LECTURE - RATIONALIZATION (2nd EXAM)

Question 1

Rheumatic fever (w/ heart murmurs)

Answer 1

carditis

Question 2

Rheumatic fever (w/ involuntary movement and
sudden jerky of tongue)

Answer 2

S. chorea

Question 3

15 years old (w/ back brace) – concern

Answer 3

Wear consistently as prescribed.

Question 4

2 years old with cerebral palsy (severe lack of
oxygen) – perinatal factors (hypoxia)

Answer 4

Direct damage to the brain tissue

Question 5

28 weeks (NICU) w/ RDS (tachypnea + grunting)
what nursing intervention?

Answer 5

administer surfactant.

Question 6

3 years old (pain in hands and face) -what is the appropriate pain management?

Answer 6

Distraction w/ favorite toy/videos

Question 7

30 gestation (NICU) translucent skin

Answer 7

transparent skin syndrome

Question 8

32 weeks (NICU) with mottled skin appearance.

Answer 8

Prematurity

Question 9

Initial medication for joint pain/ swelling
(rheumatoid arthritis)

Answer 9

NSAIDs

Question 10

How many hours does the back brace should be worn for those who has a structural scoliosis?

Answer 10

23 hours

Question 11

Full terms (acrocyanosis with lethargy and poor
feedings) – temp: 35.3

Answer 11

Hypothermia: blanket and skin to skin
contact.

Question 12

How to prevent the spread of infection (sepsis)

Answer 12

Isolate the newborn.

Question 13

How to avoid hospital acquired diseases?

Answer 13

Frequent hand hygiene

Question 14

Genital warts (most appropriate management)

Answer 14

Postpone treatment until CS delivery.

Question 15

Premature (28 weeks gestation) @ NICU
(tachypnea/ grunting/ nasal flaring)

Answer 15

Respiratory distress syndrome

Question 16

35 weeks (@NICU) – currently stable
(susceptible to RDS)

Answer 16

Administer corticosteroids.

Question 17

Pre-term infant (@NICU) – open crib,
appropriately dressed but still unstable (nursing
intervention).

Answer 17

radiant warmer

Question 18

Preterm infant (age)

Answer 18

Before 38 weeks

Question 19

Itching of scalp (small wingless insects)

Answer 19

pediculosis capitis (head lice)

Question 20

Urinary tract infection (school age)

Answer 20

Oral antibiotics as prescribed

Question 21

Teenage girl who is positive for UTI and currently
taking antibiotics, she then asked how to
prevent UTI in the future?

Answer 21

regular voiding/ bladder emptying

Question 22

Term newborn (birth weight – less than 2500 g)

Answer 22

small for gestational age (SGA)

Question 23

Yellow discoloration (2nd day of life)

Answer 23

Physiologic jaundice

Question 24

In emergency department (patient with
superficial burn).

Answer 24

cover the burn with non-sticky dressing.

Question 25

Thickness burns in arm and chest.

Answer 25

Check ABC

Question 26

Meconium aspiration syndrome (except)

Answer 26

Between 40-60 cycle per min

Question 27

How to maintain nutritional status (except)

Answer 27

Initiate oral feeding and strictly enforced.

Question 28

Signs and symptoms of infection in preterm infant (except).

Answer 28

Pinkish color

Question 29

Sign and symptoms of cerebral palsy (except).

Answer 29

Smooth muscle w/ normal reflex

Question 30

Physical (slender with elongated body and long nails)

Answer 30

Almost post maturity

Question 31

Imperforated anus (symptoms – except)

Answer 31

Abdomen is soft and not distended.

Question 32

NVSD (anthropometric measurements) – SGA – small for gestational age

Answer 32

less than 2500 g

Question 33

Episodes of abdominal pain/ vomiting (rapidly well after episodes) – what diagnostic test is needed?

Answer 33

Ultrasonography of abdomen

Question 34

2nd degree burn

Answer 34

damage underlayer and layer underneath

Question 35

Proper management for client with burns (except)

Answer 35

Leave area open for easy drying

Question 36

Ingested toxin substance (what to do)

Answer 36

Call for poison control center.

Question 37

Diagnostic test to identify imperforated anus (except)

Answer 37

2DECHO

Question 38

What is the cause of intussusception (intestinal obstruction)

Answer 38

Unknown

Question 39

How to determine the gestational age

Answer 39

examining physical features.

Question 40

Cleft palate

Answer 40

8-12 months

Question 41

Infant (high risk)

Answer 41

greater chance of developing problems.

Question 42

Most common symptom of intusception.

Answer 42

Intermittent abdominal pain

Question 43

Primarily cause (overweight)

Answer 43

diabetic mother

Question 44

Small for gestational age (common reason)

Answer 44

Mother with hypertension

Question 45

Disorder of movement (brain)

Answer 45

Cerebral palsy