Tiêu đề RECALLS 3 - NP2 - SC ✅

3 | Page upon learning that the fetus is on breech presentation. Which of the following is the BEST RESPONSE by the supervisor? A. "I understand how you feel. Tell me more." B. "Is this your first time to witness a breech presentation" C. "Are you afraid to assist the case" D. "Don't worry. There's always a first time" 29. After the successful vaginal delivery, medication was ordered to be given immediately. The supervisor reassured the newly hired nurse that everything will be fine because the medication will ______. A. promote vasoconstriction of uterine muscles B. hasten uterine contractility and control bleeding C. facilitate the return of pregnancy vital signs D. promote vasodilation of uterine muscles 30. The newly-hired nurse oriented the caregiver hired by the couple. Which of the following should the nurse encourage the parents to do? A. Relate to each twin individually to enhance the attachment process. B. Avoid assistance from other family members and support groups. C. Bottle-feed the twins to prevent maternal exhaustion. D. Plan for each parent to spend equal amounts of time with each twin. Situation: Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse Addison noted a localized area of redness on the left breast, and the mother is diagnosed with mastitis. 31. Which additional finding confirms the diagnosis that the patient has mastitis? A. Enlarged glands in the axilla B. Normal temperature C. Engorged both breasts D. Hard mass and reddened area 32. Lillian asks the nurse the cause of this ailment. Which of the following would the nurse explain as predisposing factors of mastitis? (Select a that apply) I. Milk stasis II. Nipple trauma III. Using alcohol in cleaning nipples IV. Baby's sitting position A. II and IV B. I and IV C. I and II D. II and III 33. Lillian complains of unbearable pain. Which of the following characteristics are EMPHASIZED in a culturally sensitive nursing care? (Select all that apply) I. The expression of pain is affected by learned behavior. II. Physiologically, all individuals experience pain in a similar manner. III. Some Asian people has high response to pain medications. IV. Patients should be assessed for pain regardless of overt symptomatology. A. III and IV B. I and II C. I and III D. II and III 34. Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? "I should____.” A. wash my hands well before breastfeeding B. breastfeed every 2 3 hours C. change the breast pads frequently D. wash my nipples with soap and water prior to feeding 35. Considering her level of knowledge and the anxiety of her condition, Patient Lillian raised questions on possible ways of relieving her breast discomfort. Which of the statements NEEDS further instructions? A. "I have to stop breastfeeding until this condition resolves." B. "I can take antibiotics, and should begin to feel better in 24 to 48 hours." C. "I can use analgesics to assist in alleviating some of these discomforts." D. "I have to wear a supportive bra to relieve the discomfort." Situation: Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy Pratts born at 40 weeks gestation. 36. Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a newborn's condition is used at how many minutes after birth? A. 1 to 10 B. 1 to 3 C. 1 to 7 D. 1 to 5 37. Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. Which of the statement is NOT true? A. Infants and children often cannot be tested with the same materials and techniques as adults. B. Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults C. Some infants who appear visually impaired early in life will not show normal visual responses several weeks or months later. D. Course of visual and cognitive development must be taken into account in evaluating infants and children's visual abilities 38. The false statement about physiologic jaundice in the statements below is A. Caused by impairment in the removal of bilirubin deficiency in the production of glucoronide transferase. B. Begins to decrease by the 6th or 7th day. C. Is visible in skin and sclera. D. Begins after 48 hours of life. 39. Neonatal jaundice FIRST becomes visible in which of the following parts? (Select all that apply.) 1. Face 2. Forehead 3. Trunk 4. Extremities A. 3 & 4 B. 1 & 2 C. 1 & 4 D. 2 & 3 40. When caring for patients with hyperbilirubinemia, the nursing care plan should focus on the following, EXCEPT ____. A. informing appropriately the significant others. B. preventing injury C. maintaining physiological homeostasis with bilirubin levels increasing D. preventing complications. Situation: Lily, 23-year-old pregnant woman, 37th week's gestation, is admitted in the intensive care unit due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to induce labor. 41. When the patient was informed about induction, she asks Nurse Aurora what it is all about. Which of the following statement by the nurse is correct? Induction is a _______. A. local anesthesia used for blocking pain during episiotomy B. deliberate initiation of uterine contractions that stimulates labor C. medication injected into the subarachnoid space and has a rapid onset of action D. procedure performed by artificial rupture of the membranes 42. Which of the following statement is NOT an indication for any uterine stimulants (Oxytocin)? A. Preinducting cervical ripening B. Controlling postpartum bleeding C. Inducing or augmenting labor D. Manages an incomplete abortion