Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 Q&A-100% CORRECT) A

1. In Abruptio Placenta, the placenta from the uterine wall . - Separates; prematurely 2. Abruptio Placenta usually occurs in (prima/multi) gravida over the age of . - Multigravida, 35 (HTN, trauma, cocaine) 3. How is the bleeding of Abruptio Placenta different from that in Placenta Previa? - Usually painful; bleeding is more voluminous in placenta previa 4. If you are the nurse starting the IV on the client with Abruptia Placenta, what gauge needle should you use? - 18 (in preparation to give blood if necessary) 5. How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta? - Q5-15 minutes for bleeding, - maternal VS and continuous fetal Monitoring Deliver baby at earliest sign of fetal distress 6. How is an infant delivered when Abruptio Placenta is present? - Usually C-section 7. Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? - Higher 8. In what trimester does Abruptio Placenta most commonly occur? - Third 9. At what age are accidental poisonings most common? - 2 years old 10. If a child swallows a potentially poisonous substance, what should be done first? - Call for medical help 11. Should vomiting be induced after ingestion of gasoline? - No- not for gas or any other petroleum products 12. When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER? - the suspected poison 13. An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? - high - due to poor eyesight - high 14. What types of chemicals cause burns to oral mucosa when ingested? - Lye, caustic cleaners 15. Children at highest risk for seizure activity after ingestion are those who have swallowed and . - drugs; insecticides .....................................................................................................CONTINUE