NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS, Exams of Nursing

Download NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS and more Exams Nursing in PDF only on Docsity! celiac crisis secondary to an upper respiratory o C. Wheat o C. Watery diarrhea o A. Notify the physician immediately. o A. Hirschsprung disease NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS  Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following? o A. Rice o B. Milk o D. Chicken  Which of the following would the nurse expect to assess in a child with celiac disease having a infection? o A. Respiratory distress o B. Lethargy o D. Weight gain  Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? o B. Administer antidiarrheal medications. o C. Monitor child every 30 minutes. o D. Nothing, this is characteristic of Hirschsprung disease.  A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following? o B. Celiac disease o C. Intussusception least o C. Family history o B. Right lower quadrant o D. The mass palpated is the buttocks. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o D. Abdominal wall defect  When assessing a child for possible intussusception, which of the following would be likely to provide valuable information? o A. Stool inspection o B. Pain pattern o D. Abdominal palpation  Nurse Barry is performing Leopold’s maneuver and found the following: breech presentation, fetal back at the right side of the mother. Based on these findings, the nurse can hear the fetal heartbeat (PMI) best in which location? o A. Left lower quadrant o C. Left upper quadrant o D. Right upper quadrant  In Leopold’s maneuver step #1, the nurse palpated a soft, broad mass that moves with the rest of the mass. The correct interpretation of this finding is: o A. The mass palpated at the fundal part is the head part. o B. The presentation is breech. o C. The mass palpated is the back.  In Leopold’s maneuver step #3, the nurse palpated a mass at the suprapubic area. The correct interpretation is that the mass palpated is: hard round movable relieve the muscle cramps 33rd week the knees. o A. Week NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o B. Vertigo o C. Leg cramps o D. Nausea  When a pregnant woman experiences leg cramps, the correct nursing intervention to is: o A. Allow the woman to exercise. o B. Let the woman walk for a while. o o D. Ask the woman to raise her legs.  From the of gestation till full term, a healthy mother should have a prenatal check-up every: o B. 2 weeks o C. 3 weeks o D. 4 weeks  Th e is: in a normal pregnancy during the 3rd trimester o A. 1 pound a week o B. 2 pounds a week o C. 10 lbs a month o D. 10 lbs total weight gain in the 3rd trimester o A. Backache expected weight gain C. Let the woman lie down and dorsiflex the foot towards o A. Naegele’s rule NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS  In Bartholomew’s Rule of 4, when the level of the between the umbilicus and xiphoid process the estimated age of gestation (AOG) is: o A. 5th month o B. 6th month o o D. 8th month  The following are ways of determining the expected date of delivery (EDD) when the LMP is unknown EXCEPT: o B. Quickening o C. McDonald’s rule o D. Batholomew’s rule of 4  If the LMP is Jan. 30, the expected date of delivery (EDD) is: o A. Oct. 7 o B. Oct. 24 o o D. Nov. 8  Kegel’s exercise is done in pregnancy in order to: o A. Strengthen perineal muscles. o B. Relieve backache. o C. Strengthen abdominal muscles. o D. Prevent leg varicosities and edema. C. 7th month fundus is midway C. Nov. 7 increased need for iron o D. Backache increased need for red blood cell mass as well as the fetalrequires about 350-400 mg of iron to grow. o B. No fetal movement is felt on the 6th month. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS  Pelvic rocking is an appropriate exercise in pregnancy to relieve which discomfort? o A. Leg cramps o B. Urinary frequency o C. Orthostatic hypotension  The main reason for an expected in pregnancy is: o o B. The mother may suffer anemia because of poor appetite. o C. The fetus has an increased need for RBC which the mother must supply. o D. The mother may have a problem with digestion because of pica.  Th e that is appropriate should be high in: o o B. Carbohydrates and vitamins o C. Proteins, carbohydrates, and fats o D. Fats and minerals  Which of the following signs will require a mother to o A. When the first fetal movement is felt. o C. Mild uterine contraction. seek immediate medical attention? diet in normal pregnancy A. Protein, minerals, and vitamins A. The mother may have physiologic anemia due to the o D. Facilitates fetal movement While lying supine, she felt breathless, had pallor, tachycardia, and cold o B. Having supine hypotension. mother reducing available hemoglobin for the fetus. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS  You are performing an abdominal exam on a 9th-month pregnant woman. The correct assessment of the woman’s condition is that she is: o A. Experiencing the beginning of labor. o C. Having sudden elevation of BP. o D. Going into shock.  Smoking is contraindicated in pregnancy because: o A. Nicotine causes vasodilation of the mother’s blood vessels. o o C. The smoke will make the fetus, and the mother feels dizzy. o D. Nicotine will cause vasoconstriction of the fetal blood vessels.  Which of the following is the most likely effect on the fetus if the woman is o A. Large for gestational age (LGA) fetus o B. Hemorrhage o o D. Erythroblastosis fetalis  Which of the following signs and symptoms will most likely make the nurse o C. Maintains the internal temperature severely anemic during pregnancy? suspect that the patient has hydatidiform mole? C. Small for gestational age (SGA) baby B. Carbon monoxide binds with the hemoglobin of the clammy skin. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o A. Slight bleeding bed rest o A. Hydatidiform mole drain from her mouth and prevent aspiration. condition of the compromised heart of the mother. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o C. Absence of fetal heartbeat o D. Enlargement of the uterus  Upon assessment, the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heartbeat (FHB) not appreciated. Which of the following is the most possible diagnosis of this condition? o B. Missed abortion o C. Pelvic inflammatory disease o D. Ectopic pregnancy  When a pregnant woman goes into a convulsive seizure, the MOST immediate action of the nurse to ensure the safety of the patient is: o A. Apply restraint so that the patient will not fall out of bed. o B. Put a mouth gag so that the patient will not bite her tongue and the tongue will not fall back. o o D. Check if the woman is also having precipitate labor.  A gravidocardiac mother is advised to obs rv primarily to: o A. Allow the fetus to achieve normal intrauterine growth. o o C. Prevent perinatal infection. o D. Reduce incidence of premature labor. o B. Passage of clear vesicular mass per vagina B. Minimize oxygen consumption which can aggravate the C. Position the mother on her side to allow the secretions to psychological o A. Vaginismus o A. 100 cc. urine output in 4 hours NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o D. Breast  Which of the following causes of infertility in the female is primarily in origin? o B. Dyspareunia o C. Endometriosis o D. Impotence  Before giving a repeat dose of magnesium sulfate to a pre- eclamptic patient, the nurse should assess the patient’s condition. Which of the following conditions will require the nurse to temporarily suspend a repeat o B. Knee jerk reflex is (+)2 o C. Serum magnesium level is 10mEg/L. o D. Respiratory rate of 16/min  Which of the following is TRUE in Rh incompatibility? o A. The condition can occur if the mother is Rh(+) and the fetus is Rh(-). o B. Every pregnancy of an Rh(-) mother will result in erythroblastosis fetalis. o o D. RhoGam is given only during the first pregnancy to prevent incompatibility.  Which of the following are the most commonly assessed findings in dose of magnesium sulfate? not be affected. cystitis? C. On the first pregnancy of the Rh(-) mother, the fetus will babies are always positive due to less blood supply to the fetus? lower limit of viability and suprapubic pain form of postpartum blues. o B. Maternal cardiac condition o A. 21-24 weeks NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o A. Frequency, urgency, dehydration, nausea, chills, and flank pain o o C. Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever o D. High fever, chills, flank pain nausea, vomiting, dysuria, and frequency  Which of the following best reflects the frequency of reported “blues”? o A. Between 10% and 40% of all new mothers report some form of postpartum blues. o B. Between 30% and 50% of all new mothers report some form of postpartum blues. o C o D. Between 25% and 70% of all new mothers report some form of postpartum blues.  Which of the following conditions will lead to a small-for- gestational-age fetus o A. Diabetes in the mother o C. Premature labor o D. Abruptio placenta  The for infants in terms of age of gestation is: o B. 25-27 weeks postpartum . Between 50% and 80% of all new mothers report some B. Nocturia, frequency, urgency dysuria, hematuria, fever, o B. Meconium in the amniotic fluid o D. Provide fundal massage. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o C. 28-30 weeks o D. 38-40 weeks  A nurse in the labor room is monitoring a client with dysfunctional labor for signs of maternal or fetal compromise. Which of the following assessment findings would alert the nurse to a compromise? o A. Coordinated uterine contractions o C. Progressive changes in the cervix o D. Maternal fatigue  While assessing a G2P2 client who had a normal spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the initial priority nursing action? o A. Notify the physician. o B. Encourage breastfeed soon after birth. o C. Monitor vital signs  The preferred manner of delivering the baby in a gravido-cardiac is vaginal delivery assisted by forceps under epidural anesthesia. The main rationale for this is: o A. To allow atraumatic delivery of the baby. o B. To allow a gradual shifting of the blood into the maternal circulation. o o D. To prevent perineal laceration with the expulsion of the fetal head. need to push with contractions. C. To make the delivery effort-free and the mother does not power o C. Cranial hematoma in the fetus o D. Fetal anoxia o C. Uterine contraction. to indent the abdominal wall at the height of the contraction. NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS  The primary involved in labor and delivery is: o A. Bearing down ability of a mother. o B. Cervical effacement and dilatation. o D. Valsalva technique.  The proper technique to monitor the of a uterine contraction is: o A. Place the palm of the hands-on the abdomen and time the contraction. o B. Place the fingertips lightly on the suprapubic area and time the contraction. o o D. Put the palm of the hands-on the fundal area and feel the contraction at the fundal area.  To monitor the frequency of the uterine contraction during labor, the right technique is to time the contraction is: o A. From the beginning of one contraction to the end of the same contraction. o o C. From the end of one contraction to the beginning of the next contraction. o B. Laceration of perineum intensity B. From the beginning of one contraction to the beginning of the next contraction. C. Put the tip of the fingers lightly on the fundal area and try peak point normal color of amniotic fluid part of the cord contraction. o A. Clear as water NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS o D. From the deceleration of one contraction to the acme of the next contraction.  The of a uterine contraction is called the: o A. Acceleration o B. o C. Deceleration o D. Axiom  When determining the duration of a uterine contraction the right technique is to time it from: o o B. The end of one contraction to the beginning of another contraction. o C. The acme point of one contraction to the acme point of another contraction. o D. The beginning of one contraction to the end of another contraction.  When the bag of water ruptures, the nurse should check the characteristic of the amniotic fluid. The is: o B. Bluish o C. Greenish o D. Yellowish  When the bag of waters ruptures spontaneously, the nurse should inspect the vaginal introitus for possible cord prolapse. If there is Acme A. The beginning of one contraction to the end of the same normal fetal heart rate o then go back to its pre-contraction rate after the contraction. A. The heart rate will decelerate during a contraction and NUR 146 (Nurses Labs 1) EXAM WITH QUESTION AND VERIFIED SOLUTIONS that has prolapsed into the vaginal opening the correct nursing intervention is: o A. Push back the prolapsed cord into the vaginal canal. o B. Place the mother in a semi fowlers position to improve circulation. o . o D. Push back the cord into the vagina and place the woman in Sim's position.  The fetal heartbeat should be monitored every 15 minutes during the 2nd stage of labor. The characteristic f a is: o B. The heart rate will accelerate during a contraction and remain slightly above the pre-contraction rate at the end of the contraction. o C. The rate should not be affected by the uterine contraction. o D. The heart rate will decelerate at the middle of a contraction and remain so for about a minute after the contraction. sterile NSS and place the woman in Trendelenburg position C. Cover the prolapsed cord with sterile gauze wet with