Summative-Test-6 -Preliminary-Exam-Unit-4-Part-2 -Attempt-review PDF

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4/18/2021

Summative Test #6: Preliminary Exam (Unit 4) Part 2: Attempt review

Started on State Completed on

Sunday, 18 April 2021, 8:00 PM Finished Sunday, 18 April 2021, 9:15 PM

Time taken 1 hour 15 mins Grade

61.83 out of 75.00 (82%)

Question 1 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs After developing severe hydramnios, client exhibits dyspnea, along with the edema of the legs and vulva. Which procedure should the nurse expect the client to undergo and why? a. Ectopic Pregnancy b. articial rupture of membranes to reduce uterine pressure c. I.V oxytocin administration to induce labor d. amniocentesis to temporarily relieve discomfort

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Your answer is correct. Polyhydramnios / Hydramnios is characterized by excessive amniotic uid formation; > 2000 ml.If impairment of maternal respiratory status occurs, amniocentesis for removal of uid may be performed. The correct answer is: amniocentesis to temporarily relieve discomfort

Question 2 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother A. Nursing Care of a Family Experiencing a Pregnancy Complication from a Preexisting or Newly Acquired Illness. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe pre-eclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for: a. Any bleeding such as in the gums, petechiae, and purpura b. Periods of fetal movement followed by quiet period c. Complains of feeling hot when the room is cool d. Enlargement of the breast

Your answer is correct. Any bleeding such as in the gums, petechiae, and purpura is an indication ofDisseminated intravascular coagulation (DIC). The correct answer is: Any bleeding such as in the gums, petechiae, and purpura

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Question 3 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs Situation: Mrs. Cass is in her 2nd trimester and admitted in GTLM Hospital with a chief complaint of hypertension. With BP = 170/100. Further assessment revealed edema on face and upper extremities. The client even verbalized “Ewan ko ba hindi na rin magkasya wedding ring ko sa akin." Finally, Mrs. Cass is diagnosed of PIH. Which of the following statement is incorrect regarding this condition? a. It usually occurs any time after the 20-24th week AOG to six weeks postpartum b. Danger of convulsion is present until 48 hours postpartum c. The exact cause is unknown d. Hypertension happens after delivery

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Your answer is correct. Signs & Symptoms of PIH are expected to subside or be removed after the delivery of the placenta and/or baby. The correct answer is: Hypertension happens after delivery

Question 4 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs When you see a woman in preterm labor in the ER, what should be your rst action? a. Obtain blood for an hCG hormone assessment b. Keep her walking so the fetal head puts harder pressure on the cervix c. Ask her to lie down in a side-lying position and assess her contractions d. Caution her not to allow anyone to start IV uid; dehydration halts contractions

Your answer is correct. Minimize Activity by keeping the pt in lateral recumbent position and assess if labor process can still be halted or not. The correct answer is: Ask her to lie down in a side-lying position and assess her contractions

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Question 5 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs The nurse is concerned that a pregnant patient is developing polyhydramnios. What did the nurse assess in this patient? Select all that apply. a. Uterus larger than expected for gestation week

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b. Diculty hearing fetal heart rate

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c. Tense uterus

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d. Extreme shortness of breath

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e. Sudden weight loss

Your answer is correct. Polyhydramnios is an excessive amount of amniotic uid. The rst sign of this disorder may be a rapid enlargement of the uterus. The uterus becomes tense, and the patient experiences shortness of breath because of the uterus pressing on the diaphragm. Auscultating the fetal heart rate can be dicult because of depth of the increased amount of uid surrounding the fetus. The uterus will be larger than expected for the patient's gestational week. The correct answers are: Tense uterus , Extreme shortness of breath, Diculty hearing fetal heart rate , Uterus larger than expected for gestation week

Question 6 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs What is an important assessment parameter in H. Mole? a. there is passage of yellowish to greenish uid in the vagina b. placenta covers the cervical os c. uterus is board-like rigid d. fundic height is greater than age of gestation

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Your answer is correct. Size inconsistent with gestational age: A uterine enlargement greater than expected for gestational age is a classic sign of a complete mole. Unexpected enlargement is caused by excessive trophoblastic growth and retained blood. However, patients also present with size appropriate or smaller than expected for the gestational age. The correct answer is: fundic height is greater than age of gestation

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Question 7 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother A. Nursing Care of a Family Experiencing a Pregnancy Complication from a Preexisting or Newly Acquired Illness. Which medication would you expect to see prescribed for a pregnant woman with an articial heart valve shortly before or during labor? a. Digoxin b. Penicillin

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c. A hypotensive d. Coumadin

Your answer is correct. Women with articial heart valves have an increased risk of subacute bacterial endocarditis following delivery because some bacteria enter the bloodstream from the denuded placental surface. Such bacteria settle in the eddying blood surrounding cardiac shunts or valves. The correct answer is: Penicillin

Question 8 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs Which of the following signs will distinguish threatened abortion from imminent abortion? a. Severity of bleeding b. Dilation of the cervix c. Nature and location of pain d. Presence of uterine contraction

Your answer is correct. In imminent abortion, the pregnancy willdenitely be terminated because the cervix isalready open unlike in threatened abortion where the cervix isstill closed. The correct answer is: Dilation of the cervix

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Question 9 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test? a. Imminent b. Incomplete c. Missed

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especially when all the products of conceptus and abortus were totally expelled

d. Threatened

Your answer is correct. Threatened,Imminent andIncomplete usually presents positive pregnancy test. The correct answer is: Missed

Question 10 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs A woman of 16 weeks' gestation telephones the nurse because she has passed some ฀berry-like฀ blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do? a. Maintain bed rest, and count the number of perineal pads used. b. Come to the health care facility if uterine contractions begin. c. Continue normal activity, but take the pulse every hour. d. Come to the health facility with any vaginal material passed.

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Your answer is correct. This is a typical time in pregnancy for gestational trophoblastic disease to present. Asking the woman to bring any material passed vaginally would be important so it can be assessed for this. The correct answer is: Come to the health facility with any vaginal material passed.

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Question 11 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs Rh immunization in a pregnant client develops during which of the following conditions? a. Rh-negative maternal blood crosses into fetal blood, stimulating fetal antibodies b. Rh-negative fetal blood crosses into maternal blood, stimulating maternal antibodies c. Rh-positive maternal blood crosses into fetal blood, stimulating fetal antibodies d. Rh-positive fetal blood crosses into maternal blood, stimulating maternal antibodies

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Your answer is correct. Isoimmunization(Sometimes calledRhsensitization, hemolytic disease of the fetus,Rhincompatibility)happens when a pregnant woman's blood protein is incompatible with the baby's, causing her immune system to react and destroy the baby's blood cells. The correct answer is: Rh-positive fetal blood crosses into maternal blood, stimulating maternal antibodies

Question 12 Incorrect Mark 0.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs Situation: Raida, 8 weeks pregnant was diagnosed of threatened abortion. An alarming denitive sign that imminent abortion is possible:

a. Slight vaginal bleeding b. Enlargement of the breast c. Backache d. Open cervix

Your answer is incorrect. Inevitable (imminent) abortion: the cervix has dilated, uterine contractions start, but the products of conception have not been expelled. The correct answer is: Open cervix

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Question 13 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs For which of the problems would the nurse be alert in a pregnant woman with gestational diabetes? a. hypotension related to glucose/insulin imbalance b. placenta previa related to diabetes mellitus c. cebral vascular accident related to diabetes mellitus d. hydramnios related to glucose/insulin imbalance

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Your answer is correct.

The correct answer is: hydramnios related to glucose/insulin imbalance

Question 14 Partially correct Mark 0.67 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs The nurse is preparing discharge instructions for a pregnant patient experiencing preterm rupture of membranes. What should the nurse include in this teaching? Select all that apply. a. Avoid douching.

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b. Resume regular coitus. c. Take a tub bath at least once per day. d. Measure oral temperature twice a day.

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e. Expect malodorous vaginal discharge.

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Your answer is partially correct. You have selected too many options. The patient with premature rupture of membranes is at risk for developing an infection. The nurse should instruct the patient to avoid douching and measure oral temperature twice a day. Coitus and tub baths should be avoided because these could introduce an infection into the uterus. A malodorous vaginal discharge could indicate infection and should be reported to the health care provider. The correct answers are: Avoid douching. , Measure oral temperature twice a day.

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Question 15 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs All are facts about Oligohydramnios except: a. cord compression may occur b. uid is extremely concentrated c. AF volume exceeds 2000mL

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indicates polyhydramnios

d. decrease of amniotic uid in the amniotic sac

Your answer is correct. all of the following are indicative of oligohydramnios exceptAF volume exceeds 2000mL, which is indicative of polyhydramnios. The correct answer is: AF volume exceeds 2000mL

Question 16 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs A woman who is Rh negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that: a. as long as she receives Rho(D) immune globulin, there is no limit.

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b. no more than three children is recommended. c. she will have to ask her primary care provider. d. only her next child will be affected.

Your answer is correct. Because Rho(D) immune globulin supplies passive antibodies, it prevents the woman from forming antibodies. Without antibodies that could affect the fetus, the woman could have as many children as she wants. The correct answer is: as long as she receives Rho(D) immune globulin, there is no limit.

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Question 17 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs Which of the following complications occurs more frequently in women over age 40 years than in younger women such as Andrea? a. Failure to progress in labor

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b. Ankle edema with standing c. Skin rashes with pruritus d. Disturbing dreams at night

Your answer is correct. Labor in the woman over age 40 years may be prolonged because cervical dilatation may not occur as spontaneously as in younger women. The correct answer is: Failure to progress in labor

Question 18 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs A 21-year old client, 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions? a. Miscarriage b. Electrolyte imbalance c. Bowel perforation d. Pregnancy induced hypertension (PIH)

Your answer is correct. Serumelectrolyte imbalancesof patients withhyperemesismay result in severe hypokalemia due to the loss of potassium in the vomitus . Potassiumabnormalitieshave been reported to increase the mortality in pregnant women withhyperemesis. The correct answer is: Electrolyte imbalance

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Question 19 Correct Mark 1.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs RhoGAM is given to Rh-negative women to prevent maternal sensitization from occurring. The nurse is aware that in addition to pregnancy, Rh-negative women would also receive this medication after which of the following? a. Blood transfusion after hemorrhage b. Head injury from a car accident c. Unsuccessful articial insemination procedure d. Therapeutic or spontaneous abortion

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Your answer is correct. Rho(D) immune globulin —is given to Rh- mothers at about 28 weeks ofpregnancyand whenever her blood may mix with the baby's,duringprenatal tests, delivery or after miscarriage to prevent Isoimmunization. The shot is low-risk, so doctors recommend it after anypregnancy bleeding because of the theoretical risk of Rh sensitization. The correct answer is: Therapeutic or spontaneous abortion

Question 20 Incorrect Mark 0.00 out of 1.00

II. The Nursing Care of At-Risk/ High-Risk and Sick Mother B. Nursing Care of a Family Experiencing a Sudden Pregnancy Complication C. Nursing Care of a Pregnant Family with Special Needs It becomes impossible to halt a woman’s preterm labor. Which of the following statements would indicate the need for additional education about preterm birth? a. “I understand I will receive large doses of narcotics for pain relief” b. “I understand preterm labor is not necessarily any shorter than term labor” c. “I know...