NCLEX

first fetal movements term

quickening

Activated charcoal will not bind to BLANK

Lithium

The nurse notes in the history of the client in labor that she is a Gravida 5 T1 P1 A2 L2. Which statement would be true based on this information?

(The client is gravida (G) 5: the current pregnancy, the 41-week pregnancy, the 35-week pregnancy, the 9-week pregnancy, and the 18-week pregnancy. She has had one term (T) pregnancy (one that lasts 40 weeks plus or minus 2 weeks): the 41-week pregnancy. The 35-week pregnancy is considered preterm (P). Pregnancies that end before 20 weeks are considered abortions, so the losses at 9 and 18 weeks would be scored as A2. The other options do not consider the present pregnancy or the correct definitions of term and preterm or do not include the abortions.)

At 12 weeks' gestation a client who is Rh negative expels the total products of conception. Which action would the nurse take after it has been determined that the client has not been previously sensitized to Rh-positive red blood cells?

Administering Rho(D) immune globulin within 72 hour

What can reduce the risk of preeclampsia

Calcium intake - 1.5-2 g

The nurse admits a client with preeclampsia to the high-risk prenatal unit. Which is the next nursing action after the vital signs have been obtained?

checking the clients reflexes

Which physiological changes are expected during the first trimester of pregnancy?

morning sickness fatigue breast enlargement

Which activities would be taught by the nurse as methods of relieving back pain in pregnancy

pelvic rocking forward tilting sacral pressure

A client at 42 weeks' gestation is admitted for a nonstress test. The nurse concludes that this test is being done because of which possible complication related to a prolonged pregnancy?

placental insufficiency

Preschoolers grow BLANK to BLANK per year

6.2 to 7.5 cm

During a newborn assessment for developmental dysplasia of the hip, the nurse notes a clunk with the Ortolani test. How would the nurse explain this finding to the child's mother?

It is the femur head relocating in the hip

Which estimated date of birth (EDB) would be correct according to Naegele's rule if the client tells the nurse that her last menstrual period began on April 14?

January 21 -Use first day of LNMP: 11/21/21 -Subtract 3 months: 8/21/21 -Add 7 days: 8/28/21 -Add 1 year: 8/28/22 = EDD

A female client asks the nurse about using a copper intrauterine device (IUD) for contraception. When explaining this method, which common problem would the nurse include in the discussion?

Menses will often become heavier.

Which education would the nurse provide about the occurrence of febrile seizures

They may occur in minor illnesses

Which education would the nurse provide the parent of a preschooler to promote oral hygiene?

You should start seeing a dentist once the child's teeth start coming in or within 12months

Which parent teaching would the nurse provide about signs of shunt failure in a 4-month-old infant with a ventroperitoneal shunt?

bulging fontanels vomiting

Which clinical finding would the nurse expect to encounter during a physical assessment of an infant with meningococcal meningitis?

purpuric skin rash

A toddler with a repaired myelomeningocele has urinary incontinence and some flaccidity of the lower extremities. Which would the nurse teach the parents?

The child will probably require a program of intermittent straight catheterization

The nurse is caring for a child with severe dehydration and its associated acid-base imbalance. Which compensatory mechanism within the body is activated to counteract the effects of the child's acid-base imbalance?

Increased respiratory rate

After a speculum examination in the first trimester of pregnancy, the nurse states that the client's cervix is bluish purple, which is known as the Chadwick sign. Which explanation of this sign would the nurse provide?

"It is caused by increased blood flow to the uterus during pregnancy."

Which direction regarding sleeping position would the nurse give to a client who is 8 months' pregnant?

"Turn from side to side when in bed."

The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information would the nurse give to this client?

Insulin needs will increase during the second trimester

TB infection (if they list symptoms)

-consumption= term for likely died from TB -Describes hemoptysis, night sweats, fever=TB=Airborne

The nurse is teaching a family planning class about ovulation and conception. For which period of time would the nurse inform the class that the ovum is capable of being fertilized after ovulation?

24-36 hours

Which antipyretic medication may cause Reye syndrome in children?

Aspirin

A nurse is reviewing the laboratory results of a newborn who was screened for congenital hypothyroidism. The nurse understands that congenital hypothyroidism is often a result of malformation or malfunction of the thyroid gland during fetal development, leading to low levels of thyroid hormones. Which of the following findings should the nurse expect in an infant diagnosed with congenital hypothyroidism?

Delayed growth, lethargy, and a persistent open posterior fontanel

Which clinical findings would cause the nurse to suspect that an adolescent child with type 1 diabetes is hypoglycemic?

Difficulty concentrating, hunger, and diaphoresis

Which pathophysiological abnormality is present in cystic fibrosis?

Dysfunction of mucus-secreting glands

A nurse is caring for a child diagnosed with Fifth's disease (Parvovirus B19). Which of the following statements by the parent indicates an understanding of the transmission and necessary precautions for this illness?

Fifth's disease, caused by Parvovirus B19, is most contagious before the appearance of the rash, particularly during the incubation period. Children are usually not infectious by the time the characteristic 'slapped cheek' rash appears.

Water soluble vitamins

Folate* (B9, folic acid) : Liver, lentils, beans , Peas (black eye, chickpea), vegetables, pasta , fruit. Pyridoxine B6: Liver, chicken fish, chickpeas, nuts , banana and oranges Vitamin C: varying greens (peppers, broccoli , kale) citrus fruits ( oranges , grapefruit) Vitamin B12: fish , eggs dairy

Which laboratory test would the nurse expect to be prescribed that will reveal the effectiveness of a diabetic regimen for a child with type 1 diabetes?

Glycosylated Hemoglobin/ Hemoglobin A1C

Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?

Human chorionic gonadotropin (hCG)

Which is the cause of iron deficient anemia in toddlers?

Increased cows milk intake

While conducting prenatal teaching, the nurse explains to clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. Which factor does the nurse identify as the cause of this increase?

Increased production of estrogen

In which position would the nurse place an infant with tetralogy of Fallot who begins to cry and exhibits worsening cyanosis and dyspnea?

Knee-chest

A client with a blood pressure of 150/90 mm Hg, 3+ proteinuria, and edema of the hands and face is diagnosed with severe preeclampsia. Which other clinical findings support this diagnosis?

visual disturbances, headache, epigastric pain

Myoclonic seizures in a child

Sudden brief contractions of a muscle or group of muscles no postictal state

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 the heartburn?

The esophageal sphincter relaxes and allows acid to be regurgitated

Which would be the focus of an assessment of a pregnant client who is engaging in the practice of pica?

To assess if the client has a need for a particular food

Which foods would the nurse counsel the client at 14 weeks' gestation to avoid during pregnancy?

soft scrambled eggs (unpasteurized), raw shellfish, herbal supplements

OTC medications that interact with heparin

garlic, ginger, horse chestnut

Which foods would the nurse encourage the client to ingest to meet the increased need for vitamin A during pregnancy?

Cantaloupes and carrots (red and orange fruits and vegetables)

The client at 7 weeks' gestation elects to undergo an induced medical abortion. Which teaching would the nurse provide regarding use of misoprostol for medical abortion?

Misoprostol causes the uterus to expel the products of conception

Fat soluble vitamins

Vitamin A - orange and red coloured fruits and vegies (carrots and cantaloupe) Vitamin D- fortified cereal, milk and juice, eggs , fish Vitamin E - almonds , eggs , avocado, spinach Vitamin K - Mostly green vegetable - kale, celery arugala green apples and pears

primitive reflexes

- Moro - Palmer - Plantar - Babinski - Stepping - Swimming - Tonic Neck