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

Collaborating with local businesses to offer healthy food options.

Hosting a health screening event

Providing referrals to clients at the health department.

Meeting with families to provide health education.

Answer and Explanation

The Correct Answer is A

Collaborating with local businesses to offer healthy food options is an example of a public health nurse working upstream. Upstream interventions target the root causes of health problems, rather than simply treating the symptoms. Collaborating with local businesses to offer healthy food options addresses the root cause of poor nutrition and related health problems, rather than simply providing health screenings, education, or referrals which are downstream interventions that aim to address the symptoms of poor health.

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Correct Answer is A

Explanation

Assessing fetal heart rate (FHR) and maternal vital signs would be the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy. This is because fetal distress or maternal instability may require immediate medical intervention, such as delivery via emergency cesarean section or blood transfusions, respectively.

Therefore, assessing the FHR and maternal vital signs will help to determine the urgency of the situation and guide the next steps in the management of the patient. Once the patient's condition has stabilized, performing venipuncture for hemoglobin and hematocrit levels, monitoring uterine contractions, and placing clean disposable pads to collect any drainage can be done as appropriate.

A. massage the woman's fundus. B. Begin an intravenous (IV) infusion of Ringer's lactate solution. C. Call the woman's primary health care provider. D. Assess the woman's vital signs.

Correct Answer is A

Explanation

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Correct Answer is A

Explanation

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?

Readiness for induction of labor is assessed by determining the:

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:

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 pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

Which of the following patients is most at risk for uterine rupture?

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:

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?