NURS 404: Evolve questions Week 1-2

An increase in which factor causes urinary frequency in the first trimester of pregnancy? a. estrogen level b. extracellular fluid volume c. kidney glomerular filtration d. bladder pressure from the enlarged uterus

d. bladder pressure from the enlarged uterus

The nurse teaches a pregnant client regarding the necessity for a folic acid supplement. Folic acid taken in the first trimester of pregnancy helps reduce the risk for which neonatal disorder? a. phenylketouria b. down syndrome c. neural tube defects d. erythroblastosis fetalis

c. neural tube defects

Which is the priority nursing intervention immediately following amniocentesis? a. providing perineal care b. encouraging lots of fluids every hour c. changing the abdominal dressing d. monitoring for uterine contractions

d. monitoring for uterine contractions

Which result after 20 minutes of a nonstress test is suggestive of fetal reactivity? a. absence of long-term variability b. above-average fetal baseline heart rate of 160 bpm c. no late decelerations associated with contractions d. two accelerations of 15 bpm lasting 15 seconds

d. two accelerations of 15 bpm lasting 15 seconds

Which characteristics are scored on a biophysical profile? Select all that apply. a. fetal tone b. fetal position c. fetal movement d. amniotic fluid index e. fetal breathing movements f. contraction stress test results

a. fetal tone c. fetal movement d. amniotic fluid index e. fetal breathing movements

When preparing a child with asthma for discharge, which instructions would the nurse emphasize to the family? Select all that apply. a. limit allergens in the home b. maintain a dry home environment c. avoid placing limits on the child's behavior expectations d. continue the medications even if the child is asymptomatic e. prevent exposure to infection by having the child tutored at home.

A,D

In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment? a. sensorimotor b. preoperational c. formal operations d. concrete operations

A

A 30-month-old toddler is brought to the emergency department in acute respiratory distress, and a diagnosis of laryngotracheobronchitis (viral croup) is made. Which is the most important equipment for the nurse to have available when the child is admitted to the pediatric unit? a. intravenous set b. tracheotomy set c. nasal cannula for oxygen d. crib with padded side rails

B

A 5-year-old child complains of abdominal pain with nausea, anorexia, and a low-grade fever. Palpation of the RLQ elicits pain. Which condition would the nurse suspect? a. Ulcerative colitis b. acute appendicitis c. Hirschsprung disease d. Hookworm infestation

B

Which assessment findings would indicate a possible asthma exacerbation? Select all that apply. a. fever b. stridor c. wheezing d. tachycardia e. hypotension

C,D

Which clinical finding would the nurse expect when assessing an infant with a tentative diagnosis of hypertrophic pyloric stenosis (HPS)? a. visible peristaltic waves across the lower abdomen b. palpable mass in the epigastric area to the right of the umbilicus c. tenderness over the epigastric region not relieved by heat application d. lower abdominal distention with vomiting of bile-stained gastric contents

B

At which age will an infant's anterior fontanel close? a. 6 to 8 months b. 9 to 12 months c. 12 to 18 months d. 19 to 36 months

C

A client presenting with an acute asthma attack is being assessed in the emergency department. The client's spouse reports that the client currently is undergoing treatment for an upper respiratory infection. The nurse would understand that the client most likely has which type of asthma? a. allergic b. emotional c. extrinsic d. intrinsic

D

Which nursing assessment would help confirm the diagnosis of intussusception? a. auscultating for bowel sounds b. listening for high-pitched crying c. measuring fluid intake and output d. observing characteristics of stools

D

Which is the best advice the nurse can provide a pregnant woman in her first trimester? a. Cut down on drugs, alcohol, and cigarettes b. Avoid drugs and dont smoke or drink alcohol c. Avoid smoking, limit alcohol consumption, and dont take aspirin d. Take only prescription drugs, especially in the second and third trimesters

b. Avoid drugs and dont smoke or drink alcohol

A pregnant client in the third trimester tells the nurse in the prenatal clinic that she is experiencing heartburn after every meal. Which explanation would the nurse provide regarding the cause of heartburn? a. The esophageal sphincter relaxes and allows acid to be regurgitated b. In pregnancy, gastric motility increases, causing a burning sensation c. In pregnancy, gastric PH increases, causing acid to enter the esophagus d. In pregnancy, the pyloric sphincter relaxes, allowing acid to enter the intestine

a. The esophageal sphincter relaxes and allows acid to be regurgitated

Which condition would the nurse suspect in a 6-year-old child who was admitted with abdominal pain and guarding, nausea, anorexia and pain with palpation of the right lower quadrant? a. viral infection b. inflamed appendix c. irritable bowel d. parasitic infestation

B

For which client would the nurse measure head circumference during the growth and development assessment? Select all that apply. a. a 2-month-old infant b. a 3-year-old preschooler c. a 14-year-old adolescent d. an 18-month-old toddler e. a 6-year-old school-age child

A,B,D

An infant is admitted to the pediatric unit with bronchiolitis caused by RSV. Which intervention would the nurse provide for the infant? Select all that apply. a. limiting fluid intake b. instilling saline nose drops c. maintaining droplet precautions d. nasal suctioning to remove mucus e. administering inhaled bronchodilators

B,C,D

Which are similarities between infants and toddlers? Select all that apply. a. they grow at a similar rate b. they need an equal amount of sleep c. both show resistance to skin irritation d. both awaken frequently during the night e. both recover easily from upper respiratory tract infections

D,E

The pregnant client is 5 ft 3 in tall and weights 130lb at the beginning of her pregnancy. Which weight would be recommended for her to reach st the end of the pregnancy? a. 155 b. 140 c. 135 d. 170

a. 155

Which prenatal test provides the earliest diagnosis of fetal defects? a. nonstress test b. amniocentesis c. chorionic villus sampling d. percutaneous umbilical blood sampling

c. chorionic villus sampling

A couple in their late 30s are planning a genetic amniocentensis and would liek to complete the testing as soon as possible. At which time would the test be scheduled? a. when quickening is felt? b. during the last trimester c. at the 10th weeks of gestation d. after the 14th week of pregnancy

d. after the 14th week of pregnancy

Which statement indicates a client understands the meaning of having a reactive nonstress test? a. normal because of increases in fetal heart rate with fetal movement b. abnormal because of decrease in FHR between contractions c. Abnormal because of variability in FHR with each contraction d. normal because the FHR remained unchanged with maternal movement

a. normal because of increases in fetal heart rate with fetal movement

A nonstress test evaluates the condition of the fetus by comparing the fetal heart rate with which factor? a. fetal lie b. fetal movement c. maternal blood pressure d. maternal uterine contractions

b. fetal movement

Which diagnostic test would the nurse expect for a 3-month-old infant with chronic constipation and suspected Hirschsprung disease? a. sweat test b. guthrie test c. rectal biopsy d. blood glucose level

C

A child with status asthmaticus is admitted to the pediatric intensive care unit. Which would the nurse include in the plan of care as the child starts to recover from the episode? a. Maintain the high-Fowler position. b. Restrict fluids to two thirds of the usual intake. c. Keep droplet precautions in place for 24 hours. d. Administer the prescribed prophylactic antibiotic.

A

Which education would the nurse provide the parent of an infant with pyloric stenosis? a. It is unlikely that surgery will be necessary. b. This is a condition with an excellent prognosis. c. This condition results from an error of metabolism d. Special feedings will be needed for a few weeks after surgery

B

Which procedure would the nurse anticipate to confirm the diagnosis of Hirschsprung disease (congenital aganglionic megacolon) in a 1-month-old infant? a. colonoscopy b. rectal biopsy c. multiple saline enemas d. fiberoptic nasoenteric tube

B

When performing a focused respiratory assessment, which action would the nurse take first? a. examine for any abnormal respiratory patterns b. inspect for changes in skin color or temperature c. check for any evidence of respiratory distress d. determine the shape and symmetry of the chest

C

A physically active 19 year old primigravida attends the prenatal clinic for the first time. She asks the nurse whether she may continue playing tennis and riding horses while she is pregnant. How would the nurse reply? a. "Tell me more about how you engage in these activities" b. "Horseback riding is acceptable but only up to the last trimester." c. "Tennis is good exercise for you, but horseback riding is too strenuous" d. "Both of these sports have been found to be too strenuous for a pregnant woman"

a. "Tell me more about how you engage in these activities"

The health care provider prescribes a contraction stress test for a client at 33 weeks gestation whose non-stress test was non-reactive and whose biophysical profile was inconclusive. Which maternal conditions would prompt the nurse to question the prescription? select all that apply. a. hypertension b. preterm labor c. placent previa d. cervical insufficiency e. premature rupture of membranes

b. preterm labor c. placent previa d. cervical insufficiency e. premature rupture of membranes

Which question would help the nurse determine the pregnant client's estimated date of delivery? a. "Did you do a home pregnancy test?" b. "How old were you when your menses began?" c. "Are your menstrual periods regular?" d. "Were you using condoms before you became pregnant?"

c. "Are your menstrual periods regular?"

Which nursing intervention would be needed before a client undergoes amniocentesis at 16 weeks' gestation? a. Starting an intravenous infusion of normal saline b. Performing a vaginal and rectal examination c. Ensuring that informed consent has been obtained from the client d. Informing the client that she will need bed rest after amniocentesis

c. Ensuring that informed consent has been obtained from the client

A pregnant client is making her first antepartum visit. She has a 2 year old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How would the nurse, using GTPAL format, document the client's obstetric history? a. G4 T3 P2 A1 L4 b. G5 T2 P2 A1 L4 c. G5 T2 P1 A1 L4 d. G4 T3 P1 A1 L4

c. G5 T2 P1 A1 L4

Which information about adolescent growth and development would the nurse need to understand before discussing changes in body size to a 16 year old adolescent at 24 weeks gestation? a. adolescents generally regain their figures 2 weeks after the birth so size is of moderate concern b. adolescents are in a high-risk category so weight gain should be limited to prevent complications c. body image is very important to adolescents therefore pregnant teenagers are overly concerned about body size d. physiological growth in adolescents is more rapid than in adults so the gravid size is larger than that of an adult woman

c. body image is very important to adolescents therefore pregnant teenagers are overly concerned about body size

a client informs the nurse that her home pregnancy test was positive ad that her last menstrual period began on june 18. According to Naegele's rule which is the estimated date of birth? a. March 8 b. March 11 c. March 1 d. March 25

d. March 25