Systems of care 1 exam 2

1.A pregnant patient understand pre-conceptual
self-care measures when she states: 

2.While discussing anticipatory guidance for car
safety, the nurse would teach the parents of a 17-pound infant that the car
seat should be:

3.The nurse knows that the study of growth and
development is an exploration of which of the following?

4.A patient appears in the clinic for her first
prenatal visit at 26 weeks of pregnancy.  She states, “I didn’t see any
point in coming sooner since I felt fine.”  The nurse uses which of the
following statements to explain why prenatal care in the first trimester is
important?

5.For the safety of infants and small children, smoke
detectors should be present in the home and hot water heaters should be set at:

6.During her prenatal visit a pregnant patient
complains of nausea with vomiting.  These symptoms in pregnancy are caused
by increased levels of:

7.Occupational exposure to infectious material by the
health care worker is defined by the Occupational Safety and Health
Administration (OSHA) as skin, eye, mucous membrane, or parenteral contact
with: 

8.A child or adolescent is considered obese if they
have a body mass index (BMI) of:

9.A patient who is in the second trimester of her
pregnancy tells the RN that her sister developed a darkened line in the midline
of her abdomen from the symphysis pubis to the umbilicus when she was pregnant.
 The patient asks what other skin changes she might expect to see during
her pregnancy.  The RN should tell the patient that she might notice:

10.Obesity in children has been directly correlated to
all of the following conditions except: The answer is not these:

11.The embryonic phase is the 8-week period during
which the fertilized ovum develops into an organism with most of the features
of the human

12.A pregnant woman tells the RN, “I smoke a pack of
cigarettes every day.  Will smoking hurt my baby?” The RN’s best reply
would be:

13.All of the following are considered
contra-indications for receiving administration of live virus vaccines except: 

14.A primigravida should feel quickening (or the first
perception of fetal movement)  at about

15.For the health care worker is involved in an
accidental puncture wound with a hypodermic needle.  If medically
indicated, , post exposure prophylaxis should begin within which time frame?

16.All vaccines that are administered intramuscularly
in infants and young children are given in the: 

Insert needle at a 90° angle into the anterolateral thigh muscle for

17.Fatigue and breast tenderness are which of the
following signs of pregnancy?

18.All of the following vaccines could be administered
at the 11-12y/o well child check except:

19.In an interview with a pregnant patient, the nurse
discussed three risk factors that have been cited as having a possible effect
on prenatal development.  Which of the following group accurately reflects
the factors?

20.During pregnancy the plasma volume increases to a
greater extent than the number of red blood cells.  This change results
in:

Hemodilutional anemia (Physiologic anemia of pregnancy). Decrease in Hgb and

21.The Vaccines for Children program is a federally
funded vaccine program that covers the cost of vaccination for:

22.A patient complains during her first few months of
pregnancy, “It seems like I have to go to the bathroom every five minutes.”
 She denies burning on urination.  The nurse should explain this is
because:

23.Occupational health takes place within the work
setting.  Which statement best describes the over-arching goal of
occupational health? 

24.Which client would be able to receive the Flu Mist
nasal vaccine instead of the seasonal influenza injection?

25.A nurse teaching a pregnant patient about the
importance of iron in her diet, tells her to avoid consuming which of the
following foods at the same time as her iron supplement because it decreases
iron absorption.

26.A patient’s first child had spina bifida (a neural
tube defect).  Pre-conceptually and during her next pregnancy the
physician will recommend increased supplementation of:

27.You are working in an adolescent health center when
a 15-year-old-girl shares with you that she thinks she is pregnant and is
worried that she may now have a sexually transmitted infection (STI).  Her
pregnancy test is negative.  What is your next priority of care?

28.Which statement by a pregnant client at 16
weeks gestation indicates a potential nutritional problem and should be further
discussed?

29.Which of the following describes the
bluish-purplish discoloration of the cervix/vaginal mucosa and is considered a
probable sign of pregnancy?

30.Which of the following lab values for a pregnant
woman would need reporting to a physician and follow-up management: 

31.An occupational nurse is working to do provide a
program that focuses on health promotion. Which of the following is an example
of a health promotion activity?

32.Persistent blurred vision, edema of the hands and
face, and a headache not disappearing with Tylenol and rest are all symptoms
associated with:

33.Which symptoms should a pregnant patient report
immediately to their healthcare provider?

34.Which of the following is true concerning Fetal
Movement Counts:

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35.Folic acid is an important dietary component for
the fetus.  Which combination provides the highest quantity? 

36.When completing a facility assessment, the
occupational health nurse will take several aspects into account.  What is
the first stage of the assessment? 

37. The RN has just been stuck with a syringe while
dropping it into a sharps container that was too full in a client's room. Which
of the following steps should be taken first for a puncture?

38.A client diagnosed with an infectious disease asks
the nurse how the infection “got inside” her body. Which responses would be
appropriate for the nurse to make?