OB and mental 3 Flashcards
Instructing a pt how to perform kick counts. Which statement needs extra teaching?
a) I will record the number of movements or kicks
b) I need to lie flat on my back
c) If I count fewer than 10 kicks in a 2hurs, it could be because my baby is sleeping
d) I need to place my hands on the largest part of my abdomen and concentrate on the total movements to count
b
lying flat on the back is not necessary. This could make them discomfort and presnt risk odf vena cava syndrome
Disseminated intravascular coagulation (DIC)
a) what is it?
b)OB risk factors
a) Overreactive clotting then depletion of platelets so all clotting factors were used
b) Placental abruption
Amniotic fluid embolism
HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets)
Retained stillbirth
Preeclampsia/eclampsia
A client with severe psoriasis has a problem of chronic low self-esteem. The nurse would incorporate which nursing action when working with this client?
a) Listening attentively
b) Keeping communications brief
c) Approaching the pt in a formal manner
d) Avoiding looking at the affected skin areas
a
Therapeutic response
Do not say “ I understand how you feel” because there is no way of knowing or understanding their feelings unless they states their feelings
Reconizeing feelings
What is some common discoumfort with pregnent?
Increased estrogen level can increase risk of capillary bleeding
more frequent nosebleeds
gingivitis that leads to bleeding gums
nasal congestion
a) Itching, frothy grey vaginal discharge?
b) chlamydia
c) Which STD is reportable?
a) Trichomoniasis
b) usually asymptomatic until the infection has progressed to cause pelvic inflammatory disease
c) chlamydia, gonorrhea, syphilis, and chancroid
A pt with an obsessive-compulsive ritual. The nurse recognizes the pt is attempting to achieve which outcome?
a) Control other people
b) Increase self-esteem
c) Avoid severe levels of anxiety
d) Express and manage aniety
c
A pt with bipolar manic with combative behavior. Which is the priority nursing action?
a) provide adequate hygiene and nutrition
b) decrease environmental stimuli
c) Slowly involved the pt in unit activities
d) Administer and monitor sedative and mood-stabilizing medications
d
Because this pt in in an aggressive phase. It is most important to gain control.
Combative behavior = aggressive and eager to fight or argue.
a) Sildenafil, which med is a contraindication?
b) sustained?
c) obtunded
d) Branden scale score
a) Isosorbide dinitrate(nitrate) cause hypotension
b) 持続した
c) lethargy
very high 12 or lower
high 13-14
low grater than 18
a) stage 1 pressure injury?
b) stage 2 pressure injury?
c) what is non-blanchable skin?
a) non-blanchable redness
b) a blister or break in the skin
c) when we press the skin, the redness would not go away
Which intervention is appropriate for the nurse to perform during a vaginal birth when the HCP notes shoulder dystocia?SATA
a) Apply fundal pressure during contractions to assist the mother in her efforts to push during uterine contractions.
b) Apply pressure downward, superior to the symphysis pubis.
c) Place the client’s legs in a flexed position against the abdomen
d) Coordinate with the healthcare team to assist with a forceps-assisted birth.
e) Immediately perform the Leopold maneuver on the client.
f)Record the exact time that the shoulder is delivered during childbirth
b,c,f
Shoulder dystocia is a complication that can occur during labor. This complication is treated with the implementation of McRoberts’ maneuver. Actions that are implemented with McRoberts’ maneuver include applying pressure both downward and superior to the symphysis pubis while ensuring that the laboring client’s legs are flexed against the abdomen. These actions increase the diameter of the pelvis allowing the neonate to be delivered vaginally.
A client who is newly diagnosed with an autoimmune disease about prescribed cyclosporine. The client also has a history of type 1 diabetes mellitus (DM).
➤Which client statement indicates the need for additional instruction?
a) I know that this medication can affect my blood glucose levels
b) I should not visit my dentist on a regular basis while on this medication.
c)I should not get any vaccines without speaking with the health care provider.”
d) It is important that I do not abruptly stop taking this medication.”
b
A side effect that is associated with cyclosporine is swollen and inflamed gums; therefore, regular dental visits and good oral hygiene are essential to health promotion and optimal health. If bleeding gums occur, the client should be instructed to notify the health care provider as this can be an indicator of thrombocytopenia; additionally, the use of a soft-bristle toothbrush may be warranted due to the risk for bleeding associated with the prescribed medication.
The cycle of violence
What is the 3 phase?
1st Tension-building phase
Judgmental, threatening, feels like walking on the egg shells
2nd Explosion phase(an acute battering) Harm!
3rd Honeymoon
What is milieu therapy?
Provide a consistent set of activities and responsibilities for each pt.
(therapeutic environment)
