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

Questão 1 de 64

1

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

Selecione uma das seguintes:

  • Community Health nurse

  • WHO nurse

  • VNA nurse

  • Public Health Nurse

Explicação

Questão 2 de 64

1

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

Selecione uma das seguintes:

  • Structure

  • population

  • Social system

Explicação

Questão 3 de 64

1

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

Selecione uma das seguintes:

  • pathogens

  • invasiveness

  • host factors

  • disease and injury

Explicação

Questão 4 de 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.

Selecione uma das seguintes:

  • host factors

  • Prevalence

  • Incidence

  • colonization

Explicação

Questão 5 de 64

1

Select all parts of the epidemiologic triangle

Selecione uma ou mais das seguintes:

  • agent

  • epidemic

  • invasiveness

  • Host factors

  • virulence

  • environmental factors

Explicação

Questão 6 de 64

1

Breast feeding has been shown too: (select 4)

Selecione uma ou mais das seguintes:

  • decrease severity of diarrhea

  • decrease incidence of lower respiratory infection

  • prevent heart murmurs

  • be protective against allergies

  • prevent autism

  • decrease postpartum bleeding for mom

Explicação

Questão 7 de 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?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 8 de 64

1

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

Selecione uma ou mais das seguintes:

  • produced during pregnancy and 4 days pospartum

  • bluish-white

  • thick, creamy and yellow

  • rich in proteins and immunoglobulins

  • has higher fat then mature milk

Explicação

Questão 9 de 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?

Selecione uma das seguintes:

  • Side lying

  • Cradle hold

  • Football hold

  • Cross-Cradle hold

Explicação

Questão 10 de 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?

Selecione uma das seguintes:

  • When the mother gets thirsty

  • audible swallowing of infant

  • Milk leaking from the opposite breast while feeding

  • breast softening while feeding

  • Rooting Reflex

Explicação

Questão 11 de 64

1

The T in LATCH stands for what?

Selecione uma das seguintes:

  • Timing

  • Type of nipple

  • Torn skin

  • Tiredness

Explicação

Questão 12 de 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)

Selecione uma das seguintes:

  • SAIB 1: alignment/ positioning

  • SAIB 2: Areola Latchon

  • SAIB 3: Areola Compression/Sucking

  • SAIB 4: Audible Swallowing

Explicação

Questão 13 de 64

1

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

Selecione uma das seguintes:

  • 10-12; 10

  • 9-12, 16

  • 8-12, 8

  • 20, 50

Explicação

Questão 14 de 64

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 15 de 64

1

Nursing interventions for Prolapsed Cord include:

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 16 de 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 ___________________.

Selecione uma ou mais das seguintes:

  • precipitous labor

  • shoulder dystocia

  • Wood's screw maneuver

  • McRobert's Position

Explicação

Questão 17 de 64

1

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

Selecione uma das seguintes:

  • Sudden onset respiratory distress

  • htn

  • hypotension

  • cyanosis

  • pulmonary edema

  • Signs and Symptoms of Shock

Explicação

Questão 18 de 64

1

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

Selecione uma das seguintes:

  • conditions that require emergency C-sections

  • indications for induction of labor

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

Explicação

Questão 19 de 64

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 20 de 64

1

Amnitomy is procedure to artificially rupture membranes

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 21 de 64

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 22 de 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....

Selecione uma ou mais das seguintes:

  • Terbutaline

  • Dinoprostone (prepidil)

  • Dinoprostone (Cervidil)

  • Misoprostol (cytotec)

Explicação

Questão 23 de 64

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 24 de 64

1

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

Selecione uma das seguintes:

  • fetal distress and need for baby to get out immediately

  • preeclampsia

  • fetal demise

  • paralysis of uterus

Explicação

Questão 25 de 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

Selecione uma das seguintes:

  • Misoprostol (cytotec)

  • Magnesium sulfate

  • Ptiocin (oxytocin)

  • furosemide (lasix)

Explicação

Questão 26 de 64

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 27 de 64

1

Major indications for C-section (pick 4)

Selecione uma ou mais das seguintes:

  • previous vaginal births

  • previous cesarean births

  • CPD

  • fetal distress

  • breech presentation

  • Accelerations of FHR

Explicação

Questão 28 de 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?

Selecione uma das seguintes:

  • Uterine inversion

  • hypertonic contractions

  • uterine rupture

  • Placenta previa

Explicação

Questão 29 de 64

1

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

Selecione uma das seguintes:

  • mqnnitol (osmitrol)

  • acetazolamide (diamox)

  • hydrochlorothiazide (hydrodiuril)

  • Sodium polystyrene sulfonate (kayexalate)

Explicação

Questão 30 de 64

1

Sodium plystyrene sulfonate (kayexalate) is an antihyperkalemic

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 31 de 64

1

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

Selecione uma ou mais das seguintes:

  • Na+

  • mg

  • K+

  • K-

  • cl-

Explicação

Questão 32 de 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

Selecione uma ou mais das seguintes:

  • Mg: 1.6

  • PO4-: 2.1

  • Cl-: 120

  • Ca2+: 9.0

  • K+: 3.7

  • Sodium: 125

Explicação

Questão 33 de 64

1

Hypercalcemia associated with : (pick 4)

Selecione uma ou mais das seguintes:

  • flaccid paralysis

  • muscle weakness

  • prolonged S

  • lethargy

  • incoordination

  • Calcium level above 10.2

  • Calcium level above 8.6

Explicação

Questão 34 de 64

1

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

Selecione uma das seguintes:

  • U, T

  • QRS,U

  • U, P

Explicação

Questão 35 de 64

1

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

Selecione uma das seguintes:

  • Mg: 4.0

  • Mg: 1.3

  • Mg: 1.7

  • K+ 5.3

Explicação

Questão 36 de 64

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 37 de 64

1

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

Selecione uma das seguintes:

  • hypernatremia

  • hypocalcemia

  • hypercalcemia

  • hypokalemia

Explicação

Questão 38 de 64

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 39 de 64

1

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

Selecione uma ou mais das seguintes:

  • tetany

  • irritability

  • confusion

  • Headache

  • seizure

  • tremors

  • shallow t-wave

Explicação

Questão 40 de 64

1

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

Selecione uma ou mais das seguintes:

  • cognitive dysfunction

  • Constipation

  • urinary retention

  • delirium

  • hyperalgesia/allodynia

  • respiratory depression

  • dry mouth

Explicação

Questão 41 de 64

1

Naloxone (narcan) is used to

Selecione uma das seguintes:

  • 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

Explicação

Questão 42 de 64

1

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

Selecione uma das seguintes:

  • acetaminophen (tylenol)

  • ultram

  • Codeine

  • morphine

Explicação

Questão 43 de 64

1

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

Selecione uma das seguintes:

  • legs feel heavy

  • may not feel urge to void

  • drop in BP

  • spinal headache

  • vasoconstriction

Explicação

Questão 44 de 64

1

Incompetent Cervical Os treatment includes

Selecione uma das seguintes:

  • oxytocin

  • PROM

  • Cerclage

  • medically induced abortion

Explicação

Questão 45 de 64

1

Ectopic pregnancy symptoms: (pick 4)

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 46 de 64

1

All of the following are associated with hydatiform mole except?

Selecione uma das seguintes:

  • 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

Explicação

Questão 47 de 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

Selecione uma das seguintes:

  • tirodrine (yutopar)

  • Terbutaline (brethine)

  • nifedipine (adalat)

  • betamethasone (celestone)

Explicação

Questão 48 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 49 de 64

1

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

Selecione uma das seguintes:

  • polyhdraminos

  • Barter's syndrome

  • oligohydramnios

  • polyhydramnios

Explicação

Questão 50 de 64

1

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

Selecione uma ou mais das seguintes:

  • identified with ferning/pooling or nitozene paper

  • continuous monitoring maternal/fetal vital signs

  • maternal temp every hour

  • delay vaginal exams

  • prepare for amniotomy

Explicação

Questão 51 de 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_____________

Selecione uma das seguintes:

  • preeclampsia, eeclampsia

  • hyperemesis gravidarum, placenta previa

  • abruptio placenta, placenta previa

  • placenta previa, abruptio placenta

Explicação

Questão 52 de 64

1

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

Selecione uma ou mais das seguintes:

  • Blood Pressure: 150/100

  • Proteinu>.3 but <2

  • edema

  • onset at 20th week of labor

  • Bp >160 >/110

  • Pulmonary edema, Heart failure

Explicação

Questão 53 de 64

1

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

Selecione uma ou mais das seguintes:

  • 48-72

  • 2 weeks

  • 24-48

  • 72

Explicação

Questão 54 de 64

1

Aldomet (methyldopa) is prescribed for?

Selecione uma das seguintes:

  • Gestational diabetes

  • severe preeclampsia

  • chronic hypertension

  • eeclampsia

Explicação

Questão 55 de 64

1

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

Selecione uma ou mais das seguintes:

  • edema

  • shock

  • proteinuria

  • bleeding

Explicação

Questão 56 de 64

1

Placental accreta is

Selecione uma das seguintes:

  • 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

Explicação

Questão 57 de 64

1

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

Selecione uma das seguintes:

  • 2 weeks, 24 hours

  • 28 weeks, 72 hours

  • 20 weeks, 2 hours

  • 40 weeks, 96 hours

Explicação

Questão 58 de 64

1

At 2 days postpartum the uterus should be ?

Selecione uma das seguintes:

  • midway between umbilicus and pubic symphysis

  • 2 cm below belly button

  • 4 cm below belly button

  • at the umbilicus

Explicação

Questão 59 de 64

1

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

Selecione uma das seguintes:

  • tourniquet

  • sieve

  • ice pack

  • bandaid

Explicação

Questão 60 de 64

1

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

Selecione uma das seguintes:

  • baby to breast

  • pitocin

  • massage

  • tell mother to avoid peeing if possible

Explicação

Questão 61 de 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?

Selecione uma das seguintes:

  • lochia rubra

  • lochia alba

  • lochia serosa

Explicação

Questão 62 de 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?

Selecione uma das seguintes:

  • 4th degree has rectal wall extension

  • 3rd degree includes perineal body involvment

  • 4th degree doesn't involve the sphincter

Explicação

Questão 63 de 64

1

Breast feeding is good birthcontrol postpartum

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 64 de 64

1

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

Selecione uma das seguintes:

  • taking in phase

  • taking hold phase

  • letting-go phase

Explicação