Tiêu đề RECALLS 2 - NP2 - SC ✅

3 | Page 31. What CHIEF ingredient of the prenatal vitamin for pregnancy nutrition that the patient should look for? A. Vitamin B12 B. Potassium C. Vitamin C D. Folic Acid 32. A woman in labor is at risk for abruptio placenta. Which of the following assessments would MOST convince you and the pregnant woman to believe that this has happened? A. Painless vaginal bleeding and downward trend of BP. B. And increased blood pressure and scanty urination. C. Pain at the lower quadrant and increased pulse rate. D. Sharp fundal pain and discomfort between contractions. 33. A woman 2 ½ months pregnant calls you by telephone because she passed out some “berry-like” blood clots and now has continued dark brown vaginal bleeding. Which of the following is the BEST instruction you should give her? A. “Continue normal activity but take your pulse and respiratory rate every 4 hours.” B. “Come to the health facility if uterine contractions start.” C. “Come to the health facility with any vaginal material passed out.” D. “Maintain bedrest and count the number of perineal pads used every hour.” 34. A woman, 33 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily? A. Serum creatinine B. Red blood cell count C. Sodium and potassium levels D. White blood cell count 35. An 18 –year –old delivers to an 8 –pound – baby after 10 hours of labor. In the post-partal period, which of the following would be a PRIORITY concern to assess for by the nurse? A. Endometritis B. Thrombophlebitis C. Bleeding D. Amniotic embolus Situation: Head nurse Eva supervises Nurse Hannah who is assigned to take care of a newborn baby boy named Edwin with a cleft palate. 36. The mother asks the head nurse why the pediatrician recommended that closure of the palate should be done before he is 6 months old. She asked Nurse Hannah to answer her. Which of the following is Nurse Hannah’s APPROPRIATE response? A. “After age 2, surgery is very frightening and should be avoided if possible.” B. “The eruption of the 2-year molars often complicates the surgical procedure.” C. “Surgery should be performed before the child starts to use faulty speech patterns.” D. “As he gets older the palate gets wider and more difficult to repair.” 37. The head nurse continued to ask Nurse Hannah, “A cleft lip predispose an infant to infections PRIMARILY because of which of the following reasons?” A. Waste products that accumulate along the defect. B. Inadequate circulation in the defective area. C. Deficient nutrition from ineffective feeding. D. Mouth breathing that dries the oropharyngeal mucous membranes. 38. Which SIGNIFICANT statement of the mother predisposes her son to cleft lip or palate? A. “On my 6 months of pregnancy, I saw a rabbit with the same case of my son.” B. “I am asthmatic and I usually take steroids.” C. “My mother- in- law doesn’t like me, that’s why she cursed me.” D. “I believe my enemy did some forms of witchcraft on me.” 39. For an infant born with a unilateral cleft lip and palate, which of the following type of feeding will be BEST to use? A. Rubber-tipped syringe or medicine dropper. B. Full breast feeding. C. IV fluids on limited number of ounces. D. Cross-cut rubber nipple. 40. Which of the following is the number ONE consideration in the care of an infant after the surgical repair of a cleft lip? A. Preventing the infant from crying B. Feeding the infant with a spoon for 2 days after surgery C. Placing the infant in a semi-sitting position D. Keeping the infant NPO for 1 say after surgery. Situation 10 – Joyce, on her 35 weeks of gestation, is admitted because of hypertension, BP of 185/110, severe headache and blurred vision. She was placed on imposed bedrest without toilet privileges. The physician orders MgSo4. Nikita is the nurse assigned to her. 41. Which of the following would Nurse Nikita anticipate in then patient’s maternal history? A. On and off vaginal spotting B. Esophageal discomfort is experienced after a heavy meal. C. Weight gain of 20lbs in the 1 st and 2 nd Trimester D. Fetus moves very frequently 42. When a patient is on an imposed bedrest, which of the following can help the patient cope? These are the following, EXCEPT __________. A. Let the patient lie on her side to allow more blood to the uterus. B. Increase fluid intake to 8 glasses a day to prevent constipation. C. Discourage participation of family in patient care to prevent further anxiety. D. Use relaxation techniques to help cope with stress such as music and books. 43. MgSo4 injections are painful to the patient. Which of the following is the BEST route for injection to prevent such negative experience for patient Joyce? A. Intravenous injection at the main IV line. B. Intravenous injection given through “piggy back”. C. Intramuscular on each of the deltoid muscle. D. Deep intramuscular using z-track technique on buttocks. 44. The nurse must be alert to MgSo4 toxicity. Which of the following in NOT included? A. Fetal bradycardia B. Urine output of <30 ml per hour C. Respiration of <12 per min D. Increase in maternal pulse rate 45. Which of the following hospital environment will be MOST conducive to Joyce’s condition? A room that is / with ____________. A. Bright and well-ventilated B. 2 or three other patients C. Quiet and non-stimulating D. A call button for watcher’s use. Situation 11 – Mrs. Paula, 20 years old, visited the prenatal clinic with her husband Christian. Nurse Cynthia noted that the fundus is at the level of the umbilicus. Being her first pregnancy, the patient asks the clinic nurse about pregnancy and childbearing. 46. Based from the assessment of the nurse, what would be the estimated age of gestation, in WEEKS,  if then fundus is at the level of the umbilicus? A. 8 B. 10 C. 20 D. 12 47. When is the placenta, which is the source of estrogen and progesterone, fully developed? It is on the __________ weeks of pregnancy? A. 8 B. 20 C. 16 D. 28