Tess Nicholson
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Practice Final part 3

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Tess Nicholson
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Final Exam Part 3: GBCC Nursing 112

Frage 1 von 64

1

Nurses who study the incidences of diabetes in the United States would most likely be what type of nurse?

Wähle eine der folgenden:

  • Community Health nurse

  • WHO nurse

  • VNA nurse

  • Public Health Nurse

Erklärung

Frage 2 von 64

1

In community assessment transportation, water and sanitation and housing all fit under the category of

Wähle eine der folgenden:

  • Structure

  • population

  • Social system

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Frage 3 von 64

1

Mortality is to the measurement of deaths as morbidity is to the measurement of_______

Wähle eine der folgenden:

  • pathogens

  • invasiveness

  • host factors

  • disease and injury

Erklärung

Frage 4 von 64

1

Ebola was a disease that had never occurred before in the USA. When Ebola broke out in Africa and moved to the United States through healthcare workers; The news was reporting on how many new people were getting the disease.....they were reporting the __________ of Ebola in America.

Wähle eine der folgenden:

  • host factors

  • Prevalence

  • Incidence

  • colonization

Erklärung

Frage 5 von 64

1

Select all parts of the epidemiologic triangle

Wähle eine oder mehr der folgenden:

  • agent

  • epidemic

  • invasiveness

  • Host factors

  • virulence

  • environmental factors

Erklärung

Frage 6 von 64

1

Breast feeding has been shown too: (select 4)

Wähle eine oder mehr der folgenden:

  • decrease severity of diarrhea

  • decrease incidence of lower respiratory infection

  • prevent heart murmurs

  • be protective against allergies

  • prevent autism

  • decrease postpartum bleeding for mom

Erklärung

Frage 7 von 64

1

A well educated breast feeding mother 4 hours post delivery is very tired and is not able to sustain breastfeeding for a long time. She expresses concern that she won't let down milk because she can't breastfeed for a sustained period of time. A key thing to inform the mother about lactogenesis this early on is?

Wähle eine der folgenden:

  • It is good for the baby to practice sucking even though you won't let down milk just yet.

  • Frequency of feedings not the duration of feedings is what is responsible for milk production.

  • We can give you medications to help with milk production since you're too tired to feed your baby.

Erklärung

Frage 8 von 64

1

Characteristics of colostrum that make it different from mature milk include: (pick3)

Wähle eine oder mehr der folgenden:

  • produced during pregnancy and 4 days pospartum

  • bluish-white

  • thick, creamy and yellow

  • rich in proteins and immunoglobulins

  • has higher fat then mature milk

Erklärung

Frage 9 von 64

1

An obese mother with very large breasts is having trouble breast feeding her infant. The nurse could suggest using the breast C hold and which position based on her body type?

Wähle eine der folgenden:

  • Side lying

  • Cradle hold

  • Football hold

  • Cross-Cradle hold

Erklärung

Frage 10 von 64

1

A mother is very distraught that her baby isnt getting milk. The nurse is watching her breastfeed. Signs of milk transfer that the nurse should point out to ease the mother's concerns include all but which of the following?

Wähle eine der folgenden:

  • When the mother gets thirsty

  • audible swallowing of infant

  • Milk leaking from the opposite breast while feeding

  • breast softening while feeding

  • Rooting Reflex

Erklärung

Frage 11 von 64

1

The T in LATCH stands for what?

Wähle eine der folgenden:

  • Timing

  • Type of nipple

  • Torn skin

  • Tiredness

Erklärung

Frage 12 von 64

1

Mouth open wide with lips flanged outward and visible
complete seal formed by mouth on breast
troughed tongue
................... these are all assessments during which stage of SAIB (Systematic Assessment Of Infant At Breast)

Wähle eine der folgenden:

  • SAIB 1: alignment/ positioning

  • SAIB 2: Areola Latchon

  • SAIB 3: Areola Compression/Sucking

  • SAIB 4: Audible Swallowing

Erklärung

Frage 13 von 64

1

A normal newborn feeds a minimum of ___________ in 24 hours and voids approximately _______ times a day

Wähle eine der folgenden:

  • 10-12; 10

  • 9-12, 16

  • 8-12, 8

  • 20, 50

Erklärung

Frage 14 von 64

1

Prolonged Pregnancies (pregnancies greater than 40-42 weeks) are associated with which of the following (pick 4)

Wähle eine oder mehr der folgenden:

  • neonate born with excessive lanugo

  • decreased vernix leading to dry parchment-like skin

  • r/f uteroplacental insufficiency

  • r/f meconium aspiration

  • absent rooting reflex

  • hypoglycemia of newborn

Erklärung

Frage 15 von 64

1

Nursing interventions for Prolapsed Cord include:

Wähle eine oder mehr der folgenden:

  • When fetal bradycardia occurs, perform vaginal exam

  • Prolapse into vagina= exert upward pressure on presenting part to lift part off cord

  • If cord protrudes outside of vagina= gently replace cord

  • Hands and knees position for mom to get pressure off cord

  • Administer Oxygen

  • DONT call doctor

Erklärung

Frage 16 von 64

1

A labor has just been complicated by Turtle Sign of the infant... This is associated with ____________________ and the least invasive intervention to try first to correct he problem would be ___________________.

Wähle eine oder mehr der folgenden:

  • precipitous labor

  • shoulder dystocia

  • Wood's screw maneuver

  • McRobert's Position

Erklärung

Frage 17 von 64

1

Assessment Findings associated with anaphylactoid Syndrome of Pregnancy (ASP) include all but which of the following

Wähle eine der folgenden:

  • Sudden onset respiratory distress

  • htn

  • hypotension

  • cyanosis

  • pulmonary edema

  • Signs and Symptoms of Shock

Erklärung

Frage 18 von 64

1

Premature rupture of membranes, Postmature pregnancy, preeclampsia/eclampsia, and diabetes in a labor with no Cephalopelvic disproportions are all....

Wähle eine der folgenden:

  • conditions that require emergency C-sections

  • indications for induction of labor

  • conditions that put the baby at severe risk for chromosomal anomalies

Erklärung

Frage 19 von 64

1

Identify the two women with Bishop Scores that would be most successful

Wähle eine oder mehr der folgenden:

  • Mom with 4 previous pregnancies with a bishop score of 4

  • Mom with 2 previous pregnancies with a bishop score of 6

  • First time mom with a bishop score of 5

  • First time mom with a bishop score of 9

Erklärung

Frage 20 von 64

1

Amnitomy is procedure to artificially rupture membranes

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 21 von 64

1

Dinoprostone (Prepidil) select the right information associated with this cervical ripening drug: (pick 3)

Wähle eine oder mehr der folgenden:

  • Contraindicated with asthma, htn, glaucoma

  • Contraindicated in women with C-section hx

  • Dose: 2.5mg vaginalls or .5mg to cervix, repeat 6-12hours

  • Dose: 10mg vaginally

  • Delay oxytocin for 6-12 hours

  • Oxytocin given with med

Erklärung

Frage 22 von 64

1

A non-FDA approved medication that should be cut by the pharmacy and has a maximum dose of 25 mcg for cervical ripening would be....

Wähle eine oder mehr der folgenden:

  • Terbutaline

  • Dinoprostone (prepidil)

  • Dinoprostone (Cervidil)

  • Misoprostol (cytotec)

Erklärung

Frage 23 von 64

1

Pro's to using dinprostone (cervidil) for cervical ripening include:

Wähle eine oder mehr der folgenden:

  • adverse effects decrease within 15 min after removal of insert

  • hypertonic contractions begin 1 hour after adminstration

  • Oxytocin may be started 30-60min after removal

  • Pill is scored for easier cutting of dose

Erklärung

Frage 24 von 64

1

Higher doses of Sinoprostone (prepidil), DInoprostone (cervidil) and Misoprostol (cytotec) can be given in the in the instance of....

Wähle eine der folgenden:

  • fetal distress and need for baby to get out immediately

  • preeclampsia

  • fetal demise

  • paralysis of uterus

Erklärung

Frage 25 von 64

1

A doctor rights an order for a dose .5 mU/min of increased if tolerated to 1mU/min at 50 min intervals until a regular pattern of ctx is established.
What medication do you expect to be ordered with these parameters/doseing

Wähle eine der folgenden:

  • Misoprostol (cytotec)

  • Magnesium sulfate

  • Ptiocin (oxytocin)

  • furosemide (lasix)

Erklärung

Frage 26 von 64

1

Which two pts would you question an order of Pitocin (oxytocin) for?

Wähle eine oder mehr der folgenden:

  • MOm experiencing hypotonic contractions for past 6 hours

  • Mom with CPD

  • Mom with total placenta previa

  • Mom who's baby is showing frequent accelerations with contractions

Erklärung

Frage 27 von 64

1

Major indications for C-section (pick 4)

Wähle eine oder mehr der folgenden:

  • previous vaginal births

  • previous cesarean births

  • CPD

  • fetal distress

  • breech presentation

  • Accelerations of FHR

Erklärung

Frage 28 von 64

1

A mother is in labor and suddenly screams and says that she feels a "sharp" pain in her stomach, you assess contractions and realize her contractions have stopped. When you call the doctor you tell him that you believe she is suffering from?

Wähle eine der folgenden:

  • Uterine inversion

  • hypertonic contractions

  • uterine rupture

  • Placenta previa

Erklärung

Frage 29 von 64

1

seriously powerful carbonic anhydrase inhibitor, lowers intraoptic pressure fast also used to treat acute moutain sickness

Wähle eine der folgenden:

  • mqnnitol (osmitrol)

  • acetazolamide (diamox)

  • hydrochlorothiazide (hydrodiuril)

  • Sodium polystyrene sulfonate (kayexalate)

Erklärung

Frage 30 von 64

1

Sodium plystyrene sulfonate (kayexalate) is an antihyperkalemic

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 31 von 64

1

K+ and HPO4- are to intracellular as ____ & _____ are to extracellular

Wähle eine oder mehr der folgenden:

  • Na+

  • mg

  • K+

  • K-

  • cl-

Erklärung

Frage 32 von 64

1

A pt's electrolyte panel in the ICU is as follows: (identify the abnormal labs)
Sodium: 125
K+: 3.7
Ca+: 9.0
Cl: 120
Po4-: 2.1
Mg: 1.6

Wähle eine oder mehr der folgenden:

  • Mg: 1.6

  • PO4-: 2.1

  • Cl-: 120

  • Ca2+: 9.0

  • K+: 3.7

  • Sodium: 125

Erklärung

Frage 33 von 64

1

Hypercalcemia associated with : (pick 4)

Wähle eine oder mehr der folgenden:

  • flaccid paralysis

  • muscle weakness

  • prolonged S

  • lethargy

  • incoordination

  • Calcium level above 10.2

  • Calcium level above 8.6

Erklärung

Frage 34 von 64

1

Prominent _____ wave is to hypokalemia as prominent _____ wave is to hyperkalemia

Wähle eine der folgenden:

  • U, T

  • QRS,U

  • U, P

Erklärung

Frage 35 von 64

1

What would the most likely lab value be for a pt. who has hypoactive deep tendon reflexes

Wähle eine der folgenden:

  • Mg: 4.0

  • Mg: 1.3

  • Mg: 1.7

  • K+ 5.3

Erklärung

Frage 36 von 64

1

Never give more than 120 mEq of K+ in 24 hours unless.....

Wähle eine der folgenden:

  • The pt really needs it

  • The pt. is a diabetic

  • The pt. is monitored in the ICU

  • The pt. doesn't have a seizure condition

Erklärung

Frage 37 von 64

1

If a pt had a high phosphorus level (>4.4) you might expect to find that this pt is also suffering from

Wähle eine der folgenden:

  • hypernatremia

  • hypocalcemia

  • hypercalcemia

  • hypokalemia

Erklärung

Frage 38 von 64

1

Tachypnea---- respiratory alkalosis
Dyspnea---- respiratory acidosis

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 39 von 64

1

The symptoms of hyponatremia are associated with a fluid shift into brain cells
They include (pick 5)

Wähle eine oder mehr der folgenden:

  • tetany

  • irritability

  • confusion

  • Headache

  • seizure

  • tremors

  • shallow t-wave

Erklärung

Frage 40 von 64

1

Choose only the Side effects of opioids, disregard any toxic effects

Wähle eine oder mehr der folgenden:

  • cognitive dysfunction

  • Constipation

  • urinary retention

  • delirium

  • hyperalgesia/allodynia

  • respiratory depression

  • dry mouth

Erklärung

Frage 41 von 64

1

Naloxone (narcan) is used to

Wähle eine der folgenden:

  • treat mild to moderate pain

  • to treat moderate to sever pain

  • as an antidote to narcotics

  • to help with the constipation side effect of narcotics

Erklärung

Frage 42 von 64

1

An appropriate medication to use for the third step on the WHO ladder of pain treatment would be?

Wähle eine der folgenden:

  • acetaminophen (tylenol)

  • ultram

  • Codeine

  • morphine

Erklärung

Frage 43 von 64

1

Epidural pain control side effects include all of the following except...

Wähle eine der folgenden:

  • legs feel heavy

  • may not feel urge to void

  • drop in BP

  • spinal headache

  • vasoconstriction

Erklärung

Frage 44 von 64

1

Incompetent Cervical Os treatment includes

Wähle eine der folgenden:

  • oxytocin

  • PROM

  • Cerclage

  • medically induced abortion

Erklärung

Frage 45 von 64

1

Ectopic pregnancy symptoms: (pick 4)

Wähle eine oder mehr der folgenden:

  • abdominal pain that may localize to one side

  • positive pregnancy test

  • higher than normal levles of HCG

  • Hcg levels lower than normal pregnancy

  • rupture usually occurs before 12 wks

  • lochia serosa

Erklärung

Frage 46 von 64

1

All of the following are associated with hydatiform mole except?

Wähle eine der folgenden:

  • symptoms of preexlampsia before usual time of onset

  • absence of fetal hear rate

  • high levels of HCG with excessive Nausea and vomitting

  • Would be okay for a women to get pregnant again 6 weeks after the hydatidiform mole pregnancy

Erklärung

Frage 47 von 64

1

What medications is given IM to mom to improve enhance the production of lung surfactants in a mother showing signs or at risk for preterm labor

Wähle eine der folgenden:

  • tirodrine (yutopar)

  • Terbutaline (brethine)

  • nifedipine (adalat)

  • betamethasone (celestone)

Erklärung

Frage 48 von 64

1

the 3 most important nursing assessments for a mother who is suspected to have magnesium toxicity from administration as an attempt to halt labor would be?

Wähle eine der folgenden:

  • Respiratory rate, tendon reflexes, hourly urine output

  • Respiratory rate, calcium level, blood pressure

  • Tendon reflexes, pain level, Heart rate

  • uterine involution, blood pressure, heart rate

Erklärung

Frage 49 von 64

1

Hydraminos is too >2000 ml of amniotic fluid at term while _______________- is to <400ml of amniotic fluid at term

Wähle eine der folgenden:

  • polyhdraminos

  • Barter's syndrome

  • oligohydramnios

  • polyhydramnios

Erklärung

Frage 50 von 64

1

The most important things to remember from nursing standpoint when a women has a P.R.O.M. includes:

Wähle eine oder mehr der folgenden:

  • identified with ferning/pooling or nitozene paper

  • continuous monitoring maternal/fetal vital signs

  • maternal temp every hour

  • delay vaginal exams

  • prepare for amniotomy

Erklärung

Frage 51 von 64

1

Painful Bleeding during pregnancy around the 20th week with a contracted uterus and fetal deceleration is indicative of _________ while bleeding around the 7th month, no contracted uterus and stable fetal heart rate is indicative of_____________

Wähle eine der folgenden:

  • preeclampsia, eeclampsia

  • hyperemesis gravidarum, placenta previa

  • abruptio placenta, placenta previa

  • placenta previa, abruptio placenta

Erklärung

Frage 52 von 64

1

Select all symptoms that are associated with mild preeclampsia (select 4)

Wähle eine oder mehr der folgenden:

  • Blood Pressure: 150/100

  • Proteinu>.3 but <2

  • edema

  • onset at 20th week of labor

  • Bp >160 >/110

  • Pulmonary edema, Heart failure

Erklärung

Frage 53 von 64

1

A nurse would continue to observe for preeclampsia symptoms how many hours postpartum?

Wähle eine oder mehr der folgenden:

  • 48-72

  • 2 weeks

  • 24-48

  • 72

Erklärung

Frage 54 von 64

1

Aldomet (methyldopa) is prescribed for?

Wähle eine der folgenden:

  • Gestational diabetes

  • severe preeclampsia

  • chronic hypertension

  • eeclampsia

Erklärung

Frage 55 von 64

1

Gestational hypertesnion is hypertension with the absence of what two symptoms?

Wähle eine oder mehr der folgenden:

  • edema

  • shock

  • proteinuria

  • bleeding

Erklärung

Frage 56 von 64

1

Placental accreta is

Wähle eine der folgenden:

  • when vessels of umbilical cord divide some distance from the placenta

  • abnormal adherence, placenta grows into uterine wall

  • umbilical cord inserted at or near placental margin

  • extra lobe of placenta, as long as all lobes stay attached causes no complications

Erklärung

Frage 57 von 64

1

RhoGAM is given (300mg) to mom's at ______ weeks and within _______ hours after delivery for rh sensitization

Wähle eine der folgenden:

  • 2 weeks, 24 hours

  • 28 weeks, 72 hours

  • 20 weeks, 2 hours

  • 40 weeks, 96 hours

Erklärung

Frage 58 von 64

1

At 2 days postpartum the uterus should be ?

Wähle eine der folgenden:

  • midway between umbilicus and pubic symphysis

  • 2 cm below belly button

  • 4 cm below belly button

  • at the umbilicus

Erklärung

Frage 59 von 64

1

In a terms of analogy a contracted uterus functions like a ?

Wähle eine der folgenden:

  • tourniquet

  • sieve

  • ice pack

  • bandaid

Erklärung

Frage 60 von 64

1

3 main interventions for a boggy uterus include all of the following EXCEPT?

Wähle eine der folgenden:

  • baby to breast

  • pitocin

  • massage

  • tell mother to avoid peeing if possible

Erklärung

Frage 61 von 64

1

A VNA nurse is assessing a mother at home. She finds the uterus 6 cm below the umbilicus... What type of lochia would the nurse expect the mother to have?

Wähle eine der folgenden:

  • lochia rubra

  • lochia alba

  • lochia serosa

Erklärung

Frage 62 von 64

1

A 3rd degree laceration extends through skin, mucous membrane, perineal body and involves the anal sphincter.... The difference between a 3rd degree laceration and a 4th degree laceration is?

Wähle eine der folgenden:

  • 4th degree has rectal wall extension

  • 3rd degree includes perineal body involvment

  • 4th degree doesn't involve the sphincter

Erklärung

Frage 63 von 64

1

Breast feeding is good birthcontrol postpartum

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 64 von 64

1

Pospartum blues and obsession with bodily functions are usually found during which phase

Wähle eine der folgenden:

  • taking in phase

  • taking hold phase

  • letting-go phase

Erklärung