A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is:

"Smoking can reduce the quality of your sperm."

"Smoking can give you lung cancer, even though it has no effect on sperm."

"Only marijuana cigarettes affect sperm count."

"Your sperm count seems to be okay in the first semen analysis."

Answer and Explanation

The Correct Answer is A

Smoking has been linked to a variety of health issues, including decreased fertility in both men and women. It can cause damage to sperm DNA and reduce sperm motility, which can make it more difficult for sperm to reach and fertilize an egg. Therefore, smoking can contribute to infertility issues. It's important for the man to quit smoking or at least reduce his cigarette consumption to increase his chances of conception with his wife.

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Correct Answer is C

Explanation

Effective health communication requires that messages be designed with the audience's needs and characteristics in mind, and pretesting is an important part of this process. Pretesting materials for feedback about comprehension helps to ensure that the messages are clear, understandable, and culturally appropriate for the target audience. This also allows the nurse to make any necessary revisions to improve the materials' effectiveness.

The nurse's target audience should be specific to those who have infants or who are expecting an infant, rather than including all residents, as this is too broad and may not effectively reach the intended audience. Additionally, the use of radio advertisements developed in English only may not be effective for reaching all members of the community, particularly those who do not speak English as their primary language. Lastly, materials written at a high school reading level may not be appropriate for all members of the community, particularly those with lower levels of literacy.

A. I need to start an American Diabetic Association (ADA) diet“ B. l am at higher risk for a cesarean section delivery C. I am worried about getting diabetes later in life! D. "My baby is more at risk for cardiac defects”

Correct Answer is D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse in a large city is planning and developing strategies to disseminate information to residents about infant safe sleep practices. Which of the following best exhibits the nurse's understanding of effective health communication in the community?

Correct Answer is C

Explanation

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Correct Answer is D

Explanation

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

What is the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy?

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

Which of the following examples best demonstrates a public health nurse working upstream?

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except: