A nurse is preparing for a patient’s admission with a diagnosis of acute-stage Kawasaki disease. Upon assessing the child, the nurse will note which clinical manifestation of acute stage of the disease?, Conjunctivitis, Aneurysm, Normal Appearance, Desquamation of the skin, . A 10-year-old 5th grader enjoys having his artwork displayed on the family refrigerator. This behavior is indicative of which developmental stage as described by Erikson?, Identity vs. role confusion, Intimacy vs. isolation, Initiative vs. isolation, Industry vs. inferiority, What is the appropriate play of an 11-year-old boy?, Solitary, Competitive, Parallel, Cooperative, The infant can lift the head before being able to lift the trunk. The example shows which patter or principle of growth and development?, Simple to complex, Cephalocaudal, Proximodistal, General to specific, 16 years old is admitted to the hospital for acuteappendicitis, and an appendectomy is performed.Which is an appropriate nursing intervention for normal growth and development?, Allow child to participate in activities with others in the same group if condition permits, Allow family to bring in child’s favorite computer games, Encourage child to rest and read, Encourage parents to room-in with child, Which of the following is the fear experienced by a 3-year-old child?, Stranger anxiety, Separation anxiety, Body image disturbance, Loss of control, A maternity nurse is providing instruction to a new mother regarding the psychosocial development of a newborn infant. The nurse would instruct the mother to:, Anticipate all of the needs of the newborn infant, Attend to the needs of the infant only when they cry, Avoid the newborn infant during the first 10 of crying, Allow the newborn infant to signal a need, What type is hydramnios is a 4 cm amniotic fluid?, Oligohydramnios, Polyhydramnios, Monohydramnios, Normohydramnio, Mother has no pulse, what should a nurse do?, ECG STAT, Chest compressions, Call physician, Leave the room, Which of the following fetal positions is considered ideal and is most conducive to a birth that requires few interventions by the obstetrician?, Right occipito anterior with full flexion, Left transverse anterior in moderate flexion, Right occipito anterior with no flexion, Left sacro anterior with full flexion, After the client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and observes a spurt of blood from the vagina. The nurse recognizes these findings as signs of which condition?, Placental separation, Umbilical cord prolapse, Uterine atony, Subinvolution, The following are all associated with measles EXCEPT:, Blindness, Chronic ear infection, Pus draining, Mouth ulcer, Upon assessment, the nurse knew that the mother is experiencing taking-hold phase. Which of the following manifestations BEST describes taking- hold phase?, Gives up fantasy image of baby, Accepts the real child, Takes on the decision-making role, Recounts about her birth experience, Which of the following method requires the couple to cooperate and calculate the safe days and abstain from having coitus on the days where the woman is most likely to conceived?Select one:, standard days Method, Withdrawal, Estrogen and progesterone replacement, Condom, Nurse John helps Tanya some claims on a website aimed at pregnant women. The nurse identifies which statement from the website as MOST accurate? Select one:, "If you prefer, you can crush your iron pills to disguise the taste.", "Iron pills are most effective if taken with a carbonated beverage.", "Orange juice is an acceptable beverage to take with your iron pills.", "It's best to take your iron pills with milk.", The client who is 8 weeks' gestation, complains of nausea and vomiting. Which of the following can be eaten?, fried egg, Ice cream, Soda crackers, Korean ramen soup, A 21-year-old client, 6 weeks' pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions? Select one, Electrolyte imbalance, Bowel perforation, Miscarriage, Pregnancy induced hypertension (PIH), At which stage of psychosocial development is the child when he: "Learning from his impulsiveness and learn from their actions and consequences?" Select one:, Industry vs. inferiority, Identity vs. role confusion, Autonomy vs. shame and doubt, Initiative vs. guilt, Which of the following is the fear experienced by an 8-month-old infant?, Loss of control, Fear of Castration, Stranger Anxiety, Separation Anxiety, What is the phenotype of an individual with a recessive genotype?, It expresses the dominant trait, It expresses the recessive trait, It expresses a combination of dominant and recessive traits, The phenotype cannot be determined, Which would an Actual Nurse note as a sign of placental separation and is ready to be delivered? Select one:, Cessation of uterine contractions, Soft and round uterine shape, Slowing of vaginal bleeding, Lengthening of the umbilical cord, A client Nurse Ella is preparing to perform a fundal assessment on a postpartum mother. Which of the following is the initial nursing action in performing this assessment? Select one:, Ask the client to turn on her side, Ask the mother to urinate after fundal assessment, Massage the fundus gently supporting the lower segment of the uterus, Ask the client to lie flat on her back with the knees and legs flat on bed, Which of the following is NOT considered as theory of labor onset? Select one:, Change in the ratio of estrogen and progesterone, Muscle Uterine Stretching, Decrease level of oxytocin, Presenting part pressure on the cervix, The nurse is assessing client 24 hours after delivery and finds the fundus to be slightly boggy and 2 centimeters above the umbilicus. What should the priority nursing intervention be? Select one:, Document this expected finding, Gently massage the fundus until firm, Assess the mother's vital signs., Notify the physician., Which of the following best define passageway? Select one:, Uterine contractions influenced by hormones during labor, Appropriate size, position and presentation of the fetus, Adequate pelvis size and contour, Emotional state of the mother, Miguel is under evaluation for impending suicide risk, which information given by him would be most significant Reference to suicide as best solution, Reference to suicide as best solution, He has been feeling lonely and withdrawn from friends, He reports difficulty sleeping and loss of appetite, He says he feel hopeless about his future, Which of the following statements is related to NIC: Breastfeeding Assistance; Lactation Counselling? Select one:, Mother was instructed and guided to properly latch and position infant during nursing sessions, Baby was breastfed every 2 hours during the shift and reported little to no pain when nursing., Mother expressed breastfeeding pain and appears frustrated, What is the BEST definition of antepartum?, Antepartum is where prenatal care begins and ends up to labor, Antepartum is the beginning of conception to the first 4 hours after birth of neonate and placenta., Antepartum is up to 6 weeks after delivery of neonate and placenta., Antepartum is the period from conception to onset of contractions that cause cervical dilatation, In uterine atony, which of the following independent nursing actions should be done immediately to help contract the uterus thus preventing hemorrhage?, Massage the uterine fundus to stimulate uterine contractions, Let the client void to prevent bladder distention that hinders involution process, Take the vital signs of the client., Bimanual compression and massage, Which of the following actions done by the nurse puts the patient at risk for uterine inversion?, Applying appropriate fundal pressure to assist bearing down., Massaging fundus to encourage uterus contraction., Strongly tugging the cord to deliver placenta., Applying light counterpressure when delivering placenta, You are assigned to care for a client with hypotonic uterine contractions. What do you expect to note in the physicians order for this condition?, Oxytocin infusion, Increased hydration, Sedation, Anesthesia administration, What is the hormone used to treat premature cervical dilation?, Relaxin, Progesterone, Estrogen, Oxytocin, A client who is experiencing blood loss during vaginal birth is hypertensive, her BP is 150/100 mmg. Which of the following uterotonic drug is contraindicated to administer to this client?, Carboprost tromethamine (Hemabate), Methylergonovine maleate (methergine), Oxytocin(Pitocin), Misoprostol (Cytotec), A client continuously passed large amount of clots and dark red lochia despite the nurse's attempt to massage the uterus. Upon examination, the nurse finds that the clients uterine fundus remains boggy. Nursing actions and Oxytocin do not seem to be helping to keep the uterus firm. What preferred medication does the nurse anticipate to be prescribed by the doctor to manage uterine atony?, Carboprost tromethamine (Hemabate), Terbutaline sulfate (Brethrine), Magnesium sulfate, Dinoprostone (cervidil), Placenta accreta is suspected in a mother who just gave birth. What medication are you expecting to be ordered by the doctor to manage the deeply attached placenta?, Methotrexate, Oxytocin, Carboprost, Methergin, When can RhoGam be administered to a pregnant woman with Rh negative blood to prevent isoimmunization?, 34 weeks of AOG and immediately after delivery, 24 weeks AOG and immediately after delivery, 20 weeks AOG and first 72 hours after birth, 28 weeks of AOG and first 72 hours after birth, the client is a 36 year old woman, gravida 6, and para 6 who delivers a baby girl at 38 weeks AOG after 8 hours of labor. The baby weighed 7 Ibs and 14 ounces. The clients VS are stable and her lochia is heavy and contains various clots. The nurse would consider the client to be at risk for uterine atony because of which of the following?, Grandmultiparity, Size of the baby, Length of labor, Clients age, The home care nurse is caring for a postpartal client and suspects the development of a postpartum psychosis. Which of the following findings supports the nurses judgement?, The client keeps telling stories about her painful birth experience., The woman is calm and seated during the home visit., The client reports voices telling her the baby is evil and must die., The woman is tearful without any identifiable reasons., A 39 year old, obese, diabetic woman is about to give birth. With these risk factors, you anticipate:, A baby in breech position, A baby with fetal anomalies of the head, A macrosomic baby, Multiple Pregnancy, Which of the following nursing actions are the best safeguard against uterine atony? 1. Palpate a woman's fundus at frequent intervals to be assured her uterus remains contracted. 2. Palpate a woman's fundus every hour and check if her uterus remains contracted. 3. Palpate a woman's fundus every two and check if her uterus remains contracted. 4. Frequent assessment of lochia to be certain the amount of flow remains within normal limits., 1 and 4 are correct, 2 and 4 are correct, 2 and 3 are correct, 1 and 2 are correct, One of the goals of postpartum hemorrhage is to halt the cause of bleeding. Despite giving medicines to help contract the uterus, still it is noteffective. Which of the following is the last resortto halt the cause of bleeding?, Blood transfusion, Hysterectomy (removal of the uterus), Administration of uterotonics, Bimanual compression and massage., Mr. Cruz in his active years, can no longer enjoy having sexual activity with his wife, instead hefinds enjoyment having intercourse with his pet dog. This type of sexual behavior is also referred to as which of the following?, Zoophilia, Zoomania, Zophrenia, Zoopsia, Nurse Irish is performing MMDST to a child. She knows that before giving a score of failure, the child must be allowed how many trials to do the task?, 5, 2, 3, 4, A student nurse Caryll is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child?, Uses a knife for cutting food, Use a fork to eat, Uses a cup to drink., Pours own mild into a cup, Which among the following types of infertility is described as having no pregnancy after assessment and management?, Secondary infertility, Sterility, Primary infertility, Subfertility, Which of the following childbirth preparations is based on the premise that the woman's partner plays an active role during pregnancy, labor, and the early newborn period?, Kitzinger, Dick-Read, Lamaze, Bathing regularly, Which of the following is an independent nursing intervention for a patient experiencing urinary tract infection (UTI)?, Monitor vital signs every hour., Encourage the patient to increase fluid intake up to 1 to 2 liters per day, Ask the patient to assume a knee-chest position, 15 minutes in the morning and evening to promote urine drainage., Give antibiotics such as Amoxicillin as ordered by the physician., Which of the following is a reproductive disorder wherein a woman may lack vagina, cervix, fallopian tube, or the entire uterus and whose treatment is hysteroscopic metroplasty, a surgical procedure to enlarge the uterus?, Vesicouterine Fistula, Rectovaginal Fistula, Unicornuate, Hypoplasia/Agenesis, During MMDST, Nurse Jamila noted a failure in one of the tasks tested to a child. When should he consider this item as a delay?, When the item failed falls completely to the left of the age line, When the item failed falls completely to the right of the age line., When the age line touches the right end of the bar of the item failed, When the age line touches the left end of the bar of the item failed, Sonia, a 50-year-old female, suffers from Dyspareunia as characterized as sexual pain disorder. The following are factors that cause dyspareunia, EXCEPT:, Allergic reaction to the contents of contraceptives, Thinning of walls caused by aging process, Forceful pressure against the urethra during coitus, Inadequate lubrication due to aging process, When counseling a couple that has been in an infertility clinic, you should explain that the most common cause of in fertility in female is:, Uterine fibromas, History of PID, Anovulation, Pours own mild into a cup., Which of the following actions reduce the risk of toxic shock syndrome?, Performing monthly breast self-exams, Changing tampons often, Primary infertility, Subfertility.

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