A 10-year-old girl asks the nurse, "What
is the first sign of puberty?" The correct
nursing response is:
a. an increase in height.
b. breast development.
c. appearance of axillary hair.
d. the first menstrual period.
The first outward change of
1. A pregnant patient tells the nurse that she has been nauseated and
vomiting. The nurse explains that hyperemesis gravidarum is distinguished
from morning sickness because:
a. hyperemesis gravidarum usually lasts for the duration of the pregnancy.
After the examination is completed, the patient asks
the nurse why Chadwick's sign occurs during
pregnancy. The nurse would explain that it is caused
a. enlargement of the uterus.
b. progesterone action on the breasts.
c. increasing activity of th
1. The nurse measures the frequency of a laboring woman's
contractions by noting:
a. how long the patient states the contractions last.
b. the time between the end of one contraction and the
beginning of the next.
c. the time between the beginning and the
As a result of research done in the 1930s by the
a. children with heart problems are now cared for by
b. the Child Abuse and Prevention Act was passed.
c. hot lunch programs were established in many
1. While teaching the childbirth preparation class, the
nurse explains that the patient's expression of labor
a. reduces the patient's perception of pain.
b. is intensified by the vertex position of the fetus.
c. is influenced by culture.
d. can be
The amniotic fluid has several functions. What
are they? Select all that apply.
a. Maintaining an even temperature
b. Impeding excessive fetal movement
c. Lubricating fetal skin
d. Acting as reservoir for nutrients
e. Acting as cushion for fetus
At what p
1. The nurse assessing a newborn recognizes a sign of hypoglycemia, which is:
a. increased nasal mucus.
b. increased temperature.
c. activ e muscle mov ements.
d. high-pitched cry.
There are many signs of hypoglycemia in the newborn. One is a h
1. The nurse is preparing a community education program on prev entiv e health care for women. The nurse plans to tell
the women attending the program that a screening test common in women's health care is:
a. breast examination by a health profession
. The first sign of hy pov olemic shock from postpartum hemorrhage is likely to be:
a. cold, clammy skin.
b. tachy cardia.
c. hy potension.
d. decreased urinary output.
Tachycardia is usually the first sign of inadequate blood v olume.