Health Promotion and Maintenance 2

Question 1

A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which developmental milestone should the parents expect at this age?

Accepted Answer

Rolling from back to side

Answer

Walking with support

Answer

Saying 'mama' or 'dada' with meaning

Answer

Using a pincer grasp

Question 2

A nurse is providing nutrition education to a pregnant client in the first trimester. Which nutrient deficiency is most likely to cause neural tube defects in the developing fetus?

Accepted Answer

Folic acid

Answer

Iron

Answer

Calcium

Answer

Vitamin D

Question 3

A nurse is providing health education to a 45-year-old female client with no risk factors. Which cancer screening test should the nurse recommend at this time?

Accepted Answer

Annual mammogram

Answer

Annual low-dose CT scan of the chest

Answer

Colonoscopy within the next 5 years

Answer

Annual Pap smear with HPV co-test

Question 4

A nurse is teaching a client about risk factors for type 2 diabetes. Which modifiable risk factor should the nurse emphasize most strongly?

Accepted Answer

Overweight or obesity (BMI ≥ 25)

Answer

Family history of type 2 diabetes

Answer

Age over 45 years

Answer

History of gestational diabetes

Question 5

A nurse is counseling a client who asks about the best methods to reduce cardiovascular disease risk. Which lifestyle modification has the strongest evidence for reducing cardiovascular risk?

Accepted Answer

Engaging in regular aerobic exercise

Answer

Taking a daily low-dose aspirin

Answer

Eliminating all dietary fat intake

Answer

Consuming red wine in moderation

Question 6

A nurse is providing immunization education to the parents of a healthy 12-month-old child. Which vaccine is recommended at this visit?

Accepted Answer

Measles, mumps, and rubella (MMR) first dose

Answer

Hepatitis B (HepB) first dose

Answer

Inactivated poliovirus (IPV) fourth dose

Answer

DTaP fifth dose