Nội dung text RECALLS 4 (NP2) - STUDENT COPY
3 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA C. Yellow noncitrus Jell-O D. Cola with ice 27. During a prenatal education class, Nurse, Carol, is discussing the placenta with expectant parents. Which of the following statements about the placenta is inaccurate? A. The placenta facilitates the exchange of nutrients and waste products between the mother and fetus. B. The placenta develops by the end of the first trimester (third month) of pregnancy. C. The placenta permits the transfer of maternal antibodies (immunoglobulins) to the fetus. D. The placenta allows both bacteria and viruses to pass through from the mother to the fetus. 28. Nurse, Jasmine, is discussing the signs and symptoms of pregnancy with a patient, Lisa, who suspects she might be pregnant. Which of the following assessment findings would Jasmine identify as the most definitive indication of pregnancy? A. A positive result on a home pregnancy test. B. The detection of a fetal heartbeat. C. The absence of a menstrual period. D. Quickening 29. A mother with active tuberculosis has just given birth to a newborn. Nurse, Tibiana, is preparing to administer a prophylactic antitubercular medication to the neonate. Which of the following medications is most appropriate for this purpose? A. Rifampicin B. Ethambutol C. Streptomycin D. Isoniazid 30. Nurse, Rachel, is caring for a pregnant patient, Sarah, who is receiving magnesium sulfate to prevent seizures related to preeclampsia. Rachel understands the importance of having the antidote for magnesium sulfate readily available. Which of the following medications should Rachel ensure is on hand? A. Protamine sulfate B. Vitamin K C. Naloxone hydrochloride D. Calcium gluconat 31. During a discharge teaching session for new parents, Nurse, Emily, is discussing newborn care with Maria and Labo. She explains the normal closure timeline for the anterior fontanel. Which age range should Emily cite as the typical timeframe for anterior fontanel closure? A. 2 to 3 months B. 12 to 18 months C. 3 to 6 months D. 1 to 9 months 32. Nurse, Emily, continues her discharge teaching with Maria and Labo, she mentions that newborns have two fontanels, and explains the expected timeframe for the closure of the posterior fontanel. Which age range is most accurate regarding the closure of the posterior fontanel? A. 2 to 3 months B. 12 to 18 months C. 3 to 6 months D. 1 to 9 months 33. Eight-year-old, Ethan, is brought to the emergency room after his mother discovers he ingested a significant amount of acetaminophen. Nurse, Sakeit, is assessing Ethan for signs and symptoms of acetaminophen toxicity. Which of the following would be a key assessment finding? A. Increased blood pressure B. Increased urine output C. Pain in the upper right abdomen D. Severe headache 34. Which of the following medications does Nurse, Sakeit, anticipate administering to Ethan to counteract the effects of the acetaminophen overdose? A. Vitamin K B. Acetylsalicylic acid (ASA) C. Acetylcysteine D. Ethylenediaminetetraacetic acid (EDTA) 35. Nurse Marilag, is educating the parents of a child who has been experiencing vomiting. She explains the potential complications associated with persistent vomiting. Which of the following is NOT a major concern related to a child's vomiting? A. Dehydration B. Fluid and electrolyte loss C. Metabolic alkalosis D. Metabolic acidosis 36. An ultrasound reveals that Jasmine, who is experiencing the early signs of premature labor, has placenta previa. Which of the following nursing interventions is the highest priority to ensure Jasmine's safety? A. Encourage regular physical activity to prevent deep vein thrombosis. B. Perform a vaginal examination daily to determine the progression of the previa. C. Monitor for vaginal bleeding or leakage of clear fluid with each shift. D. Maintain NPO status as an emergency cesarean section is anticipated. 37. Nurse, Abra, is reviewing the health history of 28-year-old, Pia, who is 33 weeks pregnant with her second child. Pia currently has uncontrolled hypertension. Which of the following factors in Pia’s history most significantly increases her risk for abruptio placentae? A. A history of childhood polio. B. A diagnosis of preeclampsia. C. A prior cesarean birth. D. Pia’s age. 38. Nurse Abra is conducting a head-to-toe assessment on her patient, Pia, who has been admitted with a diagnosis of abruptio placentae. Which of the following assessment findings should Abra immediately report to the physician? A. Oozing around the IV site B. Tender uterus C. Rigid board-like abdomen D. Vaginal bleeding 39. Nurse Gangster, is caring for a patient Hanus, who is experiencing complications during her pregnancy. Gangster is aware of the risks associated with Disseminated Intravascular Coagulation (DIC). Which of the following objective findings would be most indicative of early-stage DIC? A. Petechiae and ecchymosis on the extremities. B. Complaints of nausea and vomiting. C. Elevated blood pressure readings. D. Positive Homans' sign. 40. Nurse, Lily, is caring for a patient, Latina, who has been diagnosed with abruptio placentae. Which of the following assessment findings would lily most likely expect to observe? A. Painful, bright red vaginal bleeding. B. Painless, dark brown vaginal bleeding. C. Painless, bright red vaginal bleeding. D. Painful, dark red vaginal bleeding. Scenario: Previana, a 35-year-old woman pregnant with her fourth child, is diagnosed with placenta previa at 32 weeks gestation. She has a history of two previous cesarean births. Nurse Plapla, is providing care for Previana and educating her about this condition.