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Ncm 102 (new) lea 1 midterm


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Ncm 102 (new) lea 1 midterm

  1. 1. 4773168-52578328930-52705COLEGIO DE DAGUPAN<br />Arellano St., Dagupan City<br />College of Nursing<br />Arellano Street, Dagupan City<br />LEARNING ENHANCEMENT ACTIVITY #1- MIDTERMS<br />First Semester, Academic Year 2011-2012<br />NAME ___________________________________DATE _______________________________<br />YR/BLOCK ________________________________<br />Total number of items: 25<br />MULTIPLE CHOICE<br />DIRECTION: Detach the answer sheet for this test. Shade only one box for each question on your answer sheet. Your answer will be considered invalid if two or more boxes are shaded. NO ERASURES!<br />Caring for a woman with Pregnancy-induced hypertension<br /><ul><li>The woman who has just completed her 13th week of pregnancy comes in for her monthly period visit. She has gain 12 pounds since her initial visit two months ago. The nurse expresses concern regarding the weight gain. The patient asks, “Well, how much weight should I have gained by now?”
  2. 2. “about 10 lbs.”
  3. 3. “not more than 2-3 lbs”
  4. 4. “not more than 10 lbs”
  5. 5. “no weight gain is expected this soon.”
  6. 6. The nurse tells the pregnant patient with swelling in the legs that she is experiencing physiologic edema. The patient asks, “What do I do?” The nurse answers:
  7. 7. “stay of your feet”
  8. 8. “strict bed rest is required”
  9. 9. “the doctor will prescribed something”
  10. 10. “no treatment is required at this time”
  11. 11. The pregnant patient with edema in the ankles, states that her friend told her to cut down on salt. She asks the nurse, “How much salt should I have?” The appropriate response is:
  12. 12. “as little as possible”
  13. 13. “just don’t add salt at the table”
  14. 14. “just don’t add salt when cooking”
  15. 15. “you need at least 3 grams per day”
  16. 16. The patient has difficulty understanding how much 3 grams of sodium per day is. In explaining this, the nurse suggests:
  17. 17. “Eat regular diet without limiting salt.”
  18. 18. “You can still consume salt but in moderate amount.”
  19. 19. “You must be very careful about adding salt.”
  20. 20. “Just don’t eat potato chips or salty snack foods”
  21. 21. From the following groups of signs and symptoms, select the group considered to be dangerous during pregnancy:
  22. 22. Spotting, headache, edema, unusual pain, and increased temperature
  23. 23. Spotting, headaches, constipation, fever, cramping
  24. 24. Constipation, dysuria, fever and headache
  25. 25. Cramping, back pain, headaches, swelling of the legs
  26. 26. Which of the following represents optimal weight gain during pregnancy?
  27. 27. 12 to 22 lbs
  28. 28. 15 to 25 lbs
  29. 29. 24 to 30 lbs
  30. 30. 25 to 40 lbs
  31. 31. Which of the following is a classic sign of PIH?
  32. 32. Edema of the feet and ankles
  33. 33. Edemqa of the hands and face
  34. 34. Weight gain of 1 lb/week
  35. 35. Early morning headache
  36. 36. When assessing a client with PIH, the nurse expects the client’s BP to be:
  37. 37. 150/100 mmHg while standing and sitting
  38. 38. Elevated and accompanied by headache
  39. 39. Above the baseline and fluctuating at each reading
  40. 40. 30/15 mmHg over the baseline in 2 occasions 6 hours apart
  41. 41. The 1st assessable objective sign of a seizure in a client with eclampsia is frequently:
  42. 42. Epigastric pain, nausea/ vomiting
  43. 43. Persistent headache and blurred vision
  44. 44. Spots or flashes of light before the eyes
  45. 45. Rolling eyes to one side with a fixed stare
  46. 46. Teenage patient, 38 weeks AOG, is admitted with a diagnosis of PIH. Data include: BP 160/100, generalized edema, wt gain of 10 lbs in last 2 weeks, and proteinuria of +3. The patient is also complaining of a headache and nausea. In planning care of this client, the nurse would set the following priority goal. The client will:
  47. 47. Demonstrate a decrease of BP within 48 hours
  48. 48. Not experience a seizure prior to delivery
  49. 49. Maintain a strict diet prior to delivery
  50. 50. Comply with medical and nutritional regimen</li></ul>When caring for a client with preeclampsia, which action is a priority?<br />Monitoring the client’s labor carefully and preparing for a fast delivery<br />Continually assessing the fetal tracing for signs of fetal distress<br />Checking the vital signs every 15 mins to watch for increasing blood pressure<br />Reducing visual and auditory stimulation<br />Caring for a woman with Premature Rupture of Membranes<br /><ul><li>A client 35 weeks pregnant arrives at the labor and delivery unit leaking clear fluid from her vagina. Which of the following interventions would be most appropriate?
  51. 51. Perform a vaginal examination
  52. 52. Obtain a catheterized urine specimen
  53. 53. Encourage the client to ambulate
  54. 54. Obtain a sterile speculum sample of the fluid
  55. 55. A client is admitted to the hospital in labor 24 hours after her membranes ruptured. It is important for the nurse to assess the client’s amniotic fluid for signs of potential:
  56. 56. Cord prolapsed
  57. 57. Placenta previa
  58. 58. Chorioamnionitis
  59. 59. Abruptio placenta
  60. 60. Admitting a pregnant client to the hospital from the prenatal clinic for preterm premature rupture of membranes, the nurse includes in the client teachin which of the following treatment expectations?
  61. 61. Drugs will include antibiotic coverage
  62. 62. Activity will be restricted to ambulating in the hospital room
  63. 63. Blood pressure will need to be continuously monitored
  64. 64. Amniotic fluid volume will need to be continuously monitored</li></ul>Caring for a woman with Diabetes Mellitus<br /><ul><li>The nurse includes the importance of self-monitoring of glucose in the care plain for a diabetic client planning a pregnancy. The goal of this monitoring is to prevent:
  65. 65. Congenital malformation in the fetus
  66. 66. Accelerated growth of the fetus
  67. 67. Maternal vasculopathy
  68. 68. Delayed maturation of the fetal lungs
  69. 69. A pregnant client with diabetes mellitus is referred to the clinic nutritionist for nutritional assessment and counseling. The dietary program worked out for this client would be:
  70. 70. A diet high in protein of good biologic value
  71. 71. Adequate balance of carbohydrates
  72. 72. A balance diet to meet increased dietary needs
  73. 73. A low carbohydrate, low calorie diet
  74. 74. The best time to perform Glucose Challenge Test in a pregnant client is:
  75. 75. 24 to 28 weeks
  76. 76. 12 to 18 weeks
  77. 77. 28 to 32 weeks
  78. 78. Anytime during pregnancy
  79. 79. To confirm the diagnosis of Gestational Diabetes Mellitus, the test that should be performed is:
  80. 80. GCT
  81. 81. FBS
  82. 82. OGTT
  83. 83. RBS
  84. 84. In the 35th week of gestation, a client with type 1 diabetes mellitus is scheduled for an amoniocentesis. Nursing care for this client includes explaining that this test:
  85. 85. Can reveal any structural defects of the placenta
  86. 86. Is done to determine the approximate size of the detus
  87. 87. Will determine whether a cesarean birth is necessary
  88. 88. Will provide information about the lung maturity of the fetus</li></ul>Substance Abuse<br /><ul><li>Ms. Timpog, age 40, gravid 3 para 2, is 8 weeks pregnant. She is a full time office manager, states she “usually unwinds with few glasses of wine” with dinner, smokes about 5 cigarette/day, and was “surprised by this pregnancy. After the assessment, which of the following would the nurse select as the priority nursing diagnosis?
  89. 89. High risk for an alteration in bonding related to an unplanned pregnancy
  90. 90. High risk for injury to the fetus related to advance age
  91. 91. Ineffective individual coping related to low self esteem
  92. 92. Knowledge deficit related to effects of substance abuse
  93. 93. The fetus is most likely to be structurally damaged by the pregnant woman’s ingestion of drugs during the:
  94. 94. 1st trimester
  95. 95. 2nd trimester
  96. 96. 3rd trimester
  97. 97. Entire pregnancy
  98. 98. A pregnant client asks the clinic nurse how smoking will affect the baby. The nurse’s answer reflects the following knowledge:
  99. 99. The placenta is permeable to substances
  100. 100. Smoking relieves tension and fetus responds accordingly
  101. 101. Vasoconstriction will affectr both fetal and specific maternal blood vessels
  102. 102. Fetal and maternal circulation is separated by the placental barrier
  103. 103. The nurse should be aware trhat a postpartum client with a history of drug abuse may be experiencing drug withdrawal if she develops:
  104. 104. Paranoia and evasiveness
  105. 105. Extreme hunger and thirst
  106. 106. Depression and tearfulness
  107. 107. Irritability and muscle tremors</li></ul>Rh Isoimmunization, HIV/AIDS<br /><ul><li>Rh Isoimmunization in a pregnant client develops during which of the following conditions?
  108. 108. Rh positive maternal blood crosses into fetal blood, stimulating maternal antibodies
  109. 109. Rh positive fetal blood crosses into maternal blood, stimulating maternal antibodies
  110. 110. Rh negative fetal blood crosses into maternal blood, stimulating maternal antibodies
  111. 111. Rh negative maternal blood crosses into fetal blood, stimulating maternal antibodies
  112. 112. The nurse has implemented educatin about HIV in pregnancy. Which statement illustrates that the pregnant HIV-positive client understood the nurse’s teaching about HIV and pregnancy?
  113. 113. “My baby will not have AIDS.”
  114. 114. “I will need to take a drug throughout my pregnancy.”
  115. 115. “They will start giving me a drug for HIV when I come in to deliver.”
  116. 116. “I will need to continue taking the HIV drug the entire time I breast-feed.”</li></ul>Prepared by:<br />Ms. Lizette Leah B. Ching, RN, CMT, MAN<br />4773168-52578328930-52705COLEGIO DE DAGUPAN<br />Arellano St., Dagupan City<br />College of Nursing<br />Arellano Street, Dagupan City<br />LEARNING ENHANCEMENT ACTIVITY #1- MIDTERMS<br />First Semester, Academic Year 2011-2012<br />NAME _____________________________DATE _______________________________<br />YR/BLOCK ________________________________<br />Total number of items: 25<br />MULTIPLE CHOICE<br /><ul><li>(A) (B) (C) (D)
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