A school nurse is planning a health fair for the caregivers of children entering kindergarten. Which of the following primary prevention topics should the nurse include?

Required immunizations

Nutrition for children who have diabetes

Emergency disaster planning

Screening for a pediculosis breakout

Answer and Explanation

The Correct Answer is A

Rationale:

A. Required immunizations: Immunizations are a key aspect of primary prevention, as they protect children from preventable diseases before exposure occurs. Including information about required vaccines at the kindergarten level helps caregivers ensure children are protected and supports community health.

B. Nutrition for children who have diabetes: Nutrition management for children with diabetes is considered secondary or tertiary prevention, as it involves managing an existing condition rather than preventing disease onset. It is not the focus for primary prevention at a general health fair.

C. Emergency disaster planning: While disaster planning is important for safety, it is not classified as primary prevention of disease. It addresses preparedness rather than preventing the initial occurrence of a health condition.

D. Screening for a pediculosis breakout: Screening is a secondary prevention activity because it involves early detection of an existing condition (lice infestation). It does not prevent the initial occurrence of disease, so it is not a primary prevention topic.

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Correct Answer is B

Explanation

Rationale:

A. "You will receive a dose of misoprostol to initiate contractions.": Misoprostol is used for cervical ripening and induction of labor, not for a contraction stress test. A CST uses nipple stimulation or low-dose oxytocin to produce mild contractions. Using misoprostol would create strong, prolonged contractions that could endanger the fetus.

B. "I will apply an external fetal heart rate monitor during the test.": A contraction stress test evaluates how the fetal heart rate responds to contractions. External fetal monitoring is required to record the fetal heart pattern and contraction frequency, allowing the provider to assess for late decelerations that indicate uteroplacental insufficiency. This reflects accurate and essential teaching for the procedure.

C. "I will give you a terbutaline injection after the test.": Terbutaline is a tocolytic used to stop contractions, but it is not routinely administered after a CST. The contractions produced during a CST are mild and temporary, and terbutaline is only given if excessive contractions occur, which is not expected in normal testing.

D. "I will apply an oxygen face mask during the test.": Oxygen is not routinely administered during a CST because the goal is to observe how the fetus tolerates normal physiologic contractions. Oxygen is used only if fetal distress occurs, so including it in routine teaching suggests an incorrect understanding of the procedure.

A. Report the pump has a frayed cord and proceed with the infusion. B. Check the expiration date on the safety inspection sticker of the pump C. Obtain a surge protector that can accommodate the pump and several other appliances. D. Verify that the extension cord for the pump is ungrounded

Correct Answer is B

Explanation

Rationale:

A. Report the pump has a frayed cord and proceed with the infusion: Using a pump with a frayed cord is unsafe and poses a risk of electrical shock or malfunction. The pump should not be used until it is repaired or replaced, so proceeding with the infusion is inappropriate.

B. Check the expiration date on the safety inspection sticker of the pump: Verifying that the infusion pump has a current safety inspection ensures that the device has been tested and is functioning properly. This action is essential to prevent mechanical failure and maintain patient safety during IV therapy.

C. Obtain a surge protector that can accommodate the pump and several other appliances: Infusion pumps should be plugged directly into a properly grounded outlet to ensure consistent power and prevent electrical hazards. Connecting multiple devices through a surge protector can overload the circuit and compromise pump function.

D. Verify that the extension cord for the pump is ungrounded: Using an ungrounded extension cord increases the risk of electrical shock and device malfunction. Only properly grounded outlets and cords should be used with infusion pumps to maintain safety.

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A school nurse is planning a health fair for the caregivers of children entering kindergarten. Which of the following primary prevention topics should the nurse include?

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