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Nội dung text RECALLS 12 - NP2 - SC



3 | Page 29. Alysa has been reported to spend her time daydreaming in her room, causing concern for her parents. The least helpful response from Nurse Karen would be: A. Do not worry. This is a normal behavior at this stage of development. B. Would you feel comfortable in discussing your observation? C. She may have some problems in school. Has she ever related to you about it? D. Was there any stressful event in your home lately? 30. Which of the following is least likely to be characteristic of Carl during puberty? A. Enlargement of the prostate. B. Nocturnal emission. C. Enlargement of the testes. D. Change in voice quality. Situation: Mrs. Pokwang, 28 years old and married for 4 years, delayed pregnancy to focus on her career as a lawyer. She consulted an obstetrician due to vaginal spotting and to explore options for conception. After undergoing various diagnostic tests, she was diagnosed with endometriosis. 31. Which statement BEST describes endometriosis? A. It is caused by growth of endometrial tissues outside the uterus. B. It Is a major cause of primary dysmenorrhea. C. It is an infection of the endometrium. D. It is caused by abnormal proliferation of the endometrial lining. 32. The nurse conducts an assessment on Mrs. Pokwang. Which findings would suggest the presence 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 33. The physician prescribes Danazol (Danocrine) for Mrs. Pokwang. The nurse should inform her that while on this medication, she will likely experience all of the following symptoms EXCEPT? A. Diminished menstrual flow. B. Cessation of her menses. C. Anovulation. D. Weight gain and edema. 34. Endometriosis interferes with fertility because.  A. Of tubal blockage of endometrial tissues. B. The ovaries stop producing adequate estrogen. C. The uterine cervix becomes inflamed and swollen. D. Of pressure on the pituitary that leads to decreased FHS levels. 35.  Mrs. Pokwang is scheduled for laparoscopy. What is the correct instruction the nurse should provide? A. Do not drink carbonated beverages 48 hours after the procedure. B. The dressing can be removed the next day and the incision must be exposed to air. C. The dye which will be used will color your urine blue for the first few voiding’s. D. Notify the physician if you feel pain on your shoulders. Situation: Nurse Yana's obstetrical history reveals that Michelle, who is 21 and currently pregnant, experienced her first pregnancy at age 19, which ended in a 21-week stillbirth. Her subsequent pregnancy successfully delivered healthy identical twins. 36. Which of the following statements accurately reflects Michelle's obstetrical history? A. Michelle is G4P3. B. Since there has been a twin, Michelle is G5 P4. C. Since there was an abortion, Michelle is G3P3. D. Michelle is G3P2. 37. Michelle is currently in the second stage of labor, with her cervix dilated to 8 cm. Nurse Yana places her in the lithotomy position. One of the potential risks of this position that Nurse Yana should monitor for in Michelle is: A. Supine hypotension. B. Supine hypertension. C. Supine tachypnea. D. Supine hyperventilation 38. If Michelle experiences a prolonged second stage of labor and remains in the lithotomy position for an extended period, Nurse Yana should take various safety measures, EXCEPT: A. Put 2 pillows under her head. B. Wrap legs with elastic bandages. C. Place a small pad under her sacral area. D. Put a rolled towel under the Michelle's right hip. 39. Nurse Yana recognizes that Michelle requires additional support and encouragement during the peak and most painful phase of uterine contractions, known as the: A. Acme. B. Decrescendo. C. Increment. D. Decrement. 40. Before performing the initial vaginal examination, commonly known as an internal examination, what should Nurse Yana check first? A. Abdominal palpation for fetal lie and position. B. Blood pressure for hypo/hypertension. C. Heart rate of Michelle for chest compressions. D. Abdominal palpation for signs of fetal distress. Situation: Trixie delivered a 3,203.5 g (7 lb, 1 oz) baby boy via cesarean section 20 minutes ago. She had reached 39 weeks of a healthy pregnancy. She and her husband, Limuel, are now prepared to hold their newborn son. 41. When the couple touches the newborn's shoulders and finds the skin warm, the nurse explains that the newborn's best form of insulation is: A. Brown fat. B. Glucose. C. Glycogen. D. Lanugo. 42. To help keep the baby warm, the nurse advises Trixie to keep a blanket wrapped around him. The nurse explains that thermoregulation can be challenging for newborns because: A. The thin layer subcutaneous fat provides poor insulation. B. The flexed position of the newborn encourages heat loss. C. The liver Isn't fully developed. D. The production of glucose is inadequate. 43. In addition to ensuring the airway remains open, the nurse's top priority while the neonate is in the nursery is to: _________. A. Maintain a neutral thermal environment. B. Prevent infection. C. Initiate the first feeding. D. Facilitate parent-neonate interaction. 44. Which of the following would the nurse recognize as a key goal of newborn care during the initial postpartum period? A. To identify actual or potential problems requiring immediate or emergency attention.

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