Health Promotion and
Maintenance
1. An 18-year-old woman comes to the physician's office for a
routine prenatal checkup at 34 weeks gestation. Abdominal
palpation reveals the fetal position as right occipital anterior
(ROA). At which of the following sites would the nurse expect to
find the fetal heart tone?
(A) Below the umbilicus, on the mother's left side.
(B) Below the umbilicus, on the mother's right side.
(C) Above the umbilicus, on the mother's left side.
(D) Above the umbilicus, on the mother's right side.
2. The nurse in an outpatient clinic is supervising student
nurses administering influenza vaccinations. The nurse should
question the administration of the vaccine to which of the
following clients?
(A) A 45-year-old male who is allergic to shellfish.
(B) A 60-year-old female who says she has a sore throat.
(C) A 66-year-old female who lives in a group home.
(D) A 70-year-old female with congestive heart failure.
3. The nurse performs a home visit on a client who delivered two
days ago. The client states that she is bottle-feeding her
infant. The nurse notes white, curd-like patches on the newborn's
oral mucous membranes. The nurse should take which of the
following actions?
(A) Determine the baby's blood glucose level.
(B) Suggest that the newborn's formula be changed.
(C) Remind the caretaker not to let the infant sleep with the
bottle.
(D) Explain that the newborn will need to receive some
medication.
4. A two-month-old infant is brought to the pediatrician's office
for a well-baby visit. During the examination, congenital
subluxation of the left hip is suspected. The nurse knows that
symptoms of congenital hip dislocation include
(A) lengthening of the limb on the affected side.
(B) deformities of the foot and ankle.
(C) asymmetry of the gluteal and thigh folds.
(D) plantar flexion of the foot.
5. The nurse teaches a 20-year-old primigravida how to measure
the frequency of uterine contractions. The nurse should explain
to the patient that the frequency of uterine contractions is
determined
(A) from the beginning of one contraction to the end of the
next contraction.
(B) from the beginning of one contraction to the end of the same
contraction.
(C) by the strength of the contraction at its peak.
(D) by the number of contractions that occur within a given
period of time.
