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Situation: Intrapartal Nursing Care 1. in the Delivery Room, Mrs.

Situation: Intrapartal Nursing Care 1. in the Delivery Room, Mrs.



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Published by ederliza

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Published by: ederliza on Oct 02, 2009
Copyright:Attribution Non-commercial


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 Situation: Intrapartal Nursing Care
1. In the delivery room, Mrs. Oro Is 10 cm. Dilated- and the head is fast emerging. Her attendingphysician has not yet arrived. The initial action the nurse must take after the head emerges is:a.
 Support the head while the rest of the body is spontaneously delivered.
 b. Push down on the fundus to help expel the infant.c. Call the doctor STATd. Deliver the shoulder by turning the presenting part to internal rotation.
2. As labor progresses satisfactorily, it would be appropriate to administer pain medication withcervical dilatation of:
a. 4 cm. b. 3 cm.c. 5 cm.
7 cm.
3. Mrs. Oro is kept informed of the, progress of her delivery, the nurse anticipates the placenta tobe delivered within what period of time following delivery
a. 10-15 minutes b.
3-10 minutes
c. 15-20 minutesd. 1-3 minutes
4. Several minutes after the delivery, the placenta is still intact. The nurse will do which of theseactions?
a. Push gently, but firmly on the fundus b. Call the nursing supervisor for help
 Allow the infant to suck on the breast 
 b. Initiate separation by gently pulling on the cord.
5. The placenta has been delivered and the nurse now adds the medication ordered to the i.V.solution which is:
a. Methergin b.
c. Penicellind. Atropine
6. The nurse is giving health education to Felicity about discomfort of pregnancy. Which of thefollowing conditions is brought about by increased absorption of phosphorus?
a. Back pain
 Leg cramps
c. Constipationd. Heartburn
7. The nurse was Instructed to watch out for the occurrence of norma! physiologic changes of pregnancy. Which of the following is usually observed during pregnancy?
a. Increased BP b. Palpitationc
d. Blurred vision
8. Which of the following is TRUE about latent stage of tabor?
a. self-focused b. effacemant 100%c. dilatation for 2 hours
3 cm cervical dilatation
9. What is the term that refers to menopausal stage of women?a.
cessation of menstruation
 b. onset of'menstruationc. excessive menstruationd. intermittent menstruation
10 What structure of the body is responsible for the production of follicle-stimutattng hormone(FSH)?
a. hypothalamus b. thymusc. kidney
anterior pituitary gland 
11. A primigravida asks the nurse, "When will I fee! the baby move?" The correct response of thenurse is:
a. 3 mos
5 mos.
c. 4 mosd. 6rnos.Situation: Rico. 1 month deliverd via NSVD
12. Mrs. Cadacia observed on Rico's buttocks, a gray color, What do you call this pigmentation inthe skin?
a. milia b. telangiectatic nevic. erythema toxicum
mongolian spots
13. How would you define a word, "acrocyanosis?a.
cyanosis of hands and feet.
 b. transient mottling when infant is exposed to the temperature.c. fine, downy hair d. thin, white mucus
14. How can you assess a child who is mentally retarded?
a. let .the child make story
observe for the developmental milestone
c. ask the mother what food the child is eatingd. ask the child to sing
15. What serves as sperm producers?
a. epididymis b. Vas deferensc. prostate gland
Situation: Pediatric nursing.
16. In what psychosexuai development according to Freud is temper tantrum observed?
a. phallic b. oral
d. latency
17. The baby cries and the mother notices tiny, shiny and white specks on the mouth and hardpalate- The mother understood If she states:
a. "it is caused by milk curd b. I'll use sterile gauzed in removing the crusts."c. "I'll notify the dentist
"prevent infection"
18. The nurse is giving Instruction about neonatal care. Which of the following instruction ismost critical?
a. proper feeding b. provide bathing
 provide warm clothing 
d. prevent infection
19. The mother notices a cheese-like substances in a neonate forehead. She asked the nurse if itcan be removed. The appropriate response is:

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