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 C

Explanation

This tool helps in assessing the severity of withdrawal symptoms in infants who were exposed to opioids during pregnancy. Based on the Finnegan score, the nurse can implement appropriate interventions to manage the symptoms and prevent complications. While offering the infant a pacifier with a drop of mom's breast milk or tightly swaddling the infant may be helpful for soothing the infant, these interventions may not directly address the underlying hyperreflexia associated with opioid withdrawal. Placing the infant under a radiant warmer is not indicated for managing hyperreflexia.

A. How many weeks are you? B. Are you experiencing any pain?" C. When was your last ultrasound? D. "Do you plan to have a vaginal or cesarean delivery?"

Correct Answer is D

Explanation

The question that the nurse would prioritize the least during the assessment is "Do you plan to have a vaginal or cesarean delivery?" This is because the priority at this point is to determine the urgency of the situation and assess the patient's current condition. The patient's delivery plan can be addressed later after the initial assessment is completed and the patient's stability has been established.

The other questions are all important in determining the cause and severity of the bleeding and the appropriate course of action. The question about the number of weeks is important to determine the gestational age and potential causes of bleeding, as some causes are more common in certain stages of pregnancy. The question about pain can help to determine the possible causes of bleeding and the patient's comfort level. The question about the last ultrasound is important to determine the location of the placenta and whether there are any abnormalities or potential complications.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

Explanation

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

Correct Answer is D

Explanation

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

A cesarean section would be most appropriate for which of the following clients?

Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?

A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

Excessive blood loss after childbirth can have several causes; the most common is: