2687033
Beschreibung
Quiz von Tess Nicholson, aktualisiert more than 1 year ago
|
Erstellt von Tess Nicholson
vor etwa 9 Jahre
|
|
Frage 1
Frage
Nurses who study the incidences of diabetes in the United States would most likely be what type of nurse?
Antworten
-
Community Health nurse
-
WHO nurse
-
VNA nurse
-
Public Health Nurse
Frage 2
Frage
In community assessment transportation, water and sanitation and housing all fit under the category of
Antworten
-
Structure
-
population
-
Social system
Frage 3
Frage
Mortality is to the measurement of deaths as morbidity is to the measurement of_______
Antworten
-
pathogens
-
invasiveness
-
host factors
-
disease and injury
Frage 4
Frage
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.
Antworten
-
host factors
-
Prevalence
-
Incidence
-
colonization
Frage 5
Frage
Select all parts of the epidemiologic triangle
Antworten
-
agent
-
epidemic
-
invasiveness
-
Host factors
-
virulence
-
environmental factors
Frage 6
Frage
Breast feeding has been shown too: (select 4)
Antworten
-
decrease severity of diarrhea
-
decrease incidence of lower respiratory infection
-
prevent heart murmurs
-
be protective against allergies
-
prevent autism
-
decrease postpartum bleeding for mom
Frage 7
Frage
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?
Antworten
-
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.
Frage 8
Frage
Characteristics of colostrum that make it different from mature milk include: (pick3)
Antworten
-
produced during pregnancy and 4 days pospartum
-
bluish-white
-
thick, creamy and yellow
-
rich in proteins and immunoglobulins
-
has higher fat then mature milk
Frage 9
Frage
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?
Antworten
-
Side lying
-
Cradle hold
-
Football hold
-
Cross-Cradle hold
Frage 10
Frage
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?
Antworten
-
When the mother gets thirsty
-
audible swallowing of infant
-
Milk leaking from the opposite breast while feeding
-
breast softening while feeding
-
Rooting Reflex
Frage 11
Frage
The T in LATCH stands for what?
Antworten
-
Timing
-
Type of nipple
-
Torn skin
-
Tiredness
Frage 12
Frage
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)
Antworten
-
SAIB 1: alignment/ positioning
-
SAIB 2: Areola Latchon
-
SAIB 3: Areola Compression/Sucking
-
SAIB 4: Audible Swallowing
Frage 13
Frage
A normal newborn feeds a minimum of ___________ in 24 hours and voids approximately _______ times a day
Antworten
-
10-12; 10
-
9-12, 16
-
8-12, 8
-
20, 50
Frage 14
Frage
Prolonged Pregnancies (pregnancies greater than 40-42 weeks) are associated with which of the following (pick 4)
Antworten
-
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
Frage 15
Frage
Nursing interventions for Prolapsed Cord include:
Antworten
-
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
Frage 16
Frage
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 ___________________.
Antworten
-
precipitous labor
-
shoulder dystocia
-
Wood's screw maneuver
-
McRobert's Position
Frage 17
Frage
Assessment Findings associated with anaphylactoid Syndrome of Pregnancy (ASP) include all but which of the following
Antworten
-
Sudden onset respiratory distress
-
htn
-
hypotension
-
cyanosis
-
pulmonary edema
-
Signs and Symptoms of Shock
Frage 18
Frage
Premature rupture of membranes, Postmature pregnancy, preeclampsia/eclampsia, and diabetes in a labor with no Cephalopelvic disproportions are all....
Antworten
-
conditions that require emergency C-sections
-
indications for induction of labor
-
conditions that put the baby at severe risk for chromosomal anomalies
Frage 19
Frage
Identify the two women with Bishop Scores that would be most successful
Antworten
-
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
Frage 20
Frage
Amnitomy is procedure to artificially rupture membranes
Antworten
- True
- False
Frage 21
Frage
Dinoprostone (Prepidil) select the right information associated with this cervical ripening drug: (pick 3)
Antworten
-
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
Frage 22
Frage
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....
Antworten
-
Terbutaline
-
Dinoprostone (prepidil)
-
Dinoprostone (Cervidil)
-
Misoprostol (cytotec)
Frage 23
Frage
Pro's to using dinprostone (cervidil) for cervical ripening include:
Antworten
-
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
Frage 24
Frage
Higher doses of Sinoprostone (prepidil), DInoprostone (cervidil) and Misoprostol (cytotec) can be given in the in the instance of....
Antworten
-
fetal distress and need for baby to get out immediately
-
preeclampsia
-
fetal demise
-
paralysis of uterus
Frage 25
Frage
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
Antworten
-
Misoprostol (cytotec)
-
Magnesium sulfate
-
Ptiocin (oxytocin)
-
furosemide (lasix)
Frage 26
Frage
Which two pts would you question an order of Pitocin (oxytocin) for?
Antworten
-
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
Frage 27
Frage
Major indications for C-section (pick 4)
Antworten
-
previous vaginal births
-
previous cesarean births
-
CPD
-
fetal distress
-
breech presentation
-
Accelerations of FHR
Frage 28
Frage
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?
Antworten
-
Uterine inversion
-
hypertonic contractions
-
uterine rupture
-
Placenta previa
Frage 29
Frage
seriously powerful carbonic anhydrase inhibitor, lowers intraoptic pressure fast also used to treat acute moutain sickness
Antworten
-
mqnnitol (osmitrol)
-
acetazolamide (diamox)
-
hydrochlorothiazide (hydrodiuril)
-
Sodium polystyrene sulfonate (kayexalate)
Frage 30
Frage
Sodium plystyrene sulfonate (kayexalate) is an antihyperkalemic
Antworten
- True
- False
Frage 31
Frage
K+ and HPO4- are to intracellular as ____ & _____ are to extracellular
Antworten
-
Na+
-
mg
-
K+
-
K-
-
cl-
Frage 32
Frage
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
Antworten
-
Mg: 1.6
-
PO4-: 2.1
-
Cl-: 120
-
Ca2+: 9.0
-
K+: 3.7
-
Sodium: 125
Frage 33
Frage
Hypercalcemia associated with : (pick 4)
Antworten
-
flaccid paralysis
-
muscle weakness
-
prolonged S
-
lethargy
-
incoordination
-
Calcium level above 10.2
-
Calcium level above 8.6
Frage 34
Frage
Prominent _____ wave is to hypokalemia as prominent _____ wave is to hyperkalemia
Antworten
-
U, T
-
QRS,U
-
U, P
Frage 35
Frage
What would the most likely lab value be for a pt. who has hypoactive deep tendon reflexes
Antworten
-
Mg: 4.0
-
Mg: 1.3
-
Mg: 1.7
-
K+ 5.3
Frage 36
Frage
Never give more than 120 mEq of K+ in 24 hours unless.....
Antworten
-
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
Frage 37
Frage
If a pt had a high phosphorus level (>4.4) you might expect to find that this pt is also suffering from
Antworten
-
hypernatremia
-
hypocalcemia
-
hypercalcemia
-
hypokalemia
Frage 38
Frage
Tachypnea---- respiratory alkalosis
Dyspnea---- respiratory acidosis
Antworten
- True
- False
Frage 39
Frage
The symptoms of hyponatremia are associated with a fluid shift into brain cells
They include (pick 5)
Antworten
-
tetany
-
irritability
-
confusion
-
Headache
-
seizure
-
tremors
-
shallow t-wave
Frage 40
Frage
Choose only the Side effects of opioids, disregard any toxic effects
Antworten
-
cognitive dysfunction
-
Constipation
-
urinary retention
-
delirium
-
hyperalgesia/allodynia
-
respiratory depression
-
dry mouth
Frage 41
Frage
Naloxone (narcan) is used to
Antworten
-
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
Frage 42
Frage
An appropriate medication to use for the third step on the WHO ladder of pain treatment would be?
Antworten
-
acetaminophen (tylenol)
-
ultram
-
Codeine
-
morphine
Frage 43
Frage
Epidural pain control side effects include all of the following except...
Antworten
-
legs feel heavy
-
may not feel urge to void
-
drop in BP
-
spinal headache
-
vasoconstriction
Frage 44
Frage
Incompetent Cervical Os treatment includes
Antworten
-
oxytocin
-
PROM
-
Cerclage
-
medically induced abortion
Frage 45
Frage
Ectopic pregnancy symptoms: (pick 4)
Antworten
-
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
Frage 46
Frage
All of the following are associated with hydatiform mole except?
Antworten
-
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
Frage 47
Frage
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
Antworten
-
tirodrine (yutopar)
-
Terbutaline (brethine)
-
nifedipine (adalat)
-
betamethasone (celestone)
Frage 48
Frage
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?
Antworten
-
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
Frage 49
Frage
Hydraminos is too >2000 ml of amniotic fluid at term while _______________- is to <400ml of amniotic fluid at term
Antworten
-
polyhdraminos
-
Barter's syndrome
-
oligohydramnios
-
polyhydramnios
Frage 50
Frage
The most important things to remember from nursing standpoint when a women has a P.R.O.M. includes:
Antworten
-
identified with ferning/pooling or nitozene paper
-
continuous monitoring maternal/fetal vital signs
-
maternal temp every hour
-
delay vaginal exams
-
prepare for amniotomy
Frage 51
Frage
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_____________
Antworten
-
preeclampsia, eeclampsia
-
hyperemesis gravidarum, placenta previa
-
abruptio placenta, placenta previa
-
placenta previa, abruptio placenta
Frage 52
Frage
Select all symptoms that are associated with mild preeclampsia (select 4)
Antworten
-
Blood Pressure: 150/100
-
Proteinu>.3 but <2
-
edema
-
onset at 20th week of labor
-
Bp >160 >/110
-
Pulmonary edema, Heart failure
Frage 53
Frage
A nurse would continue to observe for preeclampsia symptoms how many hours postpartum?
Antworten
-
48-72
-
2 weeks
-
24-48
-
72
Frage 54
Frage
Aldomet (methyldopa) is prescribed for?
Antworten
-
Gestational diabetes
-
severe preeclampsia
-
chronic hypertension
-
eeclampsia
Frage 55
Frage
Gestational hypertesnion is hypertension with the absence of what two symptoms?
Antworten
-
edema
-
shock
-
proteinuria
-
bleeding
Frage 56
Frage
Placental accreta is
Antworten
-
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
Frage 57
Frage
RhoGAM is given (300mg) to mom's at ______ weeks and within _______ hours after delivery for rh sensitization
Antworten
-
2 weeks, 24 hours
-
28 weeks, 72 hours
-
20 weeks, 2 hours
-
40 weeks, 96 hours
Frage 58
Frage
At 2 days postpartum the uterus should be ?
Antworten
-
midway between umbilicus and pubic symphysis
-
2 cm below belly button
-
4 cm below belly button
-
at the umbilicus
Frage 59
Frage
In a terms of analogy a contracted uterus functions like a ?
Antworten
-
tourniquet
-
sieve
-
ice pack
-
bandaid
Frage 60
Frage
3 main interventions for a boggy uterus include all of the following EXCEPT?
Antworten
-
baby to breast
-
pitocin
-
massage
-
tell mother to avoid peeing if possible
Frage 61
Frage
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?
Antworten
-
lochia rubra
-
lochia alba
-
lochia serosa
Frage 62
Frage
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?
Antworten
-
4th degree has rectal wall extension
-
3rd degree includes perineal body involvment
-
4th degree doesn't involve the sphincter
Frage 63
Frage
Breast feeding is good birthcontrol postpartum
Antworten
- True
- False
Frage 64
Frage
Pospartum blues and obsession with bodily functions are usually found during which phase
Antworten
-
taking in phase
-
taking hold phase
-
letting-go phase
Möchten Sie mit GoConqr kostenlos Ihre eigenen Quiz erstellen? eigenen Mehr erfahren.