問題一覧
1
What form of heart disease in women of childbearing years generally has a benign effect on pregnancy?
Mitral valve prolapse
2
Which of the following is NOT an effect or smoking during pregnancy?
Pre-eclampsia
3
Pregnancy stresses the cardiovascular system, often worsening known heart disorders. Stresses usually include Hemoglobin and increased blood volume, stroke volume and eventually the heart rate. How soon after the delivery do cardiovascular stresses return to pre-pregnancy levels?
Several weeks after delivery
4
Which of the following is known to put a patient at risk of using illicit drugs during pregnancy?
Having a partner that uses illicit drugs
5
The nurse is providing health teaching to a group of women of childbearing age. One woman, who states that she is a smoker, asks about smoking’s impact on the pregnancy. The nurse responds that which of the following fetal complications can develop if the mother smokes?
Fetal intrauterine growth restriction.
6
A woman with Class 1 or 2 heart disease during pregnancy can expect to experience a normal pregnancy and birth
True
7
A woman with Class 4 heart disease is advised to avoid pegnancy because they are in cardiac failure even at rest and when they are not pregnant.
True
8
A woman with a history of congestive heart disease is 36 weeks pregnant. Which of the following findings should the nurse report to the primary health care practitioner?
Dyspnea on exertion
9
A 26 year-old G0P0 with a history of well-controlled asthma comes to you for preconception counselling. What should you advise her on with regards to her asthma?
You should advise her to monitor her asthma symptoms closely, as her asthma may improve, worsen, or even stay the same throughout her pregnancy.
10
The client makes an appointment for preconception counseling. The woman has a known heart condition and is unsure if she should become pregnant. Which is the only cardiac condition that would cause concern?
Eisenmenger syndrome
11
A 23-year-old G1P0 with a 2-year history of smoking a half-pack of cigarettes a day comes to you for her first prenatal appointment at 8 weeks gestational age. What can you advise her with regard to smoking cessation?
You should advise her to quit immediately and that you are happy to provide her with options that can help her with the process
12
Contributory factors to SGA/IUGR includes Abruptio placenta. This is defined as:
Placenta detaches from the uterus
13
As a student nurse assigned in OB-OPC you know that SGA is suspected if fundic height is becoming progressively less in size. As you measure the mother’s fundic height you noted that it is at the level of umbilicus. What is the estimated AOG?
20 weeks
14
Rina attends to the newborn in the clinic. Which of the following is the least of her concerns?
Prescribing appropriate pediatric medications needed
15
A premature infant is immature and small but proportioned to age:
True
16
SGA babies are small, can be immature or mature but weight is not proportioned to age.
True
17
This treatment is indicated for patients with RDS whereby they spray surfactant into the tube:
Surfactant Replacement Therapy
18
SGA baby weighed below 1500 grams. What is the classification of this SGA baby?
VLBW
19
Lung surfactant is produce at what week?
34 weeks
20
Matching type: Gonococci
Ceftriaxone
21
Matching type: Chlamydia
Erythromycin
22
Matching Type: Group B Streptococcus
Gentamicin
23
Matching Type: Herpes virus type 2
Acyclovir
24
In your nursing assessment, you study the patient’s clinical signs and symptoms. Which of the following suggests Respiratory Distress Syndrome?
Tachypnea
25
The following are structures of the respiratory system. Which one is not included in the lower airway?
Larynx
26
What is the rationale behind a newborn being very susceptible to infection?
Newborn produces very little mucus in the upper respiratory tract.
27
What is the effect if infants and children's larynx and glottis are placed higher in the neck?
This will increase risk of aspiration of foreign material into the lower airway
28
The mother ask the nurse why children develops hypoxemia more rapidly than adults when they are in respiratory distress. What is the best response of the nurse? 1.Children have higher metabolic rate than adult. 2. Children's respiratory rate are faster than adult. 3.Children's demands for 02 is lower than adult 4.Children's demands for 02 is higher than adult
124
29
Which among the defenses of the respiratory system is responsible for removing and destroying microorganism by phagocytes, enzymes and immunoglobulins?
Humoral defenses
30
These are important in taking the assessment of pediatric client with respiratory dysfunction. Which one is not included?
Treatment used at home
31
Which among these nursing diagnoses is a priority for pediatric client with respiratory problems?
Ineffective airway clearance related to accumulation of secretions
32
The nurse is assessing pediatric client using her stethoscope and heard wheezes upon auscultation. She instructed the client to do some coughing technique, but wheezes does not clear after coughing several times. What is the indication of this finding.
The client has obstruction of the bronchioles
33
A preschool child is suffering from acute nasopharyngitis. Upon assessment the child's fever is 39 degree C. What will be the prioritized action of the nurse ?
Give prescribed acetaminophen syrup
34
A mother of pediatric client with tonsillitis ask the nurse why her child is complaining of difficulty of hearing. what is the best response of the nurse?
The proximity of the swollen adenoids to the eustachian tube blocks the drainage causing otitis media
35
What assessment finding after tonsillectomy is a priority for the nurse to take action immediately?
Decreasing blood pressure
36
What laboratory test provides information regarding lung function, lung adequacy, and tissue perfusion?
ABGS
37
What is the drug of choice in pediatric clients with LTB to decrease inflammation?
Corticosteroid
38
Mary, 3 yo, has viral infection affecting the larynx, trachea and major bronchi. The child was diagnosed with LTB. In the case of the child with LB, what causes the characteristic barking cough?
Inflammation of larynx and trachea.
39
An assessment of pedia client with pneumonia had crackles upon auscultation. What is the rationale behind this assessment finding?
Crackle is a result of fluid presence in the alveoli