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4 | Page D. Encourage the client to ambulate. Situation: Nurse Leah is caring for multiple pregnant clients in the antenatal ward. Some clients present with pregnancy- related problems. The following questions apply. 51. An ultrasound has identified that a client’s pregnancy is complicated by oligohydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects? A. Dysplastic kidneys. B. Coarctation of the aorta. C. Hydrocephalus. D. Hepatic cirrhosis. 52. An ultrasound has identified that a client’s pregnancy is complicated by hydramnios. The nurse would expect that an ultrasound may show that the baby has which of the following structural defects? A. Pulmonic stenosis. B. Tracheoesophageal fistula. C. Ventriculoseptal defect. D. Developmental hip dysplasia. 53. Which of the following signs/symptoms would the nurse expect to see in a woman with abruptio placentae? A. Increasing fundal height measurements. B. Pain-free vaginal bleeding. C. Fetal heart accelerations. D. Bright red vaginal bleeding 54. The client is diagnosed to have placenta previa. What warning signs should be placed by the nurse in client’s unit? A. “No abdominal palpation” B. “No vaginal examination” C. “No BP-taking” D. “No cigarette smoking” 55. Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus? A. Retained placental fragments B. Urinary tract infection C. Cervical laceration D. Uterine Atony Situation: Nurse Kathy is conducting research on the effectiveness of a new wound care protocol in a hospital setting. She needs to collect various types of data to analyze the results effectively. 56. Nurse Kathy is collecting data on the different categories of wounds (e.g., surgical, traumatic, pressure ulcers). What type of data is this? A. Interval B. Ratio C. Nominal D. Ordinal 57. Nurse Kathy records the pain levels of patients on a scale from 1 to 10. What type of data is this? A. Nominal B. Ordinal C. Interval D. Ratio 58. Nurse Kathy measures the weight of patients before and after implementing the new wound care protocol. What type of data is ‘weight’? A. Nominal B. Ordinal C. Interval D. Ratio 59. Nurse Kathy collects data on patients' ages to determine the average age of those participating in the study. What type of data is age? A. Nominal B. Ordinal C. Interval D. Ratio 60. Nurse Kathy uses a thermometer to measure patients' body temperatures. What type of data is body temperature in Celsius? A. Nominal B. Ordinal C. Interval D. Ratio Situation: Growth and Development 61. A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be? A. 16 lb 4 oz B. 20 lb 5 oz C. 24 lb 6 oz D. 32 lb 8 oz 62. Nurse May is educating a mother on the proper sequence of food introduction for her 6-month-old infant. Which of the following reflects the correct order of introducing complementary foods? A. Vegetables, Cereals, Fruits, Meat, Egg, B. Cereal, Vegetables, Fruits, Meat, Egg, C. Cereal, Vegetables, Fruits, Egg, Meat D. Vegetables, Cereals, Fruits, Egg, Meat 63. Which finding would the nurse consider abnormal when performing a physical assessment on a 6-month-old? A. Posterior fontanel is open. B. Anterior fontanel is open. C. Beginning signs of tooth eruption. D. Able to track and follow objects. 64. Which type of play is most appropriate for a 10-month-old infant? A. Parallel play B. Solitary play C. Cooperative play D. Competitive (indoor) 65. Which of the following activities would best support a 7- month-old’s development of fine motor skills? A. Palmar grasp B. transfer objects between hands C. pincer grasp D. holds cup and spoon well Situation: The nurse in the pediatric ward is caring for several children with gastrointestinal disorders. The following questions apply. 66. The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals? A. Eggs, bacon, rye toast, and lactose-free milk. B. Wheat bread, orange juice, and sausage links. C. Oat cereal, breakfast pastry, and nonfat skim milk. D. Cheese, banana slices, rice cakes, and whole milk. 67. Based on the diagnosis above, the nurse expects that the child’s stool will have which characteristic? A. Malodorous B. Dark in color C. Unusually hard D. Abnormally small in amount. 68. The mother explains that after meals her infant has been vomiting, and now it is becoming more frequent and forceful. During the assessment, the nurse notes visible peristaltic waves moving from left to right across the infant’ s abdomen. On the basis of these findings, which condition should the nurse suspect? A. Colic B. Intussusception C. Congenital megacolon D. Pyloric stenosis 69. Which of the following signs would MOST LIKELY suggest Hirschsprung disease in a newborn? A. Projectile vomiting B. Passage of meconium within 24 hours after birth C. Failure to pass meconium within 48 hours after birth D. Presence of currant jelly stools 70. Which of the following is the classic sign of Hirschsprung disease? A. Olive shaped mass B. Steatorrhea C. Ribbon-like stools D. Currant jelly-like stools

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