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A patient comes to the family planning clinic requesting information.Which information should the nurse obtain initially to determine the patient’s knowledge base?.

The amount of sexual experience that the patient has had.

The type of contraceptive that the patient’s friends are using.

The reason for the patient’s visit at this time.

The method of contraception that the patient believes will provide protection from sexually transmitted diseases.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The reason for the patient’s visit at this time.

This information will help the nurse assess the patient’s motivation, readiness, and urgency for contraception.

It will also help the nurse tailor the education and counseling to the patient’s specific needs and preferences.

Choice A is wrong because the amount of sexual experience that the patient has had is not relevant to determine the patient’s knowledge base.

It may also make the patient feel uncomfortable or judged.

Choice B is wrong because the type of contraceptive that the patient’s friends are using is not a reliable source of information.

Different methods may have different advantages and disadvantages for different people.

The nurse should provide evidence-based information and guidance on various options.

Choice D is wrong because the method of contraception that the patient believes will provide protection from sexually transmitted diseases may not be accurate or effective.

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Correct Answer is A

Explanation

A rubella titer of 1:33 indicates a low level of immunity to rubella, which can be dangerous for a pregnant woman and her fetus.

Rubella is a viral infection that can cause birth defects or miscarriage if contracted during pregnancy.A rubella titer of 1:10 or higher is considered protective.

Choice B is wrong because a non-reactive serologic test for syphilis (STS) means that the patient does not have syphilis, which is a bacterial infection that can also harm the fetus if untreated.

Choice C is wrong because blood type A-negative does not require further assessment unless the patient has antibodies to the Rh factor, which can cause hemolytic disease of the newborn if the fetus is Rh-positive.

This can be prevented by giving the patient Rh immunoglobulin injections during pregnancy and after delivery.

Choice D is wrong because hemoglobin 12.2 gm/dL is within the normal range for a pregnant woman, which is 11 to 14 gm/dL.

Hemoglobin is the protein in red blood cells that carries oxygen.

A low hemoglobin level can indicate anemia, which can affect the oxygen delivery to the fetus and increase the risk of preterm labor or low birth weight.

A. They need less supplemental iron than women who have been menstruating longer because their reserves are generally greater. B. They have less need for simple carbohydrates than older women because they are able to convert fat stores into usable glucose. C. Their need for protein exceeds that of pregnant women over 20 years of age. D. Their need for vitamin C is greater than that of pregnant women over 20 years of age.

Correct Answer is C

Explanation

The correct answer is choice C.Adolescents need more protein than older pregnant women because they are still growing themselves and need to support the growth of the baby and the placenta.Protein can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.

Choice A is wrong because adolescents need more supplemental iron than older women, not less.This is because they have lower iron stores due to rapid growth and menstruation.Iron deficiency can cause anemia and increase the risk of infections and bleeding.Iron can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.

Choice B is wrong because adolescents need more carbohydrates than older women, not less.Carbohydrates provide energy for the mother and the baby and spare protein for other functions.Carbohydrates can be found in grains, fruits, vegetables, and dairy products.

Choice D is wrong because adolescents need the same amount of vitamin C as older pregnant women, which is 85 milligrams per day.Vitamin C helps with wound healing, collagen formation, iron absorption, and immune function.Vitamin C can be found in citrus fruits, tomatoes, peppers, broccoli, potatoes, and fortified juices.

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A patient comes to the family planning clinic requesting information.Which information should the nurse obtain initially to determine the patient’s knowledge base?.

Nursing Test Bank

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