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JBL Test Prep: Questions 645-690 Questions And Answers With Verified Solutions 100% Correct!!!
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JBL Test Prep: Questions 645-690 Questions And Answers With Verified Solutions 100% Correct!!!
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JBL Test Prep: Questions 645-690Questions And Answers With Verified
Solutions 100% Correct!!!
#645: A week after a near-drowning incident, a 6-year-old boy presents with
respiratory distress, tachypnea, and fever. What should you suspect?
A) Asthma
B) Pertussis
C) Pneumonia
D) Bronchiolitis - ANSWER✔✔C) Pneumonia
Pneumonia is a general term that refers to an infection of the lungs. Pneumonia is
often a secondary infection; it commonly occurs during or after a pre-existing
infection such as a cold. It can also be caused by direct lung injuries, such as from
an accidental chemical ingestion or a submersion incident (ie, near-drowning).
Common signs and symptoms of pneumonia include rapid breathing (tachypnea),
breathing with grunting or wheezing sounds, nasal flaring, and hypothermia or
fever. Given this child's history of a recent submersion incident, pneumonia should
be the suspected cause of his symptoms. A hallmark of asthma is wheezing;
however, fever is usually not present. Bronchiolitis could also explain the child's
symptoms; however, the recent submersion incident makes pneumonia far more
likely. Furthermore, bronchiolitis more commonly affects infants and toddlers.
Pertussis (whooping cough) is not likely because the child does not have a cough.
#646: Which of the following signs is the MOST ominous in a child with
respiratory distress?
A) Bradypnea
B) Tachycardia
C) Nasal flaring
D) Retractions - ANSWER✔✔A) Bradypnea
,Retractions, nasal flaring, and tachycardia are all common findings in infants and
children with respiratory distress. As the child begins to tire, however, retractions
often become weak and ineffective and the accessory muscles become less
prominent during breathing. Bradypnea, a decrease in the respiratory rate, is an
ominous sign and indicates impending respiratory arrest. Do NOT mistake
bradypnea for a sign of improvement; it usually indicates that the child's condition
has deteriorated. Therefore, you should be prepared to provide ventilatory
assistance.
#647: Which of the following is the definitive sign of imminent delivery of a baby?
A) Crowning
B) Urge to defecate
C) Lengthy contractions
D) Contractions less than 3 minutes apart - ANSWER✔✔A) Crowning
The operative word in this question is definitive. While the urge to defecate,
contractions that are less than 2 to 3 minutes apart, and contractions that are
lengthy, are all strong indicators that delivery is very close, nothing is more
definitive than visualization of the presenting part of the baby at the vaginal
opening (crowning).
#648: At what stage during pregnancy does the embryo become a fetus?
A) 2 weeks
B) 6 weeks
C) 8 weeks
D) 10 weeks - ANSWER✔✔C
, #649: Following delivery of a baby, the newborn has a strong cry and a heart rate
of 130 beats/min. What should you do?
A) Suction the baby's mouth and nose
B) Keep the baby warm and transport
C) Ventilate with a bag-mask device
D) Administer free-flow oxygen by mask - ANSWER✔✔B) Keep the baby warm
and transport
If the newborn has no signs of distress, has pink skin, and a heart rate greater than
100 beats/min, simply keep the baby warm and transport to the hospital. Re-
suctioning the mouth and nose is not necessary if the newborn is breathing
adequately. Bag-mask ventilation is indicated if the newborn is apneic or has
gasping respirations, or if the heart rate is less than 100 beats/min. If the baby has
central cyanosis—cyanosis to the face or trunk—administer free-flow oxygen by
face mask or oxygen tubing.
#650: - ANSWER✔✔
#651: - ANSWER✔✔
#652: A woman is 30 weeks pregnant. During your assessment, she tells you that
she delivered a stillborn baby at 38 weeks and currently has no living children.
How should you document her obstetric history?
A) Gravida 1; para 1
B) Gravida 2; para 1
C) Gravida 1; para 2
D) Gravida 2; para 2 - ANSWER✔✔D) Gravida 2; para 2
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