1. A nurse is taking a history from a woman and her common-law husband. What is the best description of this type of family?
A. Family
B. Family of
... [Show More] origin
C. Family of choice
D. Extended family - C
2. An obstetric nurse understands and works within the systems theory of family interaction. This nurse is aware that an integral part of the nursing role is to facilitate the development of a bond between the
A. new subsystem of mother/infant and the father.
B. subsystem of mother/father and the new infant.
C. subsystem of mother/father/infant and extended family.
D. new subsystem of mother/infant and significant others. - D
3. The pediatric nurse understands and works within the developmental theory of families. According to this theory, which information would be most important to provide to families with preschool children?
A. Injury prevention and immunizations
B. Sibling rivalry
C. Sleep-wake patterns
D. Couple-building and family adjustment - a
4. The clinic nurse is providing assistance to a family who lost their son in a motorcycle collision. Future planning would include counseling the family that one of the most critical times in the grieving process usually takes place in the
A. first two weeks.
B. third to fourth week.
C. fifth to sixth week.
D. eighth to tenth week. - b
5. A nurse is working with a family whose members appear cold and distant toward each other. None of the family members seems able to manage stress. Which familial role has not been met by this family?
A. Affective and coping needs
B. Economic needs
C. Physical needs
D. Socialization needs - a
6. A nurse is planning interventions to assist a family that has had a death in the immediate family group. The nurse is helping other family members to take on some of the roles left by the deceased person. Under which family theory is this nurse working?
A. Communication Theory
B. Family Developmental Stages and Theory
C. Family Systems Theory
D. Structural-Functional Theory - d
7. A nurse is planning to assess a family using a standardized tool. Before beginning the assessment, which action by the nurse is most important?
A. Ensure the family that the nurse will maintain strict confidentiality of all data.
B. Inform the family that all assessments will be shared with the health-care team.
C. Instruct the family on the various types of tools available for use.
D. Obtain agreements over the confidentiality of the information obtained. - d
8. A nurse has assessed a family that has difficulty with communication and blurring of roles, affecting daily function. Which nursing diagnosis best fits this situation?
A. Altered Family Processes
B. Caregiver Role Strain
C. Readiness for Enhanced Coping
D. Situational Family Dysfunction - a
9. A patient admitted to the hospital is from a culture with which the nurse is unfamiliar. The patient has limited English skills. The patient needs surgery but will not consent until her oldest son arrives. Which action by the nurse is best?
A. Describe all the complications that can occur if the operation is delayed.
B. Make the patient as comfortable as possible while waiting for the son.
C. Teach the patient about the value of autonomy in American health care.
D. Using an interpreter, attempt to convince the patient to consent. - b
10. A nurse is working with a patient who became critically ill and was admitted emergently. The patient's large family is coming to the hospital from several different states over several different days. Which of the following would be the best intervention to promote family cohesion and function?
A. Arrange for visitation by the hospital or family clergy member.
B. Ask the family to appoint a single spokesperson who will get all information.
C. Create a visitation schedule so that the nurses are not overwhelmed by the family.
D. Schedule a family conference when all family members have arrived. - d
1. The perinatal nurse explains to a new nurse that a female fetus has a developed ovary by
A. 8 weeks.
B. 10 weeks.
C. 12 weeks.
D. 16 weeks. - b
2. A perinatal nurse is conducting prenatal classes. This nurse explains that an incision for cesarean birth is normally made in which uterine segment?
A. Isthmus
B. Cervix
C. Apex
D. Corpus - a
3. The perinatal nurse explains to an adolescent that ova are produced and estrogen is secreted at which phase of life?
A. Puberty
B. Birth
C. The climacteric
D. Pregnancy - a
4. Which part of a woman's anatomy is used as the assessment landmark for the fetal presenting part?
A. Ischial spines
B. Sacral promontory
C. Sacral alae
D. True pelvis - a
5. A nurse is conducting prenatal classes. The nurse explains the incision made to enlarge the perineal opening for a vaginal birth. What is this incision called?
A. Colposcopy
B. Episiotomy
C. Ligation
D. Septal myotomy - b
6. Which hormone is responsible for regulating oogenesis?
A. Estrogen
B. Follicle-stimulating hormone (FSH)
C. Gonadotropin-releasing hormone (GnRH)
D. Progesterone - b
7. A pregnant woman has been advised that she has a platypelloid pelvis type. What action by the perinatal nurse is best?
A. Advise the woman that she may need a cesarean delivery.
B. Educate the woman that a posterior fetal presentation is possible.
C. Instruct the woman on specific back strengthening exercises.
D. Reassure the woman that a trial of labor will still be allowed. - a
8. A pediatric nurse has assessed a 13-year-old girl and notices that she is in thelarche. What situation does this term refer to?
A. The appearance of breast buds
B. The appearance of secondary sex characteristics
C. The first menstrual period
D. The growth of pubic hair - a
9. An adolescent in the pediatric clinic states that her vaginal secretions sometimes seem more thin, watery, and stretchable than usual. What response from the nurse is best?
A. Advise the patient that this is related to her periods.
B. Educate the patient that she is fertile when this occurs.
C. Instruct the patient to douche after her periods.
D. Screen the patient for sexually transmitted infections. - b
10. A perimenopausal woman complains to the nurse about the new onset of urinary stress incontinence. Which statement by the nurse is best?
A. "A little incontinence is normal at your age."
B. "Clonidine (Catapres) is a new treatment for this."
C. "This is probably related to decreased estrogen."
D. "We need to start you on estrogen therapy." - c
1. The nurse working in reproductive health care is aware that which of the following was a goal of the Human Genome Project?
A. Identify exact human DNA sequences and genes
B. Identify human DNA and RNA sequences
C. Measure exact human DNA sequences for chromosomal diseases
D. Measure exact human DNA sequence maps for disease prevention - a
2. A nurse is teaching a prenatal class on fetal growth and development. In which gestational week does the nurse inform the parents that the heart begins to beat?
A. Second
B. Third
C. Fourth
D. Sixth - a
3. The perinatal nurse is providing information on fetal growth and development. The nurse explains that fetal urine production begins at
A. 6 to 8 weeks.
B. 9 to 12 weeks.
C. 12 to 16 weeks.
D. 15 to 18 weeks. - b
4. A nurse is providing preconception counseling. The nurse explains that the fetus is most vulnerable to the effects of teratogens during which time period?
A. 5 to 10 weeks
B. 2 to 8 weeks
C. 4 to 12 weeks
D. 6 to 15 weeks - b
5. The nurse is conducting a prenatal visit with a newly expectant mother. The woman wants to know why the nurse is concerned about her drinking habits. Which is the best response by the nurse?
A. "Alcohol has one of the strongest effects on fetal development we know of."
B. "Asking about drug and alcohol use is a normal part of a history."
C. "High amounts of drinking can lead to bleeding problems in the fetus."
D. "Women who are pregnant should limit alcohol to 2 drinks a day." - a [Show Less]