While educating a group of women who are considering a pregnancy, the nurse explains the importance of a healthy diet including folic acid, exercise, avoidance of substance abuse, and general health/well-being prior to becoming pregnant.  Which of the following statements is the most correct as to when prenatal care should begin?

A 68-year-old adult with a history of hypertension and myocardial infarction presents for an annual Medicare Wellness exam. There was evidence of mild cognitive impairment at age 65 years. during the Welcome to Medicare exam. These findings were unchanged during the past two years’ wellness exams and during regular follow-up visits for hypertension during the past year. During today’s wellness exam, the primary care nurse practitioner (NP) notes that the client’s performance on cognitive assessment screenings has slightly deteriorated since the last regular healthcare visit.   In planning a clinical work-up for this patient, the NP establishes a working diagnosis of:

The nurse working in the intensive care unit hears an alarm coming from a client’s room. On entering the room, the nurse sees this rhythm displayed on the monitor. The nurse recognizes it as which rhythm?  

When providing health care for pregnant women at a prenatal clinic, the nurse recognizes there are many different barriers to access to care for the pregnant woman.  Which of the following are the most significant barriers to care?  Select all that apply.

Which of the following best describes the mechanical property of the bone?

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Select the correct answer. The primary care nurse practitioner (NP) receives a call from a family caregiver of an 81-year-old adult with a history of diabetes and hypertension who was discharged following an 4-day admission for pneumonia last week. The caregiver reports that since discharge, the patient has experienced intermittent middle of the night awakening and day-time sleepiness, difficulty concentrating, periodic confusion, and forgetfulness. These issues did not exist prior to the hospitalization, and the caregiver is concerned. The nurse practitioner assigns a working diagnosis of delirium. Which of the following is the most specific pertinent positive finding supporting this diagnosis? 

A horseshoe kidney is most commonly characterized by:

Prolonged immobilization and non-weight bearing state after an injury result in:

Select the correct answer. An 85-year-old adult presents to a primary care nurse practitioner with reports of 3 falls in the past 6 months.  One fall occurred at home, and the other two were outside the home in community settings.  The patient reports a medical history of diabetes with peripheral neuropathy, hypothyroidism, hypertension, and gout. The patient currently takes 5 medications on a daily basis.  Which one of the following prescribed medications is most likely contributing to the falls?