Professional Documents
Culture Documents
Id:
139447
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The
patient states, Everybody knows that alcohol is bad during pregnancy, but whats the big deal about ecstasy?
The best response by the nurse is: Ecstasy:
Stimulus
Answer
Choice 1
Can cause a high fever in you and therefore cause the baby harm.
Rationale 1
Answer 1
true
Choice 2
Leads to deficiencies of thiamine and folic acid, which help the baby
develop.
Rationale 2
Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic
acid helps prevent neural tube defects.
Answer 2
false
Choice 3
Produces babies with small heads and short bodies with brain function
alterations.
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO03_Q01
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO01 - Summarize the effects of alcohol and illicit drugs on the childbearing
woman and her fetus/newborn.
Question 139448
Id:
139448
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which of
the following statements made by the patient indicates to the nurse that the patient has understood the
teaching?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
true
Choice 3
Rationale 3
It is not known how much alcohol will cause fetal damage; therefore, alcohol
during pregnancy is contraindicated.
Answer 3
false
Choice 4
I can drink alcohol while breastfeeding since it doesnt pass into breast
milk.
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO03_Q02
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO01 - Summarize the effects of alcohol and illicit drugs on the childbearing
woman and her fetus/newborn.
Question 139449
Id:
139449
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A womans history and appearance suggest drug abuse. The nurses best approach would be to:
Stimulus
Answer
Choice 1
Rationale 1
The best method of dealing with the patient that the nurse suspects of using
drugs is to be direct and ask the question in a direct fashion without
prejudice, bias, or negative body language. Lack of judgmental
attitudes/body language typically results in honest answers.
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO03_Q03
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO01 - Summarize the effects of alcohol and illicit drugs on the childbearing
woman and her fetus/newborn.
Question 139450
Id:
139450
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A 20-year-old woman is at 28 weeks gestation. Her prenatal history reveals past drug abuse, and urine
screening indicates that she has recently used heroin. The nurse should recognize that the woman is at
increased risk for:
Stimulus
Answer
Choice 1
Erythroblastosis fetalis.
Rationale 1
Answer 1
false
Choice 2
Diabetes mellitus.
Rationale 2
Answer 2
false
Choice 3
Abruptio placentae.
Rationale 3
Answer 3
false
Choice 4
Pregnancy-induced hypertension.
Rationale 4
Women who use heroin are at risk for poor nutrition, anemia, and pregnancyinduced hypertension (or pre-eclampsia).
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO03_Q04
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO01 - Summarize the effects of alcohol and illicit drugs on the childbearing
woman and her fetus/newborn.
Question 139451
Id:
139451
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient with insulin-dependent type 2 diabetes and an HbA1c of 5.0% is planning to become pregnant soon.
What anticipatory guidance should the nurse provide this patient?
Stimulus
Answer
Choice 1
Insulin needs decrease in the first trimester and increase during the third
trimester.
Rationale 1
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO02 - Discuss the pathology, treatment, and nursing care of pregnant women
with diabetes mellitus.
Question 139452
Id:
139452
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A newly diagnosed type 1, insulin-dependent diabetic with good blood sugar control is at 20 weeks gestation.
She asks the nurse how her diabetes will affect her baby. The best explanation would include:
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
true
Choice 3
As long as you control your blood sugar, your baby will not be affected at
all.
Rationale 3
The demands of pregnancy will make it difficult for the best of patients to
control blood sugar on a regular basis.
Answer 3
false
Choice 4
Your baby might have high blood sugar for several days.
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO02 - Discuss the pathology, treatment, and nursing care of pregnant women
with diabetes mellitus.
Question 139453
Id:
139453
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A 26-year-old multigravida is 28 weeks pregnant. She has developed gestational diabetes. She is following a
program of regular exercise, which includes walking, bicycling, and swimming. What instructions should be
included in a teaching plan for this patient?
Stimulus
Answer
Choice 1
Exercise either just before meals or wait until two hours after a meal.
Rationale 1
It is best to exercise just after the meal in order to utilize the glucose.
Answer 1
false
Choice 2
Rationale 2
Answer 2
true
Choice 3
Rationale 3
Answer 3
false
Choice 4
If your blood sugar is more than 120 mg/dl, drink a glass of whole milk.
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO02 - Discuss the pathology, treatment, and nursing care of pregnant women
with diabetes mellitus.
Question 139454
Id:
139454
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A 31-year-old woman who is at high risk for diabetes is at 18 weeks' gestation. During her first antenatal visit,
which is the accurate approach to evaluating the patient for diabetes?
Stimulus
Answer
Choice 1
Begin serial testing of the patient's serum glucose and HA1c at 24 weeks'
gestation.
Rationale 1
Women at high risk for type 2 DM should be screened for diabetes as soon as
possible.
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Women at high risk for type 2 DM should be screened for diabetes as soon as
possible.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO02 - Discuss the pathology, treatment, and nursing care of pregnant women
with diabetes mellitus.
Question 139455
Id:
139455
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The pregnant patient at 23 weeks gestation has a hemoglobin of 9.5. Which diet choice indicates that teaching
has been effective?
Stimulus
Answer
Choice 1
Rationale 1
This diet is high in calcium. The patient has iron-deficiency anemia and
requires a high-iron diet.
Answer 1
false
Choice 2
Rationale 2
This patient is anemic and needs iron. This meal contains iron in the beef,
folic acid in the spinach, and vitamin C in the tomato soup and orange juice.
Vitamin C helps absorption of the iron; folic acid is needed for production of
red cells.
Answer 2
true
Choice 3
Rationale 3
This meal has a moderate amount of protein, but no vitamin C. The meal
containing beef is better.
Answer 3
false
Choice 4
Rationale 4
This meal is high in fiber, low in fat, and moderately high in protein, but low
in iron. This patient is anemic and needs iron.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO03 - Distinguish among the four major types of anemia associated with
pregnancy with regard to signs, treatment, and implications for pregnancy.
Question 139456
Id:
139456
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A woman at 30 weeks' gestation and a history including sickle cell anemia presents to the clinic complaining of
fever, chills, and diarrhea for three days. What are the most serious potential complications faced by this
patient?
Stimulus
Answer
Choice 1
Electrolyte imbalance
Rationale 1
While the patient may experience electrolyte imbalance, sickle cell crisis is
the most serious potential complication of dehydration and fever.
Answer 1
false
Choice 2
Rationale 2
Dehydration and fever can trigger sickling and crisis; for this reason,
maternal infections are treated promptly.
Answer 2
true
Choice 3
Rationale 3
Fever, chills, and dehydration in the patient with sickle cell anemia are not
associated with an increased incidence of neural tube defects.
Answer 3
false
Choice 4
Severe lethargy
Rationale 4
While the patient may develop severe lethargy, her greatest risk concerns
development of sickle cell crisis.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO03 - Distinguish among the four major types of anemia associated with
pregnancy with regard to signs, treatment, and implications for pregnancy.
Question 139457
Id:
139457
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A patient who is at 18 weeks' gestation has been newly diagnosed with megaloblastic anemia. Which statement
by the patient indicates that she understands the teaching?
Stimulus
Answer
Choice 1
I should include fresh leafy green vegetables, red meat, fish, poultry, and
legumes in my diet.
Rationale 1
Answer 1
true
Choice 2
Rationale 2
Folic acid, which is crucial for inclusion in the diet of patients with
megaloblastic anemia, is easily destroyed by overcooking or cooking with
large quantities of water.
Answer 2
false
Choice 3
Rationale 3
Maternal folic acid deficiency has been associated with an increased risk of
neural tube defects (NTDs) such as spina bifida, meningomyelocele, and
anencephaly in the newborn.
Answer 3
false
Choice 4
My body makes red blood cells that are smaller than they should be."
Rationale 4
In megaloblastic anemia, red blood cells become enlarged and are fewer in
number.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO03 - Distinguish among the four major types of anemia associated with
pregnancy with regard to signs, treatment, and implications for pregnancy.
Question 139458
Id:
139458
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient at 9 weeks gestation has been told that her HIV test was positive. The patient is very upset and
tells the nurse, I didnt know I had HIV! What will this do to my baby? The nurse knows teaching has been
effective when the patient states:
Stimulus
Answer
Choice 1
Rationale 1
Most of the medications that control HIV progression are safe to take during
pregnancy. Antiretroviral medications are recommended during pregnancy to
prevent perinatal transmission.
Answer 1
false
Choice 2
My baby will probably be born with anti-HIV antibodies, but that doesnt
mean it is infected.
Rationale 2
Babies of HIV-positive women or women with AIDS are born with maternal
anti-HIV antibodies. These antibodies clear over time, and an accurate test
can be obtained by 15 months of age.
Answer 2
true
Choice 3
The pregnancy will increase the progression of my disease and will reduce
my CD4 counts.
Rationale 3
Answer 3
false
Choice 4
The HIV wont affect my baby, and I will have a low-risk pregnancy
without additional testing.
Rationale 4
beginning at 32 weeks.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO05_Q12
admin
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139459
Id:
139459
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
During her first antepartal visit, a patient who is at 10 weeks' gestation reports that she is HIV-positive. Which
statement made by the patient indicates an understanding of the plan of care both during the pregnancy and
postpartally?
Stimulus
Answer
Choice 1
"I'm supposed to take highly active antiretroviral therapy (HAART), but only
during the first trimester."
Rationale 1
Answer 1
false
Choice 2
Rationale 2
HIV transmission can occur during pregnancy and through breast milk;
however, it is believed that the majority of all infections occur during labor
and birth.
Answer 2
true
Choice 3
"If I have a cesarean section, there's an increased risk that my HIV will be
passed to my baby."
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Evaluating
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO05_Q13
admin
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139460
Id:
139460
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A woman is 32 weeks pregnant. She is HIV-positive, but asymptomatic. What would be important in managing
her pregnancy and delivery?
Stimulus
Answer
Choice 1
Rationale 1
All invasive procedures that would expose the uninfected infant to the HIV
virus are avoided.
Answer 1
false
Choice 2
Rationale 2
Answer 2
true
Choice 3
Rationale 3
All invasive procedures that would expose the uninfected infant to the HIV
virus are avoided.
Answer 3
false
Choice 4
Rationale 4
Antibiotics would be ineffective for either the mother or the infant who was
HIV-positive.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO05_Q14
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139461
Id:
139461
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A pregnant woman is married to an intravenous drug user. She had a negative HIV screening test just after
missing her first menstrual period. What would indicate that the patient needs to be retested for HIV?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
The patient would have a decrease in blood pressure and no ankle edema.
Answer 2
false
Choice 3
Rationale 3
Shortness of breath and frequent urination do not indicate a need to retest for
HIV.
Answer 3
false
Choice 4
Rationale 4
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO05_Q15
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139462
Id:
139462
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is reviewing prenatal charts. A patient at 24 weeks has a history of class II heart disease secondary to
rheumatic fever. What would the nurse expect to see in the chart?
Stimulus
Answer
Choice 1
Rationale 1
Dyspnea and angina with mild exertion are not expected with class II heart
disease even during pregnancy, but are symptoms seen in class IV heart
disease.
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Lumbar epidural analgesia decreases the stress response during labor, while
vacuum extraction or forceps decreases maternal pushing efforts. Both of
these decrease stress on the heart during birth.
Answer 3
true
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO06_Q16
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139463
Id:
139463
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The prenatal clinic nurse has received four phone calls. Which patient should be called first?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
true
Choice 2
Multip at 6 weeks with a seizure disorder inquiring what foods are good folic
acid sources for her
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
Choice 4
false
Multip at 11 weeks with untreated hyperthyroidism describing the onset of
vaginal bleeding
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Source Chapter Number:
Source Chapter Title:
Chapter 15_LO07_Q17
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139464
Id:
139464
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient was found to have hepatitis B surface antigen (HBsAG) early in her pregnancy. The nurse is
explaining to the patient what will happen during labor and birth because the patient is contagious for hepatitis
B. Which statement by the patient indicates that additional teaching is needed?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 15_LO07_Q18
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6: