Tiêu đề PB1 - NP 2 - STUDENT COPY ✅

2 | Page D. Frequent urination 12. How do you document a patient who had two previous pregnancies, has given birth to two term children, had one miscarriage at 12 weeks, and is again pregnant at 10 weeks? A. Gravida 3, Para 2 B. Gravida 4, Para 2 C. Gravida 3, Para 3 D. Gravida 4, Para 3 13. During the physical examination, she observed to have (+) swollen optic disk identified on ophthalmoscopic examination, as well as seeing (+) spots before their eyes. Which of the following is the primary nursing action? A. Refer the patient to an ophthalmologist for further investigation B. Measure patient’s blood pressure and report to her attending physician C. Administer oxygen support while waiting for the physician. D. Ask the mother whether she experiences chloasma. 14. One of the pregnant patients also reported visual changes of blurry vision and dry eyes, however, upon further assessment, all parameters are evaluated to be normal. During the interview, you learned that she is works as an IT employee with long hours of computer screen time. Which of the following would be best to advise the patient? A. Ask her employer about possible bedrest for 3 to 5 days for monitoring. B. Instruct patient to have plenty of fruits and vegetables, whole grain, and low-fat dairy to avoid hypertension C. Take a break every hour to not confuse sensations of eyestrain with actual pregnancy danger signs. D. Refer to an ophthalmologist to assure the patient. 15. Which of the following will you include in teaching the preparations necessary and what to expect for an abdominal ultrasound for patients on their first trimester? A. Routine NPO for 8 to 12 hours before the exam B. The patient can have medicine for pain for any contractions caused by the test C. Place a towel under her left buttock to tip her body slightly during the procedure. D. Drink a full glass of water every 15 minutes beginning 90 minutes before the procedure and not void until after the ultrasound. Situation: One of the nursing roles in preparing families for childbearing and childrearing includes topics about the reproductive system, menstruation, and contraception. 16. Breast examinations should be routinely by women. Which of the following is considered untrue? A. Breast tissues of women extend well into the axilla. B. Women using combined oral contraceptives should return every two years for pelvic examination, Pap smear, and breast examinations, as long as they continue this type of contraceptive C. Including the axilla during the breast examination is necessary to ensure completeness of the exam. D. Breast self-examinations alone are no longer routinely recommended. 17. The length of the average menstrual flow is usually 4 to 6 days, which of the following correctly states which initiates the menstrual cycle? A. Release of GnRH by hypothalamus B. Increase in estrogen levels C. Absorption of FSH D. Decrease in progesterone levels 18. In symptothermal method of birth control, the client takes her temperature daily, analyzes her cervical mucus and observes for other signs of ovulation. Which of the following accurately describes midcycle abdominal pain? A. Dull and consistent pain felt on the lower side of the abdomen. B. Sharp cramps felt on one side of the abdomen. C. Sharp pain felt on one abdominal side accompanied by nausea, vomiting, and abdominal guarding. D. Mittelschmertz pain cannot be relieved by pain relievers. 19. You are making a nursing care plan for an adolescent whose chief complaint is dysmenorrhea. Which of the following should not be included in your client teaching? A. Resting and effleurage may provide relief from dysmenorrhea. B. Trying non-pharmacologic interventions such as yoga and exercise, as tolerated by the client. C. Decrease sodium intake a few days before the expected menstrual flow. D. Application of heat to the abdomen for abdominal pain of young girls before expected menstrual flow. 20. In explaining oral contraceptives to a group of clients, which of the following statements made by the student nurse will require further teaching? A. If you think you might be pregnant, take one active pill for the day then consult your healthcare provider. B. If you forget to take one of the active pills, take it as soon as you remember. Then, continue the following day with your usual schedule. C. If you miss two consecutive active pills, take two pills as soon as you remember and two pills again the following day. D. If you miss three or more pills in a row, throw out the rest of the pack and start a new pack of pills. Situation: You are a community health nurse working with the local healthcare team. 21. Since breast tumors are considered major type of neoplasm, women become suspicious of lumps felt in the breast area. One of your breastfeeding clients came to you with complaints of feeling a lump in one of her breasts. Which of the following will you respond with? A. It’s okay to be paranoid but don’t worry so much about it, this is expected for breastfeeding clients. B. Let’s refer you to your attending oncologist for further investigation. C. This may be a distended gland from breastfeeding which persists not more than two breast feedings. D. We’ll get you an ultrasound request from the physician. 22. In teaching the clients about breast self-examination, what type of prevention does BSE technique employ? A. Primary B. Secondary C. Tertiary D. Prevention 23. In teaching BSE, when is the most appropriate time for the technique to be done? A. Anytime since lumps can appear suddenly. B. 3 days before expected menstrual flow. C. During taking a bath for complete inspection D. 3 to 5 days after menstruation 24. According to the cancer society, what is the recommended age for women to be taught with breast self-examination? A. 16 years old B. 20 years old C. 30 years old D. 40 years old 25. In breastfeeding mothers, profuse blood supply to the breast is beneficial for bringing nutrients to the milk glands. Which of the following is considered as a disadvantage of this mechanism? A. Decreased risks of developing breast tumors. B. Possible blockages at the internal mammary, and intercostal arteries. C. Aids in metastasis of breast cancer if undiagnosed. D. None of the above. Situation: You are the assigned nurse for a patient to be scheduled for mastectomy. As the primary nurse, you are expected to care for her before and after surgery. 26. Before the mastectomy operation is done, which of the following is most important to be secured or acquired?