Content text DIAGNOSTIC EXAM - NP2 (SC)
TOP RANK REVIEW ACADEMY, INC. Page 3 | hindi nagawa” D. “Gagawa tayo ng paraan na mapauwi ka ng maaga para di mo na maalala ang mga pinagdaanan mo dito” 26. Which of the following is a proper description for Placenta Accreta? A. Premature separation of the placenta of the uterine wall after the twentieth week of gestation and before the fetus is delivered B. The placenta penetrates the uterine muscle itself C. An abnormally adherent placenta D. Placenta goes all the way through the uterus. 27. A nurse in the labor room is preparing to care for a client with hypertonic uterine contractions. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the client is to: A. Provide pain relief measures B. Prepare the client for an amniotomy C. Promote ambulation every 30 minutes D. Monitor the oxytocin infusion closely. 28. Jenny, a nurse, is performing an initial assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding would indicate that the client is at risk for preterm labor? A. The client is a 36- year old primigravida B. The client has a history of cardiac disease C. The client’s haemoglobin level is 13.5 g/dL D. The client is a 20year old primigravida of average weight and height. 29. A nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which of the following assessment findings would alert the nurse to a compromise? A. Maternal fatigue B. Coordinated uterine contractions C. Progressive changes in the cervix D. Persistent non-reassuring fetal heart rate 30. A client in labor is transported to the delivery room and prepared for ta caesarean delivery. After the client is transferred to the delivery room table, a nurse places her in: A. Supine position with a wedge under the right hip B. Trendelenburg’s position with the legs in stirrups. C. Prone position with the legs separated and elevated D. Semi-Fowler’s position with a pillow under the knees. SITUATION: Grounded theory is a general inductive method that is not inextricably linked to a particular theoretical perspective or type of data. Grounded theory researchers seek to understand the actions in a substantive area from the perspectives of those involved. 31. The nurse researcher comprehends that people who pioneered studies in grounded theory includes the following apart from? A. Glaser & Strauss B. Strauss & Corbin C. Corbin& Tanner D. None of the above 32. Coding in Glaserian grounded theory approach is used to conceptualize data into patterns. The nurse- researcher incorrectly identifies conceptualization of the substance of the topic under study as: A. Substantive codes B. Open codes C. Selective codes D. Theoretical codes 33. In-vivo codes are directly derived from the language of the substantive area. The nurse-researcher correctly identifies these codes as: A. Level I B. Level II C. Level III D. Level IV 34. In grounded theory approach, data analysis employs: A. Domain analysis B. Constant comparative analysis C. Componential analysis D. Taxonomic analysis 35. The six (6) C’s in families of theoretical codes for grounded theory analysis developed by Glaser (1978) excludes: A. Contingencies B. Covariances C. Continuum D. Consequences 36. The nurse is teaching a postpartum client about breast-feeding. Which of the following instructions should the nurse include? A. Prenatal vitamins should be discontinued. B. The diet should include additional fruits. C. Organic, hypoallergenic soap should be used to cleanse the breasts. D. Galactagogues should be avoided. 37. A nurse is planning to care for a post-partum client who had a vaginal delivery 2 hours ago. The client had a 4cm midline episiotomy and has several haemorrhoids. What is the priority nursing diagnosis for this client? A. Acute pain B. Disturbed body image C. Impaired urinary elimination D. Risk for imbalanced fluid volume. 38. A nurse is caring for four 1-day postpartum clients. Which client has an abnormal finding that would require further intervention? A. The client with mild afterpains rated 4/10 B. The client with a pulse rate of 70 beats per minute C. The client with colostrum discharge from both breasts D. The client with lochia that is red and has a foul smelling color. 39. Robi, a nurse, is providing postpartum instructions to a client who will be breast- feeding her newborn. Which of the following determines that the client understood the instructions? Select all that apply. 1. “magsusuot ako ng bra na may suporta” 2. “Nakakasama ang pag-inom ng alak para sa aking gatas-ina” 3. “Ang kape ay maaaring makakapagpababa ng aking gatas-ina” 4. “Sisimulan ko ang pag-inom ng estrogen pills pag karating sa amingbahay” 5. “Alam ko na kung ang aking suso ay panandaliang lumaki, ihihinto ko ang pagpapasuso”