Tiêu đề RECALLS 11 - NP2 - SC ✅

3 | Page A. Meconium contains enteric bacteria which may be a cause for infection B. The urine of infant is so alkaline which is very harmful to the skin C. The baby is at high risk for infection and must be protected at all times D. Amniotic fluid may contain harmful viruses 25. The attending physician has ordered to give Vitamin K 0.5mg IM for a newborn. The nurse checked the stocks of available medication and found a vial with 2mg/mL label. The nurse calculates and give the correct dose as: A. 1mL B. 0.25mL C. 4mL D. 0.5mL 26. When the nurse checked the 8-hour-old neonate, she assessed the hands and feets bluish in color. The nurse is knowledgeable when she does what action? A. Administer oxygen via nasal cannula B. Swaddle the baby in a blanket C. Inform the physician and ask for a possible incubator D. Apply pulse oximeter to check for oxygen saturation 27. The postpartum mother asks the nurse if she should have their son circumcised. Which piece of scientific information should the nurse base her answer on? A. Boys should be circumcised because it is in the Philippine culture B. A statement from the DOH asserts that circumcision is highly personal C. Centers for Disease Control and Prevention (CDC) experts endorse circumcision for every male newborns. D. Circumcision is not yet allowed in newborns and should not be talked about. 28. A 1-day old baby of Mr. and Mrs. Reyes is being assessed by the nurse. Which of the following findings should be reported to the doctor? A. Harlequin sign B. Erythema Toxicum C. Choanal atresia D. Epstein pearls 29. Trevor is for a laboratory test to check his respiratory status with acute asthma exacerbation. The nurse has a scientific knowledge if she knows the result is from: A. CBC B. SGPT C. ABG D. CBG 30. Casey, a 4-year-old child is scheduled for breathing exercises. The goal is for her to increase her expiratory phase? What is the appropriate task? A. Use an incentive spirometer B. Taking several deep breaths C. Breathe into a paper bag D. Blow a pinwheel 31. The mother of a child with asthma is confused with the prescription given by the doctor and says there are a lot of medications for asthma. She asks which of the following medications has a quick relief when there is an asthma attack? A. Fluticasone B. Prednisone C. Montelukast D. Albuterol 32. A 6-year-old child was rushed to the emergency department due to difficulty breathing.The most important piece of information that would indicate that a child is in status asthmaticus is? A. When is the child’s last meal? B. When was the child’s last dose of medication? C. What was the child’s last activity when asthma triggers? D. When was the child last admitted? Preeclampsia (5) 33. Four primigravida clients went to the clinic and were assessed accordingly by the nurse on duty. Which among the gravid clients should the nurse refer for further assessment? A. 30 weeks’ gestation complains of supine hypotension B. 9 weeks’ gestation complains of pyrosis with nausea and vomiting C. 36 weeks’ gestation complains of hemorrhoids and bleeding gums D. 34 week’s gestation complains of epigastric pain and oliguria 34. Nilda, A 37-week pregnant client, told the nurse about changes in her body, she states that her face and hands look swollen. The nurse knows that this might be cause of: A. Cardiac failure B. Hepatic insufficiency C. Pulmonary problem D. Altered glomerular filtration 35. Nilda is diagnosed to have mild-preeclampsia. The pediatrician was worried for the fetus and asked for diagnostic tests. The nurse knows because preeclamptic gravid clients may cause what effect on the fetus? A. IUGR B. HELLP C. DIC D. PDA 36. Nilda became conscious on her diet and asks the nurse on what she should consume to manage her diagnosis of mild- preeclampsia. The nurse is correct when she states: A. Restrict sodium intake B. Avoid foods high in sugar C. Increase oral fluid intake D. Consume a well-balanced diet 37. Nilda was given discharge instruction about having to be on bedrest at home and questions why she has to comply? The nurse responds with scientific basis that: A. Bed Rest prevents you from falling while you are walking B. Bed Rest helps in conserving enough energy for the upcoming labor C. Bed Rest prevents premature labor from occurring D. Bed Rest helps in increasing amount of oxygen receive by the fetus Maternal physiologic changes (3) 38. Regina, a 22-year-old gravid client, told the nurse her concern and said “Napapansin ko po na parang napapadalas ang pagbabara ang ilong ko. Wala naman po akong allergy”. The nurse knows that it is due to: A. Increased progesterone levels B. Increased estrogen levels C. Increased hCG levels D. Increased testosterone levels 39. It is noted in Regina’s assessment that she is having a mild feeling of shortness of breath. The nurse’s recalls in her maternal and child nursing class that it is due to the diaphragm being displaced by increasing size of the uterus. The following are the respiratory changes during pregnancy except: A. Vital capacity does not decrease and has no change during pregnancy B. Gravid client develops chronic respiratory alkalosis fully compensated by a chronic metabolic acidosis C. Tidal volume is increased up to 40% as a woman draws in deeper breaths D. Residual volume is increased up to 20% because of the pressure from the diaphragm 40. Luna, a 9th week pregnant client, is experiencing morning sickness. All of the following is related to the normal nausea and vomiting in early pregnancy. Which is not included? I. Due to Increasing hCG levels II. Due to decreasing glucose levels being used by growing fetus
4 | Page III. It usually subsides after the first 3 trimester IV. Eating a snack before bedtime may help in preventing nausea V. Notify physician if vomits more than once daily A. i, ii, v B. i only C. i, ii, iii, iv, v D. i, ii, iv, v NUTRITION 41. Marga’s pre-pregnancy weight is 68 kilograms and she is 5 ’4’’ in height. She is advised to gain how much additional weight in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 42. Genesis went together with her BFF, Cassy, who is also pregnant with a pre-pregnancy weight of 121 lbs with 5’7 in height. In Cassy’s case, she is to gain weight how much additional weight, as advised, in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 43. Marga asks if she is taking enough vitamins for the growth and health of her baby and raised a concern about folic acid. The Recommended amounts of folic acid daily to be taken during pregnancy is? A. 0.4 mg daily B. 40 µg daily C. 400 mg daily D. 4 g daily 44. Marga is concerned about her weight and how she will be able to achieve the recommended gain in her entire pregnancy. She asks the nurse about nutrition advice. The nurse should include: A. Obtain simple carbohydrates because it is easily digestible B. Consume sugar substitutes to maintain glucose levels C. Consume less than 1,500 calories per day to help regulate the weight gain D. Advise to consume protein-rich foods 45. Lisa is communicating about the nutrition of the pregnant woman. She wants to gather information that will give the most accurate nutrition history about the patient. She will ask: A. How do you feel after you eat in each meal? B. What foods should you include in an ideal food plate? C. Can you tell me what you ate yesterday? D. In your opinion, are you eating nutritious food? How do you say so? 46. The patient is taking prescribed oral iron supplements religiously. She was informed that it contributes to her constipation. The nurse advised the pregnant client to: A. Use mineral oil to relieve constipation B. Enemas can be done because it is natural. It only uses water C. Docusate sodium may be taken if dietary measures fail D. Dulcolax may be taken if regular bowel evacuation fail 47. Nutrition must always form part of the health education for all pregnant mothers. When counseling a pregnant woman about nutrition, nurse Nicole makes sure to: A. Recommend that she weighs herself once a week B. Tell her to eat double the amount of food that she takes before her pregnancy C. Inform her that only very anemic women need iron/folate supplements D. Ask per participating mothers what they eat in a day to determine if her diet is adequate HIGH RISK NEWBORN 48. Four babies are in the newborn nursery. The nurse that is at highest risk for developing cold stress syndrome is? A. Infant with Rh incompatibility B. Infant with neural tube defect C. Infant born with diabetic mother D. Infant born after 41st week of pregnancy 49. As the nurse is assessing the newborn with a high risk. What of the following assessment would lead the nurse to suspect cold stress syndrome? A. Erythema toxicum B. Acyocyanosis C. Blood glucose of 50mg/dL D. Tachypnea 50. Another neonate, Lucy, born at 28 weeks of gestation, develops respiratory distress syndrome. The doctor prescribed surfactant immediately after birth. The nurse knows it is administered: A. Intravenous B. Intramuscular C. Endotracheally D. Orally 51. Oxygen administration is necessary for Lucy to maintain the correct PO2 and pH levels following surfactant administration. However, a possible complication of oxygen therapy in neonate like Lucy, since she is a preterm baby is: A. Bronchopulmonary dysplasia B. Cystic Fibrosis C. Laryngomalacia D. Croup PROTECTING THE RIGHTS OF A CHILD IN THE PHILIPPINES 52. The nurse heard about the news of increasing hazing in brotherhood, fraternity or sorority. The law that prohibits this is: A. RA 7610 B. RA 10630 C. RA 11053 D. RA 10354 Situation: Care of the newborn also places a lot of professional nursing practice challenges. 53. A newborn baby girl was born at 9:15 A.M. which of the following findings are normal? A. Yellow skin tones at 12 hours of age B. Passage of meconium within the first 24 hours C. Respiratory rate of 70/minute at rest D. Bleeding from umbilicus 54. As you were carrying this newborn infant to her mother's room, her mother remarked, "I think my baby is afraid of me. Every time I make a loud noise, he jumps". You should: A. Reassure her that this is a normal reflex reaction for her baby B. Wrap the baby more tightly in warm blankets C. Take the baby back to the nursery for a neurologic evaluation D. Encourage her not to be so nervous with her baby 55. You are assessing another 3-hour old, full-term newborn baby boy. Which of the following findings would you record as abnormal when assessing his head? A. Asymmetry of the head with overriding bones. B. Head circumference 32 cm, chest 34 cm C. A sharply outlined, spongy area of edema D. Two" soft spots" between the cranial bones 56. You collect the following data while assessing the skin of a 6 hour old newborn: color pink with bluish hands and feet, some pale yellow papules with red base over trunk, small white spots on the nose, and a red area at the nape of the neck. Your next action would be to: