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Nurse Bella explains to a 28 year old pregnant woman undergoing a non-stress test that the test is a way of evaluating the condition of the fetus by comparing the fetal heart rate with: a. Fetal lie b. Fetal movement c. Maternal blood pressure d. Maternal uterine contractions 2. During a 2 hour childbirth focusing on labor and delivery process for primigravida. The nurse describes the second maneuver that the fetus goes through during labor progress when the head is the presenting part as which of the following: a. Flexion b. Internal rotation c. Descent d. External rotation 3. Mrs. Jovel Diaz went to the hospital to have her serum blood test for alpha-fetoprotein. The nurse informed her about the result of the elevation of serum AFP. The patient asked her what was the test for: a. Congenital Adrenal Hyperplasia b. PKU c. Down Syndrome d. Neural tube defects 4. Fetal heart rate can be auscultated with a fetoscope as early as: a. 5 weeks of gestation b. 10 weeks of gestation c. 15 weeks of gestation d. 20 weeks of gestation 5. Mrs. Bendivin states that she is experiencing aching swollen, leg veins. The nurse would explain that this is most probably the result of which of the following: a. Thrombophlebitis b. PIH c. Pressure on blood vessels from the enlarging uterus d. The force of gravity pulling down on the uterus 6. Mrs. Ella Santoros is a 25 year old primigravida who has Rheumatic heart disease lesion. Her pregnancy has just been diagnosed. Her heart disease has not caused her to limit physical activity in the past. Her cardiac disease and functional capacity classification is: a. Class I b. Class II

Presence of uterine scar c.” d. 10-12 months d. Class III d. “I will limit my activities and rest more frequently throughout the day. 2010 10. Her EDD should be which of the following: a. WBC 8. 6-8 months c. Grace Evangelista is admitted with severe preeclampsia.” c. Hematocrit 33. Mrs. class IV 7. 2-3 months b. Presence of retained placenta fragments 9. Mrs. “When will this soft spot at the top of the head of my baby will close?” The nurse should instruct the mother that the neonate’s anterior fontanel will normally close by age: a. “I will avoid salty foods in my diet. 20111 c. Aling Patricia is a patient with preeclampsia.c. Pichie Gonzales’s LMP began April 4. December 12. which would tell you that she has not really understood your instructions? a. Laceration of the birth canal d. 2010. The client asks the nurse.000/mm3 c. You advise her about her condition. Which of the following prenatal laboratory test values would the nurse consider as significant? a. Rubella titer less than 1:8 d.” b. 2011 b. One hour glucose challenge test 110 g/dL 11. you can account the cause to: a. 2010 d.5% b. What type of room should the nurse select this patient? . When a mother bleeds and the uterus is relaxed. soft and non-tender. “I will come more regularly for check-up. 12-18 months 8.” 12. Atony of the uterus b. February 11. January 11. “I will restrict my fat in my diet. Nowember 14.

if amniocentesis indicates a problem. the nurse suspects that the newborn is MOST likely showing the effects of: a. the nurse explains to a client who is Rh negative that RhoGAM will be given: a. Nurse Jacob is assessing a 12 year old who has hemophilia A. The nurse should enter the APGAR score as: a. Assessing for respiratory distress d. Upon assessment. d. 6 c. Preventing injury 18. The labor suite. A room next to the elevator. Congenital anomalies d. Teaching high-risk newborn care c. Based on this data. 5 b. average normal b. d. Weekly during the 8th month because this is her third pregnancy. The room farthest from the nursing station. very superior c. During the second trimester. The quietest room on the floor. above average d. genius 16. During a prenatal check-up. Lead poisoning c. 7 d. 14. 8 15.a. the heart rate was 99 bpm. Chronic toxoplasmosis b. the nurse finds that the child has short palpebral fissures. She was moving all extremities and only her hands and feet were still slightly blue. 13. A baby boy was born at 8:50pm. A priority nursing intervention for the infant with cleft lip is which of the following: a. Within 72 hours after delivery if infant is found to be Rh positive. Monitoring for adequate nutritional intake b. Billy is a 4 year old boy who has an IQ of 140 which means: a. c. Which of the following assessment findings would the nurse anticipate? . At 8:55pm. To her infant immediately after delivery if the Coomb’s test is positive. c. She has a weak cry. b. irregular respiration. thinned upper lip. A newborn is brought to the nursery. Fetal alcohol syndrome 17. b.

Social isolation 21. The child has not experienced limit-setting or structure. the incidence of allergies increases due to maternal antibodies c. Celine. involution occurs rapidly b. sodium and chloride b. b. Which nursing diagnosis can be justified by Mylene’s statement? a. there is a greater chance of error during preparation 23. Down’s syndrome c. lipase. A 4 year old boy most likely perceives death in which way: . Ineffective individual coping d. c. such as hunger. an excess of RBC b. Which of the following diagnoses is most appropriate? a. a deficiency of clotting factor VIII d. a deficiency of clotting factor IX 19. Marfan’s syndrome d. d. Anxiety b. Which of the following would be a disadvantage of breast feeding? a. The foul-smelling. She asks the nurse how she can disguise her impairment when dressed in a bathing suit.a. The mother has nurtured overdependence in the child.” Which of the following statements would be the nurse’s most accurate analysis of the mother’s comment? a. The mother is describing her child’s separation anxiety. The child is expressing a physical need. semi-digested carbohydrates d. Klinefelter’s syndrome 24. Body image disturbance c. Mylene Lopez. Turner’s syndrome b. a 16 year old girl with scoliosis has recently received an invitation to a pool party. A client is noted to have lymphedema. the father may resent the infant’s demands on the mother’s body d. trypsin and amylase 22. undigested fat c. 20. frothy characteristic of the stool in cystic fibrosis results from the presence of large amounts of which of the following: a. a mother of a 2 year old tells the nurse that her child “cries and has a fit when I have to leave him with a sitter or someone else. webbed neck and low posterior hairline. an excess of WBC c.

6. No increase means poor oxygenation perfusion to fetus. 4. palpitation. water loss and potassium retention d. 25. It is the inability to maintain the uterus in contracted state. dyspnea or angina. With fetal movement. flexion. aldosterone release is stimulated. The level is abnormally high in the maternal serum if the fetus has an open spinal or abdominal defect because the open defect allows more AFP to appear. (A) Class I Clients under class I has no physical activity limitation. less than ordinary activity causes fatigue. (C) Pressure on blood vessels from the enlarging uterus Pressure of the growing fetus on blood vessels results in an increase risk for venous stasis in the lower extremities. (B) Fetal movement Non-stress test measures response of the FHR to the fetal movement. Something that just happens to older people d. water los and potassium loss c. sodium loss. sodium retention. Punishment for something the individual did c. Class III is moderate limitation of physical activity. external rotation and expulsion. sodium retention. 7. There is a slight limitation of physical activity in class II. (D) 20 weeks of gestation The FHR can be auscultated with a fetoscope at about 20 weeks of gestation. (D) 12-18 months Anterior fontanel closes at 12-18 months while posterior fontanel closes at birth until 2 months.a. 2. In what way might this influence Catherine’s fluid and electrolyte balance? a. (A) Flexion The 6 cardinal movements of labor are descent. Catherine Diaz is a 14 year old patient on a hematology unit who is being treated for sickle cell crisis. he use this formula ( -3 calendar months + 7 days). edema and varicose vein formation may occur. (D) Neural tube defects Alpha-fetoprotein is a substance produces by the fetal liver that is present in amniotic fluid and maternal serum. 8. . FHR is usually auscultated at the midline suprapubic region with Doppler ultrasound at 10 to 12 weeks of gestation. 3. 5. internal rotation. or relaxation of the uterus is the most frequent cause of postpartal hemorrhage. Subsequently. Temporary separation from the loved one. water loss and potassium retention b. FHR cannot be heard any earlier than 10 weeks of gestation. FHR increase by 15 beats and remain for 15 seconds then decrease to average rate. water retention and potassium loss 1. Unable to carry on any activity without experiencing discomfort is under class IV. extension. sodium loss. (B) January 11. 9. During a crisis such as that seen in sickle cell anemia. ordinary activity causes fatigue. An insignificant event unless taught otherwise b. (A) Atony of the uterus Uterine atony. 20111 Using the Nagel’s rule.

Characteristics that mark the syndrome include pre and postnatal growth retardation. It is the best method of aiding increased excretion of sodium and encouraging diuresis. the analysis of separation anxiety would be most valid.5%. 14. 16. WBC of 8. When the child senses he is being sent away from those who most provide him with love and security. CNS involvement such as cognitive challenge. the nurse should ask the mother focused questions. moving all extremities-2. 17. sodium tends to be excreted at a faster rate. (B) “I will limit my activities and rest more frequently throughout the day. or a dropped tray of equipment may be sufficient to trigger a seizure initiating eclampsia. (C) a deficiency of clotting factor VIII Hemophillia A (classic hemophilia) is a deficiency in factor VIII (an alpha globulin that stabilizes fibrin clots). (D) genius IQ= mental age/chronological age x 100. a finding of a titer less than 1:8 is significant. 11. Thus. based on initial information. Rest should always be in a lateral recumbent position to avoid uterine pressure on the vena cava and prevent supine hypotension. A loud noise such as a crying baby. When body is in recumbent position. the nurse would be hasty in drawing this as first .000/mm3. A hematocrit of 33.” Pregnant woman with preeclampsia should be in a complete bed rest. OQ of 140 and above is considered genius. and a distinctive facial feature of a short palpebral fissure and thin upper lip. Crying is one way a child expresses a physical need. Separation anxiety is a normal toddler response. (D) The mother is describing her child’s separation anxiety. Mental age refers to the typical intelligence level found for people at a give chronological age.10. (D) Fetal alcohol syndrome The newborn with fetal alcohol syndrome has a number of possible problems at birth. which will be fata to succeeding Rh-positive offspring. 12. (C) Rubella titer less than 1:8 A rubella titer should be 1:8 or greater. microcephally and cerebral palsy. Before coming to any conclusion. 15. (B) 6 Heart rate of 99 bpm-1. 13. (C) The quietest room on the floor. (A) Monitoring for adequate nutritional intake The infant with cleft lip is unable to create an adequate seal for sucking. (D) Within 72 hours after delivery if infant is found to be Rh positive. The child is at risk for inadequate nutritional intake as well as aspiration. indicating that the client may not possess immunity to rubella. however. 19. however. 18. RhoGAM is given to Rh-negative mothers within 72 hours after birth of Rh-positive baby to prevent development of antibodies in the maternal blood stream. Darken the room if possible because bright light can trigger seizures. a woman with severe preeclampsia should be admiotted to a private room so she can rest as undisturbed as possible. irregular respiration-1. weak cry-1. with a total score of 6. extremities are slightly blue-1. and a 1 hour glucose challenge test of 110 g/dL are within normal parameters.

conclusion based on what the mother has said. (B) Body image disturbance Mylene is experiencing uneasiness about the curvative of her spine. 25. No preparation required for breast feeding. these are the 3 key assessment features in Turner’s syndrome. the father’s body is not capable of providing the milk for the newborn. (C) the father may resent the infant’s demands on the mother’s body With breast feeding. or he may be jealous of the infant’s demands on his wife time and body. it’s inaccurate to infer death is insignificant. If the child is diagnosed early in age. 23. which will be more evident when she wears a bathing suit. 24. 20. proper treatment can be offered to the family. There is no evidence of anxiety or ineffective coping. The predominant perception of death by preschool age children is that death is temporary separation. (D) sodium retention. regardless of the child’s response. Breast feeding is advantageous because uterine involution occurs more rapidly. water retention and potassium loss Stress stimulates the adrenal cortex to increase the release of aldosterone. Foul-smelling. webbed neck and low posterior hairline. providing fewer chances for bonding. All newborns should be screened for possible congenital defects. 22. Because that child is losing someone significant and will not see that person again. (B) undigested fat The client with cystic fibrosis absorbs fat poorly because of the think secretions blocking the pancreatic duct. (A) Turner’s syndrome Lymphedema. The lack of natural pancreatic enzyme leads to poor absorption of predominantly fats in the duodenum. The fact that Mylene is planning to attend a pool party dispels a diagnosis of social isolation. (D) Temporary separation from the loved one. thus minimizing blood loss. Nurturing overdependence or not providing structure for the toddler are inaccurate conclusions based on the information provided. the retention of water and the loss of potassium. The presence of maternal antibodies in breast milk helps decrease the incidence of allergies in the newborn. Aldosterone promotes the resorption of sodium. . This data suggests a body image disturbance. A greater chance for error is associated with bottle feeding. 21. which may interfere with feeding the newborn. frothy stool is termed steatorrhea.