Midterms

79問 • 2年前

問題一覧

Ms. Cruz is admitted to the ER complaining of a sharp lower right abdominal pain. During the nursing history, she reports that her last menstrual period was 7 weeks ago. A question the nurse would ask is:

Are you experiencing any shoulder pain?

Rina has an Rh-negative blood type. Her electronic record shows she had a previous miscarriage at 16 weeks into her last pregnancy. What medication should the nurse check of what she received following her miscarriage to minimize isoimmunization.

RhIG

Hana is brought to the hospital and admitted with a diagnosis of hyperemesis gravidarum. She is 28 weeks pregnant. Which is the priority nursing intervention, until the hyperemesis can be resolved?

Maintain hydration and electrolyte levels

A client, G2 P1001, telephones the gynecology office complaining of left-sided pain. Which of the following questions by the triage nurse would help to determine whether the one-sided pain is due to an ectopic pregnancy?

When was the first day of your last menstrual period

A 25-year-old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat seen on ultrasound. The nurse would expect the doctor to write an order to prepare the client for which of the following?

Dilatation and Curettage

A client, 12 weeks of gestation, comes to the prenatal clinic complaining of severe nausea and frequent vomiting the nurse suspect hyperemesis gravidarum. Which of the following manifestation is frequently associated with this type of condition?

High levels of chorionic gonadotropin

Nausea and vomiting that continues past the first trimester and is severe in nature is termed:

Hyperemesis gravidarum

A few hours after being admitted with a diagnosis of inevitable abortion, a client begins to experience bearing-down sensations and suddenly expels the products of conception in bed. To give safe nursing care, the nurse should first:

Immediately notify the physician

A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected and the nurse instructs the client regarding management of care. Which statement if made by the client indicated a need for furthers instructions?

"I will maintain strict bed rest throughout the remainder of the pregnancy."

To which of the following nursing diagnosis should the nurse assign highest priority for the client with hyperemesis gravidarum?

Potential fluid volume deficit

A nurse is caring for a 25-year-old client who has just had a spontaneous first trimester abortion. Which of the following comments by the nurse is appropriate?

I'm here to talk if you would like.

Ester a 27 y/o who is in her early trimester with OB score of G2P0 was admitted due to abdominal pain and spotting. She ask the nurse "What did I do wrong that time", what is the best response of the nurse?

Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.

A client comes into the labor and delivery suite stating that her membranes ruptured 5 hours ago and not having labor contractions. She wants to examine to see if she is dilating. She states that her baby has stopped moving, but she wants to return to work if she is not in labor. What will be the nurse priority action?

She should be evaluated for fetal heart rate and check for prolapsed cord.

Myrna had a miscarriage when she was younger, after addressing her immediate psychosocial needs, the nurse identifies which nursing education is best for a woman who says she is miscarrying?

Save any clots or material passed for your health care provider to examine.

What is the most appropriate nursing diagnosis for a client with a ruptured ectopic pregnancy would be?

Decreased cardiac output

Absence of cessation of menstrual flow

Amenorrhea

Abdominal pain during ovulation.

mittelschmerz

Painful menstruation. Abnormally heavy

Dysmenorrhea

menstrual flow greater than 80ml per menses.

Menorrhagia

Bleeding between menstrual periods

Metrorrhagia

A client in the 28th week of gestation comes to the emergency department because she thinks that she's in labor. To confirm the diagnosis of PRETERM LABOR, the nurse would expect the physical examinations to reveal:

regular uterine contractions with cervical dilation

A client is admitted to the obstetrical unit at 36 weeks gestation. Which of the following symptoms would indicate a concealed abruption placenta?

A hard, board like abdomen

A sonogram shows Lorna who is beginning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety?

Assess for vaginal bleeding and clear fluid leakage every shift.

When assessing a pregnant client, which question should be asked by the student nursen to rule out preterm labor in a client reporting back pain?

Is the back pain coming and going at regular time intervals?

Which of the following statement is TRUE about abruptio placenta?

Nursing interventions for this condition includes measuring the fundal height.

A 36 year old woman is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What other signs and symptoms can present with abruptio placentae? SELECT ALL THAT APPLY 1 Decrease in fundal height 2 Tender uterus 3 Hard, rigid abdomen 4 Fetal distress 5 Abnormal fetal position

234

Which drug is used to manage preterm labor by causing smooth muscle relaxation?

ritrodrine

A woman, who is on her mid-pregnancy, has a routine ultrasound performed. The ultrasound shows that the placenta is located at the edge of the cervical opening. As the nurse you know that which of the following statement is FALSE about this finding?

The patient will need to have a c-section and cannot deliver vaginally.

A woman who is at 32 weeks gestation has had ruptured membranes for 26 hours. A nurse should assess the woman for which of the following manifestations?

Elevated temperature

A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the obstetrics unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present?

Uterus is tender to palpate

Infection in the uterus may cause PROM and may also be a complication following PROM.

True

PROM may occur if the uterus is over-stretched by malpresentation of the fetus, multiple pregnancy or excess amniotic fluid.

True

Which of the following drugs is given to a patient in preterm labor to specifically prevent surfactant deficiency?

Corticosteroids

What are the expected signs and symptoms are expected of pregnant client with placenta previa? SELECT ALL THAT APPLY 1 Painless bright red bleeding 2 Hard, tender uterus 3 Normal fetal heart rate 4 Abnormal fetal position 5 Abnormal fetal position 6 Rigid abdomen

1345

A pregnant woman arrives at the emergency room with abruptio placentae at 36 weeks' gestation. She's at risk for which of the following blood disorder?

Disseminated intravascular coagulation (DIC).

What is true about nifedipine? Select all that apply 1 It is a CNS depressant. 2 It should not be given to clients with hypotension. 3 It is a calcium channel blocker. 4 It aids in relaxing the uterus. 5 It is given by IV.

234

A 40-year-old at 38 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine few hours earlier. Which complication is most likely causing the client's complaint of vaginal bleeding?

Abruptio placentae

What may a doctor prescribe to help prevent preterm labor or birth? Select all that apply 1 Estrogen 2 Oxytocin 3 Cerclage 4 Nifedipine 5 Progesterone

Which of the following tests is most diagnostic of rupture of membranes?

pooling of amniotic fluid on speculum exam with valsalva

A 30 year old female came to the clinic, noted to be 33 weeks pregnant with her second child and has uncontrolled hypertension. What risk factor below found in the patient's health history places her at risk for abruptio placentae?

Preeclampsia

What can be given to women in preterm labor in order to induce fetal surfactant production?

Glucocorticoids

The fetal membranes are so strong that blunt trauma to the abdomen is unlikely to cause PROM.

False

Abruption placenta is most likely to occur in a woman with:

Pregnancy-induced hypertension

Which among the following types of OI is a mild manifestation of the disease?

Type 1 & 4

This is being use to measure trunk asymmetry:

Scoliometer

What is the main goal of management in a case of congenital hip dislocation?

To enlarge and deepen the socket

What is the type of fracture where the fracture is at the right angles of the long axis of the bone?

Transverse fracture

Which among the following assessment findings is least likely to a patient with scoliosis?

symmetrical rib cage

Which among the following skin alterations is characterized by inflammation that results in itchy, red, swollen and cracked skin?

Atopic eczema

Which of the following is not classified as personal protective equipment?

Hepa B vaccine

Which among the following is a drug of choice for tinea capitis?

Fluconazole

Which among the following is a drug of choice for tinea corporis?

Miconazole

What is the primary characteristic of a vesicle?

It is filled with serous fluid

The nurse is monitoring her patient with preeclampsia who is receiving magnesium sulfate. The patient is receiving effective therapy with which of the following manifestations?

Seizures do not occur

A pregnant client diagnosed with preeclampsia is receiving magnesium sulfate therapy to help control seizure. A nurse discover that the client is experiencing toxicity from the medication in which of the following assessment?

Respiratory rate of 10 breaths per minute

A client, 42 weeks' gestation, is admitted to the labor and delivery suite with a diagnosis of acute oligohydramnios. The nurse must carefully observe this client for signs of which of the following?

Fetal distress

Irene is pregnant in the last trimester and is admitted to the hospital with a diagnosis of severe preeclampsia. The nurse monitors for complications associated with the diagnosis and assesses her for which of the following manifestations?

Any bleeding, such as in the gums, petechiae, and purpura.

Alicia is pregnant and diagnosed to have eclampsia, begins to experience a seizure. Which of the following would the nurse in charge do first?

Maintain a patent airway

Which of the following are specific manifestations indicative of Preeclampsia? SELECT ALL THAT APPLY 1 Facial edema 2 Negative urinary protein 3 Elevated blood pressure 4 Increased respirations

When teaching students about molar pregnancy, which term is used to refer to a type of gestational trophoblastic neoplasm?

Hydatidiform mole

A client makes a routine visit to the prenatal clinic. Although she's 14 weeks pregnant, the size of her uterus approximates that of a 20-week pregnancy. Dr. Gran diagnoses gestational trophoblastic disease and orders ultrasonography. Which of the following would the nurse expects for the ultrasonography to reveal?

grape-like clusters

A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Select all nursing interventions that apply in the care for the client. SELECT ALL THAT APPLY - Monitor deep tendon reflexes hourly - Monitor I and O's hourly - Notify the physician if respirations are less than 18 per minute. - Monitor renal function and cardiac function closely - Monitor maternal vital signs every 2 hours - Notify the physician if urinary output is less than 30 ml per hour - Keep calcium gluconate on hand in case of a magnesium sulfate overdose

- Monitor deep tendon reflexes hourly - Monitor I and O's hourly - Monitor renal function and cardiac function closely - Notify the physician if urinary output is less than 30 ml per hour - Keep calcium gluconate on hand in case of a magnesium sulfate overdose

A baby is born with esophageal atresia and tracheoesophageal fistula. Which of the following complications of pregnancy would the nurse expect to note in the mother's history?

Polyhydramnios

When teaching students about patient with molar pregnancy, which of the following symptoms occur with the condition?

"Snowstorm" pattern on ultrasound with no fetus or gestational sac

A patient is admitted to the hospital after noticing that she is experiencing vaginal bleeding with vesicles that passed out into the vagina. The nurse is discussing to her the possible treatment options for the patient. Identify ALL the treatment options for molar pregnancies? 1 evacuation of molar pregnancy 2 serial hCG levels 3 radiation 4 possible chemotherapy 5 frequent follow ups

1245

As Nurse Evie is preparing for her care to a patient with ectopic pregnancy, which of the following would be the priority nursing diagnosis?

Pain

A diabetic pregnant client has developed polyhydramnios. The client should be taught to report which of the following?

Uterine contractions

Which of the following is the firs warning sign of ectopic pregnancy? 1 Headache 2 Nausea and vomiting 3 Pelvic pain and vaginal bleeding 4 Lightheadedness

A patient is diagnosed with Pregnancy-Induced-Hyperetension (PIH). Which of the following symptoms indicates the presence of the problem?

Proteinuria, headaches, double vision

A pregnant diabetic has been diagnosed with hydramnios. Which of the following would explain this finding?

Recurring hypoglycemic episodes

In which of the following clinical situations would it be appropriate for an obstetrician to order a labor nurse to perform amnioinfusion?

Meconium-stained fluid

Which of the following assessment findings would indicate that a pregnant client with mild preeclampsia is worsening and the need to notify the physician?

The client complains of a headache and blurred vision

An ultrasound has identified that a client's pregnancy is complicated by hydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

tracheoesophageal fistula

Nurse Evie is preparing to care for a patient who is newly admitted to the hospital with a possible diagnosis of ectopic pregnancy. Nurse Evie develops a plan of care for the client and determines that which of the following nursing actions is the priority for her patient with ectopic pregnancy?

Monitoring apical pulse

Abruption placenta is most likely to occur in a woman with:

Pregnancy-induced hypertension

Lorna's partner brought her to the emergency room due to symptoms of preterm labor. The ER nurse identifies which action is priority?

Position her in a side lying position and assess fetal heart rate and contractions.

When administering Magnesium Sulfate (MgSO4) to a pregnant client diagnosed with preeclampsia, which of the following indicates that the nurse understands that the drug is given to?

Prevent seizures

Which of the following signs and symptoms will most likely make the student nurse suspect and report that the patient is having hydatidiform mole?

Passage of clear vesicular mass per vagina

Julianne is admitted to your care with a diagnosis of ectopic pregnancy. Which of the following actions would you anticipate when taking care of a patient with ectopic pregnancy?

Prepare the patient for an immediate surgery

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NCM 112 QUIZZES PERIOP

ユーザ名非公開 · 39問 · 1年前

NCM 112 QUIZZES PERIOP

39問 • 1年前

ユーザ名非公開

問題一覧

Are you experiencing any shoulder pain?

RhIG

Hana is brought to the hospital and admitted with a diagnosis of hyperemesis gravidarum. She is 28 weeks pregnant. Which is the priority nursing intervention, until the hyperemesis can be resolved?

Maintain hydration and electrolyte levels

When was the first day of your last menstrual period

Dilatation and Curettage

High levels of chorionic gonadotropin

Nausea and vomiting that continues past the first trimester and is severe in nature is termed:

Hyperemesis gravidarum

Immediately notify the physician

"I will maintain strict bed rest throughout the remainder of the pregnancy."

To which of the following nursing diagnosis should the nurse assign highest priority for the client with hyperemesis gravidarum?

Potential fluid volume deficit

A nurse is caring for a 25-year-old client who has just had a spontaneous first trimester abortion. Which of the following comments by the nurse is appropriate?

I'm here to talk if you would like.

Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.

She should be evaluated for fetal heart rate and check for prolapsed cord.

Myrna had a miscarriage when she was younger, after addressing her immediate psychosocial needs, the nurse identifies which nursing education is best for a woman who says she is miscarrying?

Save any clots or material passed for your health care provider to examine.

What is the most appropriate nursing diagnosis for a client with a ruptured ectopic pregnancy would be?

Decreased cardiac output

Absence of cessation of menstrual flow

Amenorrhea

Abdominal pain during ovulation.

mittelschmerz

Painful menstruation. Abnormally heavy

Dysmenorrhea

menstrual flow greater than 80ml per menses.

Menorrhagia

Bleeding between menstrual periods

Metrorrhagia

regular uterine contractions with cervical dilation

A client is admitted to the obstetrical unit at 36 weeks gestation. Which of the following symptoms would indicate a concealed abruption placenta?

A hard, board like abdomen

A sonogram shows Lorna who is beginning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety?

Assess for vaginal bleeding and clear fluid leakage every shift.

When assessing a pregnant client, which question should be asked by the student nursen to rule out preterm labor in a client reporting back pain?

Is the back pain coming and going at regular time intervals?

Which of the following statement is TRUE about abruptio placenta?

Nursing interventions for this condition includes measuring the fundal height.

234

Which drug is used to manage preterm labor by causing smooth muscle relaxation?

ritrodrine

The patient will need to have a c-section and cannot deliver vaginally.

A woman who is at 32 weeks gestation has had ruptured membranes for 26 hours. A nurse should assess the woman for which of the following manifestations?

Elevated temperature

Uterus is tender to palpate

Infection in the uterus may cause PROM and may also be a complication following PROM.

True

PROM may occur if the uterus is over-stretched by malpresentation of the fetus, multiple pregnancy or excess amniotic fluid.

True

Which of the following drugs is given to a patient in preterm labor to specifically prevent surfactant deficiency?

Corticosteroids

1345

A pregnant woman arrives at the emergency room with abruptio placentae at 36 weeks' gestation. She's at risk for which of the following blood disorder?

Disseminated intravascular coagulation (DIC).

234

Abruptio placentae

What may a doctor prescribe to help prevent preterm labor or birth? Select all that apply 1 Estrogen 2 Oxytocin 3 Cerclage 4 Nifedipine 5 Progesterone

Which of the following tests is most diagnostic of rupture of membranes?

pooling of amniotic fluid on speculum exam with valsalva

Preeclampsia

What can be given to women in preterm labor in order to induce fetal surfactant production?

Glucocorticoids

The fetal membranes are so strong that blunt trauma to the abdomen is unlikely to cause PROM.

False

Abruption placenta is most likely to occur in a woman with:

Pregnancy-induced hypertension

Which among the following types of OI is a mild manifestation of the disease?

Type 1 & 4

This is being use to measure trunk asymmetry:

Scoliometer

What is the main goal of management in a case of congenital hip dislocation?

To enlarge and deepen the socket

What is the type of fracture where the fracture is at the right angles of the long axis of the bone?

Transverse fracture

Which among the following assessment findings is least likely to a patient with scoliosis?

symmetrical rib cage

Which among the following skin alterations is characterized by inflammation that results in itchy, red, swollen and cracked skin?

Atopic eczema

Which of the following is not classified as personal protective equipment?

Hepa B vaccine

Which among the following is a drug of choice for tinea capitis?

Fluconazole

Which among the following is a drug of choice for tinea corporis?

Miconazole

What is the primary characteristic of a vesicle?

It is filled with serous fluid

The nurse is monitoring her patient with preeclampsia who is receiving magnesium sulfate. The patient is receiving effective therapy with which of the following manifestations?

Seizures do not occur

Respiratory rate of 10 breaths per minute

A client, 42 weeks' gestation, is admitted to the labor and delivery suite with a diagnosis of acute oligohydramnios. The nurse must carefully observe this client for signs of which of the following?

Fetal distress

Any bleeding, such as in the gums, petechiae, and purpura.

Alicia is pregnant and diagnosed to have eclampsia, begins to experience a seizure. Which of the following would the nurse in charge do first?

Maintain a patent airway

Which of the following are specific manifestations indicative of Preeclampsia? SELECT ALL THAT APPLY 1 Facial edema 2 Negative urinary protein 3 Elevated blood pressure 4 Increased respirations

When teaching students about molar pregnancy, which term is used to refer to a type of gestational trophoblastic neoplasm?

Hydatidiform mole

grape-like clusters

A baby is born with esophageal atresia and tracheoesophageal fistula. Which of the following complications of pregnancy would the nurse expect to note in the mother's history?

Polyhydramnios

When teaching students about patient with molar pregnancy, which of the following symptoms occur with the condition?

"Snowstorm" pattern on ultrasound with no fetus or gestational sac

1245

As Nurse Evie is preparing for her care to a patient with ectopic pregnancy, which of the following would be the priority nursing diagnosis?

Pain

A diabetic pregnant client has developed polyhydramnios. The client should be taught to report which of the following?

Uterine contractions

Which of the following is the firs warning sign of ectopic pregnancy? 1 Headache 2 Nausea and vomiting 3 Pelvic pain and vaginal bleeding 4 Lightheadedness

A patient is diagnosed with Pregnancy-Induced-Hyperetension (PIH). Which of the following symptoms indicates the presence of the problem?

Proteinuria, headaches, double vision

A pregnant diabetic has been diagnosed with hydramnios. Which of the following would explain this finding?

Recurring hypoglycemic episodes

In which of the following clinical situations would it be appropriate for an obstetrician to order a labor nurse to perform amnioinfusion?

Meconium-stained fluid

Which of the following assessment findings would indicate that a pregnant client with mild preeclampsia is worsening and the need to notify the physician?

The client complains of a headache and blurred vision

An ultrasound has identified that a client's pregnancy is complicated by hydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects?

tracheoesophageal fistula

Monitoring apical pulse

Abruption placenta is most likely to occur in a woman with:

Pregnancy-induced hypertension

Lorna's partner brought her to the emergency room due to symptoms of preterm labor. The ER nurse identifies which action is priority?

Position her in a side lying position and assess fetal heart rate and contractions.

When administering Magnesium Sulfate (MgSO4) to a pregnant client diagnosed with preeclampsia, which of the following indicates that the nurse understands that the drug is given to?

Prevent seizures

Which of the following signs and symptoms will most likely make the student nurse suspect and report that the patient is having hydatidiform mole?

Passage of clear vesicular mass per vagina

Julianne is admitted to your care with a diagnosis of ectopic pregnancy. Which of the following actions would you anticipate when taking care of a patient with ectopic pregnancy?

Prepare the patient for an immediate surgery