What is "intussusception"?

Telescoping of a portion of the bowel onto itself, causing obstruction

Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?

Withholding a dose if the apical heart rate is less than 100 beats/minute

Where is the usual location for implantation of the zygote?

Upper section of the posterior uterine wall

Nonorganic failure to thrive syndrome is

A condition caused by lack of attention

When measuring blood pressure on 4 extremities of child with coarctation of aorta you expect

Blood pressure lower in the legs than in the arms

Why would a child with Tetralogy of Fallot not gain weight at the normal rate?

Inadequate oxygenation which leads to decreased energy to feed

Below/slow rate of weight of gain

Failure to thrive is diagnosed by:

Weight for age and sex less than the 5th percentile

What physical changes of puberty will the nurse indicate are related to the production of testosterone?

Increase in muscle mass and strength

Of what is the normal umbilical cord comprised?

2 art. carry blood away from fetus; 1 vein carry blood to

Which is a common clinical manifestation of Hodgkin’s disease?

Enlarged,firm, nontender lymph nodes

Which of the following are characteristics of infantile eczema

it is associated with red raised pruritic scaling areas on cheeks scalp

What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)

Narrowing of pulmonary artery, Dextroposition of aorta, Hypertrophied right ventricle

What is Chadwick’s sign?

Bluish or purplish discoloration of the vulva, vagina, and cervix

Why are rapid respirations a possible cause of dehydration?

They cause evaporation of fluid on the mucous membranes

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Maternity Finals 1

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Questions 97

Answers

1
N-acetylcysteine
antidote for ace inhibitor overdose
antidote for tylenol overdose
antidotes for statin overdose
antidote for aspirin overdose
2
What is "intussusception"?
Telescoping of a portion of the bowel onto itself, causing obstruction
Twisting of the bowel causing an intestinal obstruction & ischemia
3
What does the nurse expect the appearance of the stools of a child with celiac disease to be?
Loose, foul-smelling
Bulky, frothy
Hard, constipated
Ribbon like
4
A child with hypertrophic pyloric stenosis and excessive vomiting may have
hyperkalemia
hypoglycemia
metabolic alkalosis
metabolic acidosis
5
a patient has severe abd pain. if it is appendicitis, which quadrant is the pain?
left lower
right upper
left upper
right lower
6
Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?
Counting apical rate for 30 seconds before administering the medication
Repeating a dose if child vomits within 30 minutes of the previous dose
Checking respiratory rate and blood pressure before each dose
Withholding a dose if the apical heart rate is less than 100 beats/minute
7
Nurse teaching a parent about pyrvinium (Povan) would need to include what side effects
Skin rash
Metallic taste
Red stool
Diarrhea
8
Where is the usual location for implantation of the zygote?
Lower portion of the uterus near the cervical os
Upper section of the posterior uterine wall
The urethra
The abdominal cavity
9
Which is a clinical manifestation of pyloric stenosis?
Abdominal rigidity
Palpable olive-like mass
Substernal retraction
Marked distention of lower abdomen
10
Nonorganic failure to thrive syndrome is
A condition caused by lack of attention
Untreatable
A motor skill
A disease
11
What precautions should you take if you have a very low platelet count?
Watch for nausea and vomiting
Don't take other medications
Watch for bruising or bleeding
Don't drive a car
12
When measuring blood pressure on 4 extremities of child with coarctation of aorta you expect
Blood pressure lower in the arms than in the legs
Blood pressure lower in the legs than in the arms
Blood pressure higher on the right sid
Blood pressure higher on the left side
13
What is the imaging of choice for intussusception?
Abdominal X ray series
Air contrast enemas
Ultrasound
MRI
14
What is accurate about the characteristics of high-density lipoproteins (HDLs)?
They have high amounts of triglycerides.
They have only small amounts of protein.
They have little cholesterol.
They aid in steroid production.
15
Why would a child with Tetralogy of Fallot not gain weight at the normal rate?
Inadequate oxygenation which leads to decreased energy to feed
Frequest respiratory infections
Periods of cyanosis
Polycythemia
16
The nurse recognizes which of these as a POSITIVE SIGN of pregnancy
HCG detection
Fetal heart sounds
Uterine enlargement
Amenorrhea
17
Which finding is expected in a patient diagnosed with coarctation of the aorta?
Squatting posture
Cyanotic "tet" spells
Severe cyanosis at birth
Diminished femoral pulses
18
Failure to thrive
Phrase
Bad attitude
Below/slow rate of weight of gain
Bad grades
19
Iron deficiency anemia is the most common type of anemia in infants and children
True
False
20
Failure to thrive is diagnosed by:
Length of age and sex greater than the 5th percentile
Weight for age and sex less than the 5th percentile
Length for age and sex less than the 5th percentile
Weight for age and sex greater than the 5th percentile
21
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
Ileal conduit
Urostomy
Suprapubic placement
Nephrostomy
22
What physical changes of puberty will the nurse indicate are related to the production of testosterone?
Promotion of growth of small bones
Decrease in production of sebaceous gland secretions
Increase in muscle mass and strength
23
Of what is the normal umbilical cord comprised?
2 art. carry blood away from fetus; 1 vein carry blood to
1 art. carry blood to fetus; 1 vein carry blood away from
2 art. carry blood to fetus; 2 veins carry blood away from
1 art. carry blood to fetus; 2 veins carry blood away from
24
Which is a common clinical manifestation of Hodgkin’s disease?
Enlarged,firm, nontender lymph nodes
Painful,enlarged lymph nodes
Boneandjoint pain
Petechiae
25
melena is a term you would use to identify what?
fatty stool
I just threw up in my mouth
hard brown stool
bloody stool
26
What is a positive sign of pregnancy
Amenorrhea
HCG detected in the urine
Fetal heartbeat
Uterine enlargement
27
Tetralogy of Fallot is a condition of the?
Lungs
Heart
Gastrointestinal System
Brain
28
hallmark sign of pyloric stenosis
projectile vomiting
pain in the abdomen
infrequent bowel movements
inability to pass meconium stool
29
Most common cause of UTIs is:
Salmonella
Escherichia coli
Borelia
Pseudomonas
30
What is considered fetal age of viability?
25 weeks
14 weeks
30 weeks
20 weeks
31
Failure to thrive can be caused by...
Neglect
all of the above
Abuse
Chronic Health Condition
32
Which finding in a newborn is suggestive of tracheoesophageal fistula?
Palpable mass in the sternal area
Choking on the first feeding
Failure to pass meconium in 24 hours
Visible peristalsis across abdomen
33
Which of the following are characteristics of infantile eczema
in all cases it resolves permanently by 3 years of age
it is associated with a great increase in sebaceous activity producing oil
it usually appears in the first year of life
it is associated with red raised pruritic scaling areas on cheeks scalp
34
Digoxin toxicity may include
seizures
apnea
vomiting
tachycardia
35
Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood
An atrial septal defect
The closure of the foramen ovale
The patent ductus arteriosus
A ventricular septal defect
36
What is a classic x-ray finding in Tetralogy of Fallot?
Widened mediastinum
Boot-shaped heart
prominent aortic knob
37
How early might fetal heart tones be detected with an electronic Doppler device?
4 weeks
38 weeks
6 weeks
10 weeks
38
What are the symptoms of acute appendicitis
n/v
fever
pain
all are correct
39
Symptom of tracheoesophageal fistula
Choking during first feed
Failure to pass meconium 24 hours after birth
Visible peristalsis across abdomen
Palpable mass in the sternal area
40
What is an initial sign of nephrosis that the nurse might note in a child?
Temperature elevation
Raspberry-like rash
Abdominal pain
Periorbital edema
41
What is the first sign of the start of puberty for females?
Menstruation period
Increased hair growth
Breast development
Body growth
42
caution the parents of a child who has had a nephrectomy that he will have to avoid?
diuretic medications
Contact sport
Horseback riding
alcohol
43
What contributes to the development of physiological anemia in infants?
immature nervous system
loss of clotting factors
loss of maternal iron stores
immature liver
44
What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)
Narrowing of pulmonary artery
Dextroposition of aorta
Patent ductus arteriosus
Hypertrophied right ventricle
45
What will the nurse advise the woman regarding recommended weight gain during pregnancy?
15 to 25 pounds
10 to 20 pounds
28 to 40 pounds
25 to 35 pounds
46
Which defect does not occur in Tetralogy of Fallot?
Ventricular Septal Defect
Overriding Aorta
Increased pulmonary blood flow
Right Ventricular Hypertrophy
47
Softening of the cervix and vagina is called
McDonalds
Godells
Hegar's
Chadwicks
48
What interventions will the nurse perform when feeding a child with pyloric stenosis?
Give the feeding slowly.
Refeed if the infant vomits.
Burp the infant before and during feeding.
All of these ;)
49
What is Chadwick’s sign?
Darkening of the areola and breast tenderness
Bluish or purplish discoloration of the vulva, vagina, and cervix
50
Nurse teaching a parent about pyrvinium (Povan) would need to include what side effects
Metallic taste
Diarrhea
Red stool
Skin rash
51
Why are rapid respirations a possible cause of dehydration?
They increase circulation, thus increasing urine production
They prevent the child from drinking
They often lead to vomiting
They cause evaporation of fluid on the mucous membranes
52
TESTICULAR TORSION
IS WHEN THE PENIS HURTS
IS WHEN THE SPERMATIC CORD TWIST
THE TESTICLE IS HERNIATED
ARE VARICOSE VEIN
53
The most appropriate nursing action for an infant diagnosed with nonorganic failure to thrive
Keeping the infant on bed rest to conserve energy
Encouraging the infant to hold a bottle
Maintaining a consistent, structured environment
Rotating caregivers to provide more stimulation
54
Failure to thrive can be caused by all except
Organ failure
Eating non-organic foods
Neglect
Exposure to parasites
55
Hemophilia A
Extrinsic pathway disorder
None of the above
Factor VIII deficiency
Factor X deficiency
56
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
Infection
Hypoglycemia
Easy bruising
Urinary retention
57
What vessel(s) carry blood to the fetus?
One umbilical artery
Two umbilical veins
One umbilical vein
Two umbilical arteries
58
What instruction will nurse give to parents about preventing spread and reinfection of pinworms
Clean the bathroom with bleach solution.
Wash bed linens in cold water.
Dress child in loose-fitting underwear.
Keep children’s nails short.
59
Diabetes insipidus
Too much fluid excreted because of too little ADH
disorder in the pancrease that causes increased of blood sugar
abnormally low stature (small size)
enlargement of the extremeties
60
Which grain can be eaten with Celiac disease?
What
barley
rice
oats
61
Medical term for an undescended testicle:
cryptorchidism
phimosis
orchitis
testicular torsion
62
Aplastic anemia is
blistering skin
an infection of the liver
bone marrow stops making red blood cells
damage to the auditory nerve
63
The safest treatment of choice for intussusception is which of the following treatment?
three-stage surgery involving a temporary colostomy opening
external massage and rotation
hydrostatic reduction with barium or air
laparoscopy when bowel necrosis is present
64
Child has high antistreptolysin O (ASO) titer which confirms rheumatic fever
erythema marginatum and arthralgia
chorea and elevated sedimentation rate
subcutaneous nodules and fever
painful, tender joints and carditis
65
Which hormone initiates the maturation of the ovarian follicle?
Progesterone
Estrogen
Follicle-stimulating hormone
HCG
66
The most common site for fertilization is the
outer third of the fallopian tube near the ovary
area of the fallopian tube farthest from the ovary
lower segment of the uterus
upper portion of the uterus
67
Where is patent ductus arteriosus?
Vessel connecting the tricuspid valve to the mitral valve
Vessel connects aorta to pulmonary vein
Vessel connecting right ventricle to the pulmonary artery
Vessel connects aorta to pulmonary artery
68
What complication can result from untreated respiratory distress in the newborn?
Gastric dilation
Esophageal atresia
Reopening of the foramen ovale
Cold stress
69
Acute lymphoblastic leukemia
A type of cancer of the blood and bone marrow that affects white blood cell
A type of cancer that can kill you
70
What is the decrease in estrogen and progesterone responsible during menstruation
Shedding of the endometrium
Ovulation
Degneration of the corpus luteum
Follicle maturation
71
Acute lymphoblasitc leukemia
affects nonwhite children twice as often as white children
Is most common childhood cancer
is rarely seen prior to age six
is seen more frequently seen in girls
72
The child with Tetralogy of Fallot assumes a position of comfort which is:
supine
squatting
sitting cross legged
prone
73
Patent ductus arteriosus is a congenital anomalie of the heart were the ductus arteriosus
Conects the Ventricles
Fail to open
Thickens the ductus
Fails to close
74
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
Hypoglycemia
Infection
Urinary retention
Easy bruising
75
When does pyloric stenosis typically occur?
1 to 2 months of age
3 to 4 months of age
between 2 and 10 weeks of age
after 2 days of life
76
What is folic acid thought to decrease the incidence of in fetal development?
Neural tube defects
Limb deformities
Structural heart defects
Craniofacial deformities
77
Pinworms and hookworms are similar in that they;
enter humans through the mouth
are both roundworms
both form cysts in human muscle
are carried to humans through uncooked meat
78
Coarctation of the aorta is
Thickening of the aorta
Widening in the arch of the aorta
Narrowing in the arch of the aorta
Biforcation of the aorta
79
During the menstrual cycle, estrogen and progesterone are secreted by the ____ to maintain the endometrial lining
Corpus luteum
Ovary
Fallopian tube
Egg
80
What is a patent ductus arteriosus?
Thickened mitral valve leaflets due to myxomatous degeneration
Open duct from pulmonary artery and aorta
Regurgitation of blood from atria to ventricles
Pericardial effusion from atria to pericardial cavity
81
Normal platelet count
20-40
150-450
90-200
82
what are the functions of the amniotic fluid?
all of the above
float cord
cushin/protection
fetal freedom of movement
83
How long does sperm remain viable in the female reproductive tract?
2 days
12 hours
1 day
4 days
84
Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?
Blood pressure higher in the arms than in the legs
A machinery-like murmur
A loud, harsh murmur with a systolic thrill
Cyanosis when crying
85
Which congenital cardiac defect(s) cause(s) increased pulmonary blood flow?
Atrial septal defects (ASDs)
Patent ductus arteriosus
Ventricular septal defects (VSDs)
Dextroposition of aorta
86
What is true about fimbriae?
They form the passageway for the sperm to meet the ovum.
They are fingerlike projections that “capture” the ovum.
They are the site of fertilization.
87
What is the total number of chromosomes contained in a mature sperm or ovum?
23
46
32
120
88
How should ferrous sulfate drops be administered?
with orange juice
with milk
with water
on a full stomach
89
When asked about correcting the hypospadias of a newborn, what does the nurseexplain about this condition?
No intervention is necessary as the defect will correct itself over time.
Surgical repair of the hypospadias is done before 18 months of age.
Repairing the defect will increase the risk of testicular cancer.
Corrective surgery is usually delayed until the preschool age.
90
What organ does the ductus venosus shunt blood away from in fetal circulation?
Buttocks
Heart
Stomach
Liver
91
Patients with neutropenia are at risk of
infection
prolonged bleeding
fatigue
dehydration
92
What does the nurse explain that a ventricular septal defect will allow?
Blood to shunt left to right, causing increased pulmonary flow, no cyanosis
No shunting because of high pressure in the left ventricle
93
Which is most descriptive of the pathophysiology of leukemia?
First stage of coagulation process is abnormally stimulated.
Unrestricted proliferation of immature white blood cells (WBCs) occurs.
Increased blood viscosity occurs
Thrombocytopenia (excessive destruction of platelets) occurs.
94
Which uterine layer is involved in implantation?
in the urethra
Endometrium
Perimetrium
95
What is not a feature of pyloric stenosis
Projectile vomiting
Treated medically
Olive shaped abdominal mass
Non billous vomiting
96
What is an initial sign of nephrosis that the nurse might note in a child?
Abdominal pain
Periorbital edema
Raspberry-like rash
Temperature elevation
97
At what point in prenatal development do the lungs begin to produce surfactant?
17 weeks
30 weeks
25 weeks
20 weeks

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