Nursing Elites

1. A postpartum client asks the nurse about resuming sexual activity. What is the nurse's best response?

• A. You can resume sexual activity as soon as you feel ready.
• B. It is best to wait until your postpartum check-up before resuming sexual activity.
• C. You should wait at least 6 weeks before resuming sexual activity.
• D. It is safe to resume sexual activity once your lochia has stopped.

Correct answer: B

Rationale: The best response for the nurse is to advise the postpartum client to wait until the postpartum check-up before resuming sexual activity. This allows for complete healing to ensure the client's well-being and provides an opportunity to address any concerns with the healthcare provider. Choice A is incorrect because resuming sexual activity should be based on medical advice rather than personal readiness. Choice C is incorrect as the 6-week recommendation is a general guideline but individual circumstances may vary. Choice D is incorrect as the cessation of lochia is not the sole indicator for safe resumption of sexual activity.

2. What is the appropriate ventilation rate for an apneic infant?

• A. 8 to 10 breaths/min.
• B. 10 to 12 breaths/min.
• C. 12 to 20 breaths/min.
• D. 20 to 30 breaths/min.

Correct answer: C

Rationale: During resuscitation of an apneic infant, the appropriate ventilation rate is 12 to 20 breaths per minute. This rate helps provide adequate oxygenation and ventilation without causing harm to the infant. Choice A (8 to 10 breaths/min) is too low and may not provide sufficient ventilation. Choice B (10 to 12 breaths/min) is slightly below the recommended range, which may not be optimal for effective resuscitation. Choice D (20 to 30 breaths/min) is too high and may lead to overventilation and potential harm to the infant by causing hypocapnia.

3. Which statement best describes direct contact as a mode of pathogen transmission?

• A. Transmission through large aerosols produced by sneezing or coughing
• B. Transfer of an infectious agent by suspended air particles from a reservoir to a host
• C. Transmission of infectious agents carried by dust
• D. Transmission through skin-to-skin contact or body fluids

Correct answer: D

Rationale: Direct contact transmission occurs when pathogens are spread through skin-to-skin contact or body fluids. This mode of transmission includes activities like touching, kissing, or sexual contact where infectious agents can pass directly from one person to another. It does not involve large aerosols, suspended air particles, or dust as carriers of the pathogen.

4. A mother of a 2-year-old child complains that her child has a fever, sore mouth, and red eye. What will be the possible diagnosis?

• A. TB
• B. Meningitis
• C. Measles
• D. Pertussis

Correct answer: C

Rationale: The correct answer is C, Measles. Measles commonly presents with symptoms such as fever, sore mouth, and red eyes. These characteristic symptoms help differentiate measles from the other conditions listed. Tuberculosis (Choice A) typically presents with respiratory symptoms, Meningitis (Choice B) commonly presents with symptoms like headache, neck stiffness, and altered mental status, while Pertussis (Choice D) is characterized by severe coughing spells. Therefore, in this case, the symptoms described align more closely with measles.

5. Before drying off the newborn after birth, which assessment finding should the healthcare professional document to ensure an accurate gestational rating on the Ballard gestational assessment tool?

• A. Amount and area of vernix coverage
• B. Creases on the sole
• C. Size of the areola
• D. Body surface temperature

Correct answer: A

Rationale: To ensure an accurate gestational rating on the Ballard gestational assessment tool, healthcare professionals should document the amount and area of vernix coverage before drying the newborn. Drying the baby after birth could disturb the vernix, potentially affecting the gestational age assessment. Assessing and documenting the vernix coverage beforehand enables a more precise evaluation using the Ballard gestational assessment tool. Choices B, C, and D are incorrect as they are not directly related to gestational rating on the Ballard assessment tool.

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