question

The mother of a newborn infant who was birthed vaginally asks the nurse, "Is something wrong because it seems my baby's head is not the proper shape?" Which is the nurse's best response?

answer

"It will be a more rounded shape within few days."

question

The nurse is preparing a teaching plan about eating disorders in adolescents. Which statements about bulimia should the nurse include when teaching to adolescents?

answer

An individual with bulimia may engage in binge eating. An individual with bulimia may induce vomiting. If untreated, bulimia may lead to significant morbidity and mortality.

question

A 12-year-old patient is showing signs of depression after being a victim of bullying at school. Which program would be appropriate to improve the child's situation?

answer

Peer mediation program

question

The nurse is explaining to first-time parents the developmental milestones in an infant. Which options indicate developmental milestones in infants?

answer

Between 2 to 3 months the infant starts smiling responsively. At 8 months, the infant can differentiate strangers from familiar faces. At 9 months the infant can play simple games like peek-a-boo.

question

The student nurse is preparing a 5-year-old patient for a wound dressing. Which statement made by the student nurse needs correction?

answer

":This colored solution is not medicine, it's a dye used to clean the wound."

question

A woman is unable to breast feed her 7-month-old infant. What alternative does the nurse recommend?

answer

Iron-fortified formula

question

The nurse places a newborn on the mother's abdomen. What is the objective of this nursing intervention?

answer

To help maintain the newborn's body temperature.

question

Which condition in a newborn requires immediate intervention?

answer

Absence of reflexes

question

A mother of a 2-year-old child tells the nurse, "I am worried that my child is not eating properly and is not gaining weight." Which advice given by the nurse to the mother will be beneficial for the child?

answer

"You should provide nutritious finger foods to your child between meals."

question

A mother of an adolescent complains that her child's school performance has declined and the child has been isolating herself over the past few days. The mother also suspects that the child has also been engaging in substance abuse. After assessing the child, the nurse finds that the child is experiencing depression and has suicidal thoughts. What would be the most appropriate intervention in this situation?

answer

Make an immediate referral to a mental health professional.

question

The nurse is caring for a 14-year-old patient after surgical repair for a tibia fracture. The mother of the adolescent tells the nurse about his careless attitude and his arrogance at home. She also complains that he argues with his siblings. What are the physical changes that the nurse can expect in this adolescent?

answer

Spurt of height Building muscles Hoarseness of voice

question

Which statement made by a pregnant woman indicates the need for further teaching about necessary interventions to reduce the risk of sudden infant death syndrome (SIDS)?

answer

"I should place soft toys near my baby during sleep."

question

A school health nurse is teaching a group of parents on how to promote the health of school-age children. What are the instructions that the nurse should provide?

answer

School-age children should be educated and encouraged to plan, select, and prepare healthy meals. School-age children should be educated on the hazards of smoking. School-age children should be provided with healthy and nutritious snacks. School-age children should be given age-appropriate immunizations.

question

The nurse working in a pediatric clinic explains to a parent the psychosocial changes in toddlers. What information should the nurse include?

answer

A sense of autonomy develops during toddlerhood. Temper tantrums result when parental restrictions cause frustration in toddlers. Toddlers strive for independence by using their muscles to do everything themselves.

question

Which action does the nurse expect a 4-month-old infant to perform?

answer

Placing objects from hand to mouth

question

Why should solid foods be excluded from the diet of a 5-month-old infant?

answer

The digestive system of a 5-month-old infant is not fully developed. The extrusion reflux of a 5-month-old infant pushes the food out of the mouth.

question

The mother of a 4-year-old patient reports that her child has reverted to bed-wetting and thumb sucking. Which statements by the mother help the nurse understand the reason for the child's condition?

answer

"We moved to a new home recently." "We had a second child last month." "We employed a new caregiver for our child."

question

The nurse is interacting with the parent of an adolescent and suspects that the child may have suicidal tendencies. Which statement supports the nurse's conclusion?

answer

"My child has stopped going out with friends. She is always sad and crying."

question

While working in the high-school clinic, one of the students tells you that she is worried about her friend who has started to refuse to participate in group activities, no longer cares about how she looks at school, and is not going to all of her classes. What does your assessment of these symptoms indicate?

answer

She may be contemplating suicide.

question

The nurse is assessing four preschoolers. Which preschooler's data indicate abnormal development?

answer

Preschooler C

question

What is the appropriate age for parents to discuss sexual intercourse, reproduction, and sexually transmitted infections with their child?

answer

10 years of age

question

The nurse is assessing motor skills in four school-age children. Which child does the nurse identify as having impaired gross-motor skills?

answer

Child D

question

A 15-year-old girl went shopping with four of her closest friends. While shopping, she tried on jewelry and makeup to impress a boy she liked. When pressured by classmates, she refused to smoke cigarettes or drink alcohol. What does her behavior indicate?

answer

Health identity Group identity Sexual identity Personal identity

question

What is the average weight of a 3-year-old healthy child?

answer

14.5 kg

question

The nurse is assessing a 2-year-old child in a wellness clinic. What language skills is the nurse likely to find in the child?

answer

The child has a vocabulary of up to 300 words. The child can use simple sentences.

question

Which are the most visible normal physical changes that appear in patients in the age group of 35 to 64 years?

answer

Graying hair Wrinkling skin Thickening waist

question

The nurse is performing a personal lifestyle assessment of a patient. Which questions should the nurse ask while performing this assessment? .

answer

"What is your occupation?" "Do you have pets at home?" "How much time do you devote to exercising?"

question

A middle-aged patient who has been smoking for the past 10 years expresses that it is hard to quit this habit. The patient also seems to smoke more during times of stress. Which measures should the nurse implement to help the patient tackle the stress?

answer

Teach relaxation therapy. Teach ways to increase stress resistance. Emphasize minimizing the frequency of stress-producing situations.

question

The nurse prepares to teach good health practices to a patient who is planning to conceive. Which topics should the nurse include in the teaching for this patient?

answer

Balanced diet Avoidance of alcohol Dental care

question

A middle-aged patient who has been smoking for the past 10 years finds it hard to quit this habit. The patient smokes more when stressed. What should the nurse tell this patient about the health hazards of smoking?

answer

Cigarette smoke increases the risk of emphysema. Tobacco increases the risk of coronary artery disease

question

The nurse performs a job assessment of a patient who is extremely stressed. Which questions should the nurse ask while doing the assessment? .

answer

"Do you get irritated frequently?" "Could you please describe your work?" "Has there been any change in sleep pattern recently?"

question

A pregnant woman has come to the women's care center for prenatal care. Which professionals are permitted to perform this assessment?

answer

Obstetrician Certified midwife Nurse practitioner

question

A patient in the labor room has been seen and cared for by an obstetrician, a midwife, and a lay doula. What is the role of the lay doula?

answer

To provide emotional support and physical assistance to the patient in labor

question

The nurse is completing an assessment of a patient, age 24. Following the assessment, the nurse notes that the physical and laboratory findings are within normal limits. Based on these findings, which intervention would be most appropriate?

answer

Instructing the patient in health promotion activities

question

Which common issues might the nurse observe while assessing patients who are between 35 and 64 years of age?

answer

Career-related changes Caring for aging parents

question

The nurse has taught a group of nursing students about caffeine and its effects on the body. To evaluate student understanding, the nurse asks the students to describe the effects of catecholamine release on the body. Which answers given by the students indicate a good understanding of caffeine and its effects?

answer

"Catecholamine increases diuresis." "Catecholamine alters the blood pressure." "Catecholamine stimulates the nervous system."

question

Sharing eating utensils with a person who has a contagious illness increases the risk of illness. Which gives rise to this type of health risk?

answer

Personal hygiene habits

question

The nurse assesses a patient who delivered a child 2 days ago. The patient is irritable, has mood swings, and overall emotional instability. Which condition do these signs indicate?

answer

Postpartum depression

question

The nurse is teaching a group of young adults about the prevention of sexually transmitted diseases (STDs). Which intervention by the participants best indicates effective teaching?

answer

Demonstrating the proper application of a condom

question

The nurse is talking with a colleague and states that the millennial generation is an "always connected" generation. Which patients are part of the age group the nurse is talking about?

answer

A 20-year-old female A 28-year-old female An 18-year-old male A 25-year-old male

question

A patient with a history of substance abuse who has developed fluid-filled vesicles on the penis has been admitted to a hospital. Which questions should the nurse include in the initial investigation?

answer

"Are you suffering from urinary incontinence?" "Have you had unprotected sexual intercourse?"

question

A 25-year-old male complains to the nurse that he feels embarrassed to participate in social activities because he is of very short stature. He asks the nurse to give some suggestions to increase his height. Which would be the most appropriate response given by the nurse?

answer

"You cannot become taller now, because the body stops growing after a certain age."

question

The nurse assesses a young patient in a gynecological clinic. The nurse has been asked to assess for signs related to sexually transmitted diseases. Which sign would indicate that the patient might have a sexually transmitted disease?

answer

Excessive vaginal discharge

question

Which best describes a lay doula?

answer

A support person to assist women who have no other source of support during labor

question

The nurse teaches a group of young adults in a community center about the pathophysiological changes related to obesity. Which conditions should the nurse mention as being linked to obesity?

answer

Asthma Psoriatic arthritis Hypercholesterolemia

question

Which intervention should the nurse include in the plan of care for a 45-year-old patient who is overweight and is at increased risk of cardiovascular disease?

answer

Providing foods with higher nutritional value Encouraging the patient to engage in some form of physical activity

question

A certified midwife has been asked to perform prenatal care for a pregnant woman. Which interventions should be included in prenatal care?

answer

Routine physical assessment Teaching diet for pregnant women Assessing for presence of any genital or urinary tract infections

question

Which factors affect a young adult's adherence to decisions about smoking cessation?

answer

Desire to learn Education level Socioeconomic status

question

The nurse is interviewing a 19-year-old pregnant woman. The nurse discovers that the woman is a victim of intimate partner violence (IPV). Which conditions are more likely to occur in this patient?

answer

High blood pressure Delivery of a preterm infant Delivery of a low-birth-weight infant

question

The nurse assesses a pregnant woman who is a victim of intimate partner violence. Which adverse health outcomes would the nurse expect the patient to have?

answer

Vaginal bleeding Preterm delivery of baby Low-birth-weight infant

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