A 34-year-old Hispanic woman who is 8 weeks pregnant presents to the nurse practitioner for a prenatal visit. Which of the following is primary prevention for reducing this patient's risk of developing coronary heart disease?
Take 81 mg of aspirin daily
Take omega-3 fatty acids daily
Enroll in a cardiac rehabilitation program
Avoid excessive weight gain during her pregnancy
The Correct Answer is D
Choice A reason: Low-dose aspirin is used primarily for preeclampsia prevention in pregnancy, not general primary prevention of coronary heart disease.
Choice B reason: Omega-3 fatty acids may have cardiovascular benefits but are not standard primary prevention strategies for coronary heart disease in pregnancy.
Choice C reason: Cardiac rehabilitation is a secondary prevention measure, used after cardiac events, not primary prevention.
Choice D reason: Correct. Avoiding excessive weight gain during pregnancy helps reduce long-term cardiovascular risk and supports metabolic health, making it a primary prevention strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is a qualitative, exploratory question about past experiences, not a numeric scaling question.
Choice B reason: This is correct. It asks the client to quantify their anxiety on a numerical scale, which is the essence of a scaling question.
Choice C reason: This is a comparative question about intensity, not a numeric rating, and does not establish a scale for monitoring progress.
Choice D reason: This is a miracle question exploring desired outcomes, not a scaling measure of current symptoms.
Correct Answer is D
Explanation
Choice A reason: Low self-esteem is common in social anxiety disorder as individuals perceive themselves negatively in social situations.
Choice B reason: Sensitivity to rejection is a hallmark, as patients fear social disapproval or negative evaluation.
Choice C reason: Hypersensitivity to criticism drives avoidance of social interactions and contributes to distress.
Choice D reason: Individuals with social anxiety disorder typically do not experience significant reduction in anxiety merely by being accompanied by someone trusted; the disorder is situation-focused, and anxiety remains despite support.
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