Mix of questions for 214 3 rd test

A 16 yr old tells you she has terrible dysmenorrhea. Which action would be the best health teaching measure regarding this A take OTC ibuprofen for its prostaglandin action B take acetaminophen beginning with the first day of a men's trail flow C during a minimum of fluid if having pain D use ice to help in reducing inflammation and pain

A

A client prescribed coc has presented for a routine visit. Which finding upon assessment should the nurse prioritize A abdominal pain B small amount of breakthrough bleeding C light menstrual flow D cramping during menses

A

When preparing a teaching plan for a female adolescent with a sexually transmitted infection the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer which sti would the adolescent most likely have A genital warts B genital herpes C syphilis D chlamydia

A

What is the best way for the nurse to asses the newborns' heartbeat A palpation the brachial pulse for 60 seconds B auscultation the apical pulse for 60 seconds C palpating the femoral pulse for 30 seconds x 2 D auscultation the apical pulse for 30 seconds and x 2

B

When assessing the stools of a 1 week old newborn who is being breast fed, which would the nurse expect to find A seedy greenish brown stool B yellow gold loose seedy stool C greenish black tarry stool D yellow green soft formed stool

B

A woman at the infertility clinic for the fist time ashes, what could have caused my infertility after teaching the woman about possible causes the nurse determines that the teaching was successful when the woman identifies which as contributing factors select all that apply A BMI 25 B age 43 C polycyclic ovarian syndrome D marathon runner E cigarette smoking

B C D E

The nurse administers a single dose of vitamin K intramuscularly to a newborn after birth. Which explanation to the parents is correct A it helps with conjugation of bilirubin B it promotes blood clotting C it ensures the foreman ovale closes D the purpose is for digestion of complex proteins

B (vitamin K is needed for blood clotting and is a vital component of the blood clotting cascade. The newborns gut is sterile at birth and unable to manufacture vitamin K on its own without an outside source initially. Vitamin K has no impact on bilirubin conjugation, transport or excretions. It is not involved in closing the foramen ovale; cutting the cord and changing gradine to vascular pressures are responsible for this closure

Which of the following findings in a newborn would the nurse document as abnormal when assessing the newborn head? A 2 soft spots palpated between the cranial bones B a spongy area of edema outlined on the head C head circumference 32 cm chest 34 D asymmetry of the he'd with overriding bones

C because the circumference of the newborns' head should be approximately 2 cm greater than the circumference of the chest at birth

While trying to decide where to bottle feed or breast feed her newborn infant, a new mother questions the lactation specialist concerning the greatest benefit of breastfeeding her infant. What would be the best response A ease of digestion of Brest milk B convenience of breastfeeding C decreased expense for feedings D immunity against many different bacteria

D

About which childhood communicable disease should the nurse question the male client who is seeking information about sub fertility A measles B rubella C chicken pox D mumps

D The diagnosis study would be semen analysis

THE NURSE LOCATES A SMALL PORT WINE STAIN ON NEWBORNS NECK AND POINTS IT OUT AND EXPLAINS IT TO THE PARENTS. WHICH OF THE FOLLOWING REMARKS BY THE PARENTS WOULD INDICATE THAT THEY UNDERSTOOD AND THAT NO FURTHER EXPLANATION IS NEEDED A the doctor must have pulled on him to hard B i hope it goes away soon, os he isn't marked for life C my grandmother told me not to drink during my pregnancy D even tough it's permanent at least its not to visible

D Objective 3 and 6

The nurse is reviewing the clients basal body temperature chart what days would you teach the client to abstain to prevent pregnancy

3-5 days before and then 3 days after temperature increase Ovulation is on day 13-14

A community health nurse is presenting to group of adolescents on how to reduce their risks of contracting sexually transmitted infections the nurse feels confident learning has taken place when the participants identify which as the best preventative measure A using latex condoms during sexual activity B abstaining from sexual activity C using combination oral contraceptives D engaging only in oral sex

A

Upon assessing the newborns respiration's which finding would cause the nurse to notify the primary care provider A respiratory rate of 15 breaths per minute with nasal flaring B respiratory relate of 45 breaths per minute with a Romano's is C short periods of apnea that last 10 seconds in a pink newborn D coughing and sneezing in the newborn

A

a client is seeking treatment for penile erectile dysfunction. Which assessment questions demonstrates the nurses knowledge relate to the cause of this disorder select all that apply A when were you born B when did you first become sexually active C have you ever been diagnosed with any vascular disorders D are you currently being treated for any neurological conditions E are you currently taking a phoshodiesterase type 5 (PDE5) receptor inhibitor

A C C

A nurse is performing an assessment of a 90 year old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment? A sexual dysfunction may result from use of prescription medications for management of hypertension B such questions are an indirect way of learning about the patients medication adherence C these questions ease the transition to questions about sexual practices in general D sexual dysfunction can cause stress and contribute to increased blood

A Some. of the drugs used to tx HTN can interfere with normal sexual functioning and lead to sexual disorders. HTN itself can lead to acquired erectile dysfunction. It would not be appropriate or necessary to use such inquiries as a lead in to other sexual health topics.

On the nursing care plan, the nurse writes a goal to "facilitate bonding of the parents and infant which of the following actions should receive priority in attaining the goal. Select all that apply A provide assistance and a=encouragement with rooming in B allow family member and siblings liberal visitation C keep the newborn in the nursery to allow parents rest D teach the parents skills to increase their competence E promote skin to skin contact and en face position

A E

Which of the following findings in a newborn would the nurse insider normal A passage of meconium within the first 24 hours B respiratory rate of 80 breaths per minute C yellow skin tones at 10 hours after birth D bleeding front he umbilicus area

A since meconium is usually passed during the first 24 hours of life in most newborns

The most important adaptation fo the newborn to make after birth are to establish respiration's, make cardiovascular adjustments, and establish thermoregulation. Nursing care focuses on monitoring and supporting adjustments to extrauterine adaptation. Write appropriate nursing interventions to help achieve the following newborn adaptations A respiratory adaptation

A suction the mouth and then the nose to remove any mucus. Stimulate crying by drying the newborn immediately after birth. Assess respiratory effort to validate that it is within normal parameters. Observe for signs of respiratory distress auscultate chest fr gas for normal gas exchange

after birth, the nurse would expect the this structure to close as a result of increases in the pressure gradients on the left side of the heart A foramen ovale B ductus arteriosus C ductus venosus D umbilical vein

A. the foramen ovale is the fetal structure within the heart that allows blood to cross immediately tot eh left side and bypass the pulmonary circuit. (Topical objective 1)

A client is being prepared for artificial insemination which finding is the most suggestive to determine if the client is ovulating A slight weight gain B change in the cervical mucus C abdominal cramps D fall in body temp

B

A healthy 28 Yr old female client who has a sedentary lifestyle and is a chain smoker is seeking information about contraception. The nurse informs this client of the various options available and the benefits and the risks of each. Which would the nurse recognize as contraindicate in the case of the client A the medroxyprogeterson injection B combination of oral contraceptives C a copper intrauterine device D implantable contraceptives

B

A nurse is discussing breast feeding w/ a new mother and demonstrates that when she strokes the baby's cheek the baby turns their head in that direction. This movement is known as which relfex A babinski B rooting C Moro D extrusion

B

The nurse is preparing a presentation for a client who is considering contraception when discussing oral contraceptives the nurse would identify which advantages. Select all that apply A decreased risk of breast cancer B shortening of the menstrual period C reduction in severe cramping D lowered risk of migraine headaches E reduction in risk for osteoporosis

B C E

The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which suggestions should the nurse include in the teaching plan select all that apply A increase intake of salty foods B increase water consumption C avoid keeping legs elevated while lying down D use a heating pad or take warm baths E increase exercise and physical activity

BDE

A 49 yr old client who is in the peri menopausal phase of lie reports to the nurse a loss of lubrication during intercourse, which she feels is hampering her sex life. Which response by the nurse is appropriate A. Don't worry this is a normal process of aging B have you considered contacting a support group or women your age C you can manage the condition by using over the counter moisturizers or lubricants D all you need is a positive outlook and a supportive partner

C

The nurse is assessing a young couple who desire to get pregnant. The 38 yr old husband and 29 yr old wife report they had used COC however they have now been trying unsuccessfully to concieive over the past 4 months what is the best response from the nurse A return in 9 months for further assessment if not pregnant B should seek fertility counseling from a specialist C increase intercourse frequency to four times a week and around the time of ovulation D should undergo comprehensive diagnostic testing

C

The student nurses is administering the first bath to an infant 4 hours after birth. She becomes alarmed when he shampoos the head and feels generalized edema over several skull bones. The nursery nurse understands this is consistent with which finding A hydrocephalus B intracranial hemorrhage C caput succedaneum D cephalhematoma

C (topical objective 3)

When assessing a term newborn at 6 hours old, the nurse auscultates bowel sounds and documents recent passing of meconium. The nurse understands these findings would indicate which of the following A abnormal gastrointestinal newborn transition B an intestinal anomaly that needs immediate surgery C a patent anus with no bowel obstructions and normal peristalsis D a malabsorption syndrome resulting in fatty stools

C. The findings indicate a patent abuse with no bowel obstructions and normal peristalsis

A patient has been diagnosed with primary syphilis. Which of the following physical findings would the nurse expect to see A cluster of vesicles B pain free lesion C macular rash D foul smelling discharge

Pain free lesion with first round, rash with second round B

The most important adaptations for the newborn to Mae after birth are to establish respirations, make cardiovascular adjustments, and establish thermoregulation. List nursing care for thermoregulation when taking care of a newborn

Provide warmth by placing a hat on the newborns head to prevent heat loss through the scalp. Take and record the newborn's auxiliary temperature frequently to monitor thermoregulation. Keep the newborn away from drafts and wrap in a blanket to keep warm or place under a radiant heater. After temperature stabilizes, bathe the newborn.

The most important adaptations for the new born to make after birth is to establish respiration's, make cardiovascular adjustments and establish thermoregulation. Nursing care focuses on monitoring and supporting adjustments to extrauterine adaptation. What appropriate nursing intervention for safety , including prevention of infection

Safety measures include matching ID for mom and infant; foot printing the newborn and thumbprinting mother for ID purposes as well as prevention of abduction; handling the newborn with both hands securely to prevent dropping; position the newborn on his or her back to sleep; frequent hand washing when handling newborn