The nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, which statement does the nurse know to be most accurate? The woman is:

Correct Answer: B

Rationale: The correct answer is B because the woman's verbal statement ("excited about the pregnancy") does not align with her nonverbal behaviors (looking nervously at her hands, sighing loudly). This inconsistency between verbal and nonverbal communication is a key indicator of potential underlying concerns or emotions that the woman may not be openly expressing. Option A can be ruled out because there is no direct indication of nervousness about labor. Option C is incorrect as there is no mention of the husband's feelings in the scenario. Option D is not supported by the information provided; the woman did not express fear of the nurse's response but rather exhibits nonverbal cues that may indicate hidden concerns or anxieties. Thus, option B is the most accurate choice based on the observed mismatch between verbal and nonverbal behaviors.

Correct Answer: B

Rationale: The drumlike percussion sound over the abdomen suggests air-filled areas. This occurs because air in the stomach or intestines resonates when tapped, creating a hollow sound. This finding is consistent with conditions like gastric distention or bowel obstruction. Constipation (A) would not typically produce a drumlike sound. The presence of a tumor (C) or dense organs (D) would not lead to this specific percussion finding.

Correct Answer: A

Rationale: The correct answer is A because a tympanic membrane thermometer provides rapid measurements, making it ideal for uncooperative younger children. This is crucial in clinical settings where quick and accurate temperature readings are necessary. Choice B is incorrect as the TMT may not be the most accurate method for newborn infants due to their delicate ear structure. Choice C is incorrect as TMT devices can be relatively expensive. Choice D is incorrect as studies may not strongly support the use of TMT in children under 6 years due to factors like accuracy and reliability.

Correct Answer: B

Rationale: The correct answer is B: Detect the presence of an auscultatory gap. Performing a palpated pressure before auscultating blood pressure helps detect an auscultatory gap, which is a period of silence between the systolic and diastolic readings. This is important because relying solely on Korotkoff sounds may lead to missing this gap, resulting in inaccurate blood pressure readings. The other choices are incorrect because: A: More clearly hearing Korotkoff sounds is not the primary purpose of palpated pressure. C: Palpated pressure does not specifically help avoid missing a falsely elevated blood pressure. D: Identifying phase IV of Korotkoff sounds is not the main objective of performing palpated pressure.

Correct Answer: D

Rationale: The correct answer is D: Replaced every 4 weeks. The epidermis is continuously renewing itself through a process called desquamation, where old cells are shed and replaced by new ones. This turnover process typically takes around 4 weeks. This statement would be included in the module to educate the nursing staff on the dynamic nature of the epidermis. A: Highly vascular is incorrect because the epidermis is avascular, meaning it does not contain blood vessels. B: Thick and tough is incorrect as the epidermis is actually thin and serves as a protective barrier for the body. C: Thin and nonstratified is incorrect because the epidermis is stratified, consisting of multiple layers of cells.