Health Promotion and Maintenance 2

Calculate the pregnant mother’s expected delivery date based on this information:

• First day of last menstrual period (LMP): August 12, 2018
• Last day of the LMP: August 19, 2018
• Menstrual periods: regular
• Gravida 1, Para 1, Abortions 0, Living children 2

A nurse enters the exam room of a new pediatric client. The nurse notices there are four adults in the room and one other child. The nurse asks for everyone to identify themselves and notes that the new pediatric client is with the child’s mother, step-father, father, step-mother, and half-brother from her father and step-mother. What type of family dynamic is described?

The nurse is preparing immunizations for a 12-month-old child. The child is previously up to date on his vaccinations. The nurse anticipates preparing which of these immunizations? Select all that apply

A. MMR
B. Tdap
C. Rotavirus
D. Varicella
E. Meningococcal

A 44-year-old HIV-positive client presents to the emergency room for concerns of cellulitis in his arm. The client admits to frequently injecting illicit drugs in that arm. Which preventive-care statement made by the nurse is the most appropriate for the client?

A nurse asks a 17-year-old female about her sexual status. The client states that she is not sexually active, but she and her girlfriend have been talking about it and are planning to be in the near future. Which statement by the nurse is most appropriate?

A mother calls with concern that her one-week-old son’s breasts are swollen and leaking a small amount of clear fluid. Which response by the nurse is most appropriate?

Several children are being assessed for well visits at a clinic. About which child would the nurse be concerned for a delayed developmental milestone?

The nurse is caring for an 87-year-old male with Parkinson’s disease. He tells the nurse he just recently lost his wife who helped care for him. He does not have any children and he expresses great worry about being alone. He tells the nurse that he doesn’t have anything to live for anymore and everyone would be better if he just died. Which statement by the nurse is most appropriate?

The nurse is assessing a new mother four hours post delivery. The nurse notes that the mother’s uterus is soft and, on palpation, several large blood clots are expelled. Which of the following interventions should the nurse perform first?

A client with newly diagnosed hypertension asks the nurse if there are any dietary recommendations he should try to follow. Which of the following dietary recommendations should the nurse recommend?

At her well woman exam, a 37-year-old woman asks the nurse when the best time is to perform a breast self exam. Which response by the nurse is most appropriate?

A mother brings her two-month-old infant in for a well visit. The child is up-to-date on immunizations to this point. The nurse anticipates preparing which immunizations?

The nurse receives results on a client’s fasting glucose to assess for diabetes mellitus. The client’s glucose level is 145 mg/dL. Which of the following is correct?

A nurse is preparing discharge instructions for a client recovering from pneumonia. Which statement by the client indicates the need for further teaching?

A nurse is educating a client’s caregiver on how to change a bandage on a stage 4 pressure area on the client’s coccyx. Which of the following is the best way to assess the caregiver’s understanding?