Compt
Which factors are the main causes of high infant mortality rate? Select all that apply
- sudden infant death syndrome (SIDS) - low birth weight - necrotizing enterocolitis (NEC) - Viral infections
A nurse is presenting a discussion on sexual violence at a local community college. When describing the incidence of sexual violence, the nurse would identify that a woman has which chance of experiencing sexual assault in her lifetime?
1 in 5
When developing a presentation for a local community organization on violence, the nurse is planning to include statistics on intimate Partner abuse and its effects on children. When addressing these statistics, the nurse would identify what rate of the cases involving a parent being abused would the children be abused also?
1 in 8
After teaching a group of young adults about sexual violence, the nurse determines that the teaching was successful when the group identifies which act as a type of sexual violence? SATA
Female genital cutting Human trafficking Bondage Infantacide Rape
When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed?
Fundal height measurement
The nurse is discussing the insulin needs of a primiparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurses understanding that the placenta produces:
hPL, which decreases the effectiveness of insulin
A public health nurse is developing programs to assist in improving infant mortality rate. Which factors would need to be addressed because they would have the greatest impact? SATA
Congenital anomalies Prematurity Low birth weight
At a prenatal class a client asks the nurse how long it takes to conceive after having sexual intercourse. What is the nurses best response?
Conception happens about 72 hours after fertilization of the ovum
The pediatric nurse is conducting an information session for parents regarding genetic alterations in children. Which comments by the parents of a child with a cleft palate indicate learning occurred during the session? Select all that apply. A) "I can't believe that it is because of my genes that our child has this disorder." B) "Our child will need to be counseled when reaching adulthood since the risk for passing along the gene that causes cleft palate is increased." C) "While I'm not sure what they are, I know that environmental factors have likely played a role in our child's cleft palate." D) "I wish we had genetic testing before having children. We might have felt a little more prepared for the possibility of disorders in our children." E) "This makes it almost certain that if we have more children they will have cleft palate as well."
B,C,D
After discussing various methods of contraception with a client and her partner, the nurse determines teaching was successful when they identify which contraception method as providing protection against sexually transmitted infections?
Condoms
The nurse suspects that a 4-year-old with type 1 diabetes is experiencing hypoglycemia based on what findings? Select all that apply. A) Blurred vision B) Dry, flushed skin C) Diaphoresis D) Slurred speech E) Fruity breath odor F) Tachycardia
C, D, E
Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Calcium gluconate
A nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following" SATA
Dark red vaginal bleeding Rigid uterus Absent fetal heart tones
After teaching a pregnant woman with iron deficiency anemia about nutrition, the nurse determines that the teaching was successful when the woman identifies which of the following as being a good source of iron in her diet?
Dried fruit Peanut butter Meats
A 24 year old client who is planning to become pregnant comes to the clinic for evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the clients risk for problems during pregnancy? SATA
Drinks wine 3 to 4 times a week Uses ibuprofen daily
A nurse is planning a continuum of care for a client during pregnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience?
Educating the client on the importance of a support person.
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following findings would alert the nurse to the development of HELLP syndrome?
Elevated liver enzymes
A woman in the 34th week of pregnancy says to the nurse I still feel like having sex with my husband. The womans pregnancy has been uneventful. The nurse responds based on the understanding that
It is safe to have intercourse at this time
A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching?
Its ok for my husband and I to have sexual intercourse
A mother brings her 12 year old daughter to the clinic for a visit. The daughter has just started menstruating. As part of the visit, the nurse explains the menstrual cycle and ovulation, including the events that led up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation?
Luteinizing hormone
Because a pregnant clients diabetes has been poorly controlled throughout her pregnancy the nurse would be alert for which of the following in the neonate at birth?
Macrosomia
Genetic test
Possibly can detect genetic abnormalities
The nursing instructor is introducing students to Healthy People 2020, which highlights the major health indicators of the 21st century that need to be addressed. The nurse informs the students that this includes national health goals for maternal, infant, and child health. Which goals would be included? Select all that apply.
Reduce fetal and infant death rates. Reduce maternal deaths. Increase infant birth weights. Reduce preterm births.
A nursing student is reviewing an article about preterm premature rupture of membranes. Which of the following would the student expect to find as factor placing a woman at high risk for this condition? SATA
Smoking Low socioeconomic status Urinary tract infection
A woman who is using an intrauterine system fro contraception comes to the clinic. When assessing the woman, which findings would alert the nurse to a possible complication? SATA
String length shorter than on initial visit Reports of abd0minal pain Oral temp of 101
A sexual health public health nurse is presenting information on sexually transmitted infections to adolescent girls and is asked why are females more at risk for STIs? Which statement by the nurse would best answer this question? SATA
The female genital tract makes you more sensitive to specific STI organisms Teenage females lack communication skills to negotiate for safer sex. Teenage girls are more susceptible to STIs due to their genital anatomy.
When describing amniotic fluid to a pregnant woman, the nurse would include which of the following:
This fluid acts as a cushion to help protect your baby from injury
Treatments for breast engorgement include (select all that apply):a. cabbage leavesb. warm compresses before feeding, cold compresses afterc. cold compresses before feeding, warm compresses afterd. breastfeeding
a. cabbage leaves b. warm compresses before feeding, cold compresses after d. breastfeeding
A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply
cervical dilation of 6 cm contractions every 2 to 3 minutes
The nurse is presenting a class at a local community Health Center on violence during pregnancy. Which possible complication would the nurse include?
- Chorioamnionitis
The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index of 26. The nurse determines that the teaching was successful when the woman states that she should gain no more that which amount during pregnancy?
15 to 25 pounds
The nursing instructor is teaching students about slipped capital femoral epiphysis (SCFE). What are risk factors of SCFE? Select all that apply. 1.Infant onset 2.Male 3.Sedintary lifestyle 4.Firstborn child 5.African-American ethnicity
2, 3, 5
A nurse is providing care to several pregnant women at the clinic The nurse would screen for group B streptococcus infection in a client at:
36 weeks gestation
A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which of the following would lead the nurse to suspect that the woman is developing an infection? SATA
Abdominal tenderness Elevated maternal pulse rate Cloudy malodorous fluid
A public health nurse is teaching a class on sexually transmitted infections. Which statements would the nurse include in the discussion? SATA
After a single exposure, women are twice as likely as men to acquire a STI 65 million people live with incurable STIs STIs contribute to cervical cancer
A group of students are reviewing the signs of pregnancy. The students demonstrate which as a presumptive sign? SATA
Amenorrhea Nausea
A nurse is teaching a pregnant client on her first trimester about discomforts that she may experience. The nurse determines that the teaching was successful when the woman identifies which discomfort as common during the first trimester? SATA
Breast tenderness Urinary frequency Cravings
A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse I've never urinated as often as I have for the past 3 weeks. Which response should the nurse make?
By the time you are 12 weeks the frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy
A nurse is preparing a presentation for a group of parents with children diagnosed with diabetes type 1. The children are all adolescents. What issues would the nurse need to address? Select all that apply. A) Self-monitoring of blood glucose levels B) Feelings of being different C) Deficient decision-making skills D) Body image conflicts E) Struggle for independence
C,D,E
Which statement made by nursing student should best indicate that her education on family centered care was fully understood?
Childbirth affects the entire family, and relationships will change
The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include?
Chorioamnionitis
A public health nurse is developing programs to assist in improving infant mortality rates. Which factors would need to be addressed because they would have the greatest impact? Select all that apply
Congenital anomalies prematurity low birth weight
When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century?
Development of free standing birth center
A group of nurses are researching information about till factors for intimate partner violence in men. They are preparing a community presentation for the local health center. When describing the information, which factors would the nurses discuss as being associated with the relationship? SATA
Dysfunctional family system Low academic achievement Victim of childhood violence Economic stress Heavy alcohol consumption
A nurses developing a teaching plan about nutrition for a group of pregnant women. Which of the following would the nurse include in the discussion? SATA
Eat three meals with snacking Avoid using diuretics Participate in physical activity
The nurse is preparing for a public health campaign with a focus on current trends with family centered care. Which information would the nurse include in the presentation? SATA
Family centered care promotes greater family decision making abilities The clients family is considered in health care to be an expert partnership Family centered care requires sensitivity to the clients and families beliefs
What goals of the federal government initiative healthy people 2030 programs to improve maternal health are priority? Select all that apply
General health status Health-related quality of life and well being Determinants of health Disparities
A new mother who is breast feeding her newborn asks the nurse "how will I know if my baby is drinking enough?" Which response by the nurse is most appropriate?
He should wet between 6 and 12 diapers a day
When discussing contraception options, the nurse would recommend which option as the most reliable?
IUD
A nurse is assessing a pregnant woman on a routine checkup. When assessing the womans gastrointestinal tract, which of the following wol the nurse expect to find? SATA
Nausea Heartburn Complaints of bloating Hyperemic gums
Which factors are main causes of the high infant mortality rate? SATA
Necrotizing enterocolitis Sudden infant death syndrome Low birth weight
A woman with gestational hypertension experiences a seizure. Which of the following would be a priority?
Oxygenation
Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as which of the following?
Pica
Assessment of a pregnant woman reveal oligohydramnios. the nurse would be alert for the development of which of the following?
Placental insufficiency
In a clients event month of pregnancy she reports feeling dizzy like I'm doing to pass out, when I lie down flat on my back. The nurse integrates which of the following in to the explanation?
Pressure on the gravid uterus on the vena cava
A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which of the following would be included as part of this assessment? (Select all that apply.) A) Positive pregnancy test B) Ultrasound visualization of the fetus C) Auscultation of a fetal heart beat D) Ballottement E) Absence of menstruation F) Softening of the cervix
Softening of the cervix Ballottement Positive pregnancy test
The nurse working in a maternity clinic suspects that a client and her children are in an abusive relationship. While waiting for test results, the nurse decides to teach the client about partner abuse; What would be the best rationale for the nurses decision?
The nurse knows that the children exposed to family violence are like to be abused
