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Final Exam Part 3: GBCC Nursing 112

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Practice Final part 3
Tess Nicholson
Quiz by Tess Nicholson, updated more than 1 year ago
Tess Nicholson
Created by Tess Nicholson almost 9 years ago
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Resource summary

Question 1

Question
Nurses who study the incidences of diabetes in the United States would most likely be what type of nurse?
Answer
  • Community Health nurse
  • WHO nurse
  • VNA nurse
  • Public Health Nurse

Question 2

Question
In community assessment transportation, water and sanitation and housing all fit under the category of
Answer
  • Structure
  • population
  • Social system

Question 3

Question
Mortality is to the measurement of deaths as morbidity is to the measurement of_______
Answer
  • pathogens
  • invasiveness
  • host factors
  • disease and injury

Question 4

Question
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.
Answer
  • host factors
  • Prevalence
  • Incidence
  • colonization

Question 5

Question
Select all parts of the epidemiologic triangle
Answer
  • agent
  • epidemic
  • invasiveness
  • Host factors
  • virulence
  • environmental factors

Question 6

Question
Breast feeding has been shown too: (select 4)
Answer
  • decrease severity of diarrhea
  • decrease incidence of lower respiratory infection
  • prevent heart murmurs
  • be protective against allergies
  • prevent autism
  • decrease postpartum bleeding for mom

Question 7

Question
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?
Answer
  • 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.

Question 8

Question
Characteristics of colostrum that make it different from mature milk include: (pick3)
Answer
  • produced during pregnancy and 4 days pospartum
  • bluish-white
  • thick, creamy and yellow
  • rich in proteins and immunoglobulins
  • has higher fat then mature milk

Question 9

Question
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?
Answer
  • Side lying
  • Cradle hold
  • Football hold
  • Cross-Cradle hold

Question 10

Question
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?
Answer
  • When the mother gets thirsty
  • audible swallowing of infant
  • Milk leaking from the opposite breast while feeding
  • breast softening while feeding
  • Rooting Reflex

Question 11

Question
The T in LATCH stands for what?
Answer
  • Timing
  • Type of nipple
  • Torn skin
  • Tiredness

Question 12

Question
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)
Answer
  • SAIB 1: alignment/ positioning
  • SAIB 2: Areola Latchon
  • SAIB 3: Areola Compression/Sucking
  • SAIB 4: Audible Swallowing

Question 13

Question
A normal newborn feeds a minimum of ___________ in 24 hours and voids approximately _______ times a day
Answer
  • 10-12; 10
  • 9-12, 16
  • 8-12, 8
  • 20, 50

Question 14

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

Question 15

Question
Nursing interventions for Prolapsed Cord include:
Answer
  • 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

Question 16

Question
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 ___________________.
Answer
  • precipitous labor
  • shoulder dystocia
  • Wood's screw maneuver
  • McRobert's Position

Question 17

Question
Assessment Findings associated with anaphylactoid Syndrome of Pregnancy (ASP) include all but which of the following
Answer
  • Sudden onset respiratory distress
  • htn
  • hypotension
  • cyanosis
  • pulmonary edema
  • Signs and Symptoms of Shock

Question 18

Question
Premature rupture of membranes, Postmature pregnancy, preeclampsia/eclampsia, and diabetes in a labor with no Cephalopelvic disproportions are all....
Answer
  • conditions that require emergency C-sections
  • indications for induction of labor
  • conditions that put the baby at severe risk for chromosomal anomalies

Question 19

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

Question 20

Question
Amnitomy is procedure to artificially rupture membranes
Answer
  • True
  • False

Question 21

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

Question 22

Question
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....
Answer
  • Terbutaline
  • Dinoprostone (prepidil)
  • Dinoprostone (Cervidil)
  • Misoprostol (cytotec)

Question 23

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

Question 24

Question
Higher doses of Sinoprostone (prepidil), DInoprostone (cervidil) and Misoprostol (cytotec) can be given in the in the instance of....
Answer
  • fetal distress and need for baby to get out immediately
  • preeclampsia
  • fetal demise
  • paralysis of uterus

Question 25

Question
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
Answer
  • Misoprostol (cytotec)
  • Magnesium sulfate
  • Ptiocin (oxytocin)
  • furosemide (lasix)

Question 26

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

Question 27

Question
Major indications for C-section (pick 4)
Answer
  • previous vaginal births
  • previous cesarean births
  • CPD
  • fetal distress
  • breech presentation
  • Accelerations of FHR

Question 28

Question
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?
Answer
  • Uterine inversion
  • hypertonic contractions
  • uterine rupture
  • Placenta previa

Question 29

Question
seriously powerful carbonic anhydrase inhibitor, lowers intraoptic pressure fast also used to treat acute moutain sickness
Answer
  • mqnnitol (osmitrol)
  • acetazolamide (diamox)
  • hydrochlorothiazide (hydrodiuril)
  • Sodium polystyrene sulfonate (kayexalate)

Question 30

Question
Sodium plystyrene sulfonate (kayexalate) is an antihyperkalemic
Answer
  • True
  • False

Question 31

Question
K+ and HPO4- are to intracellular as ____ & _____ are to extracellular
Answer
  • Na+
  • mg
  • K+
  • K-
  • cl-

Question 32

Question
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
Answer
  • Mg: 1.6
  • PO4-: 2.1
  • Cl-: 120
  • Ca2+: 9.0
  • K+: 3.7
  • Sodium: 125

Question 33

Question
Hypercalcemia associated with : (pick 4)
Answer
  • flaccid paralysis
  • muscle weakness
  • prolonged S
  • lethargy
  • incoordination
  • Calcium level above 10.2
  • Calcium level above 8.6

Question 34

Question
Prominent _____ wave is to hypokalemia as prominent _____ wave is to hyperkalemia
Answer
  • U, T
  • QRS,U
  • U, P

Question 35

Question
What would the most likely lab value be for a pt. who has hypoactive deep tendon reflexes
Answer
  • Mg: 4.0
  • Mg: 1.3
  • Mg: 1.7
  • K+ 5.3

Question 36

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

Question 37

Question
If a pt had a high phosphorus level (>4.4) you might expect to find that this pt is also suffering from
Answer
  • hypernatremia
  • hypocalcemia
  • hypercalcemia
  • hypokalemia

Question 38

Question
Tachypnea---- respiratory alkalosis Dyspnea---- respiratory acidosis
Answer
  • True
  • False

Question 39

Question
The symptoms of hyponatremia are associated with a fluid shift into brain cells They include (pick 5)
Answer
  • tetany
  • irritability
  • confusion
  • Headache
  • seizure
  • tremors
  • shallow t-wave

Question 40

Question
Choose only the Side effects of opioids, disregard any toxic effects
Answer
  • cognitive dysfunction
  • Constipation
  • urinary retention
  • delirium
  • hyperalgesia/allodynia
  • respiratory depression
  • dry mouth

Question 41

Question
Naloxone (narcan) is used to
Answer
  • 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

Question 42

Question
An appropriate medication to use for the third step on the WHO ladder of pain treatment would be?
Answer
  • acetaminophen (tylenol)
  • ultram
  • Codeine
  • morphine

Question 43

Question
Epidural pain control side effects include all of the following except...
Answer
  • legs feel heavy
  • may not feel urge to void
  • drop in BP
  • spinal headache
  • vasoconstriction

Question 44

Question
Incompetent Cervical Os treatment includes
Answer
  • oxytocin
  • PROM
  • Cerclage
  • medically induced abortion

Question 45

Question
Ectopic pregnancy symptoms: (pick 4)
Answer
  • 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

Question 46

Question
All of the following are associated with hydatiform mole except?
Answer
  • 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

Question 47

Question
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
Answer
  • tirodrine (yutopar)
  • Terbutaline (brethine)
  • nifedipine (adalat)
  • betamethasone (celestone)

Question 48

Question
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?
Answer
  • 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

Question 49

Question
Hydraminos is too >2000 ml of amniotic fluid at term while _______________- is to <400ml of amniotic fluid at term
Answer
  • polyhdraminos
  • Barter's syndrome
  • oligohydramnios
  • polyhydramnios

Question 50

Question
The most important things to remember from nursing standpoint when a women has a P.R.O.M. includes:
Answer
  • identified with ferning/pooling or nitozene paper
  • continuous monitoring maternal/fetal vital signs
  • maternal temp every hour
  • delay vaginal exams
  • prepare for amniotomy

Question 51

Question
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_____________
Answer
  • preeclampsia, eeclampsia
  • hyperemesis gravidarum, placenta previa
  • abruptio placenta, placenta previa
  • placenta previa, abruptio placenta

Question 52

Question
Select all symptoms that are associated with mild preeclampsia (select 4)
Answer
  • Blood Pressure: 150/100
  • Proteinu>.3 but <2
  • edema
  • onset at 20th week of labor
  • Bp >160 >/110
  • Pulmonary edema, Heart failure

Question 53

Question
A nurse would continue to observe for preeclampsia symptoms how many hours postpartum?
Answer
  • 48-72
  • 2 weeks
  • 24-48
  • 72

Question 54

Question
Aldomet (methyldopa) is prescribed for?
Answer
  • Gestational diabetes
  • severe preeclampsia
  • chronic hypertension
  • eeclampsia

Question 55

Question
Gestational hypertesnion is hypertension with the absence of what two symptoms?
Answer
  • edema
  • shock
  • proteinuria
  • bleeding

Question 56

Question
Placental accreta is
Answer
  • 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

Question 57

Question
RhoGAM is given (300mg) to mom's at ______ weeks and within _______ hours after delivery for rh sensitization
Answer
  • 2 weeks, 24 hours
  • 28 weeks, 72 hours
  • 20 weeks, 2 hours
  • 40 weeks, 96 hours

Question 58

Question
At 2 days postpartum the uterus should be ?
Answer
  • midway between umbilicus and pubic symphysis
  • 2 cm below belly button
  • 4 cm below belly button
  • at the umbilicus

Question 59

Question
In a terms of analogy a contracted uterus functions like a ?
Answer
  • tourniquet
  • sieve
  • ice pack
  • bandaid

Question 60

Question
3 main interventions for a boggy uterus include all of the following EXCEPT?
Answer
  • baby to breast
  • pitocin
  • massage
  • tell mother to avoid peeing if possible

Question 61

Question
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?
Answer
  • lochia rubra
  • lochia alba
  • lochia serosa

Question 62

Question
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?
Answer
  • 4th degree has rectal wall extension
  • 3rd degree includes perineal body involvment
  • 4th degree doesn't involve the sphincter

Question 63

Question
Breast feeding is good birthcontrol postpartum
Answer
  • True
  • False

Question 64

Question
Pospartum blues and obsession with bodily functions are usually found during which phase
Answer
  • taking in phase
  • taking hold phase
  • letting-go phase
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