NCLEX-PN Study Guide EXAM LATEST 2024
QUESTIONS AND DETAILED ANSWERS GRADED
A+
FAB 9-Folic acid=B9 (B stands for brain) decrease the incidence
of neural tube defects - ✔✔ANSWER✔✔-the client should be
taking B9 three months prior to becoming pregnant
,abnormalities in the laboring obstetric client - ✔✔ANSWER✔✔-
decelerations are abnormal findings on the fetal monitoring
strip
decelerations are classified by: - ✔✔answer✔✔-early
decelerations, variable decelerations, and late decelerations
early decelerations - ✔✔ANSWER✔✔-begin prior to the peak of
the contraction and end by the end of the contraction. they are
caused by head compression. there is no need for intervention
if the variability is within normal range (that is, there is a rapid
return to the baseline fetal heart rate) and the fetal heart rate is
within normal range
variable decelerations - ✔✔ANSWER✔✔-are noted as V-shaped
on the monitoring strip. variable decelerations can occur
anytime during monitoring the fetus. they are caused by cord
compression. the intervention is to change the mothers
position; if pitocin is infusing, stop the infusion; apply oxygen;
and increase the rate of IV fluids. contact the doctor is the
problem persists
late decelerations - ✔✔ANSWER✔✔-occur after the peak of the
contraction and mirror the contraction in length and intensity.
, these are caused by uteroplacental insufficiency. the
intervention is to change the mother's position; if pitocin is
infusing, stop the infusion; apply oxygen; and increase the rate
of IV fluids. contact the doctor is the problem persists
TORCHS syndrome in the neonate - ✔✔ANSWER✔✔-this is a
combination of diseases. these include toxoplasmosis, rubella
(German measles), cytomegalovirus, herpes, and syphyllis.
pregnant nurses should not be assigned to care for the client
with toxoplasmosis or cytomegalovirus
Arab American cultural attributes - ✔✔ANSWER✔✔-females
avoid eye contact with males; touch is accepted if done by
same-sex healthcare providers; most decisions are made by
males; Muslims (Sunni), refuse organ donation; most Arabs do
not eat pork; they avoid icy drinks when sick or hot/cold drinks
together; colostrum is considered harmful to the newborn
Asian American cultural attributes - ✔✔ANSWER✔✔-they avoid
direct eye contact; feet are considered dirty (the feet should be
touched last during assessment); males make most of the
decisions; they usually refuse organ donation; they generally do
not prefer cold drinks, believe in the "hot-cold" theory of illness
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