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LPN 220 Final Review Flashcards | StudBud
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LPN 220 Final Review
LPN 220 Final Review
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Mental Health, Maternal Newborn, & Pediatric Nursing
Flashcards
63 cards
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Practice quiz
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Questions
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Answers
1
Which food should a client taking an MAOI AVOID to prevent a hypertensive crisis?
Aged cheese
Fresh Apples
White Rice
Grilled chicken breast
2
Which is the initial nursing action for a client exhibit late decelerations on the fetal heart monitor?
Increase IV fluid rate
Elevate legs
Position mother on left side
Administer oxygen
3
A pregnant client reports new onset vaginal bleeding, which is the priority action for the nurse?
Assess fetal heart tones
Increase fluid intake
Notify healthcare provider
Monitor at home
4
Who is at risk for molar pregnancy?
Patient 28 weeks with no uterine enlargement
Patient at 12 weeks with unilateral pelvic pain that radiates to shoulder
Patient at 16 weeks reporting fatigue
Patient at 8 weeks gesation with high hCG levels
5
Which interventions are appropriate for a client with hyperemesis gravidarum?
(Select all that apply)
Educate the client to avoid greasy and spicy foods.
Provide small, frequent meals of bland foods.
Administer intravenous fluids to correct dehydration.
Encourage a high-fat diet to maintain caloric intake.
Suggest herbal supplements without consulting a healthcare provider.
Monitor electrolyte levels regularly.
6
What food is safe for a pediatric client with celiac disease?
Barley
Rice
Rye
Wheat
7
What indicates a panic attack?
Persistent low-grade fever
Diaphoresis and chest pain
Slow shallow breathing
Bradycardia and weakness
8
What stage of psycho social development do infants experience according to Erikson?
Identity vs. Role Confusion
Integrity vs. Despair
Autonomy vs. Shame
Trust vs. Mistrust
9
Which medication is used to increase focus in ADHD patients?
Lorazepam
Fluoxetine
Methylphenidate
Clozapine
10
Why does Rh Status matter during pregnancy?
An Rh Negative mother can produce antibodies that harm future pregnancies
The mother's immune system will attack an Rh Negative baby
An Rh Negative mother will always give birth to an Rh Negative baby
Rh factor is only a concern if you have a C-section or blood loss
11
What indicates dehydration in infants?
High-pitched crying
Bulging fontanelles
10 wet diapers
Sunken fontanelles
12
Which of the following is a probable sign of pregnancy?
Breast tenderness and enlargement
Fetal heart tones detected by ultrasound
Quickening (feeling fetal movement)
Positive human chorionic gonadotropin (hCG) test
13
What is the recommended method for performing fetal kick counts during the third trimester?
Fetal kick counts should be greater than 10 times in a 2-3 hour period
Fetal kicks count should be monitored over 1 hour
Fetal kick counts should be monitored at different times each day
Fetal kicks counts should be started before 28 weeks gestation
14
A patient on lamotrigine reports flu-like symptoms, fever & painful rash with blisters. Which should the nurse suspect?
Neuroleptic Malignant Syndrome
Serotonin Syndrome
Tardive Dyskinesia
Stevens-Johnson Syndrome
15
Which of the following are common symptoms of ADHD?
(Select all that apply)
Inattention
Decreased social awareness
Excessive need for routine and sameness
Impulsivity
Difficulty recognizing emotions in others
Hyperactivity
16
Newborns of mother with gestational diabetes are increased risk for:
Neural tube defects
Low birth weight
Congenital heart defects
Larger than average weight
17
A prengant client reports blurry vision. Which is the priority action for the nurse?
Administer acetaminophen
Assess fundal height
Encourage fluids and rest
Take blood pressure
18
What should the nurse do if they notice a deviated fundus?
Assist client to void
Administer methylergometrine
Obtain hemoglobin level
Insert urinary catheter
19
A patient who started taking an SSRI for depression 5 days ago reports no improvement. What's the nurse’s best response?
"It may take up to 2-4 weeks before you notice any effect."
"You should increase your dose under your provider’s supervision."
"Are you taking your medication correctly?"
"Your provider may need to switch you to a different antidepressant."
20
Which is a DSM-5 classification?
Pediatric milestones
Genetic disorders
Neurodevelopmental disorders
Gastrointestinal disorders
21
What indicates failure to thrive?
Low body weight
Hyperactive behavior
Repetitive movements
Slow heart rate
22
Which finding is consistent with bulimia nervosa?
Russell's sign
Lanugo
Tooth erosion
Hyperkalemia
23
Which of the following are signs of true labor?
(Select all that apply)
Contractions continue regardless of position changes
Regular contractions that increase in intensity and frequency
Pain that starts in the lower back and radiates to the abdomen
Irregular contractions that do not change the cervix
Cervical dilation and effacement
Contractions that stop with rest or hydration
24
Which of the following findings indicate possible spontaneous abortion?
Closed cervix with heartbeat
Elevated hCG levels
Mild nausea
Dilated cervix and passage of tissue
25
What is a benefit of de-escalation?
Increases communication
Prevents opioid use
Reduces restraint and seclusion use
Decreases hallucinations
26
When does pincer grasp develop?
6 months
9 months
3 months
12 months
27
What indicates adequate hydration status in newborns?
Stop feedings at 10
Around 4 wet diapers
6- 10 wet diapers
2-3 wet diapers
28
What is a positive sign of pregnancy?
Fetal heart rate detected via ultrasound
Positive home test
Amenorrhea
Breast tenderness
29
Which is the best contraceptive option for STI prevention?
Male condoms
Hormonal implant
Copper IUD
Combined oral contraceptives
30
Which is a safe amount of alcohol during pregnancy?
No link to developmental delays
No safe level of alcohol
One to two drinks safe
Safe after first trimester
31
Which is a common side effect of SSRIs?
Slurred speech
Hypertensive Crisis
Sunlight sensitivity
Decreased libido
32
What finding indicates major depressive disorder?
Hyperexcitability
Exaggerated pleasure response
Significant weight change
Attention-seeking behavior
33
When does the second stage of labor end?
When head crowns
With delivery of placenta
When mother begins to push
With delivery of baby
34
True or False: Estrogen is hormone that triggers ovulation
False
True
35
Which of the following signs and symptoms indicates placental abruption?
Visual changes
Soft non-tender abdomen
Abdominal pain and rigidity
Increased thirst and urination
36
Which of the following indicates shoulder dystocia?
Head emerges then retracts
Fetal hand presents
Short second stage of labor
Fetal head facing front
37
Which is the first phase in the menstrual cycle?
Menstrual phase
Luteal phase
Follicular phase
Ovulation
38
Which contradicts milieu therapy?
Craft room with scissors
Seclusion room empty
Quiet room with music
Exercise room with bikes
39
What finding indicates understanding of SIDS prevention strategies?
Baby sleeps on back
Infant sleeps in bed with adult
Baby sleeps on front
Antique quilt in crib
40
What does vitamin K administration in newborns prevent?
Potassium deficiency
Hyperbilirubinemia
Infection
Bleeding
41
What is normal fundal height at 35 weeks?
31 cm
35 cm
29 cm
40 cm
42
Which action demonstrates an understanding of safety measure for suicidal patients?
Removal of sharp objects
Client eats alone
Blinds should stay closed
Family learns warning signs
43
Which of the following are signs and symptoms of serotonin syndrome?
(Select all that apply)
High fever
Muscle rigidity
Hyperreflexia
Cold, clammy skin
Bradycardia
Agitation
44
A pregnant client at 26 weeks fails a 1-hour glucose tolerance test (GTT). What action should the nurse anticipate?
Schedule 3-hour OGTT
Implement a low glucose diet and have client return in one month
Diagnose gestational diabetes
Educate client about low-carbohydrate diet
45
What is a presumptive sign of pregnancy?
Fetal heart rate detected
Positive pregnancy test
Breast enlargement
Positive Chadwick's sign
46
What stage of psycho social development do toddlers experience according to Erikson?
Industry vs. Inferiority
Trust vs. Mistrust
Initiative vs. Guilt
Autonomy vs. Shame & Doubt
47
What is the initial action for a client with a prolapsed umbilical cord?
Explain to procedure to client
Place mother in knee-chest position
Cover with cord with saline dressing
Prepare for cesarean birth
48
What pain tool for 6-month-old?
FLACC scale
Pain word scale
FACES Pain Scale
PIPP-R
49
Which of the following is an appropriate action for a nurse initiating restraint on a violent client?
Tie restraint with slipknot
Tie restraint to side rails
Remove restraint padding
Check under restraint with three fingers
50
What is rooting reflex?
Legs step on surface
Objects grasped in palm
Infant startles with loud noice or head drop
Head turns to touch
51
A client is pregnant for the fourth time. She has two living children one term, one preterm. One miscarriage. GTPAL?
G4 T2 P0 A1 L2
G3 T1 P1 A1 L2
G4 T1 P1 A1 L2
G3 T1 P2 A1 L2
52
What is a positive symptom of schizophrenia?
Lack of motivation
Flat affect
Auditory hallucinations
Social withdrawal
53
What causes variable decelerations?
Fetal head compression
Polyhydramnios
Maternal fever
Umbilical cord compression
54
Which of the following is a warning sign of suicide?
Discussing depression
Stopping medication
Sleeping 12 hours
Giving away possessions
55
What direction to pull outer ear when administering ear drops to children under the age of 3?
Down and backward
Upward and outward
Upward and backward
Down and outward
56
Which intervention is most appropriate for a newly licensed nurse in a mental health facility?
Assisting clients with selecting their therapy options
Ensuring a therapeutic nurse-client relationship
Giving medications before therapy
Leading family therapy sessions
57
What age should a child be able to stack two blocks?
12-15 months
3 years
18-24 months
6-9 months
58
What increases risk for mental illness?
Numerous siblings
Raised by a single mother
Early exposure to violence
Living in a rural area
59
What does folic acid prevent?
Low birth weight
Spina bifida
Premature birth
Down syndrome
60
How should the nurse therapeutically communicate with a patient experiencing active delusions?
Explain delusion is impossible
Acknowledge feelings but do not validate delusion
Interact as if true
Explore meaning of delusion
61
A nurse reviews a laboring client’s vaginal exam: 5 cm / 80% / +1. What does "+1" indicate?
The cervix is 80% dilated
The fetal presenting part is 1 cm below the ischial spines
The fetal presenting part is not engaged in the pelvis
The cervix is fully effaced
62
What is the initial action of the nurse assessing a client with peripad with lochia rubra and large clots present?
Measure vital signs
Request vaginal examination
Feel for full bladder
Check client's fundus
63
When should a postpartum patient resume sexual activity?
Resume anytime after cesarean
Feel ready in 1-2 weeks
Estrogen prevents lubrication issues
Wait 6 weeks postpartum
