4th Year-Finals (CAPP Drill Quiz May 25 &27

Nurse Pete is knowledgeable that usually individual twins will grow appropriately and at the sam rate as singletons how many weeks?

30-32 weeks

Several clients are newly admitted and diagnosed with leprosy. Which of the following clients should be classified as a case of multibacillary leprosy

5 Skin Lesions, positive slit skin smear

The uterus returns to the pelvic cavity which of the following time frames

7th to 9th day postpartum

Marilyn had just received her fourth dose of tetanus toxoid. She is aware that her baby will have protection against tetanus for A. 1 year B. 3 Years C. 5 years D. Life time

A. 1 Year Rationale: The baby will have passive natural immunity by placental transfer of antibodies. The mother will have active artificial immunity lasting for about 10 years. 5 doses will give the mother lifetime protection. https://www.coursehero.com/file/p5sni9p/96-A-pregnant-woman-had-just-received-her-4th-dose-of-tetanus-toxoid/

Which of the following is normal newborn calorie intake A. 110-130 calories per Kg B. 30 to 40 calories per pound of body weight C. At least 2 ml per feedings D. 90 to 100 calories perch

A. 110-130 calories per Kg

Angelo was diagnosed as having Dengue fever. You will say that there is slow capillary refill when the color of the nail bed that you pressed does not return within how many seconds A. 3 Sec B. 6. Sec C. 9 Sec D. 10. Sec

A. 3 Sec Rationale: Normal capillary refill is 1-2 seconds

Which of the following classifications applies to monozygotic twins for whom the cleavage of the fertilized ovum occurs more than 13 days after fertilization? A. Conjoined twins B. Diamniotic dichorionioic twins C. Diamniotic monochorionic twins D. Monoamniotic monochorionic twins

A. Conjoined twins Rationale: Diamniotic dichorionioic twins: each has its own amniotic and chorionic fluid Diamniotic monochorionic twins : share chorionic fluid but separate amniotic fluid

Which of the following immunizations used in the Expanded Program on Immunization (EPI) is not to be stored in the freezer A. DPT. (Diphtheria-Tatnus-Pertussis) B. Oral Polio Vaccine C. Measles Vaccine D. MMR (miscalls, Mumps, Rubella

A. DPT Rationale: B,C, D, all need to be stored in the freezer, DPT would be destroyed if put in the freezer ~https://www.cdc.gov/vaccines/vpd/dtap-tdap-td/hcp/storage-handling.html

Enna has gestational diabetes and it is usually managed by which of the following therapy A. Diet B. Long-acting insulin C. Oral hypoglycemic D. Oral Hypoglycemic drug and insulin

A. Diet

The most prevent form of meningitis among children ages 2 months to 3 years is caused by which microorganism A. Haemophilius influenzae B. Morbilivirus C. Streptococcus pneumoniae D. Neisseria meningitides

A. Haemophilius influenzae ~ Brunner's MedSurg Unit 14: Neurologic Function p. 1950

Selena brought her 4-y/o daughter to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital A. Inability to drink B. High grade fever C. Signs of severe Dehydration D. Cough for more than 30 days

A. Inability to Drink Rationale: Danger signs in IMCI include a child being excessively thirsty or unable to drink, (or breastfeed), vomiting everything given, convulsing during current illness, the child being lethargic, no longer smiling, talking, crying, walking or becoming unconscious

Nurse Arthur knows the following changes in the respiratory functioning during the pregnancy is considered normal A. Increased Tidal volume B. Expiatory volume C. Decreased inspiratory capacity D. Decreased oxygen consumption

A. Increased Tidal volume

Two-year-old Jimmy revealed "baggy pants". As a nurse, using the IMCI guidelines, how will the nurse manage Jimmy? A. Refer the child urgently to a hospital for confinement B. Coordinate with the social worker to enroll the child in a feeding program C. Make a teaching plan for the other, focusing on menu planning for her child. Asses and treat the child for health problems like infection and intestinal paratitism

A. Refer the child urgently to a hospital for confinement Rationale: Baggy pants is sign of severe marasmus (protein energy malnutrition) the best management is to refer to the hospital ~https://www.wattpad.com/3069636-community-health-nursing/page/13

Nurse Juan is performing an assessment of a neonate. Which of the following findings is considered common in the healthy neonate? A. Simian crease B. Conjunctival hemorrhage C. Cystic hygroma D. Bulging fontanelle

A. Simian crease (single crease on the palm of the hand) Rationale: Hemorrhage is not good, cystic hygroma is fluid build up in the sac that blocks the lymphatic system, bulging fontanelle is a sign of fluid build up in the brain

Nurse Romeo is aware that unused BCG should be discarded after how many hours of recosntitution A. 2 hours B. 4 hours C. 8hours D. at the end of the day

B. 4 hours Rationale: While the unused portion of other biologicals in EPI may be given until the end of the day, only BCG is discarded 4 hours after reconstitution. This is why BCG immunization is only scheduled in the morning. source: https://jagguapps.com/nclex/category/community-health-nursing-chn/practice-test-9-community-health-nursing-chn#:~:text=Unused%20BCG%20should%20be%20discarded%20how%20many%20hours%20after%20reconstitution%3F&text=While%20the%20unused%20portion%20of,discarded%204%20hours%20after%20reconstitution.

Myrna, a public health nurse will conduct outreach immunization in a barangay in Pasay with a population of about 1500. The estimated number of infants in the barangay would be A. 45 B. 50 C. 55 D. 65

B. 45 Rationale: To estimate the number of infants, multiply total population by 3%.

The nurse explains to a breastfeeding woman that breastmilk is sufficient for all of the baby's nutrient needs only up to A. 5 months B. 4 hours C. 1 year D. 2 years

B. 6 Months Rationale: After 6 months, the baby's nutritional needs, especially the baby's iron requirement, can no longer be provided by the mother's breast milk alone. source: https://www.wattpad.com/60201005-maternal-child-health-nursing-exam-maternal-child/page/18

Marie bought her 10-month-old infant for consultation because of fever which started 4 days prior to consultation. In determining malaria risk, what will the nurse do? A. Perform a tourniquet test B. Ask where the family resides C. Get a specimen for bloody smear D. Ask if the fever is present every day

B. Ask where the family resides Rationale: It's found in tropical regions, including: large areas of Africa and Asia. Central and South America. Dominican Republic and Haiti.

The student nurse is aware that pathognomic sign of measles is Koplik's spots and the student nurse may see Koplik's spots by inspecting the A. Nasal Mucosa B. Buccal Mucosa C. Skin on the abdomen D. Skin on the neck

B. Buccal Mucosa Rationale: Koplik's spots: Little spots inside the mouth that are highly characteristic of the early phase of measles (rubeola). The spots look like a tiny grains of white sand, each surrounded by a red ring. They are found especially on the inside of the cheek (the buccal mucosa) opposite the 1st and 2nd upper molars.~https://www.rxlist.com/kopliks_spots/definition.htm

Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. Which of the following steps would be contraindicated when caring for this client? A. Applying the cold to limit edema during the first 12-24 hrs B. Instructing the client to use two or more peripads cushion the area C. Instructing the client on the use of Site baths if ordered D. Instructing the client about the importance of perineal (kegle's) exercises

B. Instructing the client to use two or more peripads cushion the area

Celine who used heroin during her pregnancy delivery a neonate. When assessing the neonate the nurse expects to find A. Lethargy 2 days after birth B. Irritability and poor sucking C. A flattened nose, small eyes and thin lips. D. Congenital defects such as limbs anomalies

B. Irritability and poor sucking Rationale Lethargy- low blood sugar A flattened nose, small eyes and thin lips- genetical Congenital defects such as limbs anomalies - genes/ viral chemical

The integrated Management of Childhood Illness, the nurse is aware that the severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital? A. Mastoiditis B. Severe Dehydration C. Severe Pneumonia D. Severe Febrile Disease

B. Severe Dehydration Rationale: "VERY SEVERE DISEASE AND LOCAL BACTERIAL INFECTION. These signs indicate immediate referral or admission to hospital" ~https://doh.gov.ph/integrated-management-of-childhood-illness

Noelle, a 5-month-old infant was brought by his mother to the health center because of diarrhea for 4 to 5 times a day. Her skin goes back slowly after a skin punch and her eyes are sunken. Using IMCI guidelines, you will classify this infant in which category? A. No signs of dehydration B. Some Dehydration C. Severe dehydration D. The data is insufficient

B. Some Dehydration Rationale: Option B: Using the assessment guidelines of IMCI, a child (2 months to 5 years old) with diarrhea is classified as having SOME DEHYDRATION if he shows 2 or more of the following signs: restless or irritable, sunken eyes, the skin goes back slow after a skin pinch. • Options A, C, D: These options are incorrect.

When teaching the parents of a neonate on a proper sleep positioning of the child, the nurse is assess the importance of placing the neonate on his back to reduce the risk of which of the following A. Aspiration B. Sudden infant Death syndrome (SIDS) C. Suffocation D. gastroesophageal reflux

B. Sudden infant Death syndrome (SIDS) Rationale: Supine positioning is recommended to reduce the risk of SIDs in infancy. The risk of aspiration is slightly increased with the supine position. Suffocation would be less likely with an infant supine than prone and the position of for GER requires the head of the bed to be elevated. source: https://www.wattpad.com/60201005-maternal-child-health-nursing-exam-maternal-child/page/18

Dr. Estrelles decides to artificially rupture the membranes of a mother who is on labor. Following this procedure, Nurse Bailey checks the fetal heart tones for which of the following reasons A. To determine fetal well-being B. To assess for prolapsed cord C. To assess fetal position D> To prepare for an imminent delivery

B. To assess for prolapsed cord

20 y/o primigravida patient, has just completed a difficult forceps assisted delivery of twins. her labor was unusually long and required oxytocin augmentation. The nurse who is caring ofr her should stay alert for A. Uterine inversion B. Uterine Atony C.Uterine Involution D. Uterine Discomfort

B. Uterine Atony

Marla is screened for tuberculosis during the first prenatal visit. An intra-dermal injection purified protein derivative (PPD) of the tuberculin bacilli is given. She is considered to have a positive test for which of the following results> A. An indurated wheal under 10mm in the diameter appears in 6-12 hours B.An indurated wheal under 10mm in the diameter appears in 48-72 hours C. A flat circumcised area over the 10mm in the diameter appears in 48-72 hours

B.An indurated wheal under 10mm in the diameter appears in 48-72 hours

Nurse Rina is aware that the gestational age of a conceptus considered viable (able to live outside the womb is at) A. 8 Weeks B. 12 Weeks C. 24 Weeks D. 32 Weeks

C. 24 Weeks Rationale: At approximately 23 to 24 weeks of gestation, the lungs are developed enough to sometimes maintain extrauterine life. The lungs are the most immature system during the gestation period. Medical care for premature labor begins much earlier (aggressively at 21 weeks' gestation). source: https://www.wattpad.com/60201005-maternal-child-health-nursing-exam-maternal-child/page/18

When a client states that her "water broke", Which of the following actions would be inappropriate for the nurse to do A. Observing the pooling straw-colored fluid B. Checking vaginal discharge with Nitrazine paper C. Conducting a bedside ultrasound for amniotic fluid index D. Observing for flakes of vernix in the vaginal discharge

C. Conducting a bedside ultrasound for amniotic fluid index Rationale: Ultrasound can detect right away the fluids

Which findings might be seen in Baby Tomas, a Neonate suspected of having an infeciton A. Flushed Cheeks B. Increased Temperature C. Decreased Temperature D. Increased activity level

C. Decreased Temperature Rationale: Temperature instability, especially when it results in a low temperature in the neonate, may be a sign of infection. The neonate's color often changes with an infection process but generally becomes ashen or mottled. The neonate with an infection will usually show a decrease in activity level or lethargy. source: https://www.wattpad.com/60201005-maternal-child-health-nursing-exam-maternal-child/page/18

Melany has just given birth at 42 weeks gestation, when the nurse does her physical assessment, which of the physical findings is expected of the neonate? A. Sleepy, lethargic baby B. Lanugo covering the body C. Desquamation of the epidermis D. Vernix Caseosa covering the body

C. Desquamation of the epidermis Rationale: Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated. These neonates are usually very alert. Lanugo is missing in the postdate neonate.

Carla, with sickle cell anemia has an increased risk for having sickle cell crisis during pregnancy. Aggressive management of sickle cell crisis includes which of the following measures. A, Antihypertensive agents B. Diuretic Agents C. IV Fluids D. Acetaminophen (Tylenol) of pain

C. IV Fluids

When teaching umbilical cord care for jacinth, a new mother, the nurse would include which information> A. Apply peroxide to the cord with each diaper change B. Cover the cord with petroleum jelly after bathing C. Keep the cord dry and open to air D. Wash the cord with soap and water each day during a tub bath

C. Keep the cord dry and open to air Rationale: Peroxide, soap will irritate the cord. petroleum jelly after bathing can lead to infection. Keeping cord dry and open to air will minimize risk for infection.

a BBG is born 8 weeks premature. At birth she has no spontaneous respirations but is successfully resuscitated within several hours, she develops respiratory grunting, cyanosis, tachypnea, nasal flaring, and retractions. She is diagnosed with respiratory distress syndrome, intubated and placed on a ventilator. Which nursing action should one included in the baby's plan to care to prevent retinopathy off prematurity A. Cover his eyes while receiving oxygen B. Keep her body temperature low C. Monitor partial pressure of Oxygen (paO2) levels. D. Humidify the oxygen

C. Monitor partial pressure of Oxygen (paO2) levels.

Carlo, a 4-month old infant is brought by her mother to the health center because of cough. His respiratory rate is 42/ minute. Using IMCI guidelines of assessment his breathing is considered as A. Fast B. Slow C. Normal D. Insignificant

C. Normal Rationale: In IMCI, a respiratory rate of 50/minute or more is fast breathing for an infant aged 2 to 12 months. both these websites agree on answer C https://www.proprofs.com/quiz-school/quizshow.php?title=easy-imci-question&q=1 https://www.coursehero.com/file/prdmia/A-4-month-old-infant-was-brought-to-the-health-center-because-of-cough-Her/

Which is the most effective war of controlling schistosomiasis in a an endemic area? A. Use of Molluscicides B. Building of foot bridges C. Proper use of sanitary toilets D. Use of Protective footwear, such as rubber boots

C. Proper use of sanitary toilets Rationale: Schistosomiasis happens when skin comes into contact with fresh water contaminated with it.

1 24 y/o pregnant woman arrives at her doctor's office with complaints of fever, nausea, committing, malaise, unilateral flank pain, and costovertabral angle tenderness, which of the followings most likely A. Asymptomatic Bacteriuria B. Bacterial Vaginosis C. Pyelonephritis D. Urinary tract infection

C. Pyelonephritis

Which symptom would indicate that Baby Alexa is adapting appropriately to extrauterine life without diffulty A. Nasal flaring B. Light audible grunting C. RR of 40-60 breaths per minute D. RR of 60-80 b/pm

C. RR of 40-60 breaths per minute

After reviewing there mother's maternal history of magnesium sulfate during labor, which condition would Nurse Rosela anticipate as a potential problem in the neonate A. Hypoglycemia B. Jitteriness C. Respiratory Depression D. Tachycardia

C. Respiratory Depression

Nurse is promoting comfort during labor and advises the patient to assume certain positions and avoid other position. Which position may cause maternal hypotension and fetal hypoxia A. Lateral B. Squatting C. Supine D. Standing

C. Supine

Nurses are aware that the diagnosis of leprosy is highly dependent on the recognition of the symptoms. Which of the following is an early sign of leprosy A. Macular Lesions B. Inability to close eyelids C. Thickened painful nerves D. Sinking of the nose bridge

C. Thickened painful nerves ~https://www.cdc.gov/leprosy/health-care-workers/clinical-diseases.html

A pregnant woman is accompanied by her husband, seeks admission to the labor and delivery area. She says that she ids in labor and says she attended the facility clinic for prenatal care. Which question should nurse Olivia ask her first A. "Do you have any chronic Illness?" B. "Do you have an allergies?" C."What is the expected due date?" D. "Who will be with you during labor?"

C."What is the expected due date?"

Which of the following drugs is the attitude for magnesium toxicity

Calcium gluconate (Kalcinate)

A neonate begins ti gag and tyros ti a dusky color. What should the nurse did first? A. Calm the neonate B. Notify the physician C. Provide oxygen via face mask as ordered D. Aspirate the neonate's nose and mouth with a bulb syringe

D. Aspirate the neonate's nose and mouth with a bulb syringe Rationale: aspirate first then face mask because if the oxygen is administered with our suctioning, oxygen can't passed through

Lena is using Oresol in the management if diarrhea of her 3-y/o child. She asks you what to do if her child vomits. As a nurse, you will tell her to A. Bring the child to the nearest hospital B. Bring the child to the health center for intravenous fluid therapy C. Bring the child to the health center of assessment by the physician D. Let the child rest for 10 minutes then continue giving Oresol more slowly

D. Let the child rest for 10 minutes then continue giving Oresol more slowly Rationale: If the child vomits persistently, that is, he vomits everything that he takes in, he has to bereferred urgently to a hospital. Otherwise, vomiting is managed by letting the child rest for 10 minutes and then continuing with Oresol administration. Teach the mother to give Oresol more slowly. ~https://www.coursehero.com/file/p7kmul/Gina-is-using-Oresol-in-the-management-of-diarrhea-of-her-3-year-old-child-She/

Baby Joan who is small-for-gestation is at increased risk during the transition al period for which complication. A. Anemia due to chronic fetal hypoxia B. Hyperthermia due to decreased glycogen stores C. Hyperglycemia due to decreased glycogen stores D. Polycythemia due to chronic fetal hypoxia

D. Polycythemia due to chronic fetal hypoxia Rationale: The small-for-gestation neonate is at risk for developing polycythemia during the transitional period in an attempt to decrease hypoxia. The neonates are also at increased risk for developing hypoglycemia and hypothermia due to decreased glycogen stores. source: https://www.wattpad.com/60201005-maternal-child-health-nursing-exam-maternal-child/page/18

Magnesium sulfate is given to Geraldine with preeclampsia to prevent which of the following conditions? A. Hemorrhage B. Hypertension C. Hypomagnesemia D. Seizure

D. Seizure

Which of the following would be least likely to indicate anticipated bonding behaviors by new parents A. The parents willingness to touch and hold the newborn B. The parents' expression of interest about the size of the newborn C. The parents' indication that they want to see the newborn D. The parents' interactions with each other

D. The parents' interactions with each other

Terrie experienced painless vaginal bleeding, and has just been diagnosed with placenta prevue. Which of the following procedures is usually performed too diagnose placenta previa? A. Amniocentesis B. Digital or speculum examination C. external fetal monitoring D. Ultrasound

D. Ultrasound

Rh isoimmunizaiton in a pregnant patient develops during which of the following conditions

Rh- positive blood crises into the maternal blood, stimulating maternal antibodies