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Questions 149

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Question 1 of 5

The nurse is caring for an unvaccinated child who developed complications related to German measles (rubella). Which of the following infection control protocols is appropriate?

Correct Answer: C

Rationale: Rubella is transmitted via respiratory droplets, requiring standard and droplet precautions (
C). Contact (
B) and airborne (
D) precautions are not indicated for rubella.

Question 2 of 5

A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?

Correct Answer: D

Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.

Question 3 of 5

The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

Correct Answer: D

Rationale: Most children have all 20 primary teeth by 30 months, with eruption typically completing between 2-3 years.

Question 4 of 5

A client with rheumatoid arthritis has Sjogren's syndrome. The nurse can help relieve the symptoms of Sjogren's syndrome by:

Correct Answer: B

Rationale: Sjogren's syndrome causes dry eyes, and artificial tears (eyedrops) help relieve this symptom.

Question 5 of 5

Which of the following is NOT considered a risk factor for developing breast cancer?

Correct Answer: C

Rationale: Early menarche, nulliparity, and uterine cancer history increase breast cancer risk due to prolonged estrogen exposure or shared risk factors. Early menopause reduces risk by decreasing estrogen exposure.

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