and Correct Detailed Answers (Verified Answers)
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5th weeks gestation the umbilical cord has - CORRECT ANSWER: 2 arteries
1 vein
10mm - CORRECT ANSWER: average resting tone during labor
16 weeks gestation - CORRECT ANSWER: Hair on scalp
20 weeks gestation the fetus has - CORRECT ANSWER: vernix and lanugo
35 weeks gestation - CORRECT ANSWER: Amniotic fluid can be tested to check fetal lung
maturity
40-70mm - CORRECT ANSWER: contractions in first stage of labor
A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but now
he knows he is not. Which response is best for the nurse to make? - CORRECT ANSWER: offer
support by assuring the client that others have suffered as he has
A client actively involved in substance addiction therapy frequently relapses into
benzodiazepines and alcohol use. The client tells the nurse, "I don't think I will ever be able to
kick this habit." How should the nurse respond? - CORRECT ANSWER: The client must
participate in making decisions about one's own physical and mental health.
A client is admitted with the diagnosis of total placenta previa. Which finding is most important
for the nurse to report to the healthcare provider immediately? - CORRECT ANSWER: on set of
uterine contractions
,A client who had a miscarriage at 10-weeks gestation tells the nurse that she already purchased
some baby things and picked out a name. After the surgical dilation and curettage (D&C), the
client wants to go home as soon as possible. Based on the client's statements, which action
should the nurse implement? - CORRECT ANSWER: Ask the client what name she picked out
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad
that no one can help me." Which response is best for the nurse to make? - CORRECT ANSWER:
How can I help?
A client with panic disorder tells the nurse, "This illness is awful. I'm frightened that I will
always be this way and that there's no hope for me." What information should the nurse provide?
- CORRECT ANSWER: Panic disorder is treatable in a number of different ways, including
medication
A client with paranoid schizophrenia has difficulty with trust and developing a trusting
relationships, the plan of care should include - CORRECT ANSWER: providing one nurse to
spend time with the client daily
A female client responds to the nurse with negative comments and antagonistic behavior. The
nurse tells the client that she is unconsciously casting the nurse in the role of the client's mother.
The nurse's feedback is based on which model of therapy? - CORRECT ANSWER:
Psychoanalytical.
A female client who is admitted for treatment of uncontrolled diabetes mellitus is withdrawn and
tearful. She complains she has gained excessive weight because she hates her diet, hates taking
insulin, and just wants to be normal again. What therapeutic action should the nurse take? -
CORRECT ANSWER: inquire about emotional factors affecting the clients present condition
A male client who is on the liver transplant list is called to the unit for a possible transplant.
When learning that the donor organ is no longer available, the client slams doors and shouts
vulgarities about his situation. What action should the nurse implement? - CORRECT
ANSWER: Express concern over his disappointment.
, A male client with schizophrenia tells the nurse that the voices he hears are saying, "You must
kill yourself." To assist the client in coping with these thoughts, which response is best for the
nurse to provide? - CORRECT ANSWER: teach the client to use self-talk to disprove the voices.
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client? - CORRECT ANSWER: There's a
strong, tough membrane there to protect the baby so you need not be afraid to wash or comb
his/her hair."
A nurse is teaching about women's health with a female client who is in a homosexual
relationship. Which topic is the most important for the nurse to address? - CORRECT ANSWER:
Domestic violence interventions.
A nurse knows Epogen is effective when - CORRECT ANSWER: heart rate decreases
A nursing diagnosis provides the focus for - CORRECT ANSWER: selecting therapeutic
interventions and outcomes
A PET scan will show - CORRECT ANSWER: cerebral activity detecting schizophrenia,
depression, and Alzheimer's
A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What
intervention should the nurse perform first? - CORRECT ANSWER: bath infant in antimicrobial
soap
A woman with heart disease is in labor, what are symptoms of greatest concern. - CORRECT
ANSWER: *Edema
*Basilar rales
*Irregular heart rate