midterm

246問 • 2年前

問題一覧

A patient is admitted to labor and delivery unit and a plan of care based on that patients needs is developed by which member of the health care team?

Registered Nurse

Which nursing action is inappropriate when providing safe and effective nursing care?

stereotyping a patient on the basis of ethnicity

A patient reports a thick curd like discharge and vaginal itching. the nurse expects the following diagnosis

vulvovaginal candidas

which of the following data collected during the assessment process causes the nurse to anticipate a diagnosis of endometriosis

painful menstrual cramps

the nurse is uncomfortable with caring for a patient who is planning to undergo an abortion. which action should the nurse take?

notify the nurse manager

Which preventative health screenings should the nurse include in the plan of care for a woman who is 30 years of age? (select all)

pap test, breast self exam, blood pressure screening

a patient is telling the nurse about her irregular menstrual periods. the nurse considers that the patient may have polycystic ovary syndrome (PCOS) when she mentions what other symptoms?

extra hair growth on the face

all birth control methods have advantages and disadvantages. which of the following statements are correct?

oral contraceptives do not prevent STI’s, the transdermal patch decreases breast tenderness

a nurse caring the a laboring patient requests a medication that is categorized as pregnancy x. what should the nurse do?

explain that the medication is categorized as pregnancy x

a pregnant patient has been receiving care in the maternal- child clinic. during labor the fetus demonstrates signs of distress. which nursing professional is best suited to provide care

CNM

the nurse can interact effectively with medical interpreters by doing which of the following?

speak directly to the patient

which nursing interventions should be included in the plan of care for a patient who is diagnosed with a pelvic floor disorder? ( select all)

teaching kegel exercises, encourage increase in water intake, providing educational materials for inserting a pessary

In evaluating pharmacotherapy interventions, the nurse recognizes that which of the following is true?

environmental, cultural, and genetic factors affect how drugs act on individuals

which dietary modification should the nurse recommend to a patient with a family history of uterine fibroids?

consume less red meat

the nurse is providing nutritional education to a client who is seeking information prior to conception. which item (s) below should the nurse include in her education

no alcohol, limit caffeine, folic acid supplement

a patient asks the student nurse whether a medication is safe to take during pregnancy. the student thinks it is an approved medication during pregnancy. which is the students best response

I will ask your OB

a pt calls the clinic because she thinks she may have a STI. the best response by be nurse are which of the following? (select all)

can you come in for an appt today, abstain from sex until your appt

the nurse assessing the knowledge of a pt newly diagnosed with endometriosis. which statement by the pt would the nurse need to follow up?

my endometriosis will go away in a few years

a breastfeeding woman has requested her provider prescribe the mini pill for her birth control method. the nurse will include in her teaching plan which statement to educate her patient?

pulls must be taken at the same time every day

which statement is true about the herpes simplex virus?

some people never have symptoms

a pt with dysfunctional uterine bleeding is asking about her plan of care. how should the nurse respond?

if your test results are normal the provider will likely prescribe hormone therapy

a 38 yr old female pt is considered a IUD for contraceptive. what should the nurse include in teaching about this approach to birth control?

it required a pelvic exam to insert lt and remove

which interventions should the nurse include in the plan of care for a patient who is experiencing menopause ( select all)

encourage weight based exercise, provide info. regarding hormone replacement therapy, provide info on hit flashes, beneficial meds to prevent osteoporosis

the nurse has many tasks to complete and is trying to ensure that they are all done in a timely manner. what is the first step the nurse should take when delegating?

clarify what the specific activity or task is by defining all aspects of the issue and the delegated nurses level of competency

a patient presents to the office with complaints of amenorrhea. what is the nurses correct response

we will have to order a pregnancy test for you

the nurse joins a community outreach program to promote vaccination of children, demonstrating which ethical principle

beneficence

which method of family planning requires the woman to track her menstrual periods and estimate the time of ovulation?

periodic abstinence

who or what regulated the nursing scope of practice

state laws

the nurse or providing teaching to a group of teen girls about menstrual cramp relief. what non pharmacological suggestion should the nurse include?

exercise regularly

a 17 year old girl comes to the clinic for a sports physical. which statement by the patient would the nurse suspect she had secondary amonorrhea?

I haven’t had a period since I started running cross country

which term should the nurse use to describe the display of culturally appropriate behaviors?

cultural sensitivity

which data collected during a patients health history supports the current diagnosis of infertility

scar tissue from STI’s

the provider orders a hysterosalpingography for a patient. the nurse knows this test is used for

visualing the uterus and fallopian tubes for abnormalities

when screening a patient who speaks a different language, it is important to do which of the following

use a medical interpreter

a 17 year old in her first trimester visits a the clinic for a prenatal appointment. she is upset because her parents want her to have an abortion but she does not. what should the nurse ask to find out the emancipation status of the patient?

are you married

infant mortality rates in the black population being double the rates in the white population is an example of which of the following

health disparity

a patient reports to the ER 4 days after the onset of menstruation with influenza like symptoms and a rash on her palms and feet. what diagnosis does the nurse suspect?

toxic shock syndrome

the nurse is teaching a pt about barrier methods of contraception. which of the following should not be included in the discussion?

moderate physical activity for 2.5 hrs each week

why is it important to understand the worldview when caring for individuals from different cultures?

develop an appreciation of differences

which clinical manifestations support the diagnosis of PMS and PMDD? ( select all)

irritability, dysmenorrhea, weight gain, acne with menstruation

a patient who was recently prescribed an oral contraceptive called the nurse to ask for advice. she had forgetting to take her pill for the last 3 days and wants to know how long she and her partner should use a second form of protection. how should the nurse respond?

a second form of protection is needed until your menstrual period begins and you start a new pill package

the nurse admits a woman in the second trimester of pregnancy to the OB clinic for her regular examination. the pt asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. which is the nurses best response?

talk with the provider about the safest medication to take during pregnancy

which data collected by the nurse during the health history support the suspected diagnosis of ovarian cyst?

painful intercourse

the provider explains the need for an invasive procedure, but the patient declines the procedure. the nurse supports the patients right to make this decision, demonstrating an understanding of which ethical principle?

autonomy

which clinical manifestation should the nurse educate a perimenopausaul woman to anticipate?

night sweats

the nurse is teaching a pt about barrier methods of contraception. which of the following should not be included in the discussion?

IUD

what is the nurses responsibility in regard to informed consent?

ensure that the consent is signed by the provider and the patient prior to the procedure

the most common cause of amenorrhea is

pregnancy

the nurse is providing education to a perimenopausal woman. what should the nurse recommend in regard to sexual intercourse?

using vaginal lubricants will prevent pain during intercourse

a laboring patient introduces several adults as being members of the family. how should the nurse interpret this information?

family is who the patient says they are

Which statement indicates that a mother understood the info about the function of the placenta taught by the nurse?

the placenta separates my blood from the baby’s and produces hormones until delivery

A pregnant woman complains about backaches. Which of the following should the nurse recommend?

wearing low heeled shoes and using good body mechanics

A clinical instructor is observing a student nurse obtain a pt history on a new prenatal pt. which statement allows the clinical instructor to determine that the student nurse effectively understands therapeutic communication?

what is your current living situation?

A 16 year old patient is acting indifferent when the nurse is asking questions about her pregnancy. this is consistent with what expected behavior of pregnant teens?

inconsistency

Which potential complication is the nurse unlikely to associate with amniocentesis?

maternal liver damage

A pregnant woman lives in a community that is experience a measles outbreak because of a lack of immunization. the woman says she heard that measles is teratogenic and does not know what that means. which statement by the nurse best explains this concept?

the measles virus is a harmful substance that could hurt the fetus

Which of the following female external genital organs is correctly matched to its description

Bartholin glands - secrete lubricating fluids

during a woman’s initial prenatal visit, she learns that the OB will perform a complete physical exam. what is the best response when the clients asks the nurse, “why is a complete physical exam required?”

your overall health will influence your pregnancy. the doctor will need to obtain a complete physical examination

a woman arrives at the clinic and tells the nurse that she thinks she is pregnant. which symptoms, as related by the pt, does the nurse consider the best indicator of pregnancy?

positive urine human chorionic gonadotropin (hCG)

the nurse is assessing a newborn and notes that the infant has a small head, flat face, and narrow eye openings. what is a possible explanation for this finding?

the mother consumer alcohol during pregnancy

Using naegele’s rule, calculate the estimated date of delivery for a pt whose first day of the last menstrual period was Oct 8, 2016?

July 15, 2017

at which point will the nurse begin scheduling a pregnant woman for weekly OB visits?

36 weeks

the nurse is conducting an assessment on a pregnant pt. which symptoms does the nurse recognize as abnormal for a pregnant patient?

burning upon urination

the newborn nursing nurse admits a baby with a songenitak defect of the digestive tract and recognizes that this is due to an anomaly in which later during cell differentiation?

endoderm

which of the male reproductive organs transport sperm and brings the sperm to maturity?

epididymis

which of the following is the correct pathway of blood from the mother to her fetus?

mother blood, placenta, umbilical vein, liver, heart

the nurse cares for a newly diagnosed pregnant woman with history of three spontaneous abortions in the first trimester and an emergency cesarean section because of breech presentation of her last pregnancy. which health- care provider is most appropriate to care for this patient?

OB/gyno

when talking with the nurse, a pregnant pt points out his darkened areolas, the lines nigra on her abdomen, and the brown patches on her forehead and nose and says “I’m never going to be able to wear a bikini again” which is the nurses best response?

these changes normally go away after you have a baby

a nurse is discussing rubella immunity with a. pregnant woman. which statement indicates that the nurse needs further education regarding rubella immunity?

you may receive a rubella vaccine during preganncy

the nurse is educating a patient at 4 week gestation about the development of the fetus. how should the nurse respond when the pt asks when she can find out the gender of the fetus?

we can do an ultrasound at 12 weeks and determine the sex

the nurse is unable to locate fetal heart tones in a woman who is at 10 weeks gestation. what is the nurses priority action?

reassuring the woman that this is a normal finding

human chorionic gonadotropin (hCG) is produced to support the development of the embryo and is an indicator for pregnancy. how long after conception is hCG detectable in urine?

12 - 14 days

a woman in her third trimester is reporting an itchy rash on her abdomen, arms, and legs. the nurse realized that the patient may have what skin condition that is associated with pregnancy?

pruritos urticarial papeles and plaques of pregnancy (PUPPP)

The nurse is obtaining personal information as part of the pt history. how should the nurse ask the woman about physical abuse and overall safety in her living situation

tell me about your home life

The nurse reviews a pregnant patients laboratory values and notes a reduced red blood cell count and hemoglobin level. which symptoms should the nurse expect the pt to report?

fatigue

The nurse is educating a woman who is pregnant with twins about the differences between monozygotic and dizygotic twins. which statement should the nurse include in the teaching?

in monozygotic twins, each embryo will have its own amniotic sacs but will share a placenta

which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?

do not empty your bladder prior to the procedure

the nurse is examining a woman who is at 20 weeks gestation. which findings does the nurse consider appropriate at this stage of pregnancy?

fetal HR 148 bpm, fundal height - 20 cm, quickening

a defect in the ectoderm layer could cause issues with what organ of the body?

eyes

the nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?

feeling SOB with no explanation

While assisting the physician with a physical examination, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?

auscultation of fetal heart sounds

which finding does the nurse recognize as a normal result of pregnancy?

reduced platelet count

during the physical examination of a pregnant woman the health care provider notes a bluish purple coloration of the vagina mucosa and cervix. the nurse knows that this find indicates which probable sign of pregnancy?

chadwicks sign

if fertilization does not occur, shedding of the uterine lining begins due to a decrease in which hormones?

estrogen and progesterone

the measurement of a pregnant woman’s abdomen reveals that her amniotic fluid may be low. the nurse know that amniotic fluid serves what functions? (select all that apply)

cushioning the fetus, preventing the amniotic membrane from adhering to the fetus, protecting the fetus from bacteria from the vagina, preventing compression of the umbilical cord

the nurse is education a patient about the process of fertilization. which statement by the pt requires correction?

the sperm and the egg are called zygotes

a pregnant patient is complaining of constipation. the nurse should recommend that the patient incorporate which food into her diet?

nuts

the nurse reviews a pregnant patients medical record and sees G5, T2, P5, A1, L5. which statement reflect an accurate analysis of this info? (select all that apply)

the women has been pregnant a total of fives time, including the current pregnancy, two of the children born alive died after birth

in fetal circulation, the oxygenated blood bypasses the liver through which structure?

ductus venosus

the nurse is providing teaching to a pregnant pt. which recommendation will help the pt avoid vena cabal syndrome?

lie on your left side

the nurse caring for a woman at 32 weeks gestation finds elevated protein and nitrate levels in the urine. what will the nurse assess for next

symptoms of a UTI

the nurse performs a cervical exam on a woman in labor and recognizes that the elasticity of the cervix results from which characteristic of the anatomy? (select all that apply)

large number of folds in the cervical lining, high fibrous content of the supportive tissues, high collagenous content of the supportive tissue

Which finding is normal when assessing a newborn shortly after birth?

the umbilical cord has two arteries and one vein (AVA)

rank these events in the order in which they occur ( write numbers in answer box ex 4321) 1. release of egg 2. fertilization of the ovum 3. implantation into the endometrium 4. release of progesterone by the corpus outrun 5. secretion of the luteinizing hormone

51423

a fetus weighs 780g and has developed hand grip and startle reflex but is not yet using the senses of vision and hearing. this growth and development pattern of the fetus is consistent with what gestational age?

6 months

a pt is late for her prenatal visit and when she arrives, she blames symptoms, suggesting a UTI for her late arrival. upon exam, the nurse finds mild spotting and notes bruising on the woman’s abdomen. what does the nurse suspect?

domestic abuse

the ER nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy. assessment findings include a distended, pregnant- appearing abdomen and fetal heart tones. how does the nurse interpret these contradictory findings?

denial of pregnancy until late in gestation is not uncommon of adolescence

the nurse reviews the chart of a man undergoing testing to determine the cause of infertility. which hormone levels will the nurse review as a possible cause of the pt’s low sperm count? ( select all that apply)

luteinizing hormobe, testosterone, follicle stimulating hormone (FSH)

Which finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?

amernorrhea

100

a pregnant woman is being assessed by the nurse and reports pain and swelling in her right calf. which action should the nurse take?

notify the health care provider

Anatomy test 1

Zoey · 89問 · 2年前

Anatomy test 1