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Practice Questions
Information provided by Kaplan Test Prep

Health Promotion & Maintenance
1.
  The nurse is teaching a class on natural family planning. Which of the following statements, if made by a client, indicates that teaching has been successful?
 
 
     
  A. “When I ovulate, my basal body temperature will be elevated for two days and then will decrease.”
 
  B. “My cervical mucus will be thick, cloudy, and sticky when I ovulate.”
 
  C. “Since I am regular, I will be fertile about 14 days after the beginning of my period.”
 
  D. “When I ovulate, my cervix will feel firm.”
 
     
     
    The correct answer is C.
  A. “When I ovulate, my basal body temperature will be elevated for two days and then will decrease.” –basal body temp decreased prior to ovulation; after ovulation, temp increases
 
 
  B. “My cervical mucus will be thick, cloudy, and sticky when I ovulate.” – fertile mucus appears clear, thin, watery, and stretchy
 
  C. “Since I am regular, I will be fertile about 14 days after the beginning of my period.” – CORRECT: ovulation occurs approx. 14 days after start of menstrual period
 
 
  D. “When I ovulate, my cervix will feel firm.” – cervix softens slightly during ovulation
 
 
 
2.
  The nurse performs a home visit on a client who delivered two days ago. The client states that she is bottle-feeding her infant. The nurse notes white, curd-like patches on the newborn's oral mucous membranes. The nurse should take which of the following actions?
 
 
 
 
     
  A. Determine the baby's blood glucose level.
 
  B. Suggest that the newborn's formula be changed.
 
  C. Remind the caretaker not to let the infant sleep with the bottle.
 
  D. Explain that the newborn will need to receive some medication.
 
     
     
    The correct answer is D.
  A. Determine the baby's blood glucose level — thrush in newborns caused by poor handwashing or exposure to an infected vagina during birth
 
  B. Suggest that the newborn's formula be changed — not related to thrush
 
  C. Remind the caretaker not to let the infant sleep with the bottle — not related to thrush
 
  D. Explain that the newborn will need to receive some medication — CORRECT: thrush most often treated with nystatin (Mycostatin)
 
 
3.
  A primigravida woman comes to the clinic for her initial prenatal visit. She is 32 weeks gestation and says that she has just moved from out-of-state. The client says that she has had periodic headaches during her pregnancy, and that she is continually bumping into things. The nurse notes numerous bruises in various stages of healing around the client’s breasts and abdomen. Vital signs are: B/P 120/80, pulse 72, resps 18, and FHT 142. Which of the following responses by the nurse is BEST?
 
 
 
 
 
     
  A. “Are you battered by your partner?”
 
  B. “How do you feel about pregnant?”
 
  C. “Tell me about your headaches.”
 
  D. “You may be more clumsy due to your size.”
 
     
     
    The correct answer is A.
  A. A. “Are you battered by your partner?” – CORRECT: evidence of injury should be investigated; assess head, neck, chest, abdomen, breasts, upper extremities
 
 
  B. “How do you feel about pregnant?” – injuries take priority
 
  C. “Tell me about your headaches.” – headaches not related to hypertension; injuries take priority
 
  D. D. “You may be more clumsy due to your size.” – assumption; need to assess
 

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