speech predicates ch 3

Which of the following statements best defines the concept of holistic nursing care?

Holistic nursing care is a family-centered approach to care.

Holistic nursing care relies primarily on alternative medicine.

Holistic nursing care takes into consideration all aspects of a person's life.

Holistic nursing care focuses on wellness rather than illness.

Holistic nursing care takes into consideration all aspects of a person's life.

In contrast to holistic health care, Western or allopathic medicine focuses on the

a. mind-body connection.

b. impact of family relationships on health-seeking behaviors.

c. symptoms and disease.

d. environmental impact on health.

c. symptoms and disease.

A nurse is discussing holistic health care with an individual. Which of the following

explanations should the nurse include in this discussion?

a. Empirical research has consistently demonstrated the value of

alternative/complementary therapy.

b. Many herbal remedies have side effects and drug interactions.

c. CAM providers must meet required training, testing, and continuing education to practice.

d. FDA requires proof of efficacy and safety for dietary supplements.

Many herbal remedies have side effects and drug interactions.

The nurse is conducting a community health-education program concerning

alternative/complementary therapies. Which of the following should be included in the presentation?

a. Alternative/complementary therapy is primarily used when conventional medicine

has failed to achieve desired results.

b. Alternative/complementary therapy is used in both hospital and outpatient settings.

c. Alternative/complementary therapy was popular in the late 1980s but is rarely used

today.

d. Alternative/complementary therapy primarily focuses on herbal remedies for

common health deviations.

Alternative/complementary therapy is used in both hospital and outpatient settings.

Which of the following complementary/alternative therapies involves emphasizing healthy lifestyle, strengthening and cleansing the body, and noninvasive treatments?

a. Homeopathy

b. Naturopathy

c. Traditional Chinese medicine (TCM)

d. Ayurvedic medicine

b. Naturopathy

A nurse is discussing aromatherapy at a community health fair. Which of the following

aspects of this technique should be stressed?

a. Aromatherapy can be used by individuals without special training.

b. Aromatherapy requires that the care recipient have an acute sense of smell to be effective.

c. Aromatherapy uses herbal scents in candles or incense as the primary method of delivery.

d. Oils used in aroma therapy carry specific warnings and have contraindications.

Oils used in aroma therapy carry specific warnings and have contraindications.

A nurse is instructing a person on the use of breath meditation. Which of the following instructions would the nurse give the person?

a. "You may use this form of meditation when walking down the street."

b. "The best time of day to engage in this form of meditation is while you are doing chores."

c. "Watching the sunset and reflecting on its beauty is a great way to use breath

meditation."

d. "It is important to observe your breathing when using this technique."

"It is important to observe your breathing when using this technique."

A nurse is teaching a person about the technique of breath meditation. Which of the following aspects of this technique should the nurse stress to the person?

a. Hold your breath for short amounts of time in order to regulate your breathing

pattern.

b. Focus on calming thoughts that come to mind during the meditation.

c. Practice this technique when sitting and when walking.

d. Concentrate on the breath.

d. Concentrate on the breath.

The nurse is teaching imagery as a method to reduce anxiety in preoperative individuals. Which of the following aspects should the nurse stress when teaching this technique?

The benefits of guided imagery are primarily psychological.

This technique promotes a sense of well-being.

A "prayer circle" is needed for imagery to be most effective.

Imagery has not been scientifically studied.

This technique promotes a sense of well-being.

An individual asks the nurse to explain yoga. Which of the following statements would be made by the nurse?

There have not been studies involving yoga but care recipients speak favorably of the practice.

Yoga, while largely beneficial, is decreasing in popularity as other CAMs emerge.

A major benefit of yoga is an increase in flexibility.

All of the above statements are correct.

A major benefit of yoga is an increase in flexibility.

Which of the following statements is correct concerning energy therapy?

One of the goals of energy therapy is to reduce blockages.

Body energy is strongly suspected but not yet documented.

Seasonal affective disorder has been successfully treated with laser energy.

All of the above statements are correct.

One of the goals of energy therapy is to reduce blockages.

Which of the following states is correct concerning Qi gong?

It is one of the several forms of yoga.

It is a movement therapy.

It is a form of energy therapy to balance life energy.

It originated as a Chinese martial art form.

It is a movement therapy.

The nurse is asked to explain acupuncture to a person. Which of the following statements concerning acupuncture would the nurse include in the explanation?

a. Acupuncture lacks empirical evidence of efficacy; thus is rarely covered by

insurance.

b. Acupuncture manipulates life energy or chi.

c. Acupuncture focuses on meridians which are defined as points of diseased tissue.

d. Moxibustion is the term used to describe a disturbed energy flow, which results in disease.

b. Acupuncture manipulates life energy or chi.

A person asks the nurse to explain the difference between acupuncture and acupressure. Which statement would be the appropriate response by the nurse?

Acupressure uses massage and oil aromatherapy to stimulate meridian points.

Acupuncture but not acupressure has been shown to relieve nausea and vomiting.

Acupressure stimulates meridian points via pressing and stretching movements.

Acupressure is achieved by applying more pressure to the fine needles inserted as part of acupuncture.

Acupressure stimulates meridian points via pressing and stretching movements.

The nurse has just discussed reflexology with an individual. Which of the following statements made by the individual would demonstrate that learning has taken place?

Reflexology uses upper back massage to control tension and stress.

Reflexology uses the body's natural reflexes to optimize positive energy flow.

Reflexology uses pressure applied to hand and foot areas to relieve tension.

Reflexology uses massaging and stretching motions to the lower legs and feet to

restore a positive energy flow.

Reflexology uses pressure applied to hand and foot areas to relieve tension.

A nurse has completed an educational session about touch therapy with a group of adults. Which of the following statements made by an individual would demonstrate understanding of this topic?

"Shiatsu is one of the more popular forms of touch therapy."

"Touch therapy is effective because deep massage relaxes muscles."

"During touch therapy the therapist's hands may not actually touch me."

"Both statements A and B demonstrate correct understanding."

"During touch therapy the therapist's hands may not actually touch me."

A nurse is performing therapeutic touch with a person. Which of the following would be the first action that the nurse would take?

a. Centering

b. Movement of hands above the body

c. Treatment technique

d. Attunement

a. Centering

A person wishes to participate in a therapy involving energy utilization and dietary design. Which of the following therapies would the nurse recommend to the person?

a. Polarity therapy

b. Reiki

c. Qi gong

d. Pranic healing

a. Polarity therapy

The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?

"I will select the music carefully. Energetic or rap music is not a good choice."

"Studies have shown that music therapy affects vital signs especially heart rate."

"Chants, nature sounds, or "spa music" are generally the preferred choices."

"Music has been shown to decrease pain perception in the hospital."

"Music has been shown to decrease pain perception in the hospital."

A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions would be recommended for the nurse as first step?

Learn the specific therapy method.

Engage in self-exploration to gain insight and balance.

Explore the various types of complementary therapies available.

Ask the person which type of therapy he or she prefers.

Engage in self-exploration to gain insight and balance.

Which of the following describes a nurse who is "being with" the care recipient?

Answers a call bell promptly

Completes a dressing change with minimal discomfort to patient

Silently prays with a client when requested to do so

Teaches a client about his or her medication regime

Silently prays with a client when requested to do so

A nurse is providing education about safety precautions for people to take when using complementary/alternative medicine (CAM). Which of the following information would be included in this presentation?

a. Most treatments are covered by insurance.

b. The US Food and drug administration strictly regulates dietary supplements

c. It is important to research and understand the treatment before starting to use it.

d. There are minimal interactions between allopathic and holistic treatments.

c. It is important to research and understand the treatment before starting to use it.

A nurse is caring for a Hispanic individual. Which question should the nurse ask the person during the assessment process?

"How many herbal medicines do you take?"

"You cannot use any herbal products in the hospital. Did you bring any?"

"Interactions between herbal products and medications can be very dangerous.

Which ones do you use?"

"Tell me how you treat your asthma at home. What treatments work especially

well for you?"

"Tell me how you treat your asthma at home. What treatments work especially well for you?"

Which of the following people are participating in alternative/complementary therapies? (Select all that apply.)

a. A 15-year-old who listens to rap music to lessen anxiety from a painful dressing

change

b. A 45-year-old who burns lavender-scented candles while meditating

c. A 10-year-old who uses prayer during his mother’s hospitalization

d. A 78-year-old who practices yoga to increase balance

select all

During an alternative therapy conference, a nurse attends a session related to massage therapy. Which of the following statements made by the presenter should the nurse question? (Select all that apply.)

a. “Qi gong is a form of traditional Chinese massage technique.”

b. “Hippocrates referenced massage.”

c. “Several massage techniques can be used, including kneading and rubbing the

skin.”

d. “Reiki combines massage therapy with energy balancing techniques.”

a. "Qi gong is a form of traditional Chinese massage technique."

d. "Reiki combines massage therapy with energy balancing techniques."

A 66-year-old woman with osteoarthritis of the knees and hands tells the nurse she is interested in movement therapy. Which of the following would be the most appropriate for the nurse to suggest to this person? (Select all that apply.)

a. Tai Chi

b. Hatha yoga

c. Qi gong

d. Dance therapy

a. Tai Chi

c. Qi gong

The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?

"Growth means adding height and weight to your body."

"We continue to grow in various ways throughout life."

"How much we grow is based on gender."

"Growth stops when we are young adults."

"We continue to grow in various ways throughout life."

Which of the following statements is correct related to the concept of growth?

a. Growth occurs mainly during early childhood.

b. Older adults do not experience growth-related changes.

c. Growth refers only to the increase in the size of specific organs and systems.

d. Growth occurs throughout the life cycle.

d. Growth occurs throughout the life cycle.

The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child's weight?

a. The infant is gaining weight faster than anticipated.

b. The infant is malnourished.

c. The infant is at the expected weight for his or her age.

d. The infant is having a growth spurt.

The infant is at the expected weight for his or her age.

The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assessing children in first through fifth grades?

a. Generic body mass index chart

b. Height and weight chart

c. Revised CDC growth chart

d. WHO international growth chart

c. Revised CDC growth chart

A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the child's growth?

a. Use serial measurements over time.

b. Use this measurement.

c. Use this measurement and compare it with the child's peers.

d. Use the WHO growth chart to assess this child's measurements.

a. Use serial measurements over time.

An infant's central nervous system develops before his peripheral nervous system. This pattern is an example of which of the following?

a. Cephalocaudal

b. Proximodistal

c. Differentiation

d. Specialization

b. Proximodistal

Which of the following would be an example of differentiation as a pattern of development?

An infant raises his head before controlling his arms.

An infant shows the Morro reflex when startled.

An infant uses his whole hand to grasp and months later he has a pincer grasp.

A child walks sooner than did any of his siblings.

An infant uses his whole hand to grasp and months later he has a pincer grasp.

A mother comes to the pediatric clinic and says to the nurse, "I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?" Which of the following statements should the nurse make?

a. "It is highly unusual for siblings not to reach developmental milestones at the same time. I'll ask the doctor to assess him."

b. "All babies reach developmental milestones at different rates."

c. "This may be something to worry about. I'll have the doctor examine him."

d. "Don't worry; he'll crawl soon enough."

b. "All babies reach developmental milestones at different rates."

Which of the following statements describes Erikson's theory of development?

A healthy personality is defined by the lack of pathology.

Stages of development advance based on psychosocial factors.

The main premise of the theory is that individuals are interdependent beings and

rely on each other in order to develop successfully.

An individual must successfully accomplish the developmental stage before

proceeding to the next stage.

An individual must successfully accomplish the developmental stage before proceeding to the next stage.

Increasing competence and adaptability, which reflects understanding of complexity, defines

a. learning.

b. maturation.

c. differentiation.

d. stability.

maturation

According to Piaget's theory of cognitive development, which of the following statements is correct?

a. Cognitive function continues to become refined throughout life.

b. A child's greatest task is to make sense of the world around him or her.

c. Culture plays a major role in cognitive development.

d. Learning precedes development.

A child's greatest task is to make sense of the world around him or her.

Which of the following statements summarizes Vygotsky's theory of development?

All children develop cognitively at the same rate.

Social and cultural influences are not major factors in cognitive development.

Learning is an individual activity.

Experience creates learning.

Experience creates learning.

Kohlberg's theory of moral development is based on

Erikson's theory of psychosocial development.

Piaget's theory of cognitive development.

Vygotsky's theory of cognitive development.

Gilligan's theory of moral development.

Piaget's theory of cognitive development.

According to Vygotsky's theory, the distance between the actual and potential level of development is called

a. Region of compromised development

b. Scaffolding

c. Zone of proximal development

d. Developmental delay

c. Zone of proximal development

For which theorist would the social, cultural, and political environment be an important component to learning and development?

a. Kolhlberg

b. Gilligan

c. Vygotsky

d. Piaget

c. Vygotsky

Which of the following statements about Gilligan's theory of moral development is accurate?

This theory is based on a sense of absolute right and wrong.

This theory is gender specific.

This theory is dependent on one's stage of cognitive development.

This theory is based on the premise that women view situations in terms of rules.

This theory is gender specific.

A nurse is caring for a person with sorrow related to missed opportunities. Which of the following nursing interventions would be appropriate for this person?

Sharing a personal story with the person to demonstrate empathy

Assuring the person that he or she will be able to cope with the illness

Encouraging the person to discuss his or her fears

Contacting a support group representative for the person

Encouraging the person to discuss his or her fears

A nurse is teaching parents of a toddler about nutrition. Which of the following statements should be made by the nurse?

a. "Raisins are a good finger food because they provide fiber."

b. "Grapes are a good snack choice because they help toddlers meet their daily fruit requirements."

c. "Hot dogs are not a safe food choice because they may cause choking."

d. "A small piece of chewing gum will help strengthen jaw muscle; just be sure he or she does not swallow it."

c. "Hot dogs are not a safe food choice because they may cause choking."

A nurse who is conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Which of the following responses should be made by the nurse?

a. "Day care centers that schedule age-appropriate educational videos increase verbal ability."

b. "Human interaction increases a toddler's verbal skills, so select a day care center that values adult-to-toddler interaction."

c. "Learning to understand the meaning of words is increased when toddlers are

exposed to educational DVDs, so select a day care center that has an extensive

library of age-appropriate, educational DVDs."

d. "There really is no difference in the quality of day care centers based on whether or not videos or DVDs are used for educational purposes."

b. "Human interaction increases a toddler's verbal skills, so select a day care center

A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson's theory of human development, which of the following developmental conflicts is this student facing?

a. Initiative versus guilt

b. Industry versus inferiority

c. Identity versus role confusion

d. Intimacy versus isolation

c. Identity versus role confusion

A child is focused on peer approval and avoidance of "not fitting in." According to Kohlberg, this child is experiencing which of the following stages of moral development?

a. Preconventional

b. Conventional

c. Postconventional

d. Preoperational

b. Conventional

The nurse is caring for a person who donated a kidney to a stranger in need. According to Gilligan's stages of moral development, the person who donated the kidney is in which of the following stages?

a. Preconventional

b. Conventional

c. Postconventional

d. Midconventional

b. Conventional

A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (Select all that apply.)

a. Have a better understanding of genetics and genomics

b. Can meet the requirements of Healthy People 2030

c. Can provide more effective health education

d. Can deliver anticipatory guidance to families

a, c, d

A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion? (Select all that apply.)

a. Trends in childhood obesity

b. Availability of a well-balanced diet

c. Exposure to lead-based pain

d. Height/weight of relatives

b, c, d

The school nurse is conducting an in-service program for teachers that discusses the development of elementary school children. According to Piaget’s theory of cognitive development, which of the following information would the nurse include? (Select all that apply.)

a. Use abstract thought to discuss a story.

b. Make moral decisions concerning right and wrong actions.

c. Listen to a peer’s point of view about a playground situation.

d. Be influenced by his or her friends.

c, d

A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele's rule, which of the following dates would be the most accurate estimated date of delivery?

a. September 16

b. September 22

c. October 29

d. October 17

c. October 29

Which of the following best describes an abnormality in structure or function that occurs during fetal development?

a. Congenital defect

b. Genetic defect

c. Embryonic defect

d. Chromosomal defect

a. Congenital defect

During which week would pregnancy begin to pose health concerns for the fetus?

a. 36 weeks

b. 38 weeks

c. 40 weeks

d. 42 weeks

d. 42 weeks

Which of the following changes is experienced by the urinary system during pregnancy?

a. Increased urinary output secondary to total body water increase

b. Decreased bladder capacity

c. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge

d. Increased renal excretion of acidic drugs

a. Increased urinary output secondary to total body water increase

During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern?

a. "Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately."

b. "Frequent heartburn is caused by high levels of hormones during pregnancy."

c. "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."

d. "Frequent heartburn during pregnancy requires immediate consultation with a

gastroenterologist."

c. "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."

The client who is taking prescribed ____ would require preconception management to minimize the potential for drug-related birth defects.

a. antiemetics

b. antiepileptics

c. iron

d. non-narcotic analgesics

b. antiepileptics

A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?

"You should gain 11 to 20 pounds during your pregnancy."

"You should gain 15 to 25 pounds during your pregnancy."

"You should gain 25 to 35 pounds during your pregnancy."

"You should gain 28 to 40 pounds during your pregnancy."

"You should gain 15 to 25 pounds during your pregnancy."

A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?

Dilation stage, pressure stage, placental stage, recovery stage

Dilation stage, pushing stage, pain stage, recovery stage

Dilation stage, pushing stage, placental stage, recovery stage

Dilation stage, pushing stage, placental stage, refractory stage

Dilation stage, pushing stage, placental stage, recovery stage

A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?

a. First

b. Second

c. Third

d. Fourth

b. Second

A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?

a. Providing constant reinforcement and education about the labor process and

assisting the woman with pushing

b. Explaining unusual interventions such as the use of a fetal heart monitor

c. Assisting with labor discomfort by modeling breathing

d. Teaching the new mother positioning of the infant to assist with breastfeeding

d. Teaching the new mother positioning of the infant to assist with breastfeeding

Which of the following statements about race and culture in the United States is correct?

The United States ranks 22nd in the world for infant mortality rate.

Ethnic minority populations have higher rates of low-birth-weight infants.

Black infants are more likely to have cleft palates than Native American infants.

Whites have more fraternal twin pregnancies than non-Whites.

Ethnic minority populations have higher rates of low-birth-weight infants.

During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern?

a. Cognitive-perceptual pattern

b. Self-perception-self-concept pattern

c. Health perception-health management pattern

d. Values-beliefs pattern

c. Health perception-health management pattern

A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?

a. 6 pound increase

b. 11 pound increase

c. 14 pound increase

d. 20 pound increase

a. 6 pound increase

During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?

a. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem.

b. Ignore the comment because pica is acceptable in some rural Black cultures.

c. Encourage the client to eat it with plenty of water because of the risk of

constipation.

d. Stress the importance of an appropriate diet and avoiding pica in a culturally

sensitive way.

d. Stress the importance of an appropriate diet and avoiding pica in a culturally

sensitive way.

A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?

The woman drinks about 1 gallon of water a day.

The woman works out at the gym daily.

The woman does not like vegetables.

The woman usually eats three meals a day in addition to two snacks a day.

The woman does not like vegetables.

A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?

a. "Your infant is in distress. We should call an ambulance."

b. "You need to be more active; take a dance class once a week."

c. "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus."

d. "You probably counted incorrectly."

c. "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus."

Which of the following mothers would be most likely to bond appropriately with their infant?

a. A mother who feels unloved will bond appropriately because now the baby will

love her.

b. A mother who feels great about herself will show love toward the infant and bond appropriately.

c. A mother who feels empty by the birth of her child will bond appropriately once she holds the baby.

d. A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.

b. A mother who feels great about herself will show love toward the infant and bond appropriately.

During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?

a. Cognitive-perceptual pattern

b. Self-perception-self-concept pattern

c. Health perception-health management pattern

d. Values-beliefs pattern

b. Self-perception-self-concept pattern

A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?

"I have been feeling more tired lately."

"My husband complains every time I ask him to do something for me."

"Sometimes, the smell of food makes me nauseous."

"I need to get up two times a night to go to the bathroom."

"My husband complains every time I ask him to do something for me."

A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?

a. Tell the woman she should not be sexually active at this point in her pregnancy

because it may harm the fetus.

b. Ask her to elaborate on the difficulties.

c. Tell her that they should modify their positions during intercourse and that will

take care of the problem.

d. Tell her men like the way pregnant women look.

b. Ask her to elaborate on the difficulties.

During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?

a. Cognitive-perceptual pattern

b. Self-perception-self-concept pattern

c. Health perception-health management pattern

d. Values-beliefs pattern

d. Values-beliefs pattern

A pregnant woman is having a TORCH screening done at today's prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?

a. "You will know your HIV status in about 1 week when the results come back."

b. "You will require additional testing for HIV as it is not tested for with the TORCH screen."

c. "You will need to be tested for HIV after you deliver because pregnancy can

produce false HIV results."

d. "You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate."

b. "You will require additional testing for HIV as it is not tested for with the TORCH screen."

A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?

The bedroom is located on the second floor.

She has a pet cat.

There is an area rug in the living room.

She has a 1-year-old child.

She has a pet cat.

A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?

“Screening for group B Streptococcus is necessary as this infection can cause

complications with pregnancy and to the unborn infant.”

“This screening will help us to determine if your unborn infant will be susceptible

to respiratory distress when he or she is born.”

“Screening for group B Streptococcus will help us identify if you have been

exposed to this or any other infections during your pregnancy.”

“This screening is necessary to determine if there is any Rh blood group

incompatibility between you and your unborn child.”

“Screening for group B Streptococcus is necessary as this infection can cause

complications with pregnancy and to the unborn infant.”

A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a "shot" to keep her baby alive. Which of the following statements would be the best response by the nurse?

a. "Yes, you will need an injection of RhoGAM at 28 weeks of gestation and within

72 h after birth."

b. "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection."

c. "Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies."

d. "No, you will not need the injection because you are White. Rh incompatibility

affects only Black women."

b. "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection."

A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?

a. Tell the client that there is a high probability that her baby will have a birth defect.

b. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.

c. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.

d. Tell the client that there is a high probability of a stillbirth.

b. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.

A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?

"It is safe to eat up to 12 ounces of cooked fish weekly."

"I should avoid using caffeine during pregnancy."

"Consumption of one drink per day will not cause any harm to my unborn baby."

"Use of nicotine during pregnancy may cause my child to be born prematurely."

"Consumption of one drink per day will not cause any harm to my unborn baby."

During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?

Discourage any negative comments the child makes about the baby or the pregnancy.

Do not make any plans regarding the baby in front of the 4-year-old child.

Provide him with very detailed information about the pregnancy and the birth.

Ask the 4-year-old boy to help decorate the new baby's room.

Ask the 4-year-old boy to help decorate the new baby's room.

A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?

The woman does not value prenatal care.

Client education may require a different approach because of dissimilar cultural beliefs.

This culture does not believe in traditional medicine.

Signs of pregnancy were not recognized by the woman.

Client education may require a different approach because of dissimilar cultural beliefs.

At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant's Apgar score?

a. 4

b. 6

c. 8

d. 10

c. 8

A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?

a. 1800 calories

b. 2100 calories

c. 2400 calories

d. 2700 calories

b. 2100 calories

Which properties must the sperm possess for conception to occur? (Select all that apply.)

a. High motility

b. Uniform size

c. Ability to secrete enzymes that dissolve the membrane surrounding the egg

d. Life span of at least 3 h

A, B, C

A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? (Select all that apply.)

a. Positive test for HCG in the maternal urine

b. Detection of fetal heart tones

c. Enlargement of the uterus

d. Palpation of fetal body parts

B, D

Which of the following statements is correct regarding Zika virus disease? (Select all that apply.)

a. Zika virus is transmitted primarily from a nocturnal mosquito bite.

b. Up to 80% of people infected have no symptoms.

c. The virus can cause microcephaly in the developing fetus.

d. Women who may become pregnant should receive a preventive vaccine.

B, C

Which of the following statements is correct regarding neonatal abstinence syndrome (NAS)? (Select all that apply.)

a. It results from exposure of the fetus in utero to illicit substances.

b. Cocaine does cause this syndrome but opioids do not cause it.

c. Infants with NAS have prolonged hospital stays for serious medical complications.

d. This problem is limited to lower socioeconomic levels, primarily in the inner

cities.

A, C