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N306 Final Review (1).
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N306 Final Review (1).
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N306 Final ReviewFollicular Phase - ANS-First phase
Starts on the first day of menstruation and ends w/ ovulation---> causing rise in estrogen
Ovulatory Phase - ANS-second stage of menstrual cycle
release of a mature egg from surface of ovary and occurs mid cycle
Luteal Phase - ANS-Third phase of ovarian cycle
corpus luteum forms---> role is release progesterone and estrogen to maintain the
thickened lining of the uterus waiting for the fertilized egg to stick of die off in 22 days
Proliferative phase: endometrial cycle - ANS-influenced by estrogen where the
endometrium thickens rapidly
Secretory Phase: endometrial cycle - ANS-influenced by progesterone---> lining
becomes high vascular and edematous
Menstrual Phase: endometrial cycle - ANS-elimination of the thickened lining of the
uterus from the body through the vagina
Blastocyst - ANS-inner cell membrane that contains the embryonic stem cell
where the fetus is
Trophoblast - ANS-outer portion that becomes the placenta to hold the fetus
Ectoderm germ layer - ANS-hair, nails, ears, eyes, etc
Mesoderm germ layer - ANS-dermis, bones, smooth muscle, kidneys, blood vessels
Endoderm germ layer - ANS-inner organs (heart, liver, lungs, etc)
A nurse is speaking with a client who is trying to make a decision about uterine tube
occlusion. The client asks what effects will this procedure have on my sex life? Which of
the following responses should the nurse make?
a i think that is something you should discuss with your doctor
b this process should have effect on your sexual performance
c you'll be fine, i cant imagine you and your partner will have any problems
,d if this is a concern, perhaps you should reconsider and use another form of
contraception - ANS-b this process should have effect on your sexual performance
A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's
7 y/o child in accepting the new family member.
a allow the sibling to hold the newborn during the bath
b make sure the sibling kisses the newborn each night
c obtain a gift from the newborn to present to the sibling
d switch the sibling's room with the nursery - ANS-c obtain a gift from the newborn to
present to the sibling
A nurse is assessing a client who is at 38 weeks gestation during a weekly prenatal
visit. which of the following findings should the nurse report to the provider?
a blood pressure 136/88 mm Hg
b report of insomnia
c weight gain of 2.2kg (4.8lbs)
d report of Braxton-Hicks contractions - ANS-c weight gain of 2.2kg (4.8lbs)
A nurse is assessing four newborns. Which of the following findings should the nurse
report to the provider?
a a newborn who is 26 hours and has erythemia toxicum on his face
b a newborn who is 32 hours old and has not passed meconium stool
c a newborn who is 12 hours old and has pink tinged urine
d a newborn who is 18 hours and has axillary temperature of of 37.7C (99.9F) - ANS-d
a newborn who is 18 hours and has axillary temperature of of 37.7C (99.9F)
a nurse is performing a vaginal exam for a client who is in active labor and reports back
pain. The nurse determines that the client is 8 cm dilated, 100% efface, -2 station, and
the fetus is in the occiput posterior position (OP). Which of the following actions should
the nurse take?
a perform effleurage during contractions
b place in the lithotomy position
c assist the client to the hands and knee position
d apply FSE - ANS-c assist the client to the hands and knee position
a nurse is providing discharge teaching to a parent whose newborn has just has a
circumcision. which of the following instructions should the nurse include?
a apply slight pressure with a sterile gauze pad for mild bleeding
b inspect the circumcision site q 6-8 hours
, c use baby wipes containing alcohol to cleanse the penis w. every diaper change
d remove the yellow exudate daily using a warm, wet washcloth - ANS-a apply slight
pressure with a sterile gauze pad for mild bleeding
a nurse is preparing to collect a blood specimen from a newborn via heel stick. which of
the following techniques should the nurse use to help minimize the pain of the
procedure?
a apply cool pack for 10 mins to heel prior to the puncture
b request an order for IM analgesic
c use the manual lance blade to pierce the skin
d place the newborn skin to skin with the mother - ANS-d place the newborn skin to skin
with the mother
a nurse is reviewing the medical record of a client who is one day pp. the client had a
vaginal birth with a 4th degree laceration. the nurse should contact the provider
regarding which of the following orders?
a docusate Na 100 mg PO TID
b sitz bath 2-3x daily PRN pain
c bisacodyl rectal suppository daily PRN constipation
d ibuprofen 600 mg Q 6 hours PRN pain - ANS-c bisacodyl rectal suppository daily PRN
constipation
a nurse is teaching a client who is at 8 weeks gestation about exercise. which of the
following instruction should the nurse include in the teaching?
a you should increase weight bearing exercises as your pregnancy progresses
b you should lie on your back to rest for 5 mins after exercising
c you should take your pulse q 20 mins while you are exercising
d you should exercise 30 mins every day - ANS-d you should exercise 30 mins every
day
a nurse is caring for a client and her partner who have experience a fetal death. which
of the following action should the nurse take first?
a take photos and give to parents
b tell the parent to consider organ donation
c encourage the parents to avoid allowing older children to visit them at the hospital
d explain to the parents the need to name the newborn - ANS-a take photos and give to
parents
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