects a positive outcome for this child?

The child no longer feels isolated because of the family's differences.

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply?

"When you turn 21 years old."

A nurse is conducting an assessment of a family. Which question would be most appropriate for the nurse to use when obtaining information about the family's structure and function?

"Who is the primary decision maker in the household?"

A nurse is reviewing statistics about maternal and child health. Which rate would the nurse identify as reflecting the proportion of women who could have babies that are having them?

Fertility rate

A client at 28 weeks' gestation is required to maintain bed rest for the duration of the pregnancy because she has placenta previa. What suggestions can the nurse make for the client to help her cope with the experience?

Encourage the client to learn a new skill while confined to bed.

A nurse is preparing a presentation for a health fair on the topic of vasectomy. Which information should the nurse point out in the information?

Relatively easy procedure with few complications

A pregnant client is scheduled to undergo percutaneous umbilical blood sampling. The nurse understands that this test will be done in conjunction with which procedure?

amniocentesis

The nurse is reveiwing the medical records of several infants. Which would the nurse know is at highest risk for death according to the infant mortaility rate in the United States?

An infant born at a low birth weight

The mother of an infant is staying on the unit. The pediatric nurse notes that the infant has not received the recommended vaccinations for his age, so the nurse provides information on immunizations to the mother. The mother informs the nurse that immunizations are against her cultural and religious beliefs, and she does not want her child to receive immunizations. In this scenario, what do immunizations represent?

A cultural taboo

A client with a history of type 1 diabetes mellitus is confirmed to be pregnant. The nurse determines this client will be best cared for under which practice model?

Case management

A healthy client without a primary care provider is exploring the options available for a health care provider to assist with her pregnancy. Which health care provider can the nurse point out as a best option?

Certified nurse midwife

A school nurse has discovered that one of the children has acquired a case of head lice. The school principal asks the nurse to write a letter that will be sent to parents explaining about head lice and measures to prevent infestation. What information is important for the nurse to include in the letter?.

Children should avoid sharing personal items such as combs and hats. Parents should inspect their child's head for nits with a fine tooth comb. A second treatment one week after the first is recommended.

A woman is expecting to give birth to a boy soon and is debating about whether to have him circumcised. Which of the following would be the best response for the nurse to give her?

Circumcision is recommended by the American Academy of Pediatrics because it allows for better hygiene

The biggest benefit of health care provided in the home is:

Inclusion of the entire family in health care planning and provision

A young woman comes into the clinic stating that she is pregnant and does not want to have a baby. After counseling, the woman decides to terminate the pregnancy by having an abortion. The nurse explains that the procedure will be what type of abortion?

Induced abortion

After completing an assessment, the nurse examines the information to develop a wellness diagnosis for the client to identify which potential goal?

The potential for improvement in health

The nurse has assessed several clients who have arrived for routine appointments. The nurse predicts the health care provider will prioritize a bone density scan for which client? a 40-year-old Black client, 5 ft 4 in (1.62 m) tall, 172 lbs (78 kg), inactive lifestyle a 25-year-old Asian client, 5 ft 7 in (1.7 m) tall, 129 lbs (58.5 kg), with two children a 55-year-old White client who smokes and has family history of osteoporosis a 45-year-old Hispanic client with a vitamin D deficiency

a 55-year-old White client who smokes and has family history of osteoporosis

A nurse is counseling women on birth control choices. Which woman is the best candidate for an IUD?

a woman who has one partner and three children

After explaining the function of the seminal vesicles to a class, the instructor determines the need for additional teaching when the students identify which action as a function of the seminal vesicles?

reduces sperm motility

A woman in her third trimester of pregnancy has difficulty travelling from her inner-city apartment to the health care provider's office for ultrasound imaging. She has no car and is unfamiliar with the public transportation available in the area of the provider's office. Which intevention would most likely address this woman's challenges?

an ecomap including information on public transportation

The nurse is preparing to discuss birthing options with a 25-year-old female who is in a low-risk pregnancy with one older child. Which option will be best for the nurse to recommend for this client?

any birth setting

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which information would the nurse most likely include?

applying the condom before there is any penile-vulvar contact

A nursing instructor is teaching how home care is easier for some families than others. What should the nurse tell the students is the main cause for this difference?

structure of the family

A client prescribed COC has presented for a routine visit. Which finding upon assessment should the nurse prioritize?

abdominal pain

A couple with infertility has decided to adopt an infant and receive a call several months later that an infant is available. The social worker gives them the history of the biological mom, a teenager who tried to conceal her pregnancy by dieting and taking laxatives. However, at 6 months' gestation, the teenager shared her pregnancy with the family and received prenatal care. Given this history, the couple should be counseled to observe the infant for which possible abnormality?

abnormal neurologic development

A woman with a history of genital lesions caused by herpes simplex virus (HSV) has been admitted to the labor unit at 39 weeks' gestation. She said she was given medicine prophylaxically a few weeks ago to prevent lesions at the time of birth. Which medication is safe to give to a pregnant women with HSV?

acyclovir

The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. Which treatment options should the nurse point out as most appropriate? Select all that apply.

reduction of caffeine intake vitamin and mineral supplements NSAIDs

A nurse is teaching a sex education class and is discussing sexual response. She describes a 30-minute period during which external and internal genital organs return to an unaroused state. What is this phase of sexual response known as?

resolution

A nurse working in a busy urban family clinic has noted a high percentage of single mothers. What should the nurses in this clinic be prepared to offer these single mothers?

support when a problem related to childrearing occurs

Two previously divorced people are getting married and becoming a blended family. They each have two children from prior marriages. They have met with a family counselor to discuss potential problems of blended families and ways to deal with the problems. Which potential problem will likely occur at some early point in the marrage?

rivalry for attention of a parent

While taking a health history, the nurse finds out that the pregnant woman of Japanese descent comes from a culture that does not eat meat. Which foods will indicate sufficient protein intake?

beans and rice eaten every day egg drop soup 2 to 3 times per week stir-fried carrots and beans regularly

A couple has recently been divorced. The couple has joint custody of their 15-year-old daughter. The nurse recognizes that the daughter is now at a 50% greater risk for:

beginning smoking or drinking alcohol.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?

beliefs and education

Which possible complication associated with back pain can lead to premature contractions?

bladder or kidney infection

A nursing student says, "I don't think people have any differences. I think we are all alike, and so I plan to treat all of my clients alike." This is an example of cultural:

blindness

As part of a 31-year-old client's prenatal care, the nurse is assessing immunization history. Which immunization is most relevant to ensuring a healthy fetus?

rubella

Which vaccines are contraindicated during pregnancy since they may transmit a viral infection to the fetus?

rubella mumps measles

The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the COC?

same time of day, each day

A 19-year-old pregnant adolescent who experienced a rape has arrive in the emergency department in active labor with no prenatal care. The nurse caring for the client should assess for which potential adverse health problem?

sexually transmitted infections (STIs)

Girls with Turner syndrome will usually exhibit:

short stature.

A woman is to receive methotrexate and misoprostol to terminate a first-trimester pregnancy. When preparing the teaching plan for this client, the nurse understands that misoprostol works by:

causing uterine contractions to expel the uterine contents.

A 40-year-old client is in her 10th week of pregnancy. So far, her pregnancy appears to be healthy, with no abnormal results from standard diagnostic tests. Because of her age, however, the nurse would anticipate that the client is a candidate for which diagnostic tests? Select all that apply.

chorionic villus sampling amniocentesis cell-free DNA testing

A group of nursing students are comparing the male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure?

clitoris

While assessing a client's breast during the third trimester, which finding would the nurse expect?

colostrum from the nipples

The nurse is meeting with a 36-year-old client who wishes to begin using contraceptives. The client reports being in a long-term, monogamous relationship, runs 2 miles per day, and smokes a pack of cigarettes each day. Which method will the nurse be LEAST likely to suggest to the client?

combination oral contraceptives

Which factor is most critical to effective home care?

commitment to home care from family and other essential people

A woman calls the prenatal clinic and says that she thinks she might be in labor. She shares her symptoms over the phone with the nurse and asks what to do. The nurse determines that she is likely in true labor and that she should head to the hospital. Which symptom is an indicator of true labor?

contractions beginning in the back and sweeping forward across the abdomen

A woman of Chinese descent feels that it is her duty to abort pregnancies after giving birth to one healthy infant, whereas a woman of Catholic faith considers all children a blessing from God and refuses to abort a fetus with a severe birth defect. Which concept would best describe the actions in these different cultures?

controversial taboo

While interviewing a client, a nurse assesses the client's reaction to health care and determines that the reaction reflects the client's preferred ways of acting based on traditions. Which term would the nurse use to document this information?

cultural values

A clinical nurse specialist is conducting a review class for a group of nurses about cultural competence and cultural diversity. Which term reflects the view of the world and set of traditions of a specific social group passed down through generations?

culture

A patient receiving physician-prescribed dressing changes and medications in the home by a home care nurse is termed:

skilled home care

During the initial clinic visit for a primapara woman, the nurse reviews the topic of constipation during pregnancy when the woman interjects that she has been "straining forcefully" almost on a daily basis. The nurse offers some measures that may help to prevent the occurrence of which complication?

hemorrhoid development that may eventually need surgical repair

A primary care provider tells a pregnant woman with slightly elevated blood pressure to return home on bed rest until her next scheduled checkup. This is an example of which type of care?

home care

A group of women having sex with women (WSW) are attending a free medical care health fair in their community. When caring for this population, the health care provider should be assessing for which potential health condition that is not routinely thought of as occurring in WSW population?

human papillomavirus (HPV) herpes simplex virus type 2 (HSV-2)

When preparing a class for a group of pregnant women about nicotine use during pregnancy, the nurse describes the major risks associated with nicotine use, including

decreased birth weight in neonates

A pregnant woman with premature ruptured membranes is trying to decide whether home care might be the best option for her. Which advantage should the nurse mention to the client that is most pertinent to her condition?

decreased exposure to infection

A sexually active client comes to the clinic requesting some form of birth control but is concerned about the bad side effects she has heard that birth control pills can cause. Which information should the nurse point out about the positive aspects of this type of contraceptive? .

decreased incidence of dysmenorrhea decreased acne improved cycle regularity decreased acute pelvic inflammatory disease

The nurse should carefully screen a client who insists on using only oral contraceptive pills (OCPs) for which contraindication?

deep vein thrombosis

A nursing student says, "I wish my clients would speak English. They need to realize this is America and start learning." This is an example of cultural:

destructiveness

A woman in the 15th week of gestation is planning on terminating the pregnancy. The procedure done for second trimester terminations is which of the following?

dilatation and extraction

A lesbian woman is in labor, and she has just arrived with her partner to the labor and delivery unit. The nurse who is up next for an assignment refuses to take care of this couple because to do so conflicts with her religious beliefs. This an example of:

discrimination

A preceptor overhears one nursing student tell another that she is going with the preceptor on a home visit and is excited to talk to the mother who will likely be the child patient's caregiver. What assumption did the student make?

identity of caregiver

The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy

educating the family about choices they have

A young black woman has just been admitted to the hospital's birth center because her water broke. The client has just moved to the area and has a strong southern accent. The client explains that she lost a baby in childbirth several years earlier. Her husband has not arrived yet. The client seems nervous when responding to the nurse's questions. Which problem would the nurse identify pertaining to cultural diversity would best explain the client's nervousness? embarrassment about her regional accent anxiety about losing her baby fear that her husband will not arrive in time for the birth concern that she will not receive proper care because she is black

embarrassment about her regional accent

A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?

endometrium

A nurse is assessing a woman who has come into the clinic. The nurse obtains a sample of the client's cervical mucus and notes ferning. The nurse interprets this finding to indicate high levels of which hormone?

estrogen

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?

estrogen

A cultural group that one is born into is called:

ethnicity

Native Americans who are wearing their tribal dress are demonstrating their native dance to a community group. This is an example of:

ethnicity

When discussing contraceptive options, the nurse would recommend which option as being the most reliable? coitus interruptus lactational amenorrheal method (LAM) natural family planning intrauterine system

intrauterine system

A woman is using depot medroxyprogesterone acetate (Depo-Provera) as a method of birth control. Which side effect would the nurse most likely include as common?

irregular menstruation

A nurse doing an admission assessment on a new Chinese American client notices that the client will not make eye contact. The most likely reason for this is that it:

is a sign of respect.

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:

it is safe to have intercourse at this time.

The nurse is reviewing the role of the mammary glands in the reproductive process with a birth class. What should the nurse tell the class is the name of the ducts in the mammary glands that form a small reservoir for milk?

lactiferous

A laboring client, 2 cm dilated and 50% effaced, is screaming in pain. The nurse caring for this client recognizes this woman's response to pain should be documented using which label?

low pain threshold

A pregnant woman has been diagnosed with pica since she eats lead paint chips for their sweetness. The nurse educating this woman should strongly encourage her to abandon this practice because it may have which consequence to the fetus?

neurological challenges

A woman who is pregnant for the first time has arrived to the labor department thinking she was in labor only to be diagnosed with Braxton Hicks contractions and sent home. Prior to leaving ther unit, the woman asks, "How will I know when it is 'true' labor?" Which signs/symptoms should the woman assoicate with true labor?

pain in back that wraps across the abdomen that increases in frequency and intensity pink-tinged blood and mucus mixture on underwear sudden gush of clear fluid coming from the vagina

The period surrounding birth, from conception through pregnancy and birth, is called

perinatal

After teaching a class on the stages of fetal development, the nurse determines that the teaching was successful when the group identifies which stages?

pre-embryonic embryonic fetal

The police have brought a young female to the emergency department after they raided a "crack" house and found this female passed out and bleeding from her "bottom." This female is pregnant and is likely bleeding related to which complication of cocaine use during pregnancy?

premature dislodgement of the placenta spontaneous miscarriage

The United States lags behind other industrialized countries regarding infant mortality. The main factor that contributes to this is:

the large number of preterm births in the U.S.

A couple has chosen fertility awareness as their method of contraception. The nurse explains that the unsafe period for them during the menstrual cycle would be at which time?

three days before and three days after ovulation

A nurse is providing home care to a pregnant woman who is on bed rest. The woman has two other children. During her assessment, the nurse asks the woman how she occupies her time. What is the best rationale for asking this question?

to ensure that the woman is not engaging in activities that would disrupt her rest

The mother of an adopted child asks the nurse when she should tell her child that he/she was adopted. What is the best response by the nurse?

"As early as the child can understand or by 4 years of age, when the child is old enough to begin to understand the story of adoption."

The nurse is caring for a child from a different culture. Which statement(s) by the nurse demonstrates an understanding of how culture impacts a client?

"Culture can impact who a client chooses to see for health care needs." "Culture can impact the diet a client follows." "A client's cultural beliefs can impact spirituality and/or religion." "A client's cultural beliefs should be incorporated into the care a client receives.

A nurse is conducting a class geared toward changes in early pregnancy and self-care items like perineal hygiene. A woman shares that she douches at least once a day since she has "so much discharge" from her vagina. Which response by the nurse is most appropriate at this time?

"During pregnancy, you should not douche because it can cause fluid to enter the cervix resulting in an infection."

A couple had decided not to circumcise their newborn for nonreligious reasons. What is the appropriate response from the nurse?

"OK, great. I will let the physician know."

The nurse has provided information to a client about oral contraceptive pills (OCPs). Which statement by the client would indicate a need for further education? "Some oral contraceptive pills protect against STIs." "Hormonal oral contraceptive pills reduce the risk of ovarian cancer." "Oral contraceptive pills need to be taken on a daily basis." "Some hormonal contraceptives do not contain estrogen and rely instead on progestin only."

"Some oral contraceptive pills protect against STIs."

A nurse is uncomfortable caring for a pregnant client who is married to her female life partner. The best advice another nurse can give her would include which statement?

"Spend some time self-reflecting why this family difference might be bothering you."

The nurse is caring for a teen who has been hospitalized after a motor vehicle accident. The accident is believed to have been caused by alcohol and drug use. The teen states, "I fit in when I use marijuana and besides it is legal in some states." Which response by the nurse is most therapeutic?

"Telll me how you feel when you use marijuana."

A client at 32 weeks' gestation tells the nurse that she has been experiencing shortness of breath when walking up the steps at home. She is concerned that something is wrong. What is the nurse's best response?

"The enlarging uterus pushes against your diaphragm and this makes breathing shallow."

A pregnant client who is planning to have genetic testing asks the nurse when she should schedule her amniocentesis. What should the nurse tell the client?

16 weeks

Within what time frame after a client is discharged from an acute care facility will the home care nurse make an initial visit?

24

Statistics show that more than 44 million people in the United States do not have health insurance. What percentage of this population are children?

25 percent

Which of the following age groups has the lowest mortality rate?

5 to 14 years

A nurse is providing care to a woman during the pueriperium. The nurse understands that this period encompasses how many weeks after childbirth?

6

A postpartum client experiences a pulmonary embolism and is treated with IV anticoagulants. The client is being discharged on warfarin. The nurse teaches the client that following a birth-related pulmonary embolism, most women will need to take warfarin for a minimum of how long?

6 weeks

An Rh-negative patient is having an amniocentesis. What is the highest priority nursing intervention to perform immediately after the procedure?

Administer Rh immune globulin.

A nurse is working with a culturally diverse patient population. Which strategy would the nurse most likely use to assist in recognizing cultural influences on pain perception?

Appreciate that the meaning of pain varies among cultures. Appreciate that not all people communicate or express their level of pain in the same way. Recognize that communication of pain may not even be acceptable within a culture. Develop an awareness of personal values and beliefs. Use an assessment tool (e.g., rating scale from 0 to 10) to assist in measuring the pain.

A client has undergone labor induction with oxytocin has an elevated temperature and dry mucous membranes. She is refusing sips of water and ice. Which is the most appropriate nursing action at this time?

Ask the client what she would like to drink.

A 7-year-old client on a ventilator who is being cared for at home is admitted to the hospital for the fourth time in a 6-week period for respiratory complications. What might be the priority nursing diagnosis for this client?

Deficient knowledge

A nurse is reviewing a labor plan with an admitting client to the labor and birth unit. The client states that she has been drinking a significant amount of herbal teas lately to help with uterine contractions. Which is the priority action by the nurse?

Determine the type of herbal teas recently consumed.

The nurse is caring for a pediatric client who requires increased protein in the diet. The client's culture includes consuming very little meat. Which action will the nurse take first?

Determine which high-protein, non-meat foods the client currently eats

A nurse is providing cardiopulmonary resuscitation (CPR) to an infant with chronic health problems when the mother of the child tells the nurse to discontinue CPR. Which is the mostappropriate action by the nurse?

Discontinue all resuscitation efforts.

A nurse is concerned about a 14-year-old girl under her care because she has recently learned of an outbreak of sexually transmitted diseases at the girl's high school. The nurse asks the girl's parents whether they would be willing to let the nurse discuss it with their daughter in private, along with contraception options. The mother quickly interrupts the nurse and says, "Absolutely not. We will discuss that with her ourselves." Which role is the mother playing in this situation?

Gatekeeper

In the first trimester, sharp pains in the lower abdomen are common. They are not repetitive but often are associated with position changes or fetal movements. What are these indicative of?

Growing pains

A client is beginning to take a combined oral contraceptive. Which of the following side effects will the nurse caution the client might be expected?

Headache Breast tenderness Nausea

A client is recovering from a hysterectomy, and the nurse is teaching postoperative measures for care after being discharged from the hospital. What measure is the nurse performing?

Health rehabilitation

A pregnant client calls the clinic, reporting a headache and dizziness. The nurse tells the client to come in for evaluation by the provider. What measure is the nurse performing?

Health restoration

What is not a trend in child health care today?

Health restoration is stressed over health promotion.

A nurse is caring for a terminally ill 7-year-old who is hospitalized and is wishing to go home? What type of referral can this nurse make so that the child can receive care at home?

Hospice care

Which statement should be incorporated into the teaching plan developed to present instruction about the female menstrual cycle to nursing students?

Menses ensues when the levels of estrogen and progesterone fall.

A young female client is pregnant for the first time and is uncertain who to seek prenatal care from. The nurse should point out which health care provider as the best choice?

Obstetrician

A nursing instructor is teaching a session investigating infant mortality as a standard measurement of the quality of health care in the country. The instructor determines the session is successful when the students correctly choose which factors as contributing to the high numbers of deaths in the United States?

Preterm births Maternal complications Congenital deformities and chromosomal abnormalities

A nurse is completing a home visit for an ill child. The mother of the child appears physically exhausted, the house is in disarray, and the young sibling is misbehaving. Which outcome evaluation by the nurse is most appropriate?

The family has not adjusted appropriately to the home care of the client.

Assessment of a client reveals that he is part of a nuclear family. The nurse interprets this as which of the following?

The family includes a married adult man, his wife, and their children

The family of orientation refers to

The family that one is born into

Which vaccine is safe to give in pregnancy?

The flu vaccine after the first trimester

Which of the following occurs in the male during the resolution phase of the sexual response cycle?

The male experiences a period during which he is incapable of sexual response.

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the correct response by a nursing student about the function of the ovaries?

They produce female gametes or ova and secrete female sex hormones.

The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus?

Thin, slippery, and stretchy

Which change in the breasts should a nurse recognize as a normal change associated with pregnancy?

Tingling sensations and tenderness

A nurse is spending the summer volunteering as a maternal and child health care professional in a clinic in a developing nation stricken by famine. The nurse notes that the low percentage of men in the population due to war as well as poor nutrition make conception more rare among the women encountered for care. Which measure of maternal and child health would bestconfirm the nurse's observations?

fertility rate

After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle?

follicular phase

Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:

further, more definitive evaluations to conclude anything.

A nurse is speaking with a client who has just learned that she is pregnant with her first child. The nurse reads in the client's chart that she does not drink alcohol on a regular basis. However, the nurse decides to go ahead and warn the client about the dangers of drinking alcohol while pregnant. Which phase of health care would this action be classified as?

health promotion

A client in her third trimester has just learned that she has developed gestational diabetes. The nurse gives her an injection of insulin to help return her blood glucose levels to normal. The nurse is participating in whch phase of health care?

health restoration

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

hemoglobin level of 10.1 g/dL

The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which child would potentially be considered an emancipated minor?

A minor who is pregnant

A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?

A regular check of threads must be done.

A woman is in the second stage of labor, 8-cm dilated and 90% effaced. She keeps very quiet without expressing any outward signs of pain. Which intervention by the nurse would be mostappropriate in this situation? Administer pain medication without asking the woman. Allow the woman to labor according to her cultural beliefs. Monitor the woman to attempt to predict when it is time to push. Review the nursing goal to minimize the amount of pain with birth.

Allow the woman to labor according to her cultural beliefs.

Which is not true regarding culture and the perception of pain?

Although many cultures communicate their pain differently, most people physically express pain in a universal manner.

Which aspect of client wellness has not been a focus of health during the 21st century ?

Analysis of morbidity and mortality

A young child has been brought to the emergency department (ED) groaning and crying with pain located, "in their tummy." The parent states the child did not want to eat supper and was lethargic all evening. When the parent went to pick the child up at bedtime, the child was, "burning up with a fever" and reporting nausea. On admission, WBCs are elevated. The child also guards the abdomen when it is palpated and cries when hands are removed from the abdomen (rebound tenderness). The nurse begins paperwork for potential emergency surgery. Knowing this is a single-parent family due to divorce, which precautions should the nurse implement?

Ask to clarify which parent has the legal, custodial rights to consent for procedures.

A woman in her third trimester complains to the nurse of significant back pain. The nurse questions the client carefully and records a detailed account of her back symptoms. What is the best rationale for the nurse evaluating the client's back symptoms with such care?

Back pain could be a sign of bladder or kidney infection

A nurse is conducting an orientation at a health clinic for newly hired nurses comparing normal and abnormal assessment findings on a female physical assessment. The nurse determines the session is successful when they correctly point out which structure's secretions assist with sexual intercourse?

Bartholin's glands

A nurse is teaching a group of primigravida women who are in their first trimester. One of the women asks the nurse about sexual activity during pregnancy. Which information would the nurse most likely incorporate into the response?

Because of pelvic congestion, women may experience increased clitoral sensitivity.

A client expresses interest in having an intrauterine device (IUD) placed for contraception. Which finding noted in the health history would indicate to the nurse that this would not be an appropriate contraceptive option?

Bicornate uterus

A young patient comes to the clinic and requests birth control pills to prevent a pregnancy. She tells the nurse that she is worried that she will get mixed up on what days to take the pills. Which would be the best type of pills to prescribe this patient?

COCs packaged with 28 pills

A client is undergoing a genetic test involves microscopic examination of metaphase chromosomes. The nurse determines that which of the following is being done?

Cytogenetic analysis

A pregnant woman undergoes a triple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's estriol and alpha-fetoprotein levels are decreased with high hCG levels?

Down syndrome

Nondisjunction of a chromosome results in which diagnosis?

Down syndrome

In the resolution phase of sexual response, which response would be most commonly noted in the male?

Erection is lost

The nurse is teaching a pregnant client in her last trimester about interventions to help reduce risks of complications during pregnancy. Which of the following are recommended guidelines?

During the last month, rest on the left side for at least an hour, morning and afternoon.

A home health nurse is visiting an infant after discharge from the hospital. The nurse observes the mother inserting a mercury rectal thermometer to assess the child's temperature. What should the nurse caution the parent about with the use of the thermometer?

If the family will be using a thermometer, it can release toxic mercury if it breaks. The thermometer should not be used with children younger than 5 years.

The nursing instructor is teaching a session outlining the necessary skills of a community nurse. The instructor determines the session is successful when the students correctly choose which factor as the foundation of all nursing care?

Nursing process

Which statement best explains the action of the lactational amenorrhea method (LAM) of fertility control?

LAM causes suppression of the ovulation process.

A high-school nurse has noticed a trend in the reading ability of the freshman class. This high school is located in a poor, urban area where there is a high proportion of single mothers raising their children with minimal financial support. Young children many times do not have adult supervision with homework. The local school nurses discuss issues within the school area. Which suggestion by a high school nurse would be a realistic solution to the problem described in this scenario?

Organize a group of local high school students to begin a reading program in the grade school to increase interest in reading.

A nurse has moved into a new community and will begin practicing at the local health department. Why is it important for this nurse to become familiar with the community where the nurse will work?

The health of a community influences the health of its individuals.

The home care nurse visited a newly assigned primagravida client with preeclampsia. When conducting the assessment and teaching, the client continued to cry and state she was in disbelief this was happening to her. When should the nurse schedule the second visit with the client?

The next day; the client is not coping well.

A client at 32 weeks' gestation is admitted to labor and delivery with vaginal bleeding and contractions. The physician orders a course of two steroid injections. The client asks why she needs steriods. What is the best explanation by the nurse?

The steroids speed up the development of the lungs

The nurse is working with the 5-day-old baby boy of a young Jewish couple. What comment is not culturally sensitive? "Oh, I see you have chosen not to have your baby circumcised." "What a beautiful little boy!" "I'll make sure he gets a blue blanket." "He seems hungry. Go ahead and nurse him."

"Oh, I see you have chosen not to have your baby circumcised."

While completing admission questions, the client asks the nurse, "What is the difference between race and ethnicity?" Which response by nurse is appropriate?

"Race refers to one's physical characteristics or biology, while ethnicity refers to cultural factors."

The home care nurse visits a client who is 32 weeks' gestation on bed rest and reporting a severe headache. Which intervention should the nurse implement first?

Assess the client's vital signs and conduct a quick, focused assessment.

A client has consumed a large quanity of fish during pregnancy and expressed concern about the unborn child. What can mercury exposure during pregnancy cause?

Brain and neurologic abnormalities in the fetus

The nurse is educating a pregnant woman regarding expectations immediately after the birth of her baby. What information would the nurse include in the teaching plan regarding colostrum?

Colostrum is yellow fluid that preceeds breast milk and is healthy for the baby.

The home health nurse visits a woman at 34 weeks' gestation on bed rest for placenta previa to monitor fetal heart tones and assess blood pressure. The patient tells the nurse, "I haven't had a bowel movement in 3 days." What suggestions can the nurse provide to encourage regular bowel elimination?

Drink 6 to 8 glasses of fluid, preferably water, daily and increase the amount of fiber in the diet.

A nursing instructor is teaching the class about community-based nursing. The instructor determines the session is successful when the students correctly choose which activity as an example of tertiary prevention?

Ensuring the client attends physical therapy after orthopedic surgery

A community-based nurse is assessing the needs of a family of four, which includes a physically challenged 9-year-old. Which activity would the nurse prioritize to be an advocate for this family?

Establish eligibility for assistive devices for child.

A Native American who has just delivered her first child asks the nurse if she might have the placenta to take home. The nurse tells a co-worker that she thought it was the most bizarre request she has ever heard. This is an example of which type of behavior by the nurse?

Ethnocentrism

The community health nurse is assessing a new client who reports he has recently moved to the area and is living with an aunt and her parents. The nurse determines this client resides in which type of family structure?

Extended

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that fertilization normally occurs in what structure of the woman's body?

Fallopian tube

When describing genetic disorders to a group of couples planning to have children, the nurse would identify which as an example of an autosomal dominant inheritance disorder?

Huntington disease

A nursing group is examining their hospital's maternal outcomes for the previous 5 years. Which identified factors have contributed to the decline in the maternal mortality rate?

Increased participation of women in prenatal care Use of ultrasound to detect disorders Closer monitoring for complications associated with hypertension of pregnancy Better management of hemorrhage and infection

A client with a history of type 1 diabetes mellitus is questioning the nurse concerning the best option for the health care provider to assist with her pregnancy and delivery of her newborn. The nurse determines the client needs additional information to make a wise decision when she suggests seeking the care of which specialist?

Neonatologist

The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis?

To protect the pelvic bones during sexual intercourse

When caring for woman who speaks a different language than one's own, the nurse must ask for an interpreter before having the client sign which forms to ensure clarity can be confirmed? smoking cessation policy end-of-life care dietary preferences consent to blood transfusions surgical permit

surgical permit end-of-life care consent to blood transfusions

A couple is arguing and bickering all the time. This couple has not told the children yet that they are planning to get a divorce. When the couple discusses this with the school nurse, the nurse shares that at this early phase, children likely experience what type of feelings?

take blame for their parents quarreling and try to behave better

A female client is interested in knowing what the most effective procedure for permanent sterilization in women is. The nurse should mention which procedure to the client?

tubal ligation

A group of student nurses are comparing the various events which take place during the sexual arousal of both males and females. The students are able to correctly point out which event is one of the underlying physiologic responses after the session?

vasocongestion

the nurse is caring for a young pregnant couple who are members of an extended family. The nurse anticipates the greatest challenge for this family will involve which factor?

Limited amount of available resources

A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client?

Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle

A nursing student is exploring community-based nursing as a career focus. The nurse is prepared to prioritize which activity as a primary focus?

Wellness

With sexual stimulation the penis becomes erect. What is the physiologic cause of an erection?

Penile sinuses fill up with blood.

A nurse is providing education to a client with infertility concerns. Which statement by the client indicates appropriate understanding of the Spinnbarkeit Test?

"Halfway in my cycle I will need to check my cervical mucus to see if I can stretch it in to long strands, indicating I am close to ovulating."

A female client who has chosen the cervical cap as her method of contraception states that she knows how to use it. Which statement by the client would indicate to the nurse that the client does understand this method of contraception?

"I do not have any spermicidal allergies, so this method is OK for me."

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?

"I've been having bleeding off and on that's irregular and sometimes heavy."

A woman arrives to the labor and delivery unit. The woman is 38 weeks' pregnant with her first baby and reports that her contractions began 1 hour ago. She is 1-cm dilated, rates her pain as 10/10 on the pain scale, and screams for pain medication. What is the best action from the nurse?

"Let me start your IV so we can get you an epidural as soon as possible."

What societal issues greatly influence delivery of maternal and pediatric health care?

Cost of health care Low income of families Increased cultural and ethnic diversity of clients

After discussing the various options with a pregnant client and partner, they have chosen to stay with their newborn and receive care from one nurse at the time of birth. This is referred to as which type of care?

Couplet care

A newly married couple is meeting with the nurse to discuss a temporary method of birth control that is both a natural form and does not employ birth control pills/devices, in keeping with their religious beliefs. Which fertility awareness method should the nurse point out will best meet their request to delay conception until they are ready?

CycleBeads

A patient in her late twenties visits the clinic to begin the process of in vitro fertilization (IVF). Her husband in his late fifties asks if there are any tests to check for any irregularities. What tests should the nurse discuss with this couple?

Examination of egg and sperm

A nurse is speaking to a young couple who have recently begun living together and are expecting a child in 3 months. The mother-to-be expresses both joy and fear at the prospect of beginning a new family. The nurse understands that, from the perspective of this young woman, the family referred to is of which type?

Family of procreation

The nursing instructor is teaching a group of students about the history of maternity and family care. The instructor determines the session is successful when the students correctly choose which major change resulting from research by Klaus and Kennell?

Family-centered care of today

A client is requesting information on the various available contraceptives. When explaining a vaginal spermicide, which information should the nurse prioritize?

Insert the product by applicator in the vagina up to 1 hour prior to intercourse

A young male asks the nurse at the clinic about what he can do to maintain his sperm production. The nurse would instruct him to take which action?

It is recommended that men wear boxer-style underwear.

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

It receives the fertilized ovum and provides housing and nourishment for a fetus.

The nursing instructor is teaching a session on the increase of health care costs associated with the advancement of modern technology. The instructor determines the session is successful when the students correctly choose which focus of community-based health care that has been implemented to combat the increased cost?

Preventing disease and its sequelae

A community health nurse is preparing to teach childbirth classes at the local high school. This nurse is actively involved in which type of community health care?

Primary prevention

The nurse is preparing to teach a drug education class at a local elementary school. The nurse is focused on providing which type of care to the community?

Primary prevention

Which action is most important when providing contraceptive care to the client?

providing detailed education to the client

The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium?

the increasing level of estrogen

A nurse needs to ensure an informed consent has been obtained to provide care to a young client. Which aspect would be the most important for the nurse to consider related to the informed consent?

Knowing the laws in the state where care is being provided

The nurse is preparing to teach a client how to conduct the BBT method to determine her fertile window. Which instruction should the nurse prioritize?

Temperature should be taken prior to any activity every morning.

The mother of an ill client states, "I feel so guilty that I have to go to work and cannot be with my child." The nurse realizes this statement reflects

Parental role conflict

The maternal health nurse is caring for a pregnant client with poor dental hygiene habits. Which pregnancy complication does the nurse correlate with the client's habit?

Preterm birth

A nurse is providing medication education to a TEEN client who is being prescribed an oral contraceptive. Which of the side effects are more important for the nurse to discuss with the client?

Weight gain Breakthrough bleeding Depression

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client?

While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth

A student nurse is assigned to care for a woman who is being admitted for delivery of her baby. Where would the nurse expect to find the urethral meatus?

Within the vestibule

A pregnant client has heard about Down syndrome and wants to know about the risk factors associated with it. What would the nurse include as a risk factor?

advanced maternal age

The vagina is a hostile environment for sperm. What characteristic of semen protects sperm from the vaginal environment?

alkaline fluid

A nursing instructor is teaching students about genetic disorders and briefly discusses how women can arrange to have a newborn's cord blood frozen and banked. What does the instructor tell students that this blood may be used for in the future?

bone marrow transplantation

The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females?

breast budding, appearance of pubic hair, menarche

In 2007 the World Factbook published statistics that showed the United States still lagged behind other industrialized nations in the incidence of infant mortality. What is one reason that the United States has a higher infant mortality rate than other countries?

Low birth weight

A home health nurse has assigned a home health aide to assist in caring for a client who will be discharged from the hospital with multiple decubitus ulcers, nasogastric tube feedings, and an indwelling catheter. This client will need maximum assistance with activities of daily living (ADLs). Which of the following will be included in the home health aides duties?

Providing hygiene, mouth care, and making the bed

A 6 year old with severe physical and developmental disabilities is cared for at home by a single parent. What resources does the nurse understand are needed for this parent to continue providing effective care for the child?

Respite care

The nurse is assessing the blood pressure of a pregnant client on a routine prenatal visit. This nurse is employing which level of prevention for this client?

Secondary

A nurse is working to develop cultural competence. Which aspect would the nurse need to incorporate as the foundation for this concept?

Respect

Following an initial prenatal visit, a woman's rubella titer results were less than 1:8. On her next visit, the woman asks what this test result means. Which is the best answer to this woman's question about her rubella titer results?

"You are susceptible to a rubella viral invasion."

A client in her first trimester of pregnancy visits the healthcare facility. The client informs the nurse that she has a pet cat at home and wants to know if it poses any threat to the fetus. Which response by the nurse would be most appropriate?

"You should not empty the cat's litter box."

A nurse is discussing menstruation with a female client. The nurse describes a normal amount of blood loss is approximately

10 to 80 mL

A nurse is reviewing a journal article which describes a view of the world and a set of traditions that a specific social group uses and transmits to the next generation. The nurse is reading an article about which concept?

Culture

A nurse is investigating an outbreak of syphilis at the local college. Which is the appropriate first action by the nurse to reduce further spread of the infection?

Provide free condoms and educational materials.

A nurse supervisor observes a nurse massage a client's injection site after giving a dose of depot medroxyprogesterone acetate. What is the priority response by the nurse supervisor?

Remind the nurse that this injection should absorb slowly.

A home health nurse is scheduled to visit a client at 32 weeks' gestation who has chronic hypertension. The client has recently been prescribed a new medication. What intervention can the nurse provide to decrease the risk of medication error

Review the rules of safe medication administration with the client.

A 26-year old mother of three children tells the nurse at her annual check-up that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which of the following methods would be the best option for this client?

Rhythm method

A school nurse is visiting with a father who has custody of his children. Prior to this, the father provided child support for the children but had not been involved in the day-to-day raising of the kids. The father has never had to take children to school before. The priority diagnosis of the father during this conversation would include which potential effect on the change in his parenting role?

Risk for low self-esteem

Male and female reproductive systems are complementary; for example, male testes and female ovaries; male scrotum and female labia majora; and male glans penis and female clitoris. What part of the female system is homologous to the spermatic cord in the male?

Round ligaments

During a visit with a new family, the nurse assesses one of their children. The nurse asks about current immunization status and how often the child visits the family health care provider. The nurse also asks the child about experiences with activities outside the home. The nurse reviews the importance of safety like wearing helmets. Given this data, what age group of child would one anticipate this nurse is assessing?

School aged

A nurse is reviewing information about how an increase in family mobility affects the overall health status fo the family. The nurse demonstrates understanding of the information when the nurse identifies which aspect as playing a role?

Services can be inconsistent across local and regional areas.

Which is the consequence of a nurse equating the client's skin color and other physical features with culture?

Stereotyping

Infant mortality rates are a good index of general health. Which of the following statements is true regarding a comparison of infant mortality rates of the United States to those of 30 countries with the lowest infant mortality rates?

The United States has a higher rate of infant mortality.

A nurse is providing medication teaching related to monophasic combination oral contraceptive (COC) that a client is being given to prevent unwanted pregnancy. Which is the most important intervention for the nurse to include?

Use a second form of contraception for the initial seven days on the COC.

A client in her third trimester reports to the nurse shortness of breath when sleeping. The nurse informs the client that this is normal and occurs because the growing fetus puts pressure on the diaphragm. Which measure should the nurse suggest to help alleviate this problem?

Use extra pillows.

A nurse is teaching a client who has had a Copper IUD inserted. The nurse will teach the client that the device can stay in place and be effective for up to how long? Fill in the blank with a number.

10 years

According to the Family and Medical Leave Act, a woman is guaranteed the right to how many weeks of unpaid, job-protected leave for the birth of a child?

12

Nursing students are learning about family structure and want to learn about their own families. Which of the following diagrams could they use that will show family structure?

genogram

A nurse encourages both partners in a lesbian family to come into the examining room with the newborn during a well-baby check. What type of nursing is the nurse practicing?

transcultural nursing

A client desires protection from unwanted pregnancies. However, the client does not enjoy sex when her partner wears a male condom. Also, the client experiences breast tenderness, headache, and nausea after taking oral contraceptive pills (OCPs). Which method would be the most likely choice for the couple to help them enhance their sexual experience as well as prevent any side effects?

transdermal contraceptive

A nurse is interviewing a couple at a preconception counseling session. The couple is of Greek heritage and are concerned about the possibility of their children being born with a genetic disorder. Based on the nurse's understanding of genetic disorders, the nurse would identify this couple as being at risk for which conditon?

β-thalassemia