The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

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Question 1 of 5

The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

Correct Answer: A

Rationale: The best way to determine whether an adolescent girl is sexually active is to ask her directly, "Are you sexually active?" This question is concise, clear, and non-judgmental, allowing the girl to provide a straightforward answer. It is important to create a safe and open environment for discussing sexual health, and using direct language helps ensure accurate communication. Asking about specific partners (options B and C) may lead to confusion or misinterpretation, and involving the parent (option D) without the girl's consent may violate her privacy and autonomy. Therefore, direct communication with the adolescent herself is the most appropriate approach to gather information about her sexual activity.

Question 2 of 5

The child refusing to go to bed and remaining active is likely due to

Correct Answer: D

Rationale: Limit-setting insomnia involves resistance to bedtime routines.

Question 3 of 5

Which of the following malignancies is least likely to occur in a 10-month-old infant?

Correct Answer: D

Rationale: Hepatoblastoma is rare in infants under 1 year old, being more common in toddlers.

Question 4 of 5

To prevent plagiocephaly, the nurse should teach parents to:

Correct Answer: A

Rationale: Placing the infant prone (on their stomach) for 30 to 60 minutes per day while they are awake is an effective way to prevent plagiocephaly, which is the flattening of the back or side of an infant's head. This practice helps to alleviate pressure on one particular area of the skull and promotes balanced head growth. It is important for parents to follow safe sleep guidelines and avoid having infants sleep on their stomachs, as this position is associated with an increased risk of sudden infant death syndrome (SIDS). Therefore, the recommended practice of placing the infant prone for short periods during supervised awake time helps prevent plagiocephaly without compromising the infant's safety during sleep.

Question 5 of 5

Which age group should the pediatric nurse recognize as being vulnerable to events that lessen their feeling of control and power?

Correct Answer: A

Rationale: Infants are the age group that the pediatric nurse should recognize as being vulnerable to events that lessen their feeling of control and power. Infants are entirely dependent on others for their care and are still developing their sense of self and autonomy. They are unable to communicate their needs effectively and rely on caregivers to interpret and respond to their cues. Any disruptions in routine or changes in their environment can make infants feel insecure and powerless. Therefore, the pediatric nurse should be particularly attentive to the emotional needs and sense of control of infants when providing care.

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