01: Nursing Iv: Final Review

Front 1

Which patient do you see first:
a) A recently discharged patient who call to report that he has run out of his regular insulin
b) a severely depressed patient who took her last dose of antidepressant medication yesterday called earlier and left a message
c) the mother of a 4 year old who recently underwent surgical repair of a hiatal hernia calls because the child is complaining of pain after eating
d) a patient calls complaining of importance and loss of libido after starting newly prescribed blood pressure medication.

Back 1

a) A recently discharged patient calls to report that he has run out of his regular insulin

Front 2

What is Goodell's sign?

Back 2

The softening of the cervix: The non-pregnant cervix feels like the tip of the nose while the pregnant cervix is softer, like the earlobe

Front 3

The mask of pregnancy results from changes in the ___.
a) keratin cells
b) pigmentation receptors
c) pituitary gland
d) vascular signature

Back 3

c) pituitary gland

Front 4

What type of pelvis do adolescents tend to have, if they don't have the favorable gynecoid pelvis?

Back 4

The android pelvis.

Front 5

Which of the following is the pregnant woman likely to feel during the first trimester?
a) ambivalence
b) acceptance of pregnancy
c) difficulty coping with body changes
d) well-being

Back 5

a) ambivalence

Front 6

What does ambivalence mean?

Back 6

Having opposing feelings at the same time.

Front 7

When determining the T of GTPAL, gestation of ___ weeks or above is considered term.
a) 36
b) 37
c) 38
d) 39

Back 7

b) 37

Front 8

What does a hysterosalpingogram involve?

Back 8

A contrast dye is injected into the uterus and the uterine cavity is able to be view via x-ray study.

Front 9

When starting to use the basal body temperature method of birth control, when should the womans temperature be taken?

Back 9

First think in the morning before she gets out of bed.

Front 10

When starting to use the basal body temperature method of birth control, what indicates that ovulation is taking place?

Back 10

A rise in sustain rise in temperature of .5-1 degree F

Front 11

Once the pattern of temperature fluctuation has been established with the basal body temperature method of birth control, when is the woman ok to have sex?

Back 11

After the drop in temperature which indicates that ovulation is complete.

Front 12

What 1973 supreme court decision legalized abortion?

Back 12

Roe vs. Wade

Front 13

Vacuum aspiration for an elective abortion can be performed up to ___ weeks.
a) 5 weeks
b) 7 weeks
c) 12 weeks
d) 20 weeks

Back 13

c) 12 weeks

Front 14

With a medical termination using Mifepristone, methotrexate, misoprostol(Cytotec), the woman can expect to expel the fetal tissues:
a) with 1-2 hours
b) within 24 hours
c) within several days
d) within one week

Back 14

c) within several days

Front 15

Which of the following statements by the woman planning to undergo a medical abortion warrants further teaching:
a) I will have my hCG levels tested at follow up visits
b) I can expect to pass small clots and have painless heavy bleeding
c) I will remain in the hospital until all of the fetus is confirmed to be out
d) I will need a friend or relative for emotional support

Back 15

c) I will remain in the hospital until all of the fetus is confirmed to be out: This is usually done on an outpatient basis: The woman is not hospitalized. This is why a support person is needed to be with them at home.

Front 16

What is Cullen's Sign and what does it indicate?

Back 16

It is when blood seeps into the abdominal wall leaving a bluish tinge around the umbilicus. This can happen with a ruptured fallopian tube following an ectopic pregnancy.

Front 17

Second trimester bleeding is characteristic of :
a) hydatidiform mole
b) early abortion
c) placenta previa
d) abruptio placenta

Back 17

a) hydatidiform mole

Front 18

How are the hCG levels different with hydatidiform mole?

Back 18

They rise quickly and remain elevated past day 100 when normally levels would start to decline.

Front 19

Cervical dilation more than ___ cm and effacement more than ___% is a contraindication for stopping preterm labor.

Back 19

Dilation >5 cm
Effacement >50%

Front 20

What is the dosage in mg, timing and route of administration of Betamethasone given for the woman in preterm labor that is <34 weeks?

Back 20

2 doses of 12mg IM 24 hours apart or 4 doses of 6gm IM 12 hours apart

Front 21

Which of the following would you expect to see on the infant born at 23 weeks: CATA
a) lanugo
b) vernix
c) creases on the soles of the feet
d) small amount of subcutaneous

Back 21

a) lanugo
d) small amount of subcutaneous
*Creases are absent on the feet, and vernix is not produced until 25 weeks

Front 22

If the child is less than __ weeks, sucking and swallowing reflexes will be absent.
a) 22
b) 27
c) 30
d) 33

Back 22

d) 33 weeks

Front 23

When feeding the infant via gavage feeding, what should be done prior to each feeding?
a) weight the infant
b) test their moro reflex
c) aspirate and measure stomach contents
d) do a pH test on gastric secretions

Back 23

c) aspirate and measure stomach contents to determine how much is being digested each feeding

Front 24

When aspirating stomach contents prior to gavage feeding, a residual of more than ___ indicates the infant is receiving too much formula.
a) 1 mL
b) 2 mL
c) 100 mL
d) 200 mL

Back 24

b) 2 mL

Front 25

What is the usual caloric concentration of formula for the preterm infant?
a) 20 calories/oz
b) 24 calories/oz
c) 30 calories/oz
d) 34 calories/oz

Back 25

b) 24 calories/oz

Front 26

Is vitamin K given to the preterm infant at birth? If so, what dosage?

Back 26

Yes, it is given, and is 0.5mL injection.

Front 27

True or False: A woman diagnosed with ovarian cysts would be given a donut or ring-shaped device to be worn inside the vagina to keep organs properly aligned.

Back 27

False: This is given to the patient with pelvic organ prolapse.

Front 28

What can a patient do if they are at risk for uterine prolapse due to weak pelvic ligaments?

Back 28

Kegels!!!

Front 29

True or False: A woman diagnosed with ovarian cysts would be given a donut or ring-shaped device to be worn inside the vagina to keep organs properly aligned.

Back 29

False: This is given to the patient with pelvic organ prolapse.

Front 30

When endometrial tissue grows outside of the uterus, what is this termed?

Back 30

endometriosis

Front 31

What can a patient do if they are at risk for uterine prolapse due to weak pelvic ligaments?

Back 31

Kegels!!!

Front 32

At what time period is endometriosis most painful?

Back 32

During menses because the tissue responds to ovarian hormonal stimulation during menses resulting in pain

Front 33

When endometrial tissue grows outside of the uterus, what is this termed?

Back 33

endometriosis

Front 34

Why is having children complicated if you have had endometriosis?

Back 34

Because of the scar tissue: This can result in infertility.

Front 35

At what time period is endometriosis most painful?

Back 35

During menses because the tissue responds to ovarian hormonal stimulation during menses resulting in pain

Front 36

Which of the following is a clinical manifestation of endometrial cancer?
a) bleeding
b) abdominal growth
c) uterine atrophy
d) board like abdomen

Back 36

a) bleeding

Front 37

Why is having children complicated if you have had endometriosis?

Back 37

Because of the scar tissue: This can result in infertility.

Front 38

Nullparity, infertility, exposure to talc, genetic disposition(BRCA-1, BRCA-2) and a history of breast cancer are risk factors for what type of cancer?

Back 38

Ovarian cancer

Front 39

Which of the following is a clinical manifestation of endometrial cancer?
a) bleeding
b) abdominal growth
c) uterine atrophy
d) board like abdomen

Back 39

a) bleeding

Front 40

What screening exists for ovarian cancer?

Back 40

None! 75% are diagnosed when the disease is advanced and no screening exists.

Front 41

Nullparity, infertility, exposure to talk, genetic disposition(BRCA-1, BRCA-2) and a history of breast cancer are risk factors for what type of cancer?

Back 41

Ovarian cancer

Front 42

What screening exists for ovarian cancer?

Back 42

None! 75% are diagnosed when the disease is advanced and no screening exists.

Front 43

What type of diet would a pregnant woman with rheumatic heart disease be on?

Back 43

High iron and low salt

Front 44

Which of the following is required prior to a forceps or vacuum extraction?
a) a full bladder
b) confirmation of CPD
c) unruptured membranes
d) an episiotomy

Back 44

d) an episiotomy

Front 45

Does the woman diagnosed with gestational hypertension have protein in the urine?

Back 45

NO