2671723
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Quiz von Tess Nicholson, aktualisiert more than 1 year ago
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Erstellt von Tess Nicholson
vor fast 9 Jahre
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Frage 1
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Informed consent prior to surgery is obtained by the...
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Scrub Nurse
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Surgeon
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Surgical Tech
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Circulating Nurse
Frage 2
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Select all of the following that are commonly used induction drugs for general anesthesia
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Mirtazapine (Remeron)
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Versed (Midozalem)
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Sublimaze (fentanyl)
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valium (lorazipam)
Frage 3
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A child is being put to sleep and while the medications are being administered he suddenly starts moving uncontrollably. What stage of induction is being shown by these symptoms....
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analgesia
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excitment
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medullary paralysis
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surgical anesthesia
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movement
Frage 4
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Which pt. is going to have the hardest time excreting anesthesia postoperatively
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Small child, never had surgery before
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Thin 70 year old adult, with glaucoma
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Slightly overweight 30 year old with hernia
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76 year old obese male w/ trunk fat
Frage 5
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Epinephrine can be dangerous when given on an appendage because it may...
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often causes a rash
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cause circulation to be compromised due to vasodilation
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May cause bleeding due to it's interference with Factor 8
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cause circulation to be compromised due to vasoconstriction
Frage 6
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Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion
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semifowlers (head of bed at 45 degrees)
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placed on side
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supine and head of bed completely flat
Frage 7
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A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...
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Below satisfactory output
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above satisfactory output
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Just meeting the criteria of satisfactory output
Frage 8
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A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively
Antworten
- True
- False
Frage 9
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You have a pt. that is seen at the wound clinic. The wound has begun healing and has been left open and the base of the wound is undergoing treatment... This wound is healing by
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Primary intention
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Secondary intention
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tertiary intention
Frage 10
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An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...
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Psychosis NOS
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Schizophrenia
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Schizoaffective disorder
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Schizophreniform disorder
Frage 11
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Mr. J has came on to the psych unit and is speaking with the nurse. He denies any Auditory or visual hallucinations. When speaking to Mr. J the nurse notes that he only speaks when prompted to and seems to never smile.... These symptoms are...
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The negative symptoms of apathy and anhedonia
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The positive symptoms of alogia and apathy
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The negative symptoms of alogia and affective blunting
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the positive symptoms of asociality and avolition
Frage 12
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The difference between delusions and illusions are ...
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delusions have a relationship to real life
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illusions are misinterpretations of real stimulus
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delusions are misinterpretations of real stimulus
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delusions are always violent
Frage 13
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You greet Camille on the unit in the morning and ask "How are you?"; Camille responds "good, should, could, would". This response is a symptom associated with schizophrenia known as...
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Disordered Behavior: Anergia
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Disordered thought: mutism
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Delusion: echopraxia
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Disordered Thought: Clang association
Frage 14
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When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.
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Schizophrenic pt. with perseveration
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Schizophrenic pt. with associative looseness
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Schizophrenic pt. with waxy flexibility
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Schizoaffective pt. with delusions of thought broadcasting
Frage 15
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Interventions for Delusions: In the statement by the nurse "I understand that you are hearing a man talking to you, I don't hear a man. This must be scary for you, why don't we take a walk down to the kitchen and get a snack. "... When the nurse says "this must be scary for you" she is implementing which intervention for delusions ?
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Acknowledge
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empathize
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sympathy
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redirect
Frage 16
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The main differences between normal grief and depression include the following
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In depression feelings of hopelessness prevail
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In grief the pt is able to accept comfort and support from others
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In depression physical complaints are not usually present
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In depression anhedonia is prevalent
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Grief is characterized by overwhelming hopelessness and guilt
Frage 17
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Which of the following loved ones would be at risk for complicated/dysfunctional grief?
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A parent who lost a child from SIDS
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A man who lives with his daughters and who's wife died in his arms after a long battle with cancer.
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A man who lost his best friend to homocide
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A women who lost her husband while he was a soldier in Iraq and the body could not be recovered
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A young women who lost her elderly father to Alzheimer's Disease after 6 months on hospice care.
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A daughter who's alcoholic father passed away from liver disease before they could reconcile
Frage 18
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On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...
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4 hours
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14 hours
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48 hours
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72 hours
Frage 19
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Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid
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Cause fluid to shift out of blood vessels into cells and interstitial spaces
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Cause fluid to shift out of cells increasing circulating volume
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The fluid to hydrates cells while reducing fluid in circulatory system
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Can increase a hypotensive state
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Are a good choice for a pt. experiencing fluid volume excess
Frage 20
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Select all the hypertonic solutions:
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TPN & PPN
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5% DNS
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NS
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LR
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D5W
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D10W
Frage 21
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A pt. presents in the emergency room with the following
Heart rate (110), BP (96/56), Temp (36.7); he feels dizzy when he stands
Labs: Sodium (150), Potassium (5.4), H&H is high
What medical language would MOST appropriately describe this pt's conditon
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Dehydration, Hyponatremia
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Dehydration, hypernatremia, hyperkalemia
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Hypovolemia, hypokalemia
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Hypovolemia, hyperkalemia
Frage 22
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A pt. who has 3rd spacing can have both excessive fluid and dehydration
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- True
- False
Frage 23
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A pt. has a specific gravity of 1.040 and asks you what this means you reply.
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"This means your NS iv fluids have done there job re-hydrating you"
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"This means you need to drink less water and watch your sodium intake"
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"This means your body is putting out very concentrated urine."
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"This means your body is putting out too much dilute urine"
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" This is a normal lab value."
Frage 24
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Hypotonic overhydration can be caused by:
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Tap water enemas
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.9% NS at a rate of 100ml/hour
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TPN
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overuse of .45%NS
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inappropriate formula for children
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using a water bottle as a pacifier
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Saline enemas
Frage 25
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The most important assessment for a pt at risk for CHF or volume excess is...
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Respiratory rate
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daily weights
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Blood pressure
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Pain level on exertion
Frage 26
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Hydrochlorothiazide, HCTZ (Hydrodiuril) is a
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Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
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Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
Frage 27
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Spironolactone (aldactone) is a
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
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Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
Frage 28
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Mannitol (osmitrol) is a
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Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
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Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
Frage 29
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A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient
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Sodium
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Phosphorous
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Potassium
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Calcium
Frage 30
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Ideal age of fetus when mother goes into labour
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24-28wks
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35-36wks
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38-42wks
Frage 31
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Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor
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Aldosterone
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Estrogen
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LH
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oxytocin
Frage 32
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Identify the 4 p's of labour
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Passage
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Pulmonary
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Passenger
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Powers
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Psyche
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Physcian
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Portal
Frage 33
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A baby with a station of 0 is considered engaged
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- True
- False
Frage 34
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The most favorable positions for the baby to be in at the start of labor Include:
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Longitudinal lie
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transverse lie
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Attitude: flexion
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Attitude: extension
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Cephalic presentation: vertex
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Cephalic Presentation: Brow
Frage 35
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With breech presentation the concern is _______________ and with shoulder presentation the concern is _______________.
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Cord compression
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airway obstruction
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Meconium
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head entrapment
Frage 36
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This baby would be documented as in which position
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RSA
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LSA
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LOP
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LMA
Frage 37
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What would you document the fetal position as? Is this a good position for labor?
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LMA, no
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LOA, yes
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ROA
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RSA
Frage 38
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The nurse in this picture is performing?
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Leopald's maneuvers
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Chicovstky signs
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Pavlov maneuver
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Gestational age
Frage 39
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When does fetal o2 and waste exchange occur during the contraction cycle
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acme
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increment
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Interval
Frage 40
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Effacement is to thinning and shortening (%) as Dilation is to _______________ (___)
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drawing up (mm)
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Opening (cm)
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Relaxing (%)
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shortening (cm)
Frage 41
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Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing
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- True
- False
Frage 42
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Estrogen__________; Progesterone ___________
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Evacuate, Preserve
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eliminate, power
Frage 43
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Signs of impending labor include
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Pain in abdomen
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bloody show
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lightening
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Braxton Hicks Contractions
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Cervical changes
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Resting/Bath decrease contractions
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Weight loss (1-3lb)
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ROM
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Backache, pain in sacrum
Frage 44
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Most appropriate precautions to take when A mother had a rupture of membranes but did not go into labor.
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Decrease the vaginal exams to only once an hour.
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Check the fetal heart rate and d/c vaginal exams
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Check vaginally to see if the baby is engaged at a station of +1
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Give oxytocin and wait for the doctor
Frage 45
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Latent (early) Labour is characterized by
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Cervix opens 0-3cm
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mild-moderate contractions, mild discomfort (may go unnoticed)
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uterus easily indented when contracting
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behavior changes increased concentration
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ctx about 3-30min apart; 20-40 sec duration by end
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ctx 2-5 min apart, duration 40-60sec by end
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cervix 8cm to fully dilated
Frage 46
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1 stage: Active labor is characterized by:
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3-7 cm dilated
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0-3 cm dilated
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effacement complete
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internal rotation begins; descent of fetus into pelvis
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fetus ballotable, unengaged
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contractions 2-5 min apart, duration 40-60 sec; mod-strong
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behavior changes: anxious, helpless, unsocial
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social, excited, cooperative
Frage 47
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1st Stage of Labor: Transition Phase characterized by
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8cm to full dilation (10cm)
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short intense
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ctx. 2-5 min apart duration 40-60 sec
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ctx. strong, 1.5-2 min apart, duration 60-90 sec
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no epidural= most difficult stage
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wants to push, must resist urge to push
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Rn should encourage good strong pushes and adequate rest periods
Frage 48
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Second Stage of Labour begins with _________ and full __________ and ends with birth of the baby.
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complete dilation (10cm) and 100% effacement
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3 cm dilation and 25 % effacement
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6 cm dilation and 50 % effacement
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40-50 sec frequency and full dilation
Frage 49
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Cardinal Movements of Labor in Order
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Flexion, Rotation, extension, expulsion
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Engagement, eternal rotation (shoulder), extension, internal rotation, flexion, expulsion
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Engagement, Flexion, Internal Rotation, Extension, External Rotation (shoulder, expulsion
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Engagement, Flexion, external roation, extension, internal rotation, expulsion
Frage 50
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Third Stage of Labor is all about the...
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crowning
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placenta
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cardinal movements
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meconium
Frage 51
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Shiny Schultze_______ side; Dirty Duncan: ________side
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Baby, Mom
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Mom, Baby
Frage 52
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Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)
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90-120; 30 min
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120-190; 5 min
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110-160; 10 min
Frage 53
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A fetal heart rate monitor is showing:
HR: 140; presence of variability, accelerations with movement at 155 lasting 14 seconds, and a deceleration to 130 following the contraction end.
Identify the non-reassuring result.
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HR of 140
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Presence of variability
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accelerations with movement at 155 lasting 14 seconds
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Deceleration to 130 following the contraction end
Frage 54
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Accelerations are good things! Indicates intact CNS and fetal well being; shown by a 15x15 patter for older than 32 weeks and a 10x10 patter for younger than 32 weeks.
Accelerations can be caused by all but what?
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movement
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vaginal exam
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baby sleeping
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vibro-acoustic stimulation
Frage 55
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Early Deceleration are associated with head compression which causes vagus nerve to slow HR but they are not associated with fetal compromise. Rate at lowest point usually above 100 bpm. Begin near onset + return to baseline by end of ctx.
Antworten
- True
- False
Frage 56
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In terms of _______________ it is okay to be early but never to be late.
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accelerations
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deccelerations
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variability
Frage 57
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A nurse taking care of a pt. whose baby is experiencing late decelerations is documenting her interventions. She notes that she gave pain medication, administered o2, performed a vaginal exam to assess head station and cord, decreased the pt's Oxytocin and increased the IV fluid infusion, placed pt on her side, checked the mother's vital signs and offered a warm compress. Which interventions were directly related to improving placental blood flow?
Antworten
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administering pain meds
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administering oxygen
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vaginal exam to assess head station and cord
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Decreasing oxytocin infusion and increasing IV fluids
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Placing pt. on her side
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Vital signs
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Giving the pt. a warm compress
Frage 58
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VEAL: CHOP
Variable: Cord (no uniform patter)
Early: Head Compression (occuring during ctx)
Accelerations: Optimal
Late: Placental Dysfunction (begin after peak of contraction and rate returns to baseline after contraction ends)
Antworten
- True
- False
Frage 59
Frage
Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...
Antworten
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early decelerations
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variable decelerations
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late decelerations
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prolonged decelerations
Frage 60
Frage
Epidural Blocks are associated with the following possible side effects
Antworten
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maternal hypotension
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Fetal hypotension
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bladder distension
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accelerations
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prolonged second stage of labor
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Spinal headache
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catheter migrations
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