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Voorbeeld van de inhoud
Peds & OB HESIMonitoring for fetal position is important because the mother cannot tell you she has back pain,
which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks,
especially epidural and caudal, often result in assisted delivery?
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage - ANSD.
Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability
to push effectively in the 2nd stage.
Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction
and often the disease will go into remission. What activity recommendations should the nurse
provide a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain lessens
D. Perform exercises slowly and smoothly - ANSD.
A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain
occurs
A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding,
100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio
placentae and placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the third trimester
B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the third trimester - ANSD.
The nurse must use knowledge base to diffferentiate betewwn abruptia placentae from placenta
previa.
A patient who is 32 weeks gestation is experiencing dark red vaginal bleeding and the nurse
determines the FHR to be 100 bpm and her abdomen is rigid and board like. What action should
the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam - ANSA.
The nurse should immediately notify the healthcare provider and no abdominal or vaginal
manipulation or exams should be done. Administer O2 per face mask and monitor for bleeding
at IV sites and gums due to the increased risk of DIC
,A nurse must use knowledge base to differentiate between abruptio placentae from plaventa
previa. What assessments should be done in case of a patient suspected of abruptio placentae
or placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of DIC - ANSD.
Patients with abruptio placentae or placventa previa should have No abdominal or vaginal
manipulation. No Leopold's maneuvers. No vaginal exams. No rectal exams, enemas, or
suppositories. No internal monitoring
A patient suspected of abruptio placentae or placenta previa should be monitorized for bleeding
at IV sites and gums due to increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension - ANSA.
DIC is related to fetal demise, infection/sepis, pregnancy-induced hypertension ( Preeclampsia)
and abruptio placentae. Cervical carcinoma is related to podophyllin
If a child is on oral iron medication, the family should be taught by the nurse how it should be
administered. Out of the following options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth - ANSC.
Iron can be fatal in severe overdose and as a result, it should be kept away from children. Also,
do not give with dairy products.
In autosomal recessive disease, both parents must be hererozygous, or carriers of the
recessive trait, for the disease to be expressed in their offspring. If both parents are
heterozygous, what is the chance the baby to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1 - ANSC.
With each pregnancy, there is a 1:4 chance of the infant having the disease.
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x
chromosome, therefore, usually affects male offspring. What is the chance for a pregnant
woman carrier her offspring to get the disease?
A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
, C. Male child: 50% of having the disease
D. Female child: 25% of having disease - ANSC.
With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with
hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is
female, she has a 50% chance of being a carrier.
Supplemental iron is not givento clients with sickle cell anemia because the anemia is not
caused by iron deficiency. What aspect is very important in treatment of sickle cell disease
because it promotes hemodilution and circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - ANSC.
Hydration is very important in treatment of sickle cell disease because it promotes hemodilution
and curculation of red cells through blood vessels
An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What
early disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - ANSB.
Early detection of hypothyroidism and phenylketonuria is essential in preventing mental
retardation in infants. Knowledge of normal groth and development is important, sin a lack of
attaintment can be used to detect the existence of these metabolic/endocrine disorders and
attainment can be used for evaluating the treatments effecct
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until
recently. What diabetes type has been discovered to occur more often in Native Americans,
African Americans, and Hispanic children and adolescents?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - ANSB.
DM in children was typicall diagnosed as insulin dependent until recently. A marked increase in
Type 2 DM has occurred recently in the US.
There has been an increase in the number of children diagnosed with Type 2 diabetes with the
increasing rate of obesity in children thought to be a contributing factor. What other factors are
thought to be contributing in the increase of Type 2 cases?
A. Hypotension
B. Hypokalemia
C. Lack of physical activity
D. Hyperkalemia - ANSC.
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