A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?

Correct Answer: C

Rationale: The most appropriate response from the nurse is option C: “Weight lifting has many purposes and benefits; can we talk about them?” This response is correct because it acknowledges the woman's concerns and opens up a dialogue to provide education about the benefits of resistance training. Option A is incorrect because suggesting one hour of aerobics every day does not address the woman's resistance to weight lifting and does not provide a well-rounded exercise program. Option B is incorrect because while lifting weights can be beneficial, it does not address the woman's specific concerns and preferences. Option D is inappropriate as it focuses on appearance rather than the health benefits of exercise. In an educational context, it is important for nurses to understand and address individual preferences and concerns when promoting health behaviors. By engaging in a conversation with the woman about the benefits of resistance training, the nurse can provide evidence-based information to help her make informed decisions about her exercise routine. This approach promotes patient-centered care and empowers individuals to take control of their health.

Correct Answer: C

Rationale: In the context of pharmacology and health promotion, educating individuals about safety precautions when using complementary/alternative medicine (CAM) is crucial. Option C, "It is important to research and understand the treatment before starting to use it," is the correct answer. This is because individuals need to be informed about the potential benefits, risks, side effects, and interactions of CAM therapies to make safe and effective choices. Option A is incorrect because most CAM treatments are not typically covered by insurance, which is important information for individuals to be aware of when considering these therapies. Option B is incorrect because the U.S. Food and Drug Administration does not regulate dietary supplements as strictly as prescription medications, so individuals need to be cautious and research these products independently. Option D is also incorrect because there can be significant interactions between treatments prescribed by allopathic (traditional Western medicine) and holistic medicine providers, emphasizing the importance of communication between healthcare providers to ensure patient safety. In an educational setting, emphasizing the need for thorough research, consultation with healthcare providers, and understanding of CAM treatments can empower individuals to make informed decisions about their health and well-being. This knowledge can help prevent potential harm or adverse effects associated with the use of CAM therapies.

Correct Answer: C

Rationale: In this scenario, option C, "The infant is at the expected weight for his or her age," is the correct conclusion about the child's weight. This is because the child's weight gain from birth to 12 months falls within the normal range for infant growth and development. At birth, the average weight of a newborn is typically around 7-8 pounds, and by 12 months, a healthy infant can triple their birth weight. Option A, "The infant is gaining weight faster than anticipated," is incorrect because the weight gain described in the question is within the expected range for a 12-month-old child. Rapid weight gain or exceeding the growth curve significantly could indicate potential issues like overfeeding or a medical condition. Option B, "The infant is malnourished," is incorrect as there is no evidence in the question to support malnourishment. The child's weight gain, though not provided in percentile terms, is within the expected range for a 12-month-old. Option D, "The infant is having a growth spurt," is incorrect because a growth spurt typically refers to a temporary period of rapid growth, not sustained weight gain over several months as described in the question. In an educational context, understanding normal growth and development patterns in infants is crucial for healthcare providers to assess their overall health and well-being accurately. Monitoring weight trends helps identify potential issues early and allows for timely interventions if needed, promoting optimal health outcomes for children.

Correct Answer: C

Rationale: In this scenario, the most appropriate nursing intervention is option C: encouraging the person to discuss his or her fears. Chronic sorrow related to missed opportunities can be a complex emotional issue that requires therapeutic communication and emotional support. By encouraging the person to discuss their fears, the nurse creates a safe space for the individual to express their emotions, which can help in processing grief and finding coping strategies. Option A, sharing a personal story with the person, may not be the most therapeutic approach as it could shift the focus away from the individual's emotions and experiences. Option B, assuring the person they will cope with the illness, may come across as dismissive of the person's feelings and could invalidate their emotions. Option D, contacting a support group representative, is a beneficial intervention but may not address the immediate emotional needs of the person in this situation. In an educational context, it is important for nurses to understand the significance of therapeutic communication in addressing emotional concerns such as chronic sorrow. By actively listening, encouraging expression of feelings, and providing emotional support, nurses can help individuals navigate complex emotional experiences and promote overall well-being.

Correct Answer: C

Rationale: Nägele's rule is a method used to estimate the expected date of delivery (EDD) by adding 7 days to the first day of the last menstrual period (LMP), subtracting 3 months, and then adding 1 year. In this case, the LMP was January 22. Adding 7 days gives us January 29. Subtracting 3 months gives us October 29. This makes option C the most accurate estimated date of delivery. Option A (September 16) is incorrect because it does not account for the full 9-month gestation period. Option B (September 22) is also incorrect as it is too early based on the Nägele's rule calculation. Option D (October 17) is incorrect because it does not consider the additional 7 days added to the LMP. Understanding Nägele's rule is crucial for healthcare professionals working in obstetrics to accurately predict the expected date of delivery for pregnant women. This knowledge helps in monitoring fetal development, planning prenatal care, and identifying potential deviations from the expected timeline of pregnancy. It is important for nurses and midwives to be able to calculate EDD accurately to provide optimal care for both the mother and the baby.