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Question 1 of 5

A 20-year-old woman calls the outpatient clinic to schedule her first Papanicolaou's smear. The nurse should instruct the client to

Correct Answer: B

Rationale: douching would affect appearance of cells in vaginal smear, would make test inaccurate

Question 2 of 5

Which of the following assessments would be a priority when documenting the nursing history of a two-year-old child?

Correct Answer: A

Rationale: during a crisis such as hospitalization, children are able to establish a sense of security through consistency of the rituals and routines from home

Question 3 of 5

The lab reports a lecithin/sphingomyelin (L/S) ratio of 3:1 for a client who has been on bedrest 48 hours in an unsuccessful attempt to arrest premature labor at 33-weeks gestation. Based on this result, the nurse would anticipate

Correct Answer: C

Rationale: because the lungs are adequately mature, there is no need to attempt to postpone labor; delivery by cesarean section is generally preferred for preterm infants

Question 4 of 5

The nurse knows which of the following is an important consideration in the care of a newborn with fetal alcohol syndrome?

Correct Answer: D

Rationale: frequently, maternal diet is poor, and infant is malnourished; adequate intake of B complex vitamins is necessary for normal CNS function

Question 5 of 5

A 5-year-old boy is brought to the emergency room after ingesting a bottle of baby aspirin. The nurse should observe the boy for which of the following signs and symptoms?

Correct Answer: D

Rationale: symptoms of overdose

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