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OB/PEDI exam review practice questions
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OB/PEDI exam review practicequestions
The perinatal nurse caring for the after-birth woman understands that late postpartum hemorrhage
(PPH) is most likely caused by - ANS subinvolution of the placental site
A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-lb, 7-ounce boy after
augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away,
stating, ―I'm bleeding a lot.‖ The most likely cause of after birth hemorrhage in this woman is - ANS
uterine atony
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based
on the knowledge that - ANS hemorrhage is a major concern
Postpartal overdistention of the bladder and urinary retention can lead to which complications? -
ANS after birth hemorrhage and UTI
Which woman is at greatest risk for early PPH? - ANS a woman with severe preeclampsia who is
recieving mag sulfate and who labor is being induced
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus.
In planning her care, the nruse and the woman mutually agree that an expected outcome is to
prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at a greatest risk
for - ANS macrosomia
A nurse is admitting a 9-year-old child who has acute rheumatic fever. When obtaining the client's
history, it is appropriate for the nurse to ask the parent which of the following questions? - ANS has
your son had a sore throat recently
What is a common, serious complication of rheumatic fever? - ANS cardiac valve damage
A nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse
expect to implement? - ANS administering penicillin
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following
statements by the parent indicates an understanding of the teaching? - ANS my child may take
aspirin for his joint pain
, Which finding does the nurse expect to assess in a patient with deficient growth hormone (GH)? -
ANS pathological fractures
Which statement best describes idiopathic hypopituitarism? - ANS skeletal proportions are normal
for age
A child with GH deficiency is receiving GH therapy. What is the best time for the GH to be
administered? - ANS at bedtime
A child diagnosed with hypopituitarism is being started on GH therapy. Nursing considerations
should be based on which information? - ANS replacement therapies require daily subcutaneous
injections
As a powerful central nervous system stimulant, which of these substances can lead to miscarriage,
preterm labor, placental separation (abruption), and stillbirth? - ANS cocaine
The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is - ANS
a gravida 4 who has had all cesarean births
A nurse in labor and delivery is teaching a newly licensed nurse about performing the McRoberts
maneuver to relieve shoulder dystocia. Which of the following pieces of information should the
nurse include - ANS flex the clients legs apart and raise her knees to her abdomen
At what age do children reach half their adult height? - ANS 2 yrs
A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect
to observe for scoliosis? (Select all that apply.) - ANS Asymmetry of the shoulders
An uneven hemline
Unequal waist angles
When does idiopathic scoliosis become most noticeable? - ANS during preadolescent growth spurt
What type of croup is always considered a medical emergency? - ANS epiglottitis
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