WGU D450 Community Health and Population-Focused Nursing EXAM
The mother is breastfeeding the infant.
A 2-month-old infant contracts a disease
through vertical transmission. Which
situation should the nurse investigate
further to ascertain how the infant might
have been exposed to the disease?
Rationale:Vertical transmission refers
to the transmission of a disease from
the mother to the infant during
pregnancy, childbirth, or breastfeeding.
Diseases such as HIV, hepatitis B,
and syphilis can be transmitted
vertically. In this case, the nurse should
investigate whether the mother’s health
status (e.g., having a chronic infection)
could affect the infant during
breastfeeding.
, Primary prevention, which would include education on safe sex practices.
A 23-year-old single mother of three
visits the Department of Health walk-in
clinic with symptoms of abdominal pain,
painful urination, fever, and vaginal
discharge. She states that these
symptoms began three days ago and she
initially thought it was a urinary tract
infection (UTI) until the vaginal
discharge became purulent and bloody.
She reports having three sexual partners
over the past 60 days. She has visited
the clinic three times in the past 12
months for similar concerns, but no
sexually transmitted infections were
diagnosed on those three prior visits.
Given the history of clinic visits over
the past 12 months with similar concerns,
the nurse determines that client
education should focus on prevention.
What type of preventive education
should the nurse identify for this
client?Rationale:In this case, primary
prevention is the most appropriate type
of preventive education for the client.
Primary prevention i
, Anthrax. Diphtheria.Tuberculosis
According to the Centers for Disease
Control and Prevention, which diseases
are reportable infectious diseases?
Select all that apply.
Encourage smoking cessation. Offer nutritional instruction. Refer for
prenatal care.
An adolescent tells the school nurse that
she is pregnant. Her last menstrual
period was 4 months ago, and she has
not yet received any medical care. She
smokes but denies any other substance
use. Which interventions should the
nurse implement? (Select all that apply.)
, Compare the incidence of bicycle injuries at the beginning and end of the
program.
After Assessing The Health Needs Of
An Elementary School, The Nurse
Identifies That An Increased Incidence
Of Bicycle Injuries Is A Significant
Issue. The Nurse Develops A 2-Month
Program With The Goal Of
Eliminating Bicycle Injuries In The
School. The Program Includes
Educational Pamphlets Sent Home To
Parents And Two Educational Sessions
Conducted By The School Nurse. What
Action Should The Nurse Take To
Evaluate The Effectiveness Of The
Program?
Rationale:The Most Effective Way To
Evaluate The Success Of An Injury
Prevention Program Is By
Measuring Changes In The Incidence
Of The Targeted Issue — In This
Case, Bicycle Injuries — Before And
After The Program. By Comparing
The Number Of Injuries At The
Start Of The Program To Those At
The End, The Nurse Can Directly
Assess Whether The Program Had An
Impact On Reducing Bicycle Injuries.
The mother is breastfeeding the infant.
A 2-month-old infant contracts a disease
through vertical transmission. Which
situation should the nurse investigate
further to ascertain how the infant might
have been exposed to the disease?
Rationale:Vertical transmission refers
to the transmission of a disease from
the mother to the infant during
pregnancy, childbirth, or breastfeeding.
Diseases such as HIV, hepatitis B,
and syphilis can be transmitted
vertically. In this case, the nurse should
investigate whether the mother’s health
status (e.g., having a chronic infection)
could affect the infant during
breastfeeding.
, Primary prevention, which would include education on safe sex practices.
A 23-year-old single mother of three
visits the Department of Health walk-in
clinic with symptoms of abdominal pain,
painful urination, fever, and vaginal
discharge. She states that these
symptoms began three days ago and she
initially thought it was a urinary tract
infection (UTI) until the vaginal
discharge became purulent and bloody.
She reports having three sexual partners
over the past 60 days. She has visited
the clinic three times in the past 12
months for similar concerns, but no
sexually transmitted infections were
diagnosed on those three prior visits.
Given the history of clinic visits over
the past 12 months with similar concerns,
the nurse determines that client
education should focus on prevention.
What type of preventive education
should the nurse identify for this
client?Rationale:In this case, primary
prevention is the most appropriate type
of preventive education for the client.
Primary prevention i
, Anthrax. Diphtheria.Tuberculosis
According to the Centers for Disease
Control and Prevention, which diseases
are reportable infectious diseases?
Select all that apply.
Encourage smoking cessation. Offer nutritional instruction. Refer for
prenatal care.
An adolescent tells the school nurse that
she is pregnant. Her last menstrual
period was 4 months ago, and she has
not yet received any medical care. She
smokes but denies any other substance
use. Which interventions should the
nurse implement? (Select all that apply.)
, Compare the incidence of bicycle injuries at the beginning and end of the
program.
After Assessing The Health Needs Of
An Elementary School, The Nurse
Identifies That An Increased Incidence
Of Bicycle Injuries Is A Significant
Issue. The Nurse Develops A 2-Month
Program With The Goal Of
Eliminating Bicycle Injuries In The
School. The Program Includes
Educational Pamphlets Sent Home To
Parents And Two Educational Sessions
Conducted By The School Nurse. What
Action Should The Nurse Take To
Evaluate The Effectiveness Of The
Program?
Rationale:The Most Effective Way To
Evaluate The Success Of An Injury
Prevention Program Is By
Measuring Changes In The Incidence
Of The Targeted Issue — In This
Case, Bicycle Injuries — Before And
After The Program. By Comparing
The Number Of Injuries At The
Start Of The Program To Those At
The End, The Nurse Can Directly
Assess Whether The Program Had An
Impact On Reducing Bicycle Injuries.
