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Silvestri901-1000

Silvestri901-1000

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Published by Linda Kuglarz

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Published by: Linda Kuglarz on Oct 14, 2008
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PN~Comp~Review~CD~901-1000~
PN Comprehensive Review CD Questions 901-1000
{No alternative format questions}901. A nurse in a prenatal clinic is teaching a group of pregnant women about physiological adaptations during pregnancy. The nurse provides information to theclients, knowing that a normal cardiovascular symptom experienced by most pregnantwomen is a(n):1. Decrease in cardiac output2. Increase in pulse3. Increase in blood pressure4. Decrease in blood volumeAnswer: 2Rationale: Between 14 and 20 weeks the pulse increases slowly, up 10 to 15 beats/min,which lasts until term. Cardiac output and blood volume increase. Blood pressuredecreases in the first half of pregnancy, returning to baseline in the second half.Test-Taking Strategy: Use the process of elimination and knowledge regarding thenormal physiological changes that occur in pregnancy. Eliminate options 1 and 4 becausecardiac output and blood volume increase. Recalling that the blood pressure decreases inthe first half of pregnancy will direct you to option 2 from the remaining options.Review the normal physiological changes that occur in pregnancy if you had difficultywith this question.Level of Cognitive Ability: ComprehensionClient Needs: Health Promotion and MaintenanceIntegrated Process: Teaching/LearningContent Area: Maternity/AntepartumReference: Leifer, G. (2005).
Maternity nursing 
(9th ed.). Philadelphia: W.B. Saunders, p. 42.902. A nurse in a prenatal clinic is teaching a group of pregnant women about anemia.The nurse provides information to the clients, knowing that physiological anemia of  pregnancy or hemodilution is a result of a(n):1. Increased blood volume of the mother 2. Decreased metabolism of iron3. Increased demand for iron4. Decreased maternal hemoglobin formationAnswer: 1Rationale: During the later part of the first trimester, the blood volume of the mother increases rapidly, more rapidly than blood cell production, leading to a decrease in theconcentration of hemoglobin and erythrocytes. This is a normal process that causes a physiological anemia of pregnancy or hemodilution. There is an increased metabolism of iron and maternal hemoglobin formation. The increased demand for iron is not a factor in the development of physiological anemia.Test-Taking Strategy: Use the process of elimination and note the key word
hemodilution
in the question. This word and knowledge regarding physiological anemiawill assist in directing you to option 1. Also note the relation between the key word and
1
 
PN~Comp~Review~CD~901-1000~
option 1. Review the physiology associated with this type of anemia in pregnancy if youhad difficulty with this question.Level of Cognitive Ability: ComprehensionClient Needs: Physiological IntegrityIntegrated Process: Teaching/LearningContent Area: Maternity/AntepartumReference: Leifer, G. (2005).
Maternity nursing 
(9th ed.). Philadelphia: W.B. Saunders, p. 225.903. When examining the umbilical cord immediately after birth, the nurse expects toobserve:1. Two arteries2. Two veins3. One artery4. A musty odor Answer: 1Rationale: The umbilical cord is made up of two arteries to carry blood from the embryoto the chorionic villi, and one vein that returns blood to the embryo. There should be noodor.Test-Taking Strategy: Use the process of elimination and knowledge regarding theanatomy of the umbilical cord to answer the question. Remember the umbilical cord ismade up of two arteries and one vein. If you had difficulty with this question review thisanatomy.Level of Cognitive Ability: ComprehensionClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/Data CollectionContent Area: Maternity/IntrapartumReference: Leifer, G. (2005).
Maternity nursing 
(9th ed.). Philadelphia: W.B. Saunders, p. 125.904. A client who is 8 weeks’ pregnant calls the clinic and speaks to the nurse aboutcomplaints of nausea and vomiting every morning. To promote relief, the nurse suggests:1. Eating three large meals per day2. Eating a high-fat diet3. Eating crackers before arising4. Increasing fluids with mealsAnswer: 3Rationale: Some measures for decreasing morning nausea are keeping crackers, Melbatoast, or dry cereal at the bedside to eat before getting up in the morning; eating smaller,more frequent meals; decreasing fats in the diet; and consuming adequate fluid betweenmeals, but not with meals.Test-Taking Strategy: Use the process of elimination and knowledge regarding themeasures that will relieve morning nausea. Note the relationship between “everymorning” in the question and “before arising” in the correct option. Review thesemeasures if you had difficulty with this question.Level of Cognitive Ability: Application
2
 
PN~Comp~Review~CD~901-1000~
Client Needs: Health Promotion and MaintenanceIntegrated Process: Teaching/LearningContent Area: Maternity/AntepartumReference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005).
Maternal-child nursing 
(2nd ed.). St. Louis: Elsevier, p. 275.905. A nurse is reviewing the results of an eye examination on a client and notes thatresults from the tonometry test indicate an intraocular pressure of 20 mm Hg. The nurseinterprets these findings as:1. Elevated intraocular pressure2. Low intraocular pressure3. Inconclusive findings4. Normal intraocular pressureAnswer: 4Rationale: Tonometry is an effective screening test for early detection of glaucoma. Thenormal intraocular pressure is 12 to 22 mm Hg. An intraocular pressure of 20 mm Hg isa normal finding.Test-Taking Strategy: Knowledge regarding the normal intraocular pressure is requiredto answer this question. Remember that the normal intraocular pressure is 12 to 22 mmHg. If you are unfamiliar with this finding, review this content.Level of Cognitive Ability: ComprehensionClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/Data CollectionContent Area: Adult Health/EyeReference: Christensen, B., & Kockrow, E. (2003).
 Adult health nursing 
(4th ed.). St.Louis: Mosby, p. 562.906. A client has impetigo, and the nurse reviews the home care instructions with theclient. Which statement indicates that the client does not understand the measures thatwill prevent the spread of the infection?1. “I need to take the full course of the antibiotics.”2. “I need to wash my dishes and eating utensils separate from other householdmembers.”3. “My clothes can be laundered with other household members’ clothes.”4. “I must wash my hands thoroughly and frequently throughout the day.”Answer: 3Rationale: It is necessary to separate laundry from other household members. Thoroughhand washing, separating laundry, and separate washing of the client’s dishes are required because the infection is contagious as long as skin lesions are present. Antibiotics areadministered and should be continued as prescribed.Test-Taking Strategy: Note the key words
does not understand 
in the stem of thequestion. These words indicate a false-response question and that you need to select theincorrect client statement. General principles related to the administration of antibioticswill assist in eliminating option 1. Knowledge of the principles related to asepsis willassist in eliminating option 4. From the remaining options, recalling that impetigo iscontagious will direct you to option 3. Review home care instructions related to this
3

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