Which findings are normal age-related physiological changes? Select all that apply.

Decline in long-term memory

Diminished visual acuity

Increased heart rate

Decreased stress response

Increased susceptibility to urinary tract infections

Answer and Explanation

Correct Answer : A,B,D,E

A. A decline in long-term memory can be a normal part of aging. While significant memory loss should be evaluated further, some decrease in memory recall is typical as people age.
B. Diminished visual acuity, such as presbyopia (difficulty focusing on close objects), is a common age-related change. Visual changes due to aging are typically benign but should be monitored.
C. An increased heart rate is not a typical age-related change. Aging usually leads to a decreased maximum heart rate and reduced cardiac output.
D. A decreased stress response is a normal age-related change. Older adults may experience a blunted physiological response to stress compared to younger individuals.
E. Increased susceptibility to urinary tract infections is a common issue among older adults, often due to changes in the urinary tract and immune system.

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Correct Answer is B

Explanation

A. Rubella vaccination is not recommended during pregnancy due to potential risks to the fetus.
B. The rubella vaccine should be administered shortly after giving birth to avoid any risks to the developing fetus and to provide protection before future pregnancies.
C. Immediate vaccination is not recommended as rubella vaccination should be avoided during pregnancy.
D. Rubella vaccination should be given postpartum rather than during the next attempt to get pregnant.

A. The largest fetal diameter has passed through the pelvic outlet B. The posterior fontanel is palpable C. The lowermost portion of the fetus is at the level of the ischial spines D. The fetal head is in the left occiput posterior position

Correct Answer is C

Explanation

A. The largest fetal diameter passing through the pelvic outlet would indicate that the fetus has progressed further down the birth canal, beyond 0 station. This usually corresponds to a positive station, where the presenting part is below the ischial spines.
B. The palpation of the posterior fontanel refers to the position of the fetal head, which is not directly related to the station. Station is about the level of the presenting part relative to the ischial spines, not specific to fontanel palpation.
C. A 0 station indicates that the presenting part of the fetus, typically the head in a cephalic presentation, is at the level of the ischial spines. This is a key landmark in labor progression, signifying that the fetal head is engaged in the pelvis.
D. The left occiput posterior (LOP) position refers to the orientation of the fetal head relative to the maternal pelvis, not the station. Station is about the descent of the presenting part, not its orientation.

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Which findings are normal age-related physiological changes? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?

Correct Answer is B

Explanation

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?

Correct Answer is C

Explanation

A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?

Which findings are normal age-related physiological changes? Select all that apply.

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?