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 D

Explanation

It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

Correct Answer is D

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

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:

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

Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

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: