Final Exam Discussion Board Flashcards

1
Q

A woman in her first trimester of pregnancy comes into the clinic presenting discomfort in pregnancy. What are some common discomforts in this stage of pregnancy? SATA
a. N/V
b. increased vaginal discharge
c. heartburn
d. leg cramps

A

a and b
found on slide 25-27 in Health Pregnancy PowerPoint. Others are common discomforts in the second and third trimester

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2
Q

A pregnant mother comes into the labor and delivery room in labor. She is dilated 8 cm and her contractions continue to increase in intensity, duration and frequency. What stage of labor is she in?
a. 2nd stage
b. latent stage
c. transition stage
d. 3rd stage

A

C. Transition stage
found on slide 20 of Labor and Delivery PowerPoint. Not quite to the second stage where the birthing takes place and no longer in active labor since the cervix is dilated past the 4-7 cm mark.

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3
Q

What type of learning is defined as storing and recalling new information in the brain?
a. affective learning
b. cognitive learning
c. psychomotor

A

c- cognitive learning

Rationale:
affective learning is changes in attitudes, values, and feelings
cognitive learning is storing and recalling new information in the brain
psychomotor learning is learning a purposeful physical skill (integrating mental and physical dexterity)
Comp 1 Teaching and Learning PP slides 7, 9 and 11

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4
Q

What are barriers to learning? (select all that apply)
a. language
b. pain
c. family
d. the time of learning
e. education

A

a,b,e
Rationale: pain, distraction, ability, language, education, and sensory deficits are all barriers to learning.
Comp 1 Teaching and Learning PP slide 21

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5
Q

What is codependent person?
a. people dependent on coffee in the morning
b. Achieves control only through fulfilling the needs of others
c. Two people rely on each other for support and love.
d. Person who always rely on someone else.

A

B.
The codependent person can achieve a sense of control only through fulfilling the needs of others. Many nurses are codependent – nurses may provide care & fulfill everyone’s needs but their own
PP-slide 32

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6
Q

Upon arrival to the emergency room, the mother of a client involved in a motor vehicle accident becomes upset when she learns her son is unconscious and unstable. The mother begins to yell at the emergency room staff in unintelligible words, and she is trembling. She became short of breath and yells she can’t breathe. What is the mother likely experiencing?
A) Mild anxiety
B) Moderate anxiety
C) Severe anxiety
D) Panic attack

A

D.
Unable to process the environment and may lose touch with reality. Panic is characterized by a disorganized state, increased physical activity, difficulty communicating
PP slide 10

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7
Q

What is the only method 100% effective at preventing pregnancy?
A. Birth control pills
B. IUDs
C. Abstinence
D. Male condoms

A

C
Rationale: The only method 100% effective at preventing pregnancy and decreases risk of sexually transmitted infections is abstinence.
Source: Reproductive Issues PowerPoint (Competency 4) slide 17

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8
Q

Which STIs can be treated and cured? (Select all that apply)
A. Gonorrhea
B. Chlamydia
C. HIV/AIDS
D. Genital herpes
E. Trichomoniasis

A

A, B, E

Rationale: The STIs that can be treated and cured include Gonorrhea, Syphilis (in early stages), Trichomoniasis, and Chlamydia.The STIs that can be treated but not cured include HIV/AIDS, Hepatitis B, Genital warts (HPV), and Genital herpes.

Source: Reproductive Issues PowerPoint (Competency 4) slide 58

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9
Q

What is the type of heat loss that is caused by the transfer of body heat to a cooler object that is in contact with the baby?
a. radiation
b. conduction
c. evaporation
d. convection

A

b. conduction

Rationale: conduction is when the baby loses heat by being in contact with a cooler object such as a scale or exam table
Source: Ch. 23 Physiologic Responses at Birth PowerPoint slide 8

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10
Q

Which of the following are signs of newborn distress? Select all that apply
a. pink, warm skin
b. nasal flaring
c. grunting
d. heart rate of 140 bpm
e. temperature of 96.5 degrees F

A

b. nasal flaring, c. grunting, e. temperature of 96.5 degrees F

Rationale: b & c are both signs of respiratory distress in a newborn. e is below the normal range and a possible indication of hypothermia in a newborn. A normal range for a newborn’s temperature is 97.7-99.4 degrees F.

Source: Ch. 25 & 32 Care of Newborn PowerPoint slide 10 and Ch. 24 Nursing Assessment of the Newborn PowerPoint slide 8

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11
Q

Amenorrhea, nausea & vomiting, fatigue, urinary frequency, breast changes, & quickening are ________ signs of pregnancy.

A. Presumptive
B. Probable
C. Positive
D. Definitive

A

A. Presumptive

Competency 5: Healthy Pregnancy

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12
Q

_______ level is the acceptable range that an individual can effectively deal with new experiences.

A. Biological
B. Psychological
C. Social
D. Adaptation

A

D. Adaptation

Competency 14: Healthy Coping

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13
Q

A postpartum mother’s uterus is expected to be what with a full bladder?
a. Completely back to normal pre-pregnancy
b. Displaced and deviated to the right
c. Remain in midline position
d. Displaced and deviated to the left

A

B

Rationale: due to the confined space from the pelvis and surrounding organs the Uterus will be pushed up and to the right to allow more room needed by the full bladder.

COMP 8, Postpartum PowerPoint slide 12

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14
Q

The nurse is reading the blood results from a postpartum patient and expects what finding?
(Select all that apply)
a. Hemostatic system to reach non-pregnant state after 4 weeks
b. White blood cells to be decreased after delivery
c. Elevated iron
d. Risk of thromboembolism

A

A, D

Rationale: Iron levels will be the same or lower due to blood loss from giving birth, WBCs will have increased due to the extreme stress and the risk of infection. Thromboembolism is a risk due to the activation of clotting factors during postpartum, it has been proven that it should only take 3 to 4 weeks for the body to return to the non-pregnant state.

COMP 8, Postpartum PowerPoint slide 4

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15
Q

What is Health care equity?

a) different access per yearly housing income made
b) access to the health care system
c) provide equal care to everyone regardless who you are
d) Equal payments for everyone

A

b) access to the health care system.

c) is wrong due to it being health equity. a/d) were wrong; being ‘made up’
Found in W2 C12 powerpoint; encouraging health lifestyle behaviors in clients. slide 16, when we spoke of HP2030

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16
Q

What are physical effects of long-term stress? (SATA)

a) Graves Disease
b) Hyperthyroidism
c) Sickle Cell Disease
d) Celiac Disease
e) Psoriasis
f) Hypothyroidism

A

a, c, e

long term stress effect: This is in powerpoint W2C12 on slide 25
autoimmine disorders; graves disease, myasthenia gravis, RA, Psoriasis, UC
cardiovascular disorders; CAD, HTN, sickle cell disease
gastrointestinal disorders; constipation, diarrhea, GERD
respiratory disorders; asthma

17
Q

What age group is most concerned with Drowning, Substance and/or Tobacco use, Guns, and Motor vehicle crashes for accidents and safety?
A. School Age 6-12
B. Preschoolers 3-5
C. Adolescence 13-20
D. Toddlers 1-3

A

C. Adolescence
while motor vehicle accidents and drowning are concerns of other age groups as well. Adolescence is the most correct answer these 5 safety concerns.
Comp 9&13 Adolescence PowerPoint slide 12

18
Q

These immunizations should be scheduled for 2, 4 and 6 months? Select all that apply

  1. Rotavirus
  2. Hepatitis A
  3. Pneumococcal
  4. Inactivated Polio
  5. Diphtheria, tetanus, pertussis (tDAP)
  6. Haemophilus influenzae type B
A

Answer: 1,3,4,5,6

Hepatitis A doesn’t begin until 12 months Comp 9&13 infant PowerPoint slide 23