NP2

46問 • 1年前

問題一覧

Betamethasone is the steroid of choice since it is less associated with the occurance of which fetal condition?

Periventricular leukomalacia

Three hours postpartum, a primiparous patient'a fundus is firm and midline. On perineal inspection by Nurse Kristine, she observes a small constant trickle of blood. What will Nurse Kristine suspect for the patient to have?

Perineal lacerations

On the first postpartum day, a primiparous patient complains of perineal pain that was unrelieved by Ibuprofen 400 mg given two hours ago. Nurse Kristine should assess for which of the following?

Perineal hematoma

Heart, a multiparous patient, is admitted in the ward 28 hours after caesarian delivery (CS) . While Heart is breastfeeding, she complains of severe abdominal cramps. Nurse Kriatine explains that these cramps are caused by which of the following?

Release of oxytocin during breastfeeding session.

Twelve hours after vaginal delivery, Nurse Kristine palpates the fundus of a primiparous patient and finds it to be firm, above the umbilicus and deviated to the right. What is the BEST thing for Nurse Kristine to do for the patient?

Encourage patient to ambulate and to void.

SITUATION 14 -Most pregnancies is at 40 weeks. A baby born before the 37th week is known as a premature or pre- term baby. Medical advances have meant that more than 9 out of 10 premature babies survive, and most go on to develop normally. They need special treatment and specialized process of nursing care. The goal of a neutral thermal environment is to assist the newborns to stabilize ita temperature that does not drop below which of the following?

98.6 degree F

Nurses should be alert when caring for a preterm newborn, particularly for which of the following signs?

Hypoglycemia

The nurse s t a r t s giving information about preterm newborns to the parent. She t e l l s them that preterm newborns exhibit which of the following characteristics/ signs?

Allow elbow to be brought past midline of chest.

Hypothermia is common in preterm newborn because of their inability to control heat. which of the following is an EXCEPTION to the APPROPRIATE nursing intervention to prevent heat loss?

Placing the crib beside the wall

Which of the following conditions is NOT INCLUDED among the effects of cold stress ?

Cerebral palsy

Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, right to demand the following, but NOT

communication

A mother wants to nurse only 5 minutes at each breast to avoid sore nipples. Choose appropriate teaching.

Very short feedings reduce hindmilk and may interfere with the infant's weight gain.

A woman has had ababy at 29 weeks of gestation, She tells the nurse that she cannot breastfeed because the baby is so small. The nurse should tell her that:

She can use a breast pump to maintain lactation until nursing is possible.

A breastfeeding mother in reluctant to take a prescribed analgesic because she does not want to pass it to the baby. The nurse should teach her that:

Medications prescribed for postpartum discomfort are safe for use in lactation

A woman with active herpes asks whether she can breastfeed her infant. The nurse should tell her that

She can breastfeed the infant of she does not have any lesions on her breasts

Nurse Melissa has been assigned in the Pediatric' Ward for almost a year. Her head nurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. Nurse Meliasa recalls that one of the major responsibilities of a Head nurse in record keeping. There are many reasons for keeping records in health care, but two stand out above all others. These are to

communication between the members of the team, enable continuity of care for the patient

Nurse Melissa has been assigned in the Pediatric' Ward for almost a year. Her head nurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. The following statements demonstrate to Nurse Melissa that record keeping is good, EXCEPT:

All types of abbreviations are used.

Nurse Melissa has been assigned in the Pediatric' Ward for almost a year. Her head nurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. When the patient asks where to get his/her medical record after discharge, the correct answer is

Medical Record Section

A maternity ward nurse partakes in a research study about the negative affects of smoking among pregnant women. Which specific non-experimental design should the nurse choose to make this study ethical?

Retrospective design

What is the best definition of a cohort study?

Cohort studies investigate the causes of disease, establishing links between risk factors and outcomes.

The research committee tells a researcher that the study suggested may represent a conflict of interest. Which option reflects a potential conflict of interest?

The nurse accepted funds and entered into a financial arrangement with an industry related to the research project.

Aprofessional nurse has a duty to know and raspect the Patient's Bill of Rights. Which of the following is NOT included in the Patient's Bill of Rights? The right to/for

expect continuity of care from discharge to recovery

Autonomy in the prerogative of the patient to give consent with the EXCEPTION of which of the following situations?

Near death

In early 2012, the World Health Organization (WHO) held a technical consultation to review global evidence-related to the prevention and management of postpartum hemorrhage (PPH), which is s t i l l the most common c a u s e of death for women during pregnancy. Since 2007, WHo recommendations have supportad active management of the third stage of labour (AMTSL) as a critical intervention for PPH prevention. AMTSI components include the following, EXCEPT:

Manual exploration of the uterus

Administration of a uterotonic

Intramuscular

Brandt-Andrews

A nurse is assisting is the delivery of a term newborn. Immediately after delivery of the placenta, the nurse palpates the uterine fundus and finds that it is firm and located halfway between the client's umbilicus and symphysis pubis. Which action should the nurse take based on the assesament findings?

Document the findings

Included in Nurse Taylor' a discussions is Republic Act No. 10354. The nurse correctly identifies the complete title of this law as:

The Responsible Parenthood and Reproductive Health Act of 2012

Nurse Nicki M; observed other details as essential part of the immediate care of a normal newborn which included:

Removing used cloth &replacing with dry cloth

In further applying Essential Newborn Care (ENC), Nurse Nicki M. keep in mind that care of the umbilicus should include:

cleansing with cooled, boiled water.

The nurse manager plans to launch a scale-up implementation of the EINC in your facility. For starters, the nurse manager is expected to do which of the following activities in the delivery room (DR) and the neonatal intensive care unit (NICU)?

A baseline situational analysis of maternal and neonatal morbidity and mortality data

stimulated to incorporate the EINC protocol, the nurse manager commenced with the NICU policies deemed to be unnecessary and harmful to the newborn such as footprinting. Which strategy would the nurse manager select if there is little resistance to change and the change is perceived as reasonable?

Empirical-rational

If resistance to change continues for a prolonged time and change needs to be implemented, what is the best action for the change agent?

Accept that the change is appropriate, but there's weakness in the implementation, so coercion in necessary

In trying toimprove the quality of health care delivery in the DR and the NICU by the "ownership" of EINC practices, the nurse manager fulfills which managerial function?

controlling

The nurse ie preparing to admit a 2-year-old with tetralogy of Fallot. Which clinical manifestations would the nurse expect to find? Choose all that apply.

Boot-shaped heart on radiography, Harsh systolic murmur with a palpable thrill, Chronic hypoxemia

While doing a newborn assesement, the nurse finds the infant's blood pressure in the arm is much higher than in the legs. The nurse suspects that the infant has:

coarctation of the aorta

Percentiles for average blood pressure are based on a child's:

Age and sex

A toddler is hospitalized with congestive heart failure and is receiving digoxin and furosemide. The child vomited twice in the past 4 hours. The nurse's best action is to:

get an order to draw a digoxin level.

Nurse Luis is providing home care instructions to the mother of Billy who has Hemophilai. Which of the following complications should Nurse Luis t e ll the mother should repeated bleeding continue?

Hemarthrosis

The antenatal steroid regimen for betamethasone is:

12 mg to be given intramuscularly, every 24 hours for two doses

The patient had hiatory of an eclamptic seizure before. If Mrs. Nunog starts to exhibit signs of labor after a seizure, what will Nurse Nunog anticipate to occur?

Abruptio placenta

The patient submits herself to the 'out-patient department fur prenatal testing and visualization of her oviducts. Oviducts are also known as

fallopian tubes.

A nurse at the prenatal clinic examines a client and determines that her uterus ·has risen out of the pelvis and is now an abdomlnal organ. At what week of gestation does this occur?

12th week of pregnancy

A pregnant client asks the nurse which testing regimen Is recommended by the DOH regarding HIV testing. What Is the correct recommendation upon which the nurse should base a response?

All pregnant women should have an HIV test Included In the prenatal panel after obtaining a general consent form for all screening tests.

Evidence-based practice shows that corticosteroids maybe given to a· laboring woman If: {Select all that apply)

last menstrual period Is uncertain, No previous first trtmester ultrasound., Fundlc height Is not compatible with term gestation.

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