Tiêu đề RECALLS 7 - NP2 - SC ✅

B. Schedule a nonstress test every 4 hours to assess fetal well-being. C. Assess the client's temperature every 2 hours because the client is at high risk for infection. D. Assess for signs and symptoms of labor since the client's level of consciousness may be altered. 15. Which of the following signs would alert Nurse Alex to administer calcium gluconate? A. Urine output of 30ml/hr B. Respiratory rate of 35cpm C. Blood pressure of 130/80 mmHg D. Absent of patellar reflexes Situation: Maria, a 32-year-old mother of five in rural Mindanao, wants to use contraceptives offered for free at the barangay health center. 16. Which of the following women should be considered as special targets for family planning? A. Those who have two children or more B. Those with medical conditions such as anemia C. Those younger than 20 years and older than 35 years D. Those who just had a delivery within the past 15 months 17. Freedom of choice in one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle? A. Information dissemination about the need for family planning B. Support of research and development in family planning methods C. Adequate information for couples regarding the different methods D. Encouragement of couples to take family planning as a joint responsibility 18. The nurse provides instructions to Maria who will begin taking oral contraceptives. Which statement by the client indicates the need for further teaching? A. "I will take one pill daily at the same time every day." B. "If I miss a pill, I must take it as soon as I remember." C. "I will not need to use an additional birth control method after I start these pills." D. "If I miss two pills, I will take them both as soon as I remember, and then two pills the next day." 19. She has regular menstrual cycles of 28 days and wants to know when she is most fertile. When is she most likely to be fertile based on the typical menstrual cycle? A. Days 9-16 B. Days 22-28 C. Days 1-5 D. Days 17-21 20. There are two research projects under study. The first is entitled "Effects of Nurses Contraceptive Counseling on Unwanted Birth" and the second is entitled "Effects of Unwanted Birth on the Incidence of Child Abuse.” Which of the following choices is true regarding these two studies? A. Both research problems have the same dependent variable B. Both research problems have the same independent variable C. The Independent variable in the first research problem is used as dependent. variable on the second study D. The dependent variable in the first research problem is used as independent variable in the second one Situation: The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. 21. Which subjective finding supports the possibility of this condition? A. Experiences pain during intercourse B. Has pain at the onset of menstruation C. Experiences profuse vaginal bleeding D. Has sharp pelvic pain during ovulation 22. When teaching clients to determine the time of ovulation by taking the basal temperature, the nurse explains that the change in the basal temperature during ovulation is shown in which of the following observations? The temperature_____________. A. Drops markedly and remains lower B. Rises markedly and remains high C. Drops slightly and then rises again D. Rises suddenly and then falls down 23. After ovulation has occurred, the nurse teaches women in the fertility clinic that the ovum is through to remain viable for many HOURS? A. 24 to 36 B. 12 to 18 C. 48 to 72 D. 1 to 6 24. The nurse performs an assessment on Mrs. Mangaban. Which of the findings would be indicative of endometriosis? Select all that apply. 1. Spotting after intercourse 2. Menorrhagia 3. Persistent dysmenorrhea 4. Mass felt on palpation. 5. Dyspareunia 6. Yellow purulent discharge A. 2, 3 and 4 B. 3, 4 and 5 C. 1, 2 and 3 D. 4, 5 and 6 25. What is dyspareunia? A. Painful sex B. Painful menstruation C. Painful ovulation D. Painful pareunia Situation: Nurse Jun is educating Ms. Baby, a 25-year-old woman, about her menstrual cycle. Ms. Baby is concerned about the regularity, duration, and flow of her periods. She wants to understand what is considered normal and when she should seek medical advice. 26. Nurse Jun is educating Ms. Baby on the normal duration of a menstrual cycle. What is the average length of a menstrual cycle in most women? A. 21 days B. 28 days C. 35 days D. 40 days 27. Nurse Jun explains to Ms. Baby that the duration of menstrual bleeding can vary. What is the average range for the number of days a woman may experience menstrual bleeding? A. 1-3 days B. 4-6 days C. 7-10 days D. 11-14 days 28. Nurse Jun reviews the typical amount of menstrual flow with Ms. Baby. What is the average amount of menstrual flow during a period? A. 10-30 mL B. 30-80 mL C. 80-100 mL D. 100-150 mL 29. Nurse Jun discusses with Ms. Baby the normal characteristics of menstrual odor. What should Ms. Baby understand if her menstrual blood has an odor similar to marigold? A. Presence of bacterial infection B. Normal hormonal changes C. Excessive menstrual flow D. Recent dietary changes 30. Nurse Jun educates Ms. Baby about normal characteristics of menstrual blood. Which of the following statements about the color of menstrual blood is accurate? A. Menstrual blood is typically bright red in color. B. Menstrual blood is usually dark red or brown in color. C. Menstrual blood is yellowish in color. D. Menstrual blood color varies from white to pink. Situation: Danica, a multiparous patient is admitted due to labor pains which started an hour ago. During the vaginal examination, the nurse noted the complete dilatation of the 2 | Page
cervix and effacement is 100 percent. The patient is in true labor pains. 31. The nurse is caring for Danica with a precipitous labor. What information would the nurse provide to the client regarding this type of labor? A. Induction may be necessary. B. The onset of contractions is gradual. C. The labor may last less than 3 hours. D. A lengthy period of pushing may be necessary. 32. Patient Josephine was referred to the physician, routine blood examinations were taken. After reviewing the serum electrolyte levels, an order of isotonic intravenous (IV) infusion was prescribed. Which IV solution should the nurse prepare? A. 5 percent dextrose in water B. 0.45 percent sodium chloride solution C. 10 percent dextrose in water D. 3 percent sodium chloride solution 33. Nurse Jordyn reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following? A. Reduces the amount of lochia drainage. B. Prevents postpartum hemorrhage C. Decreases uterine contractions. D. Maintains normal blood pressure. 34. Patient Danica asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE? A. Onset of contraction was gradual. B. Multigravida patients have shorter labor. C. Cervical lengthening was longer. D. Induction of labor was done. 35. The mechanisms involved in fetal delivery is: A. Descent, extension, flexion, external rotation B. Descent, flexion, internal rotation, extension, external rotation C. Flexion, internal rotation, external rotation, extension D. Internal rotation, extension, external rotation, flexion Situation: Nurse Josephine is educating a postpartum mother about the concept of lochia and puerperium. 36. For uterine assessment after delivery, position the patient supine so that the height of the uterus is not influenced by an elevated position. Observe the abdomen for contour, to detect distention, and for the appearance of striae or a diastasis. Where will you begin to place your hand? A. fundus of the uterus B. just above the symphysis pubis C. at the umbilicus D. side of the abdomen 37. The nurse is performing an assessment on a mother who just delivered a healthy newborn. When checking the uterine fundus the nurse should expect to note that the fundus is positioned at which location? A. To the right of the abdomen B. At the level of the umbilicus C. Above the level of the umbilicus D. One fingerbreadth above the symphysis pubis 38. A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would indicate to the nurse that the client's recovery is normal? A. Pink-colored lochia B. White-colored lochia C. Serosanguineous lochia D. Dark red-colored lochia 39. Which statement by the patient indicates a need for further teaching? A. "I should expect to see lochia for up to 6 weeks after delivery." B. "Lochia should be a yellowish color after the first few days." C. "The color of lochia should progress from red to pink to white." D. "If the lochia reverses in color, I should contact my doctor." 40. A 28-year-old primiparous woman, 2 days postpartum, is exhibiting passive behavior, expressing fatigue and stating, "I can't seem to do anything right." Which phase of puerperium is most likely being exhibited? A. Taking-in phase B. Taking-hold phase C. Letting-go phase D. Giving-up phase Situation: Gestational Trophoblastic disease or abnormal proliferation of the trophoblastic villi tend to occur most often to women who have a low protein intake, women older than 35 years old, and in women of Asian heritage. 41. The characteristic manifestation of gestational trophoblastic disease is: A. Uterus tends to expand slower than a normal pregnancy B. Lower abdominal quadrant pain C. Hyperemesis Gravidarum D. An HCG level of 400,000 IU 42. Assessment of client diagnosed to have hydatidiform mole would include: A. Falling blood pressure with increased cardiac rate B. Absence of fetal heart sounds C. Diaphoresis D. Delusions 43. Which of the following is NOT an expected assessment for a client with H-mole? A. Rapid increase in uterine size B. Excessive nausea and vomiting C. Slow abdominal enlargement D. Vaginal bleeding 44. A common drug given to stop the rapid growth of a hydatidiform mole is: A. Methotrexate B. Meperidine C. Mifepristone D. Misoprostol 45. Which of the following discharge instructions must be given to a woman who has just undergone suction and curettage for gestational trophoblastic disease? A. “Visit your physician after one year for a follow-up examination to find out if there is still a possibility that get pregnant.” B. “Women who have had a molar pregnancy must avoid sexual intercourse for a year or two.” C. “HCG levels usually return to normal 48 hours after evacuation.” D. “Use a reliable contraceptive method for 12 months.” Situation: Placenta Previa and Abruptio Placentae are two serious obstetric conditions involving abnormalities in placental location or separation. 46. A client at 36 weeks gestation arrives at the emergency department with painless, bright red vaginal bleeding. The nurse suspects which complication? A. Placenta previa B. Abruptio placentae C. Uterine rupture D. Vasa previa 47. The nurse is assessing a patient with placenta previa who has experienced vaginal bleeding. Which of the following findings requires immediate intervention? A. Blood color is bright red B. Fetal heart rate is 130 bpm C. The patient reports no pain D. Blood pressure decreases from 120/80 to 80/60 mmHg 48. A pregnant woman is admitted with a tentative diagnosis of placenta previa. The nurse implements orders to start an IV infusion, administer oxygen, and draw blood for laboratory tests. The client’s apprehension is increasing, and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be all right, and that everything is under control. What is the best interpretation of the nurse’s statement? 3 | Page