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Questions 149

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Question 1 of 5

Which cephalic presentation is most common during delivery of a neonate?

Correct Answer: A

Rationale: Vertex presentation (
A), with the head flexed and occiput leading, is the most common (95%) during delivery.

Question 2 of 5

A client with alcoholism has been instructed to increase his intake of thiamine. The nurse knows the client understands the instructions when he selects which food?

Correct Answer: D

Rationale: Sliced pork is a rich source of thiamine (vitamin B1), which is critical for preventing Wernicke's encephalopathy in clients with alcoholism.

Question 3 of 5

A client is prescribed heparin 5,000 units subcutaneously every 12 hours for deep vein thrombosis prophylaxis. The pharmacy dispenses a vial containing 10,000 units/1 ml. How many milliliter(s) of heparin should the nurse administer?

Correct Answer: 0.5 mL

Rationale: Dose: 5,000 units. Concentration: 10,000 units/mL. Volume = 5,000 ÷ 10,000 = 0.5 mL per dose.

Question 4 of 5

Which finding is associated with Tay Sachs disease?

Correct Answer: B

Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.

Question 5 of 5

A pregnant woman has experienced repeated vaginal monilial infections. When educating the client about the infection, which information should the nurse include? Select all that apply.

Correct Answer: A,B,C

Rationale: Daily bathing (
A), understanding estrogen's role in yeast growth (
B), and wearing cotton panties (
C) help manage monilial infections. Panty liners (
D) may trap moisture, and avoiding panties (E) is impractical.

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