HEALTH
ASSESSMENT
QNS & ANS
2 VERSIONS
2023/2024
,1. In evaluating the level of a pregnant woman’s risk of having a low-birth-weight (LBW) infant,
which factor is the most important for the nurse to consider? African-American race
2. The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary
incontinence and contributing factors in daily life is a voiding diary
3. A parent of a 6-month-old infant asks the nurse which foods should be introduced first. What is the
best response by the nurse? Baby cereals
4. The nurses working at a newly established birthing center have begun to compare their performance
in providing maternal-newborn care against clinical standards. This comparison process is most
commonly known as what? Outcomes-oriented practice
5. The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the
lower portion of the patient’s uterus is soft. This is known as Hegar's Sign
6. A 3-month-old infant hospitalized with severe diarrhea has excoriated skin in the diaper area. The
parents become concerned when they discover that the nurse has left the infant without a diaper.
What is the nurse's explanation for this action? Cleansing of the skin followed by air-drying
reduces excoriation
, 7. A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend
Births to unmarried women are more likely to have less favorable outcomes
8. The physical examination of any woman suspected of being abused or battered includes all of the
following except: ) a focus on the patient's physical appearance, not her behavior
9. A nurse is performing a respiratory assessment of an 8-month-old child with the diagnosis of viral
pneumonia. The nurse identifies bronchial breath sounds over areas of consolidation, mild
substernal retractions, profuse mucus production, pallor, and a temperature of 102° F (38.9° C).
What is the prioritynursing action? Suctioning the nasopharynx so a patent airway can be
maintained
10. During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to
provide both her care during pregnancy and deliver her infant. Which information is most
appropriate for the nurse to share with this client? She will receive fewer interventions during the
birth process.
11. Clinicians should routinely consider intimate partner violence (IPV) as a possible diagnosis for
women who present with all of the following except denial of any physical health problem