2687033
Descripción
Test por Tess Nicholson, actualizado hace más de 1 año
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Creado por Tess Nicholson
hace alrededor de 9 años
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Pregunta 1
Pregunta
Nurses who study the incidences of diabetes in the United States would most likely be what type of nurse?
Respuesta
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Community Health nurse
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WHO nurse
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VNA nurse
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Public Health Nurse
Pregunta 2
Pregunta
In community assessment transportation, water and sanitation and housing all fit under the category of
Respuesta
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Structure
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population
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Social system
Pregunta 3
Pregunta
Mortality is to the measurement of deaths as morbidity is to the measurement of_______
Respuesta
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pathogens
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invasiveness
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host factors
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disease and injury
Pregunta 4
Pregunta
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.
Respuesta
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host factors
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Prevalence
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Incidence
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colonization
Pregunta 5
Pregunta
Select all parts of the epidemiologic triangle
Respuesta
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agent
-
epidemic
-
invasiveness
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Host factors
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virulence
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environmental factors
Pregunta 6
Pregunta
Breast feeding has been shown too: (select 4)
Respuesta
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decrease severity of diarrhea
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decrease incidence of lower respiratory infection
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prevent heart murmurs
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be protective against allergies
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prevent autism
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decrease postpartum bleeding for mom
Pregunta 7
Pregunta
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?
Respuesta
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It is good for the baby to practice sucking even though you won't let down milk just yet.
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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.
Pregunta 8
Pregunta
Characteristics of colostrum that make it different from mature milk include: (pick3)
Respuesta
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produced during pregnancy and 4 days pospartum
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bluish-white
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thick, creamy and yellow
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rich in proteins and immunoglobulins
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has higher fat then mature milk
Pregunta 9
Pregunta
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?
Respuesta
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Side lying
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Cradle hold
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Football hold
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Cross-Cradle hold
Pregunta 10
Pregunta
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?
Respuesta
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When the mother gets thirsty
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audible swallowing of infant
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Milk leaking from the opposite breast while feeding
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breast softening while feeding
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Rooting Reflex
Pregunta 11
Pregunta
The T in LATCH stands for what?
Respuesta
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Timing
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Type of nipple
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Torn skin
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Tiredness
Pregunta 12
Pregunta
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)
Respuesta
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SAIB 1: alignment/ positioning
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SAIB 2: Areola Latchon
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SAIB 3: Areola Compression/Sucking
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SAIB 4: Audible Swallowing
Pregunta 13
Pregunta
A normal newborn feeds a minimum of ___________ in 24 hours and voids approximately _______ times a day
Respuesta
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10-12; 10
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9-12, 16
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8-12, 8
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20, 50
Pregunta 14
Pregunta
Prolonged Pregnancies (pregnancies greater than 40-42 weeks) are associated with which of the following (pick 4)
Respuesta
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neonate born with excessive lanugo
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decreased vernix leading to dry parchment-like skin
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r/f uteroplacental insufficiency
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r/f meconium aspiration
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absent rooting reflex
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hypoglycemia of newborn
Pregunta 15
Pregunta
Nursing interventions for Prolapsed Cord include:
Respuesta
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When fetal bradycardia occurs, perform vaginal exam
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Prolapse into vagina= exert upward pressure on presenting part to lift part off cord
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If cord protrudes outside of vagina= gently replace cord
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Hands and knees position for mom to get pressure off cord
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Administer Oxygen
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DONT call doctor
Pregunta 16
Pregunta
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 ___________________.
Respuesta
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precipitous labor
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shoulder dystocia
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Wood's screw maneuver
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McRobert's Position
Pregunta 17
Pregunta
Assessment Findings associated with anaphylactoid Syndrome of Pregnancy (ASP) include all but which of the following
Respuesta
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Sudden onset respiratory distress
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htn
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hypotension
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cyanosis
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pulmonary edema
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Signs and Symptoms of Shock
Pregunta 18
Pregunta
Premature rupture of membranes, Postmature pregnancy, preeclampsia/eclampsia, and diabetes in a labor with no Cephalopelvic disproportions are all....
Respuesta
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conditions that require emergency C-sections
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indications for induction of labor
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conditions that put the baby at severe risk for chromosomal anomalies
Pregunta 19
Pregunta
Identify the two women with Bishop Scores that would be most successful
Respuesta
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Mom with 4 previous pregnancies with a bishop score of 4
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Mom with 2 previous pregnancies with a bishop score of 6
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First time mom with a bishop score of 5
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First time mom with a bishop score of 9
Pregunta 20
Pregunta
Amnitomy is procedure to artificially rupture membranes
Respuesta
- True
- False
Pregunta 21
Pregunta
Dinoprostone (Prepidil) select the right information associated with this cervical ripening drug: (pick 3)
Respuesta
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Contraindicated with asthma, htn, glaucoma
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Contraindicated in women with C-section hx
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Dose: 2.5mg vaginalls or .5mg to cervix, repeat 6-12hours
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Dose: 10mg vaginally
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Delay oxytocin for 6-12 hours
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Oxytocin given with med
Pregunta 22
Pregunta
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....
Respuesta
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Terbutaline
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Dinoprostone (prepidil)
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Dinoprostone (Cervidil)
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Misoprostol (cytotec)
Pregunta 23
Pregunta
Pro's to using dinprostone (cervidil) for cervical ripening include:
Respuesta
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adverse effects decrease within 15 min after removal of insert
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hypertonic contractions begin 1 hour after adminstration
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Oxytocin may be started 30-60min after removal
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Pill is scored for easier cutting of dose
Pregunta 24
Pregunta
Higher doses of Sinoprostone (prepidil), DInoprostone (cervidil) and Misoprostol (cytotec) can be given in the in the instance of....
Respuesta
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fetal distress and need for baby to get out immediately
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preeclampsia
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fetal demise
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paralysis of uterus
Pregunta 25
Pregunta
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
Respuesta
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Misoprostol (cytotec)
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Magnesium sulfate
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Ptiocin (oxytocin)
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furosemide (lasix)
Pregunta 26
Pregunta
Which two pts would you question an order of Pitocin (oxytocin) for?
Respuesta
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MOm experiencing hypotonic contractions for past 6 hours
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Mom with CPD
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Mom with total placenta previa
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Mom who's baby is showing frequent accelerations with contractions
Pregunta 27
Pregunta
Major indications for C-section (pick 4)
Respuesta
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previous vaginal births
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previous cesarean births
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CPD
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fetal distress
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breech presentation
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Accelerations of FHR
Pregunta 28
Pregunta
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?
Respuesta
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Uterine inversion
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hypertonic contractions
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uterine rupture
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Placenta previa
Pregunta 29
Pregunta
seriously powerful carbonic anhydrase inhibitor, lowers intraoptic pressure fast also used to treat acute moutain sickness
Respuesta
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mqnnitol (osmitrol)
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acetazolamide (diamox)
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hydrochlorothiazide (hydrodiuril)
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Sodium polystyrene sulfonate (kayexalate)
Pregunta 30
Pregunta
Sodium plystyrene sulfonate (kayexalate) is an antihyperkalemic
Respuesta
- True
- False
Pregunta 31
Pregunta
K+ and HPO4- are to intracellular as ____ & _____ are to extracellular
Respuesta
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Na+
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mg
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K+
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K-
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cl-
Pregunta 32
Pregunta
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
Respuesta
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Mg: 1.6
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PO4-: 2.1
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Cl-: 120
-
Ca2+: 9.0
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K+: 3.7
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Sodium: 125
Pregunta 33
Pregunta
Hypercalcemia associated with : (pick 4)
Respuesta
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flaccid paralysis
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muscle weakness
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prolonged S
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lethargy
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incoordination
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Calcium level above 10.2
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Calcium level above 8.6
Pregunta 34
Pregunta
Prominent _____ wave is to hypokalemia as prominent _____ wave is to hyperkalemia
Respuesta
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U, T
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QRS,U
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U, P
Pregunta 35
Pregunta
What would the most likely lab value be for a pt. who has hypoactive deep tendon reflexes
Respuesta
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Mg: 4.0
-
Mg: 1.3
-
Mg: 1.7
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K+ 5.3
Pregunta 36
Pregunta
Never give more than 120 mEq of K+ in 24 hours unless.....
Respuesta
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The pt really needs it
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The pt. is a diabetic
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The pt. is monitored in the ICU
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The pt. doesn't have a seizure condition
Pregunta 37
Pregunta
If a pt had a high phosphorus level (>4.4) you might expect to find that this pt is also suffering from
Respuesta
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hypernatremia
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hypocalcemia
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hypercalcemia
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hypokalemia
Pregunta 38
Pregunta
Tachypnea---- respiratory alkalosis
Dyspnea---- respiratory acidosis
Respuesta
- True
- False
Pregunta 39
Pregunta
The symptoms of hyponatremia are associated with a fluid shift into brain cells
They include (pick 5)
Respuesta
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tetany
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irritability
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confusion
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Headache
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seizure
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tremors
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shallow t-wave
Pregunta 40
Pregunta
Choose only the Side effects of opioids, disregard any toxic effects
Respuesta
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cognitive dysfunction
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Constipation
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urinary retention
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delirium
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hyperalgesia/allodynia
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respiratory depression
-
dry mouth
Pregunta 41
Pregunta
Naloxone (narcan) is used to
Respuesta
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treat mild to moderate pain
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to treat moderate to sever pain
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as an antidote to narcotics
-
to help with the constipation side effect of narcotics
Pregunta 42
Pregunta
An appropriate medication to use for the third step on the WHO ladder of pain treatment would be?
Respuesta
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acetaminophen (tylenol)
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ultram
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Codeine
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morphine
Pregunta 43
Pregunta
Epidural pain control side effects include all of the following except...
Respuesta
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legs feel heavy
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may not feel urge to void
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drop in BP
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spinal headache
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vasoconstriction
Pregunta 44
Pregunta
Incompetent Cervical Os treatment includes
Respuesta
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oxytocin
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PROM
-
Cerclage
-
medically induced abortion
Pregunta 45
Pregunta
Ectopic pregnancy symptoms: (pick 4)
Respuesta
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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
Pregunta 46
Pregunta
All of the following are associated with hydatiform mole except?
Respuesta
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symptoms of preexlampsia before usual time of onset
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absence of fetal hear rate
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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
Pregunta 47
Pregunta
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
Respuesta
-
tirodrine (yutopar)
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Terbutaline (brethine)
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nifedipine (adalat)
-
betamethasone (celestone)
Pregunta 48
Pregunta
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?
Respuesta
-
Respiratory rate, tendon reflexes, hourly urine output
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Respiratory rate, calcium level, blood pressure
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Tendon reflexes, pain level, Heart rate
-
uterine involution, blood pressure, heart rate
Pregunta 49
Pregunta
Hydraminos is too >2000 ml of amniotic fluid at term while _______________- is to <400ml of amniotic fluid at term
Respuesta
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polyhdraminos
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Barter's syndrome
-
oligohydramnios
-
polyhydramnios
Pregunta 50
Pregunta
The most important things to remember from nursing standpoint when a women has a P.R.O.M. includes:
Respuesta
-
identified with ferning/pooling or nitozene paper
-
continuous monitoring maternal/fetal vital signs
-
maternal temp every hour
-
delay vaginal exams
-
prepare for amniotomy
Pregunta 51
Pregunta
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_____________
Respuesta
-
preeclampsia, eeclampsia
-
hyperemesis gravidarum, placenta previa
-
abruptio placenta, placenta previa
-
placenta previa, abruptio placenta
Pregunta 52
Pregunta
Select all symptoms that are associated with mild preeclampsia (select 4)
Respuesta
-
Blood Pressure: 150/100
-
Proteinu>.3 but <2
-
edema
-
onset at 20th week of labor
-
Bp >160 >/110
-
Pulmonary edema, Heart failure
Pregunta 53
Pregunta
A nurse would continue to observe for preeclampsia symptoms how many hours postpartum?
Respuesta
-
48-72
-
2 weeks
-
24-48
-
72
Pregunta 54
Pregunta
Aldomet (methyldopa) is prescribed for?
Respuesta
-
Gestational diabetes
-
severe preeclampsia
-
chronic hypertension
-
eeclampsia
Pregunta 55
Pregunta
Gestational hypertesnion is hypertension with the absence of what two symptoms?
Respuesta
-
edema
-
shock
-
proteinuria
-
bleeding
Pregunta 56
Pregunta
Placental accreta is
Respuesta
-
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
Pregunta 57
Pregunta
RhoGAM is given (300mg) to mom's at ______ weeks and within _______ hours after delivery for rh sensitization
Respuesta
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2 weeks, 24 hours
-
28 weeks, 72 hours
-
20 weeks, 2 hours
-
40 weeks, 96 hours
Pregunta 58
Pregunta
At 2 days postpartum the uterus should be ?
Respuesta
-
midway between umbilicus and pubic symphysis
-
2 cm below belly button
-
4 cm below belly button
-
at the umbilicus
Pregunta 59
Pregunta
In a terms of analogy a contracted uterus functions like a ?
Respuesta
-
tourniquet
-
sieve
-
ice pack
-
bandaid
Pregunta 60
Pregunta
3 main interventions for a boggy uterus include all of the following EXCEPT?
Respuesta
-
baby to breast
-
pitocin
-
massage
-
tell mother to avoid peeing if possible
Pregunta 61
Pregunta
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?
Respuesta
-
lochia rubra
-
lochia alba
-
lochia serosa
Pregunta 62
Pregunta
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?
Respuesta
-
4th degree has rectal wall extension
-
3rd degree includes perineal body involvment
-
4th degree doesn't involve the sphincter
Pregunta 63
Pregunta
Breast feeding is good birthcontrol postpartum
Respuesta
- True
- False
Pregunta 64
Pregunta
Pospartum blues and obsession with bodily functions are usually found during which phase
Respuesta
-
taking in phase
-
taking hold phase
-
letting-go phase
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