Health Promotion and Maintenance – Part 2

1. A nurse is caring for a client in who is in labor. The nurse has attached an electronic fetal monitor to the client’s abdomen and is assessing the baby’s heart rate. She notes that the baby’s heart rate seems to slow down during each contraction. The heart rate does not return to normal limits until after the contraction is complete. Which type of fetal heart rate change does this pattern describe?

2. Which of the following reasons indicates a need for a non-stress test in a pregnant client?

3. The key to the prevention of a pandemic influenza is:

4. Which risk factor places patients and residents at the greatest risk for falls?

5. A nurse is working at the community clinic and is completing a risk behavior assessment on a 16 year old sexually active female who is coming to the clinic for birth control. The nurse should recommend the client undergoes which of the following:

6. You are taking care of Mary Eden. She is an elderly and frail 91 year old resident. She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home. Which physical problem places Mary Eden at risk for falls?

7. What kind of preventive measures is MOST likely to be used to prevent Mary Eden from falling because of her muscular frailness?

8. The anatomic structure located in the middle of the heart which separates the right and left ventricles is the:

9. Select the age group that is coupled with an infectious disease that is most common in this age group.

10. A nurse is providing information for a woman who is 36 weeks’ pregnant and who has hepatitis B. Which of the following statements from the client indicates understanding of this condition?

11. A nurse is caring for a 2-day old infant who has a bilirubin level of 19 mg/dl. The physician has ordered phototherapy. Which of the following actions indicates correct preparation of the infant for this procedure?

12. Mrs. D is a pregnant client who is 33 weeks’ gestation and is admitted for bright red vaginal bleeding. Her physician suspects placenta previa. All of the following nursing interventions are appropriate for this client except:

13. A nurse is caring for Mrs. L, a pregnant client who is 35 weeks’ gestation. The client complains of abdominal pain; her abdomen is rigid and she has little vaginal bleeding. The nurse notes few fetal accelerations on the fetal monitor. Which of the following conditions most likely describes these symptoms?

14. Mrs. L’s blood pressure has dropped to 86/58 and her heart rate is 112 bpm. Based on her assessment, what is the most appropriate action of the nurse?

15. A nurse is performing an education session to a group of middle-aged adults on prevention of osteoporosis. Which of the following statements made by the client indicates they need further teaching regarding prevention of osteoporosis?

16. The body system that functions to maintain fluid balance, support immunity and contains the spleen is the:

17. Mr. and Mrs. K have just adopted a newborn infant and are preparing to take him home from the hospital for the first time. Which safety measure is most appropriate for the clients in this situation?

18. A nurse is caring for newborn infants in a nursery when a man enters the area to take his baby back to the room. The man does not have an identification bracelet and the nurse does not recognize him. What is the next action of the nurse?

19. A nurse is providing education to a group of 6th grade students on choosing well-balanced meals in the cafeteria. If she wants to use an example of a well-balanced meal, which of the following would be a good example? (assume no dietary restrictions apply)

20. Which of the following is an age-related developmental task for a 68-year old client?

21. Which of the following complications is associated with premature rupture of membranes in the pregnant client?

22. A nurse is educating a female client about progesterone. Which of the following information is appropriate to include in this teaching?

23. A nurse is assisting with counseling for a pregnant client who has had genetic testing performed for her unborn child. The geneticist tells this mother that her baby has an extra copy of the 21st chromosome in every cell. Based on this information, the nurse knows that the baby will most likely be born with which condition?

24. The flap of tissue that covers the trachea upon swallowing is called the:

25. Which of the following symptoms is a presumptive indication of pregnancy?

26. A client is being seen for confirmation of pregnancy. She states her last menstrual period was June 2nd. According to Naegele’s rule, what is this client’s estimated due date (EDD)?

27. A nurse attends the delivery of a full-term infant. After the infant is delivered, she carries him to the warmer and dries him off. His heart rate is 120 bpm, his body is flexed with good muscle tone, his hands and feet are blue while the rest of his body is pink, and he starts to cry when stimulated. Which of the following is the most appropriate Apgar score for this infant?

28. A nurse is caring for a woman who just had a baby 6 hours ago. The nurse is concerned because the mother seems more interested in letting her husband care for the baby. Which of Rubin’s puerperal phases is this mother exhibiting?

29. A nurse is performing a birth assessment on an infant who was born one hour ago. During her assessment, she strokes the sole of the infant’s foot from the heel up toward the toes and notices that the toes flare as a response. Which test is this nurse performing?

30. A sexually active client asks the nurse for information about contraception. The client is interested in an intrauterine device as a form of birth control. Which of the following is an advantage of an intrauterine device?