OBEXAM5

A nurse is caring for a child with complex esophageal atresia who will be undergoing surgery for repair. What comment by the parents indicates further teaching is required?

"After this surgery is done tomorrow, my baby will be able to eat and drink"

Four weeks before the birth of a client's already large child, the primary care provider has told the client that if the baby gets bigger and the baby's lungs are ready, the care provider would like to perform a cesarean birth. The woman asks the nurse what the downside is to having a cesarean rather than a vaginal birth. What is an appropriate response by the nurse?

"As the baby passes through the birth canal some of the excess fluid is expelled from the lungs, if that doesn't happen there's a higher risk of respiratory distress."

A 20 year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem? a) "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." b) "Each of the 3 stages of the disease seems to be worse than the previous one." c) "Either me or a partner could end up with an eye infection from chlamydia that could make us blind." d) "Even though I couldn't end up sterile, a woman that I give it to certainly could."

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."

A client with genital herpes asks the nurse about what to expect with the infection. Which of the following responses would be most appropriate? a) "Once you take the medication, the infection will be gone for good." b) "You can expect other outbreaks, each of which will be longer than the first." c) "Even though you don't have symptoms, you could still spread the infection." d) "You might have to try several different medications before finding one that works."

"Even though you don't have symptoms, you could still spread the infection."

A woman has just confided in the nurse that her partner slapped and kicked her that morning. What is the best response by the nurse? a) "Oh my goodness, I cannot believe that happened to you. You poor thing, I feel terrible for you." b) "It's very brave of you to tell me all this. Help is available if you choose it." c) "Maybe he didn't mean to do it. Have you talked with him about it?" d) "Is this the first and only time he has done anything?"

"It's very brave of you to tell me all this. Help is available if you choose it."

A nursing student, observing care of a 30-week-gestation infant in the neonatal intensive care unit, asks the nurse, "Are premature infants more susceptible to infection as I have to wash my hands so often in this department?" What is the nurse's best response?

"That is correct; a 30-week-gestation infant lacks the protective antibody called IgG."

The nurse is teaching a prenatal class emphasizing factors that pregnant mothers can implement to ensure a healthy newborn. Which nursing recommendations would be important to discuss? Select all that apply.

-Keep all prenatal checkups. -Have good blood sugar control. -Avoid the use of any types drugs and alcohol. -Visit the dentist regularly.

A nurse is providing care to a preterm neonate. Which interventions would be most effective in minimizing the newborn's pain? Select all that apply.

-encouraging kangaroo care during procedures -removing tape gently from the skin -using a colorful mobile for distraction

To confirm a finding of primary syphilis, the nurse would observe which of the following on the external genitalia? a. A highly variable skin rash b. A yellow-green vaginal discharge c. A nontender, indurated ulcer d. A localized gumma formation

A nontender, indurated ulcer

A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? a) Copper-colored macules on the palms and soles that appeared after a brief fever b) Patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas c) One or more flat, wartlike papules in the genital area that are sensitive to touch d) A painless genital ulcer that appeared about 3 weeks after unprotected sex

A painless genital ulcer that appeared about 3 weeks after unprotected sex

The nurse is reviewing the medical record of the antepartum client with an abnormal alpha-fetoprotein test. The mother is distraught and states, "How bad can it be?" The nurse is correct to describe which?

A type of spina bifida

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)? a) Older clients who are sexually active have less risk for STIs than other age groups b) Abandon biases that older adults are sexually inactive c) Older clients, because of their maturity, are rarely embarrassed to talk about this d) Older clients know the ways to prevent STIs

Abandon biases that older adults are sexually inactive

A newborn is scheduled for casting to correct a talipes disorder. You would advise her parents that the cast will extend

Above the knee

The nursing instructor overhears students discussing their recent lecture topic of abuse and realizes that they need clarification when she hears a student say which of the following? a) Violence against lesbian relationships may go unreported for fear of harassment. b) Abuse occurs only in heterosexual relationships. c) Violence against gay relationships may go unreported for fear of harassment. d) Abuse occurs in both heterosexual and homosexual relationships.

Abuse occurs only in heterosexual relationships.

The nurse is caring for a patient who has gone into labor 6 weeks early and whose amniocentesis has shown a lack of lecithin. Of the following interventions, which would the nurse most likely do first?

Administer a glucocorticosteroid to the mother

The results of an amniocentesis conducted just prior to birth showed a fetus's lecithin/sphingomyelin ratio as being 1:1. From this information, for which respiratory problem should the nurse anticipate providing care once the baby is delivered?

Alveolar collapse on expiration

A 24 year-old female presents with vulvar pruritus accompanied by irritation, pain on urination, erythema, and an odorless, thick, acid vaginal discharge. She denies sexual activity during the last six months. Her records show that she has diabetes mellitus and uses oral contraceptives. Which category of antimicrobial medication is most likely to clear her symptoms? a) An antiviral agent b) A quinolone antibiotic c) An azole antifungal agent d) A penicillin antibiotic

An azole antifungal agent

Which of the following instructions should the nurse give to a client with genital herpes to help control the infection? a) Apply antibacterial medication b) Apply imiquimod cream c) Avoid people with upper respiratory infections d) Avoid sexual contact until sores heal

Avoid sexual contact until sores heal

After teaching a client diagnosed with candidiasis about preventative measures, the nurse determines that the teaching was effective when the client states she will do which of the following? a) Exercise to prevent fatigue b) Avoid exposure to sun c) Use sunscreen regularly d) Avoid tight pants

Avoid tight pants

A nurse is required to assess a client complaining of unusual vaginal discharge for bacterial vaginosis. Which of the following is a classic manifestation of this condition that the nurse should assess for? a) Dysfunctional uterine bleeding b) Characteristic "stale fish" odor c) Heavy yellow discharge d) Erythema in the vulvovaginal area

Characteristic "stale fish" odor

In which group is it most important for the client to understand the importance of an annual Papanicolaou test? a) Clients with a pregnancy before age 20 b) Clients infected with the human papillomavirus (HPV) c) Clients with a long history of hormonal contraceptive use d) Clients with a history of recurrent candidiasis

Clients infected with the human papillomavirus (HPV)

During unprotected sex, a 17 year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which of the following diagnoses? a) Candidiasis b) Condylomata acuminata c) Genital herpes d) Gonorrhea

Condylomata acuminata

A patient has been diagnosed with condylomata acuminata and requires treatment for the condition. Which of the following would be the treatment of choice? a) Topically applied antifungal cream b) Antibiotics c) Avoidance of sexual contact d) Cryotherapy

Cryotherapy

Which of the following is the gold standard for HSV diagnosis? a) Punch biopsy b) Shave biopsy c) Culture d) Excisional biopsy

Culture

The nurse notices while holding him upright that a day-old newborn has a significantly indented anterior fontanelle. She immediately brings it to the attention of the primary care provider. What does this finding indicate?

Dehydration

A nurse working in a community health education program is assigned to educate community members about sexually transmitted infections (STIs). Which of the following nursing strategies should be adopted to prevent the spread of STIs in the community? a) Promote use of oral contraceptives. b) Discuss limiting the number of sex partners. c) Emphasize the importance of good body hygiene. d) Emphasize not sharing personal items with others.

Discuss limiting the number of sex partners.

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? a) Ceftriaxone b) Doxycycline c) Podophyllum resin d) Acyclovir

Doxycycline

The nurse's discharge teaching plan for the woman with pelvic inflammatory disease (PID) should reinforce which of the following potentially life-threatening complications? a. Involuntary infertility b. Chronic pelvic pain c. Depression d. Ectopic pregnancy

Ectopic pregnancy

Patients who have had PID are prone to which of the following complications? Select all that apply. a) Ectopic pregnancy b) Fibrosis c) Pelvic abscess d) Inguinal lymphadenopathy

Ectopic pregnancy Fibrosis Pelvic abscess

A nursing student studying sexual violence makes the following statement in class, "A man who has sex with his wife even though she did not want it cannot be charged with sexual abuse." Is this statement true or false? a) False b) True

False

A nursing student has read that cleft lip is diagnosed at birth based on inspection of physical appearance and that cleft palate is diagnosed in which way?

Feeling the palate with a gloved finger or using a tongue blade

A nurse needs to assess a female client for primary stage herpes simplex virus (HSV) infection. Which of the following symptoms related to this condition should the nurse assess for? a) Genital vesicular lesions b) Yellow-green vaginal discharge c) Loss of hair or alopecia d) Rashes on the face

Genital vesicular lesions

A newborn is diagnosed with ophthalmia neonatorum. The nurse understands that this newborn was exposed to which infection? a) Syphilis b) Gonorrhea c) Human immunodeficiency virus d) Candida albicans

Gonorrhea

The nurse is caring for a 14-year-old girl who fears she might have a sexually transmitted infection. Which of the following assessments would be most indicative of trichomoniasis? a) Lesions on the vulva b) Urinary incontinence c) Flu-like symptoms d) Green vaginal discharge

Green vaginal discharge

Which of the following STIs could be transmitted perinatally? a) Gonorrhea b) Chlamydia c) Herpes simplex d) Trichomoniasis

Herpes simplex

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata? a) Human papilloma virus b) Haemophilus ducreyi bacillus c) Treponema pallidum d) Herpes virus

Human papilloma virus

The nurse is admitting to the nursery a newborn of a mother who continued to drink alcohol during her pregnancy. Which finding does the nurse predict to encounter on the newborn's assessment?

Hyperactive and irritable

A nurse who is conducting sessions on preventing the spread of sexually transmitted infections (STIs) in a particular community discovers that there is a very high incidence of hepatitis B in the community. Which of the following measures should she take to ensure the prevention of the disease? a) Educate about risks of injecting drugs. b) Instruct people to get vaccinated for hepatitis B. c) Educate teenagers to delay onset of sexual activity. d) Ensure that the drinking water is disease free.

Instruct people to get vaccinated for hepatitis B.

A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning? a) Advise the patient to take medication with a glass of milk b) Counsel the patient to refrain from sex for one week c) Instruct the patient not to drink alcohol with this treatment d) Reassure the patient further STI testing is not indicated

Instruct the patient not to drink alcohol with this treatment

What is the leading cause of death in pregnant women? a) Amniotic fluid embolism b) Undiagnosed cardiac condition c) Pulmonary embolism d) Intimate partner violence

Intimate partner violence

A preterm newborn is noted to have hypotonia, apnea, bradycardia, a bulging fontanelle, cyanosis, and increased head circumference. These signs indicate the newborn has which complication?

Intraventricular hemorrhage (IVH)

Which of the following contraceptive methods offers protection against sexually transmitted infections (STIs)? a) Oral contraceptives b) Withdrawal c) Latex condom d) Intrauterine contraceptive (IUC)

Latex condom

Which instruction should be given to a woman newly diagnosed with genital herpes? a) Use a water-soluble lubricant for relief of pruritus. b) Obtain a Papanicolaou (Pap) test every 3 years. c) Limit stress and emotional upset as much as possible. d) Have your partner use a condom when lesions are present.

Limit stress and emotional upset as much as possible.

A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. What should the nurse expect when assessing the condition of the newborn?

Meconium aspiration in utero or at birth

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms? a) Metronidazole b) Azithromycin c) Penicillin d) Valacyclovir

Metronidazole

The nursing instructor is discussing violence and abuse that is seen in women with a student. She realizes that the student needs further instruction when the student states which of the following? a) Nurses will come in contact with violence no matter what health care setting they work. b) Violence against women is on the rise in the United States. c) Nurses will come in contact with sexual abuse no matter what health care setting they work. d) Nurses only come in contact with violence in the ER.

Nurses only come in contact with violence in the ER.

A 24 year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What is the woman's most likely treatment and prognosis? a) Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy b) Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease c) Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism d) Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection

Oral antibiotics can prevent complications such as infertility and pelvic inflammatory disease

A ventilated 33 weeks' gestation newborn in the neonatal intensive care unit (NICU) receives surfactant therapy. Which would the nurse expect to assess as a positive response to this therapy?

Oxygen saturation levels are at 98%.

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body? a) Intermenstrual bleeding b) Painful joints c) Sore throat d) Painful urination

Painful joints

Which of the following would the nurse recommend to a pregnant client with a sexually transmitted infection who is at risk for transmitting the infection? a) Participate in early prenatal care b) Pat or blot the skin dry c) Have regular cancer screening examinations d) Take tub baths regularly

Participate in early prenatal care

A nurse is caring for a newborn client after birth who is diagnosed with myelomeningocele. Which nursing intervention would protect the newborn from injury?

Place the newborn in a prone or lateral position.

A nurse is caring for a newborn with a repaired cleft lip. What intervention can the nurse provide to facilitate drainage of mucus and secretions to prevent aspiration?

Position the child on the side

The nurse is preparing a nursing care plan for an infant who was born with spina bifida with myelomeningocele. Which nursing goal should the nurse prioritize for this child?

Preventing infection

A preterm infant will be hospitalized for an extended time. Assuming the infant's condition is improving, which environment would the nurse feel is most suitable for the child?

Provide a mobile the child can see no matter how the child is turned.

An infant is suspected of having persistent pulmonary hypertension of the newborn (PPHM). What intervention implemented by the nurse would be most beneficial in treating this client?

Provide oxygen by oxygen hood or ventilator.

The nurse assesses preterm infants as they come for routine well-baby checkups. The nurse will carefully assess the infant's vision to assess for which potential complication related to their birth?

Retinopathy

A pregnant client arrives at the community clinic complaining of fever blisters and cold sores on the lips, eyes, and face. The primary health care provider has diagnosed it as the primary episode of genital herpes simplex, for which antiviral therapy is recommended. Which of the following information should the nurse offer the client when educating her about managing the infection? a) Safety of antiviral therapy during pregnancy has not been established. b) Antiviral drug therapy cures the infection completely. c) Recurrent HSV infection episodes are longer and more severe. d) Kissing during the primary episode does not transmit the virus.

Safety of antiviral therapy during pregnancy has not been established.

Pelvic infection is most commonly caused by which of the following? a) Sexual transmission b) Hysteroscopy c) Surgical abortion d) Insertion of intrauterine device

Sexual transmission

A nursing student is caring for a newborn with a defect in the neural arch where the posterior laminae of the vertebrae have failed to close. The nurse knows that this infant is suffering from which disorder?

Spina bifida

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms? a) Use a pure vinegar douche daily. b) Use skin protectants containing zinc oxide. c) Take sitz baths frequently d) Avoid yogurt with active lactobacilli cultures.

Take sitz baths frequently

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which of the following findings might alert the nurse to this possibility that the child may have been abused? a) The child has a fractured bone. b) The child has a burn that has not been treated. c) The child has bruises on the knees and elbows. d) The child is hyperactive and angry.

The child has a burn that has not been treated.

A young mother brings her 6-month-old in for an examination, appearing listless and inattentive of her child. She sets the child in the floor and reads and sends text messages on her phone. The child appears underweight and lethargic. Which finding would confirm the nurse's suspicion that this child is experiencing failure to thrive? a) The child rests her head on the nurse's shoulder and cuddles with her after the examination b) The child is below the fifth percentile for weight and height c) The child resists when the nurse takes her vital signs d) The child cries when the nurse picks her up

The child is below the fifth percentile for weight and height

The nurse observes a neonate born at 28 weeks' gestation. Which finding would the nurse expect to see?

The pinna of the ear is soft and flat and stays folded.

Walter is an 11-year-old boy who was raised in a home where his father beat his mother on a regular basis. Which of the following statements is true regarding children being raised in a home where they have witnessed intimate partner violence? a) They have higher rates of schizophrenia b) They are at increase risk for being abused c) It has little impact on child functioning d) Female children are more likely to experience depression

They are at increase risk for being abused

An HIV-positive client who is on antiretroviral therapy complains of anorexia, nausea, and vomiting. Which of the following suggestions should the nurse offer the client to cope with this condition? a) Limit number of meals to three a day. b) Eat dry crackers after meals. c) Use high-protein supplements. d) Constantly drink fluids while eating.

Use high-protein supplements.

The nurse is preparing a presentation for a group of adolescents and young adults about sexually transmitted infections and the use of condoms. Which of the following would the nurse encourage? a) Avoidance of condoms lubricated with silicone b) Removal of the condom after penis becomes limp c) Use of natural-membrane condoms as the most effective type d) Use of additional water-based lubricant

Use of additional water-based lubricant

Following birth, the newborn's independent circulatory system is established. If there is an abnormal opening between the chambers in the heart, which cardiac defect may occur?

Ventricular septal defect

Which of the following is FALSE regarding screening for intimate partner violence in women? a) Screening should be routinely done at every visit. b) Although women who are abused may exhibit certain behavior patterns, all women should be screened for intimate partner violence. c) Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics. d) An elderly female may be a victim of intimate partner violence.

Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics.

Assessment reveals that a young mother has several risk factors for giving birth to an infant with a neural tube defect. Which laboratory test would the nurse expect to be used to monitor the fetus for this birth defect?

alpha-fetoprotein levels

A preterm newborn is noted to be cyanotic. Which laboratory test will the nurse prepare the infant for to determine if the cyanosis is due to respiratory or circulatory problems?

arterial blood gases

During the newborn's assessment, which finding would lead the nurse to suspect that a large-for-gestational-age newborn has experienced birth trauma?

asymmetrical movement

A preterm newborn is being monitored for potential necrotizing enterocolitis. The nurse recognizes which factors as major pathologic mechanisms that could lead to this complication? Select all that apply.

bowel ischemia perinatal stressors formula feeding

A nurse is assessing a newborn for jaundice. The nurse would first notice jaundice at which area?

face

The nurse has learned that the number one factor that will motivate a woman to escape an abusive relationship is which of the following? a) fear of harm to herself b) fear of death c) fear of harm to other family members d) fear of harm to her unborn child

fear of harm to her unborn child

It would be best to place an infant with a myelomeningocele in which position prior to surgery?

on the stomach (prone)

A nurse is providing preoperative care to a female newborn client with the congenital abnormality myelomeningocele. Which intervention is the priority?

preventing infection

A neonate is admitted to the newborn observation nursery with the possible diagnosis of polycythemia. The nurse would be observing for which findings? Select all that apply.

ruddy skin color respiratory distress cyanosis jitteriness

The nurse who counsels women who suffer from abuse understands that abuse can come in different forms that include which of the following? (Check all that apply.) a) sexual abuse b) spiritual abuse c) physical abuse d) financial abuse e) emotional abuse

sexual abuse physical abuse financial abuse emotional abuse

A 19-year-old female client has been diagnosed with pelvic inflammatory disease (PID) due to untreated gonorrhea. Which of the following instructions should the nurse offer when caring for the client? Select all that apply. a) Limit the number of sex partners. b) Complete the antibiotic therapy. c) Avoid douching vaginal area. d) Use an intrauterine device (IUD). e) Increase fluid intake.

• Avoid douching vaginal area. • Complete the antibiotic therapy. • Limit the number of sex partners.

When caring for an abused woman, the nurse uses the ABCDES framework to provide interventions. Which of the following are components of this framework? Select all that apply. a) Plan of action and resources for safety for when the woman decides to leave b) Clear documentation of the nurse's perception of the abuse c) Expression of the belief that there may be a reason for the violence d) Education about the cycle of violence and its escalation e) Maintenance of confidentiality of the information reported f) Reassurance that the woman is not alone in this situation

• Plan of action and resources for safety for when the woman decides to leave • Maintenance of confidentiality of the information reported • Reassurance that the woman is not alone in this situation • Education about the cycle of violence and its escalation

The nurse is teaching nursing students about the risks that late preterm infants may experience. The nurse feels confident learning has taken place when the students make which statement?

"A late preterm newborn may have more clinical problems compared with full-term newborns."

The nurse is teaching the caregivers of an infant diagnosed with hypospadias how to properly care for the infant. The nurse determines the session is successful when the caregivers make which statement?

"Being able to most likely correct this in one stage rather than several is reassuring."

A 31 year-old male was diagnosed with genital herpes of the HSV-2 type 5 years ago. He is now broaching the subject with a woman he has recently formed a relationship with. Which of his statements is most accurate? a) "The worst case scenario is that you'll develop cold sores, since this is the type of herpes virus that I've got." b) "Even when I'm not having a recurrence, I could still pass the virus on to you." c) "If you've had cold sores when you were younger, it means that you've got antibodies against this type of herpes virus." d) "If you've been exposed to the herpes virus in the past, then there's no significant risk of reinfection."

"Even when I'm not having a recurrence, I could still pass the virus on to you."

A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence? a) "He calls me stupid and incompetent, asking himself why he ever married me." b) "He threw me against the wall and started punching my face." c) "He tells me that he is sorry and that he will never hit me again." d) "He yells at me for not having dinner waiting for him when he came home."

"He tells me that he is sorry and that he will never hit me again."

A client who gave birth 2 hours ago expresses concern about her baby developing jaundice. Which response from the nurse would be best?

"I understand your concern because as many as 50% of babies can develop jaundice."

A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective? a) "I can pour hydrogen peroxide and water over my lesions." b) "I will apply a water-based lubricant to my lesions." c) "I should rub rather than scratch in response to itching." d) "I will wear loose cotton underwear."

"I will wear loose cotton underwear."

The nurse is working with an adult female who has PKU and desires to become pregnant. The nurse notes on her assessment her current serum phenylalanine level is 10 mg/dL. Which instruction should the nurse prioritize for this client?

"It will be best if you cut back on meat, fish, and dairy products before you become pregnant to get your serum phenylalanine level down under 8 mg."

At a prenatal class the nurse describes the various birth weight terms that may be used to describe a newborn at birth. The nurse feels confident learning has has occurred when a participant makes which statement?

"Newborns who are appropriate for gestational age at birth have lower chance of complications than others."

A client comes to a local community health care facility for a routine check-up. While talking to the nurse, the client happens to mention that every time she has a serious fight with her husband, he forces her to have intercourse with him. The client seems to be very disturbed when revealing this to the nurse. Which is an appropriate response by the nurse? a) "Your husband is just trying to reconcile using intimacy." b) "It's okay in cases of fights where you're really at fault." c) "This behavior is considered sexual abuse." d) "Such behavior is considered normal in a married couple."

"This behavior is considered sexual abuse."

The nurse is caring for a newborn client newly diagnosed with dysplasia of the hip. Which response by the nurse educates the parents on the correct plan of treatment for this diagnosis?

"Treatment will begin immediately."

A newborn boy is diagnosed with esophageal atresia and tracheoesophageal fistula. After the nurse provides preoperative teaching, which statement indicates that the parents need additional teaching?

"We can probably start feeding him with the bottle about a day after the surgery."

The nurse is visiting the parents of a newborn diagnosed with periventricular leukomalacia. Which statement indicates that the parents understand the newborn's health problem?

"We will need to plan for special care to help with learning disabilities.".

Which of the following statements might empower abuse victims to take action? a. "You deserve better than this." b. "Your children deserve to grow up in a two-parent family." c. "Try to figure out what you do to trigger his abuse and stop it." d. "Give your partner more time to come to his senses about this."

"You deserve better than this."

A set of newborn twins have been admitted to the neonatal intensive care unit with the diagnosis of fetal growth restriction (FGR). Which maternal factors would predispose the newborn to this diagnosis? Select all that apply.

- A1C levels of 8% - heroin use -blood pressure baseline of -170/90 mm Hg -maternal age 39 -multiple gestation

The nurse needs to conduct a procedure on a preterm newborn. Which measures would be most effective in reducing pain? Select all that apply

- swaddling the newborn closely -offering a pacifier prior to a procedure -encouraging kangaroo care during procedures

Which safety precautions should a nurse take to prevent infection in a newborn? Select all that apply.

-Avoid coming to work when ill. -Use sterile gloves for an invasive procedure. -Initiate universal precautions when caring for the infant.

A nurse is caring for a large-for-gestational-age newborn. Which signs would lead the nurse to suspect that the newborn is experiencing hypoglycemia? Select all that apply.

-Lethargy and stupor -Respiratory difficulty -Appearance of central cyanosis

The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which of the following would indicate to the nurse that the client has AIDS? a) 1,000 cells/mm3 b) 200 cells/mm3 c) 700 cells/mm3 d) 450 cells/mm3

200 cells/mm3

The nurse is giving a presentation about Chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age? a) 40 b) 32 c) 28 d) 25

25

The nurse is concerned that a newborn is hypoglycemic. Which blood glucose level would support the nurse's suspicion?

30 mg/dL

Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?

40 mg/100 mL whole blood

The nursing student is studying violence and abuse against the older woman. While researching it, she learns that laws require health care professionals to report elder or vulnerable person abuse. How many states currently have these laws? a) 40 b) 52 c) 50 d) 32

50

A nurse is caring for the following clients who have a history of genital herpes infection. Which client is most at risk for an outbreak of genital herpes? a) A client who complains of a headache and fever b) A client who complains of dysuria and lymphadenopathy c) A client who complains of genital pruritus and paresthesia d) A client who complains of vaginal and urethral discharge

A client who complains of genital pruritus and paresthesia

The nurse is caring for an infant diagnosed with a ventricular septal defect. Which assessment findings does the nurse anticipate?

A harsh murmur

Which of the following medications are used to suppress viral load of the HSV-2 infection? a) Penicillin b) Metronidiazole (Flagyl) c) Acyclovir (Zovirax) d) Clindamycin (Cleocin)

Acyclovir (Zovirax)

A nursing instructor is teaching about newborn congenital disorders and realizes that the student needs further instruction after making which statement?

All congenital disorders can be diagnosed at birth.

At an amniocentesis just prior to birth, a fetus's lecithin/sphingomyelin ratio was determined to be 1:1. Based on this, she is prone to which type of respiratory problem following birth?

Alveolar collapse on expiration

Which clinical manifestation is seen in the child with hydrocephalus?

An extremely large and rapidly growing head

The nurse examines a 26-week-old premature infant. The skin temperature is lowered. What could be a consequence of the infant being cold?

Apnea

When teaching a group of students about the cycle of violence, which behavior would the nurse describe as eventually disappearing as the violence becomes accelerated over time? a) Denial of the seriousness of the injuries b) Apologies for the pain and abuse c) Loss of control d) Excessive hostility and friction

Apologies for the pain and abuse

Immediately after birth, the nurse is caring for a newborn with a myelomeningocele. What intervention should the nurse provide to prevent drying out of the sac to avoid damage?

Apply a sterile dressing moistened in a warm sterile saline solution.

Which assessment by the nurse will best monitor the nutrition and fluid balance in the postterm newborn?

Assess for decrease in urinary output.

A woman comes to a local community health care facility with her partner. She has a broken arm and bruises on the face that she reports were caused by a fall. The nature of the injuries, however, causes the nurse to be convinced that this is a case of physical abuse. Which intervention should the nurse perform? a) Tell the partner to leave the room immediately b) Ask the partner directly if he was responsible c) Attempt to interview the woman in private d) Question the client about the injury in front of the partner

Attempt to interview the woman in private

A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply a) Avoid using deodorant tampons b) Clean the perineal area from back to front c) Wear only cotton panties and ventilated pantyhose. d) Take a bubble bath once a week e) Avoid the use of colored toilet tissue.

Avoid using deodorant tampons Wear only cotton panties and ventilated pantyhose. Avoid the use of colored toilet tissue.

A client is receiving ceftriaxone as treatment for gonorrhea. Which of the following would be most important for the nurse to emphasize to the client? a) Avoiding alcohol consumption b) Using a sunscreen when outside c) Reporting signs of an oral yeast infection d) Taking the drug on an empty stomach

Avoiding alcohol consumption

A nurse is caring for an infant. A serum blood sugar of 40 was noted at birth. What care should the nurse provide to this newborn?

Begin early feedings either by the breast or bottle.

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe? a) Penicillin b) Ceftriaxone c) Levofloxacin d) Tetracycline

Ceftriaxone

What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma?

Cephalhematoma

A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer? a) Clients with fibrocystic breast disease b) Clients with irregular menstrual cycles c) Clients who have not had babies d) Clients who have genital warts

Clients who have genital warts

A woman with human papilloma virus (HPV) is likely to present with which nursing assessment finding? a. Profuse, pus-filled vaginal discharge b. Clusters of genital warts c. Single painless ulcer d. Multiple vesicles on genitalia

Clusters of genital warts

Which assessment findings are most prominent in the infant with Tetralogy of Fallot and significant pulmonary stenosis?

Dyspnea on limited exertion, fatigue, cyanosis

A nurse is assessing a boy who was recently found to have been molested by a neighbor. Which of the following characteristics is most likely in a pedophile? a) Physically abusive b) Violent c) Emotional fixation at a childhood level d) Homosexual

Emotional fixation at a childhood level

A nurse is caring for an infant born with polycythemia. Which intervention is most appropriate when caring for this infant?

Focus on decreasing blood viscosity by increasing fluid volume.

When implementing an intervention for a woman in an abusive situation, what is the primary goal? a) For the woman to be able to stand up to her abuser b) For the woman to be removed from her abusive relationship c) For the woman to regain a sense of control in her life d) For the woman to be able to care for herself

For the woman to regain a sense of control in her life

After assessing the status of a newborn, the nurse is concerned that this newborn has persistent pulmonary hypertension. When explaining it to the parents, the nurse would integrate knowledge about which event as having most likely occurred?

Foramen ovale has not closed.

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? a) Genital herpes b) Gonorrhea c) Syphilis d) Chlamydia

Genital herpes

The nurse is caring for a 22-hour-old neonate male and notes on assessment at the beginning of the shift: Apgar score of 9, nursing without difficulty, and appeared healthy. As the nurse's shift goes on, subsequent assessment reveals his sclera and skin have begun to take on a yellow hue. The nurse would report this as a possible indication of what condition?

Hemolytic disease

The nurse begins intermittent oral feedings for a small-for-gestational-age newborn to prevent which occurrence?

Hypoglycemia

The nurse caring for a newborn notes a distended abdomen approximately 24 hours after birth. Which action should the nurse prioritize after review of the medical record reveals an apparent healthy newborn at birth but no documentation of a bowel movement

Inform the RN and/or primary care provider immediately

The nurse is caring for a small-for-gestational-age infant at 1 hour old, after a difficult birth, with a glucose level of 40 mg/dL (2.5 mmol/L). Which nursing action would be the priority?

Initiate early oral feedings.

A nurse assisting in a birth notices that the amniotic fluid is stained greenish black as the baby is being born. Which intervention should the nurse implement as a result of this finding?

Intubation and suctioning of the trachea

The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis? a) Being postmenopausal b) Irritation of vaginal walls c) Trauma to the bladder d) Spontaneous abortion

Irritation of vaginal walls

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason? a) It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI) b) The infecting bacterium in all cases is the same and therefore clients have concurrent infections c) The infections spread through the same medium and therefore clients have concurrent infections d) The symptoms of these diseases are the same and culture tests alone can determine the disease that has infected the client

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI)

The nurse is assessing the newborn male of a teen mother who was afraid to seek appropriate prenatal care. Which assessment finding should lead the nurse to question if this infant is preterm?

Lanugo on the back and shoulders

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? a) Latency b) Secondary c) Primary d) Tertiary

Latency Secondary syphilis occurs when the hematogenous spread of organisms from the original chancre leads to generalized infection. A period of latency occurs when the infected person has no signs or symptoms of syphilis. Primary syphilis occurs 2 to 3 weeks after initial inoculation with the organism. Tertiary syphilis presents as a slowly progressive inflammatory disease with the potential to affect multiple organs.

A newborn is identifies as extremely low birth weight placing the newborn's weight at which level?

Less than 1,000 g.

The nurse cares for preterm infants and assesses them for potential complications to provide adequate countermeasures to prevent futher complications. Which complication should the nurse prioritize and initiate proper measures to protect the newborn?

Loss of body heat

The nurse is preparing to assess an infant who is diagnosed with a ventricular septal defect. Which assessment finding should the nurse be prepared to document?

Loud, harsh murmur

Which nursing measure is most effective in reducing newborn infections?

Maintain medical asepsis while providing care.

In the infant born with a cleft lip and a cleft palate, the highest priority of the nurse is related to which intervention?

Maintaining the nutritional needs if the infant

Which of the following is the most effective treatment for trichominiasis? a) Azithromycin (Zithromax) b) Doxycycline (Adoxa) c) Penicillin G benzathine d) Metronidazole (Flagyl)

Metronidazole (Flagyl)

Which of the following is TRUE regarding intimate partner violence? a) Even though women seldom blame themselves for the abuse, they often cannot leave the relationship. b) One in four women will be a victim of violence. c) Abusers often have outward signs that they are abusers or have a mental illness. d) Women who are in an abusive relationship experience less abuse while they are pregnant.

One in four women will be a victim of violence.

A preterm infant is placed on ventilatory assistance for respiratory distress syndrome. In light of her lung pathology, which additional ventilatory measure would you anticipate planning?

Positive end-expiratory pressure to increase oxygenation

A nurse is assigned to care for a newborn with esophageal atresia. What preoperative nursing care is the priority for this newborn?

Prevent aspiration by elevating the head of the bed, and insert an NG tube to low suction.

Women recovering from abusive relationships need to learn ways to improve their: a. Educational level by getting a college degree b. Earning power so they can move to a better neighborhood c. Self-esteem and communication skills to increase assertiveness d. Relationship skills so they will be better prepared to deal with their partners

Self-esteem and communication skills to increase assertiveness

In teaching about Human immunodeficiency virus (HIV) transmission, the nurse explains that the virus cannot be transmitted by: a. Shaking hands b. Sharing drug needles c. Sexual intercourse d. Breast-feeding

Shaking hands

When describing the methods of transmission for herpes simplex virus, which method would be least likely? a) Sharing contaminated needles b) Kissing c) Vaginal birth d) Sexual contact

Sharing contaminated needles

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? a) Hepatitis B b) Genital herpes c) Condylomata acuminata d) Syphilis

Syphilis

A newborn girl who was born at 38 weeks of gestation weighs 2000 g and is below the 10th percentile in weight. The nurse recognizes that this girl will be placed in which classification?

Term, small for gestational age, and low-birth-weight infant

The nurses at a local free clinic are concerned there may be an increase in small-for-gestational age infants in the community. When collecting data to research the situation, the nurses will exclude infants above which category?

The 10th percentile for gestational age

The nurse is performing a newborn assessment and the infant's lab work reveals a heelstick hematocrit of 66. What is the best response to this finding?

The hematocrit needs to be repeated as a venous stick to see what the central hematocrit level is.

A neonate born at 40 weeks' gestation, weighing 2300 grams (5 lb, 1 oz) is admitted to the newborn nursery for observation only. What is the nurse's first observation about the infant?

The neonate is small for its gestational age.

Homicide from intimate partner violence is the number-one cause of death in pregnant women. a) False b) True

True

A nurse is caring for a client who was raped at gunpoint. The client does not want any photos taken of her injuries. The client also does not want the police to be informed about the incident even though state laws require reporting life-threatening injuries. Which intervention should the nurse perform to document and report the findings of the case? a) Document only descriptions of medical interventions taken b) Use direct quotes and specific language c) Respect the client's opinion and avoid informing the police d) Obtain photos to substantiate the client's case in a court of law

Use direct quotes and specific language

A nurse is caring for a client who has just delivered a baby. Which of the following information should the nurse give the client regarding hepatitis B vaccination for the baby? a) Vaccine consists of a series of three injections given within 6 months. b) Vaccine is required only if mother is identified as high-risk for hepatitis B. c) Vaccine may not be safe for underweight or premature babies. d) Vaccine is administered only after the infant is at least 6 months old.

Vaccine consists of a series of three injections given within 6 months.

A nurse is assessing a client diagnosed with bacterial vaginosis. Which of the following is a symptom of bacterial vaginosis? a) Warts in the vulva and labia b) Intense itching of the vulva c) Cottage cheese-like discharge d) Vaginal odor smelling of fish

Vaginal odor smelling of fish

Which of the following would alert the nurse to suspect that a client has a yeast infection? a) Changes in skin color b) Acidic vaginal secretions c) Lymphadenopathy d) Vulvar burning and itching

Vulvar burning and itching

A woman comes to the clinic complaining of intense pruritus and a thick curd-like vaginal discharge. On examination white plaques on observed on the vaginal wall. The nurse suspects which of the following? a) Vulvovaginal candidiasis b) Chlamydia c) Trichomoniasis d) Bacterial vaginosis

Vulvovaginal candidiasis

A nurse is caring for a neonate of 25 weeks' gestation who is at risk for intraventricular hemorrhage (IVH). Which assessment finding should be reported immediately?

a sudden drop in hemoglobin

When providing care to a newborn with necrotizing enterocolitis (NEC), the nurse would need to report which finding immediately?

abdomen appearing red and shiny

When examining a newborn for developmental hip dysplasia, which motion would the newborn's hip be unable to accomplish?

abduction

When documenting the newborn's weight on a growth chart, the nurse recognizes the newborn is large-for-gestational-size based on which percentile on growth charts?

above 90th percentile

A postterm newborn develops perinatal asphyxia. The nurse understands that this condition is most likely the result of:

aging placenta.

A nurse is reading a journal article about birth defects and finds that some birth defects are preventable. Which risk factor would the nurse expect to find as being cited as the current leading preventable cause of birth defects?

alcohol

A newborn with high serum bilirubin is receiving phototherapy. Which nursing intervention is the most appropriate for this client?

application of eye dressings to the infant

The parents are upset their newborn has a cleft lip. When describing the treatment, the nurse should mention that surgical repair can be done:

between the age of 6 to 12 weeks.

The nurse suspects a preterm newborn receiving enteral feedings of having necrotizing enterocolitis (NEC). What assessment finding best correlates with this diagnosis?

bloody stools

A newborn does not breathe spontaneously at birth. The nurse administers oxygen by bag and mask. If oxygen is entering the lungs, the nurse should notice that the:

chest rises with each bag compression.

The nurse is teaching the parents of a newborn who was born with a high type of imperforate anus the care the newborn will need at home after surgery. The parents need to be aware that the newborn will require which measure temporarily?

colostomy

When discussing heat loss in newborns, placing a newborn on a cold scale would be an example of what type of heat loss?

conduction

The nurse is caring for an infant born to a mother who abused cocaine during her pregnancy. The nurse would likely notice that this infant:

cries when touched.

A 16-year-old girl is seen in an emergency room following a rape. The management of a rape victim should be directed primarily toward a) teaching the child how to prevent further attacks. b) decreasing guilt and increasing self-esteem. c) assessing for sources of infection resulting from the rape. d) relieving physical discomfort and pain.

decreasing guilt and increasing self-esteem.

The nurse assesses an infant. Which finding may indicate heart failure?

diminished peripheral pulses

A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased lung tension, the:

ductus arteriosus remains open.

A nurse in the newborn nursery has noticed that an infant is frothing and appears to have excessive drooling. Further assessment reveals that the baby has episodes of respiratory distress with choking and cyanosis. What disorder should the nurse suspect based on these findings?

esophageal atresia

The newborn nursery nurse suspects a newborn of having neonatal abstinence syndrome. What assessment findings would most correlate with the diagnosis?

frequent yawning and sneezing

Prevention and early identification of newborns at risk are necessary nursing functions. A nurse anticipates the need for newborn resuscitation secondary to birth asphyxia based on which prenatal risk factors? Select all that apply.

gestational hypertension maternal infection congenital heart disease

What is a consequence of hypothermia in a newborn?

holds breath 25 seconds

A nurse is assigned to care for a high-risk newborn with a periventricular-intraventricular hemorrhage (PVH-IVH) in the home environment after discharge. For which condition should the nurse monitor the infant?

hydrocephalus

When evaluating a newborn with congenital clubfoot, the nurse recognizes this condition usually involves:

internal rotation of leg.

A nurse is assessing a preterm newborn. The nurse determines that the newborn is comfortable and without pain based on which finding?

lack of body posturing

Which symptom would most accurately indicate that a newborn has experienced meconium aspiration during the birth process?

meconium stained fluids followed by tachypnea

A newborn is found to have hemolytic disease. Which combination would be found related to the blood types of this newborn and the parents of the newborn?

newborn who is type A, mother who is type O

A nurse is working in the newborn observational unit and is assigned four newborns. In which newborn will the nurse suspect difficulties with thermal regulation?

newly born preterm infant

To administer oxygen by bag and mask to a newborn, you would position the baby

on the back with the head slightly extended.

A woman who has a history of cocaine abuse gives birth to a newborn. Which findings would the nurse expect to assess in the newborn? Select all that apply.

piercing cry poor sucking inconsolable

When a pregnant patient is abused during her pregnancy what complication is likely to occur after delivery due to the abuse? a) post-partum depression b) schizophrenia c) low birth weight d) edema

post-partum depression

Which finding would lead the nurse to suspect that a large-for-gestational-age newborn is developing hyperbilirubinemia?

tea-colored urine

Which newborn would the nurse suspect to be most at risk for cognitive challenge due to the mother's actions during pregnancy?

the child of a client who admits to drinking a liter of alcohol daily during the pregnancy

A nurse working in the newborn observational unit is assigned four newborns closely being monitored. Which newborn is at greatest risk of developing respiratory distress syndrome?

the male preterm infant born by cesarean birth with cold stress

A 5-year-old girl is being admitted with a possible diagnosis of child abuse. The child has bruises in various places on her body that the caregiver attributes to the child recently beginning to play soccer. Bruises associated with child abuse would likely be found in which of the following areas of the body? a) elbows b) forehead c) knees d) thighs

thighs

A nurse is assessing a newborn. The nurse suspects that the newborn was exposed to drugs while in utero based on which findings? Select all that apply.

tremors nasal flaring frequent yawning

The nursing instructor is teaching a session on techniques which the nursing students can use to properly address concerns of parents with children who are born with a congenital disorder. The instructor determines the session is successful when the students correctly choose which nursing intervention as being the most effective in these situations?

use reflective listening and offer nonjudgmental support.

The nurse determines a newborn is small-for-gestational age based on which characteristics?

wasted appearance of extremities, thin umbilical cord, and reduced subcutaneous fat stores

Which of the following would the nurse identify as indicating emotional abuse? Select all that apply. a) Calling the victim names b) Throwing things at a victim c) Not allowing the victim to seek care for an injury d) Threatening to hit the victim e) Controlling how the family's money is spent f) Forcing the victim to perform a degrading act

• Calling the victim names • Threatening to hit the victim • Forcing the victim to perform a degrading act

The nurse in the NICU is caring for preterm newborns. Which guidelines are recommended for care of these newborns? Select all that apply.

• Dress the newborn in ways to preserve warmth. • Take the newborn's temperature often. • Supply oxygen for the newborn, if necessary.

A nurse is working in a local community health care facility where she frequently encounters victims of abuse. For which signs should the nurse assess to find out if a client is a victim of abuse? Select all that apply. a) Reported history of the injury is inconsistent with the presenting problem b) Injuries on the face, head, and neck c) Partner of the suspected victim seems relaxed and not overly worried d) Affected by STIs frequently e) Mental health problems such as depression, anxiety, or substance abuse

• Injuries on the face, head, and neck • Mental health problems such as depression, anxiety, or substance abuse • Reported history of the injury is inconsistent with the presenting problem

Which of the following are forms of emotional abuse? Select all that apply. a) Humiliating b) Incest c) Destroying another's property d) Insulting e) Rape

• Insulting • Humiliating • Destroying another's property

A group of nursing students is preparing a talk on violence against women and how to prevent it. They want to list characteristics of intimate partner violence and should include which of the following? (Check all that apply.) a) use and abuse of substances such as alcohol b) history of childhood abuse c) history of antisocial behavior d) negative affect (hostility and depression) e) current unemployment f) easy-going personality

• history of childhood abuse • use and abuse of substances such as alcohol • history of antisocial behavior • current unemployment • negative affect (hostility and depression)

The nurse working in the obstetrics clinic has been trained to pick up on warning signs of abuse during pregnancy. These include which of the following?(Select all that apply.) a) more weight gain than recommended b) unrealistic fears c) difficulty with physical exams d) weight fluctuations e) noncompliance with treatment f) poor attendance at prenatal visits

• poor attendance at prenatal visits • unrealistic fears • weight fluctuations • difficulty with physical exams • noncompliance with treatment

The nurse who works in a woman's health clinic correctly identifies two key objectives for 2020 National Health Goals that addresses violence against women as which of the following? (Check two.) a) reduce the annual rate of rape or attempted rape b) increase the rate of women's depression c) reduce the rate of physical assault by current or former intimate partners d) increase the rate of women's consumed calories

• reduce the rate of physical assault by current or former intimate partners • reduce the annual rate of rape or attempted rape

A nurse is preparing to administer epinephrine intravenously to a preterm newborn. The newborn weighs 1,500 g, and the primary care provider prescribes 0.1 mL/kg. How much would the nurse administer?

0.15 mL

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior? a) A risk for moderate to severe violence with people both within and outside his family b) Symptoms of depression along with harboring feelings of inadequacy c) Purposefully remain socially isolated from people other than those in his family d) Intermittent remorse for the violence and abuse that he commits

A risk for moderate to severe violence with people both within and outside his family

A nurse is caring for a rape victim who was just brought to the local emergency care facility. Which interventions should the nurse perform to minimize risk of pregnancy in this client? a) Wait for first signs of pregnancy before taking action b) Administer prescribed double dose of emergency contraceptive pills c) Apply spermicidal cream or gel near the vaginal area upon arrival d) Administer prescribed regular oral contraceptive pills

Administer prescribed double dose of emergency contraceptive pills

Primary prevention for HPV includes which of the following? a) Recommending treatment of genital warts b) Administering HPV vaccine c) Educating about the importance of regular Pap smears d) Teaching about HPV testing in women over age 30

Administering HPV vaccine

A nurse suspects that a 6-year-old girl is being sexually maltreated by her father, based on some comments made by the girl. Which of the following methods would be most effective in confirming the nurse's suspicion? a) Assess the girl for unexplained fractured bones b) Check for any sexual perpetrators listed in the area under Megan's law c) Ask the girl's mother what she knows of the father's activities d) Ask the girl to draw a picture of what happened

Ask the girl to draw a picture of what happened

A pregnant client and her husband are at their first prenatal visit. While performing the admission history, the nurse notes several new and old bruises on the woman's neck and body. She is silent and withdrawn. The husband answers all the questions. Based on these observations, the nurse suspects intimate partner violence. Which of the following is the most appropriate nursing intervention at this time? a) Ask the woman if she would like her husband to wait outside in the lobby. b) Ask the husband to wait in the lobby while the client is being examined. c) Ask the couple if they would like to see a social worker. d) Ask the husband if he feels the client has been depressed throughout the pregnancy.

Ask the husband to wait in the lobby while the client is being examined.

A nurse is assigned to care for a hospitalized 14 year old with gastroenteritis. The teen tells the nurse that a brother ran away about 2 months ago and hasn't been heard from since, a sister has a substance abuse problem, and both parents are fighting. What type of situation is this family displaying? a) Child neglect b) Child abuse c) Dysfunctional dynamics d) Impaired parenting

Dysfunctional dynamics

The primary goal of intervention in working with abused women is to: a. Set up an appointment with a mental health counselor for the victim b. Convince them to set up a safety plan to use when they leave c. Help them to develop courage and financial support to leave the abuser d. Empower them and improve their self-esteem to regain control of their lives

Empower them and improve their self-esteem to regain control of their lives

Which of the following are biologic indicators of posttraumatic stress disorder (PTSD)? a) Auditory hallucinations b) A feeling of unreality about oneself c) Memory difficulties d) Flashbacks

Flashbacks

A client is admitted in the healthcare facility with pelvic inflammatory disease (PID). When reviewing the client's history, which of the following would the nurse identify as a risk factor? a) Environmental exposure b) Gestational diabetes c) Genetic predisposition d) Frequent douching

Frequent douching

An infant that is diagnosed with meconium aspiration displays which symptom?

Intercostal and substernal retractions

Which of the following would be most appropriate to do when assisting in collecting a culture from a client infected with gonorrhea? a) Collecting the specimen exactly 12 to 15 days after the menses b) Having the client douche with water and then with alcohol before collection c) Moistening the vaginal speculum with water d) Lubricating the vaginal speculum

Moistening the vaginal speculum with water

A nurse observes telltale signs of injuries from physical abuse on the face and neck of a female client. When questioned, the client tells the nurse that the injuries are the result of a physical attack by her partner and that she has developed palpitations thereafter. Which action should the nurse take to gain the trust of the client and enhance the nurse-client relationship? a) Tell the client to forget about the incident to avoid the trauma b) Inform the client that there is no connection between the violence and palpitations c) Offer referrals so the client can get help that will allow her to heal d) Confirm with the partner whether the client's story is true

Offer referrals so the client can get help that will allow her to heal

In which position should the nurse place a newborn to administer oxygen by bag and mask?

On the back with the head slightly extended

A client has just given birth at 42 weeks' gestation. What would the nurse expect to find during her assessment of the neonate?

Peeling and wrinkling of the neonate's epidermis

A nurse is performing a routine physical for a 7-year-old girl who is thin, unwashed, and dressed in rags. Although it is winter time, she has no coat with her. Her teenaged brother in the waiting room, however, is dressed in trendy clothes and looks healthy and well-fed. Which of the following should the nurse most strongly suspect regarding this girl? a) Physical neglect b) Sexual maltreatment c) Psychological maltreatment d) Physical maltreatment

Physical neglect

The neonatal intensive care nurse admits an infant of a diabetic mother to the unit with symptoms of respiratory distress. The infant is jaundiced with a ruddy skin color. Which action would be a priority?

Prepare for repeat hematocit levels q12h.

Question: Place the three phases of intimate partner violence in the order in which they occur. 1. Acute violence phase 2.Tension-building phase 3.Honeymoon phase

Tension-building phase, Acute violence phase, Honeymoon phase

Nurses sometimes have difficulty assessing women for violence. Which of the following refers to the screen protocol to use to be the most thorough? a) The RACE model b) The FACE model c) The SBAR model d) The SAVE model

The SAVE model

The client brings her infant daughter to the pediatrician's office for her first visit since hospital discharge. At birth, the newborn was at the 8th percentile with a weight of 2,350 g. She was born at 36 weeks' gestation. Which documentation is most accurate?

The infant was a preterm, low birth weight and small for gestational age neonate.

The nurse is checking a newborn for the presence of Ortolani and Barlow signs. For which health problem are these assessments used?

The nurse is checking a newborn for the presence of Ortolani and Barlow signs. For which health problem are these assessments used?

A nurse is providing information for a pregnant woman who has just discovered that the fetus she's carrying is likely to have Down syndrome. Which statement by the nurse is most accurate regarding the possible concerns for a child with Down syndrome?

They have a higher risk of developing leukemia than those in the general population.

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which of the following? a) Yeast infections b) Loss of appetite c) Hypertension d) Acidity and heartburn

Yeast infections

A pregnant woman gives birth to a small for gestational age neonate who is admitted to the neonatal intensive care unit with seizure activity. The neonate appears to have abnormally small eyes and a thin upper lip. The infant is noted to be microcephalic. Based on these findings, which substance would the nurse suspect the women of using during pregnancy?

alcohol

A nurse is interviewing a rape victim who was assaulted 6 month ago. Which questions should the nurse ask the client to know the extent of physical symptoms of PTSD? Select all that apply. a) "Are you having trouble sleeping?" b) "Do you have heart palpitations or sweating?" c) "Do you ever feel as you are reliving the event?" d) "Do you feel numb emotionally?" e) "Have you felt irritable or experienced outbursts of anger?"

• "Are you having trouble sleeping?" • "Have you felt irritable or experienced outbursts of anger?" • "Do you have heart palpitations or sweating?" • "Do you ever feel as you are reliving the event?"

A nurse is explaining to the parents the preoperative care for their infant born with bladder exstrophy. The parents ask, "What will happen to the bladder while waiting for the surgery?" What is the nurse's best response?

"The bladder will covered in a sterile plastic bag to keep it moist."

A nurse is administering prescribed enteral feedings to assist in preparing the gut of a preterm newborn. The nurse integrates understanding of this measure, administering the feedings at which rate?

0.5 to 1 mL/kg/h

Patients who have had PID are prone to which of the following complications? a) Ovarian cancer b) Multiple gestation c) Ectopic pregnancy d) Inguinal lymphadenopathy

Ectopic pregnancy

The first phase of the abuse cycle is characterized by: a. The woman provoking the abuser to bring about battering b. Tension building and verbal or minor battery c. A honeymoon period that lulls the victim into forgetting d. An acute episode of physical battering

Tension building and verbal or minor battery

The nurse is admitting a newborn male for observation with the diagnosis of preterm. What assessment finding corresponds with this gestational age diagnosis?

undescended testes

The nurse realizes the educational session conducted on due dates was successful when a participant is overheard making which statement?

"The ability of my placenta to provide adequate oxygen and nutrients to my baby after 42 weeks' gestation is thought to be compromised."

The nurse is caring for clients who have STIs. Which of the following clients is most at risk for becoming infertile due to the infection? a) A woman diagnosed with chlamydia b) A woman diagnosed with syphilis c) A woman diagnosed with trichomoniasis d) A woman diagnosed with herpes simplex virus

A woman diagnosed with chlamydia

A client is experiencing situational low self-esteem about acquiring a sexually transmitted infection. Which of the following nursing interventions may help foster the client's self-esteem? a) Schedule an appointment for follow-up care b) Provide the client with a telephone number for obtaining accurate information c) Explain the cause of the sexually transmitted infection (STI) d) Affirm the client's good judgment in seeking treatment

Affirm the client's good judgment in seeking treatment

During a clinical conference, a group of nursing students are discussing a newborn that is large for gestational age. The instructor determines the students have successfully differentiated the potential cause after choosing which contributing maternal factor?

Being 30 pounds overweight before getting pregnant

A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this make her infant at risk for? a) Chicken pox b) Deafness c) Blindness d) Neonatal laryngeal papillomas

Blindness

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? a) Dry, hacking cough b) Painless chancre c) Burning on urination d) Diffuse skin rash

Burning on urination

Which of the following is FALSE regarding emergency contraception (EC)? a) EC will disrupt an established pregnancy if taken within 72 hours. b) EC simply contains the same hormones that are found in birth control pills. c) EC works by preventing fertilization, ovulation, or implantation. d) EC is most effective if it is taken within 12 hours of rape.

EC will disrupt an established pregnancy if taken within 72 hours.

Which of the following measures would be most effective in preventing STIs? a) Interfering with the mode of transmission b) Education to promote sexual health c) Increasing the availability of resources d) Getting individuals to change their behaviors

Education to promote sexual health

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to: a) Intervene in late-stage AIDS b) Promote the progression of disease c) Improve survival rates d) Conduct additional drug research

Improve survival rates

The nurse is monitoring a new mother changing her newborn's diaper and notices a musty smell to the infant's urine. Which condition should the nurse prioritize in further assessments to rule out?

Phenylketonuria

The nurse is teaching a class about sexually transmitted diseases to a middle school class. Which of the following is a misconception about condom use that needs to be clarified? a) Latex condoms protect best against disease. b) Don't store condoms in your wallet. c) Use water-based lubricant with latex condoms. d) Put the condom on just before orgasm.

Put the condom on just before orgasm.

An 18-year-old client has given birth in the 28th week of gestation, and her newborn is showing signs of respiratory distress syndrome (RDS). Which statement is true for a newborn with RDS?

RDS is caused by a lack of alveolar surfactant.

A nurse is caring for a female client who is undergoing treatment for genital warts due to human papillomavirus (HPV). Which of the following information should the nurse include when educating the client about the risk of cervical cancer? Select all that apply. a) Recurrence of genital warts increases risk of cervical cancer. b) Use of broad-spectrum antibiotics increases risk of cervical cancer. c) Use of latex condoms is associated with a lower rate of cervical cancer. d) Obtaining Pap smears regularly helps early detection of cervical cancer. e) Abnormal vaginal discharge is a sign of cervical cancer.

Recurrence of genital warts increases risk of cervical cancer. Use of latex condoms is associated with a lower rate of cervical cancer. Obtaining Pap smears regularly helps early detection of cervical cancer.

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? a) "One or two treatments should get rid of the warts." b) "My partner doesn't need to be treated." c) "I'm temporarily not contagious once the warts are destroyed." d) "Once the warts are gone, then I know I'm cured."

"I'm temporarily not contagious once the warts are destroyed."

A client is receiving treatment for injuries sustained during a fight with her partner. The nurse observes that the partner visits her daily in the hospital and appears very solicitous and contrite. When questioned, the client tries to convince the nurse that her partner always apologizes and brings gifts after a fight. Which information should the nurse provide this client? a) "Your partner seems to be genuinely contrite." b) "Although your partner seems sorry, often they will repeat this behavior in the future." c) "Sometimes people do things that cause them to be a victim of physical abuse." d) "You should try not to upset your partner in the future."

"Sometimes people do things that cause them to be a victim of physical abuse."

A newborn at 33 weeks' gestation has an Apgar score of 5 at 10 minutes of life. Which nursing action is a priority?

Begin resuscitation measures.

When planning preoperative care for a newborn with a cleft lip and palate, a major need for which the nurse would plan interventions is:

Nutrition

The nursing instructor is leading a discussion with a group of nursing students who are analyzing the preterm infant's physiologic immaturity and the associated difficulties the newborn and familty must deal with. The instructor determines the session is successful when the students correctly choose which body system that presents with the most critical concerns related to this immaturity?

The respiratory system

A nurse is conducting an awareness session on sexual abuse, and she is explaining the psychological profile of an average abuser. Which trait is often displayed by abusers? a) They belong to the low-income group. b) They are usually physically imposing. c) They have parents who are divorced. d) They exhibit antisocial behaviors.

They exhibit antisocial behaviors.

A nurse is conducting an awareness session on sexual abuse, and she is explaining the psychological profile of an average abuser. Which trait is often displayed by abusers? a) They have parents who are divorced. b) They are usually physically imposing. c) They exhibit antisocial behaviors. d) They belong to the low-income group.

They exhibit antisocial behaviors.

Copious amounts of frothy, greenish vaginal discharge would be a symptom of which infection? a) Candidasis b) Gardnerella vaginalis vaginitis c) Gonorrhea d) Trichomoniasis

Trichomoniasis

Which maternal factors should the nurse consider contributory to a newborn being large for gestational age? Select all that apply.

diabetes mellitus postdates gestation prepregnancy obesity

A thin newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36° C (96.8° F) and persisting oxygen saturation of <87%. The nurse interprets these findings as:

respiratory distress.

A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what "intergenerational transmission of violence" means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate? a) "Domestic violence seems to skip every other generation when it is traced in families." b) "People who grow up in violent home situations tend to be involved in domestic violence situations as an adult." c) "Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation." d) "People who are violent are that way because of the various neurochemical imbalances in their brains."

"People who grow up in violent home situations tend to be involved in domestic violence situations as an adult."

Which of the following would be considered child abuse? Select all that apply. a) A caregiver intentionally is demeaning to a child. b) A caregiver neglects a child's physical needs. c) A caregiver lets a child participate in school activities and the child gets injured. d) A caregiver allows siblings to talk inappropriately to each other.

A caregiver intentionally is demeaning to a child. A caregiver neglects a child's physical needs.

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior? a) A risk for moderate to severe violence with people both within and outside his family b) Intermittent remorse for the violence and abuse that he commits c) Symptoms of depression along with harboring feelings of inadequacy d) Purposefully remain socially isolated from people other than those in his family

A risk for moderate to severe violence with people both within and outside his family

When providing care to a victim of abuse, which of the following would the nurse do? a) Provide an overview of the procedures to be done. b) Make the decisions for the woman. c) Take the lead in providing the interventions quickly. d) Allow the woman to participate in her care.

Allow the woman to participate in her care.

A female client is prescribed metronidazole for the treatment of trichomoniasis. Which of the following instructions should the nurse give the client undergoing treatment? a) Avoid alcohol. b) Increase fluid intake. c) Avoid extremes of temperature to the genital are d) Use condoms during sex.

Avoid alcohol.

A patient who has been seen in the clinic multiple times for counseling recently admitted to being abused by her husband over a period of five years. Today she states, "He has been so sweet to me the last six days that I think this time he has really changed. He even brought me flowers yesterday and said he loves me." How should the nurse respond to this? a) Over a period of time the honeymoon phase ends and abuse becomes accelerated and thus more dangerous. b) That was a very sweet gesture. c) It seems as if he really loves you. d) I certainly would not be sucked into that.

Over a period of time the honeymoon phase ends and abuse becomes accelerated and thus more dangerous.

The nurse is assessing a newborn suspected of having meconium aspiration syndrome. What sign or symptom would be most suggestive of this condition?

expiratory grunting

A common symptom that would alert the nurse that a preterm infant is developing respiratory distress syndrome is:

expiratory grunting.

If the following data was collected on a group of children, which of the following would most likely be evaluated as possibly related to child abuse? Select all that apply. a) A child who has a spiral fracture in the femur. b) A child who has chronic nausea and diarrhea. c) A child whose blood work shows evidence of anemia. d) A child whose X-ray shows bone fractures in various stages of healing. e) A child whose CT scan shows a cerebral hemorrhage.

• A child who has a spiral fracture in the femur. • A child whose X-ray shows bone fractures in various stages of healing. • A child whose CT scan shows a cerebral hemorrhage.

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which of the following would the nurse recommend? a) Intrauterine device b) Withdrawal c) Oral contraceptives d) Condom

Condom

A client complaining of genital warts has been diagnosed with human papillomavirus (HPV). The genital warts have been treated, and they have disappeared. Which of the following should the nurse include in the teaching plan when educating the client about the condition? a) All women above the age of 30 should get themselves vaccinated against HPV. b) Use of latex condoms is associated with increased risk of cervical cancer. c) Applying steroid creams in affected area promotes comfort. d) Even after warts are removed, HPV still remains.

Even after warts are removed, HPV still remains.

A physician tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition? a) Syphilis b) Genital warts c) Gonorrhea d) Genital herpes

Gonorrhea

The nurse is caring for a pregnant woman who is struggling with controlling her gestational diabetes mellitus. What effect does the nurse predict this situation may have on the fetus?

Grow to an unusually large size

Which of the following is the medication of choice for early syphilis? a) Penicillin G benzathine b) Doxycyline c) Rocephin d) Tetracycline

Penicillin G benzathine

A 40 year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. Which of the following phenomena most likely contributed to her present condition? a) A sharp reduction in the number of lactobacilli in the client's vaginal flora b) Proliferation of sexually-transmitted protozoa c) Unprotected sex with a new partner who is a carrier of the relevant bacteria d) Autoinoculation from a cold sore, wart or oral fungal infection

A sharp reduction in the number of lactobacilli in the client's vaginal flora

Which of the following is the most common viral infection? a) Gonorrhea b) Trichomoniasis c) Chlamydia d) Human papillomavirus (HPV)

Human papillomavirus (HPV)

A pregnant client has been diagnosed with gonorrhea. Which of the following nursing interventions should be performed to prevent gonococcal ophthalmia neonatorum in the baby? a) Perform a cesarean operation to prevent infection. b) Administer cephalosporins to mother during pregnancy. c) Instill a prophylactic agent in the eyes of the newborn. d) Administer an antiretroviral syrup to the newborn.

Instill a prophylactic agent in the eyes of the newborn.

A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning? a) Reassure the patient further STI testing is not indicated b) Counsel the patient to refrain from sex for one week c) Instruct the patient not to drink alcohol with this treatment d) Advise the patient to take medication with a glass of milk

Instruct the patient not to drink alcohol with this treatment

In caring for a child who has been admitted after being sexually abused, which of the following interventions would be included in the child's plan of care? a) Encourage frequent family visits b) Weigh on the same scale each day c) Observe for signs of anxiety d) Test the urine for glucose upon admission

Observe for signs of anxiety

The nurse is preparing to administer medication therapy to a woman diagnosed with syphilis. The nurse would expect to administer: a) Miconazole b) Penicillin G c) Doxycycline d) Metronidazole

Penicillin G

A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which of the following instructions should the nurse give the client to prevent recurrence of bacterial vaginosis? Select all that apply. a) Practice monogamy b) Undergo colposcopy tests frequently c) Use oral contraceptives d) Avoid foods containing excessive sugar e) Avoid smoking

Practice monogamy

A preterm newborn receives oxygen therapy to treat respiratory distress syndrome (RDS). Which complication should the nurse consider a result of oxygen administration at a high concentration?

Retinopathy of prematurity

A patient who is abused fails to report the abuse MAINLY because of which of the following reasons? a) She feels lucky to be alive. b) She feels responsible for causing the incident. c) She does not want anyone to know. d) She thinks it will not happen again.

She feels responsible for causing the incident.

A nurse is caring for a preterm newborn who has developed rapid, irregular respirations with periods of apnea. Which additional assessment finding should the nurse identify as an indication of respiratory distress syndrome (RDS)?

Sternal retraction

The nurse manager at a family clinic is identifying ways to address the 2020 National Health Goals for the prevention of birth defects. Which action should the manager encourage all staff to perform when caring for pregnant patients?

Stress the importance of taking prenatal folic acid as prescribed.

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse in which of the following situations? a) A 6-year-old with a greenstick fracture of the wrist, which the caregiver reports was caused when the child fell while ice-skating b) A 7-year-old with a spiral fracture of the humerus, which the caregiver reports was caused when the child was hit with a bat swung by a Little League teammate c) A 10-year-old with a simple fracture of the femur, which the caregiver reports was caused when the child fell down a set of stairs d) A 9-year-old with a compound fracture of the tibia, which the caregiver reports was caused when the child attempted a flip on a skateboard

A 7-year-old with a spiral fracture of the humerus, which the caregiver reports was caused when the child was hit with a bat swung by a Little League teammate

A female client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority? a) Hydration status b) Suicide risk c) Sleep patterns d) Nutritional status

Suicide risk

The nurse is developing a plan of care for a neonate experiencing symptoms of drug withdrawal. What should be included in this plan?

Swaddle the infant between feedings.

The nurse needs to conduct a procedure on a preterm newborn. Which measures would be most effective in reducing pain? Select all that apply.

-swaddling the newborn closely -offering a pacifier prior to a procedure -encouraging kangaroo care during procedures

Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which of the following components is critical to the success of the plan? a) A quality of life assessment tool b) An intimate partner violence (IPV) counselor c) Educational materials d) Avenues for referral

Avenues for referral

A nurse is caring for a human immunodeficiency virus (HIV)-positive client who is on triple-combination highly active antiretroviral therapy (HAART). Which of the following should the nurse include in the teaching plan when educating the client about the treatment? Select all that apply. a) Unpleasant side effects such as nausea and diarrhea are common. b) Provide written materials describing diet, exercise, and medications. c) Ensure that the client understands the dosing regimen and schedule d) Successful antiretroviral therapy may prevent acquired immunodeficiency syndrome (AIDS). e) Exposure of fetus to antiretroviral agents is completely safe.

Unpleasant side effects such as nausea and diarrhea are common. Provide written materials describing diet, exercise, and medications. Ensure that the client understands the dosing regimen and schedule

A 13-year-old immigrant from Asia is admitted to the health care facility with vaginal bleeding. A genital examination reveals unhealed circumcision wounds. The client can understand limited English but cannot speak the language fluently. The service of an interpreter is employed. What are the points the nurse should keep in mind when interacting with this client? a) Allow the interpreter to question the client directly to assist with data gathering b) Use pictures and diagrams to supplement the questions and answers of the client's understanding c) Condemn the cultural practice and explain why it is wrong to the client d) She is still a child so convey important information in precise medical terms to ease understanding

Use pictures and diagrams to supplement the questions and answers of the client's understanding

The generation-to-generation continuum of violence refers to the fact that a) Children who grow up in abusive homes almost always become abusers themselves unless they have professional intervention b) Children who grow up in an abusive home are less likely to be abusers themselves because they see first hand the devastation that violence can cause c) Violence is an innate behavior, and children become abusers because of external factors in their environment more often than in their family d) Violence is a learned behavior, and children who witness abuse are more likely to become abusers themselves

Violence is a learned behavior, and children who witness abuse are more likely to become abusers themselves

A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

preterm birth respiratory distress syndrome low Apgar scores exchange transfusion

A nurse is caring for a pregnant client and discovers signs of bruises near her neck. On questioning, the nurse learns that the bruises were caused by her husband. The client tells the nurse that her husband had stopped abusing her some time ago, but this was the first time during the pregnancy that she was assaulted. She blames herself because she admits to not paying enough attention to her husband. Which facts about abuse during pregnancy should the nurse tell the client to convince her that the abuse was not her fault? Select all that apply. a) Most men exhibit violent reactions during pregnancy as a way of coping with the stress. b) Abuse is a result of insecurity and jealousy of the pregnancy and the responsibilities it brings. c) Abuse is a result of the perception of the partner that the baby will be a competitor after he or she is born. d) Abuse is a result of concern for the unborn child when the mother doesn't fulfill her responsibilities toward the newborn. e) Abuse is a result of resentment toward the interference of the growing fetus and change in the woman's shape.

• Abuse is a result of insecurity and jealousy of the pregnancy and the responsibilities it brings. • Abuse is a result of resentment toward the interference of the growing fetus and change in the woman's shape. • Abuse is a result of the perception of the partner that the baby will be a competitor after he or she is born.