old quizzes 12-15

Question 1

what kind of immunity do vaccinations provide

Answer 1

active

Question 2

which statement about immunoglobulins is correct?

Answer 2

IgM is the 1st type of antibody made in response to infection

Question 3

What should the nurse say to an HIV positive mom?

Answer 3

“you should bottle feed your baby consistently.”

Question 4

a patient is on contact isolation for infectious diarrhea. Which action warrants intervention?

Answer 4

hand hygiene with alcohol-based rubs after caring for patient.

Question 5

an immunocompromised child has been diagnosed with Fifth’s disease. Which action by the nurse is most appropriate?

Answer 5

place child on droplet precautions

Question 6

a parent is refusing to vaccinate their child, what should the nurse say?

Answer 6

“these diseases have many serious consequences.”

Question 7

a classmate had a large birthday party and the next day a child breaks out in chickenpox. what should the nurse tell the parents of this child to do?`

Answer 7

“inform parents of children at the party that your child has chickenpox.”

Question 8

Patient has Rubella

Answer 8

DO NOT allow pregnant nursing staff in the room.

Question 9

3 year old boy with ear and jaw pain, bilateral parotid gland swelling, mild dehydration.

Answer 9

do not assign pregnant nursing staff

Question 10

patient has rubeola, what are the most important nursing actions?

Answer 10

• Assess for Koplik’s spots
• ensure room is dark for photophobia
• report the disease to health authorities

Question 11

Cervix is 9cm dilated, what stage?

Answer 11

first stage of labor

Question 12

woman is in the transition stage of labor, the nurse tries to engage in conversation, woman doesn’t respond. What should the nurse preceptor do?

Answer 12

gently ask the nurse to refrain from unnecessary conversation.

Question 13

Active phase of labor, history of 2 stillbirths, high risk OB unit. How often should the nurse initiate FHR monitoring?

Answer 13

Continuously.

Question 14

FHR decels that appear to start just prior to a uterine contraction contraction with FHR returning to normal by the end of the contraction. what kinds of decels are these?

Answer 14

early decelerations

Question 15

2nd stage of labor, nurse encourages effective pushing by saying:

Answer 15

“push when you feel the urge and breathe between attempts.”

Question 16

a perinatal nurse is caring for a woman in early labor with fetus in occiput posterior position. how should the nurse increase the woman’s comfort?

Answer 16

assist woman into hands-and-knees position.

Question 17

what does the birthing ball facilitate

Answer 17

fetal decent

Question 18

woman is entering the transition phase and is complaining of light-headedness and tingling in the fingers. assist her by having her:

Answer 18

cupping her hands and breathing into them

Question 19

a woman is in labor and has severe back pain, the birth partner should:

Answer 19

apply counterpressure

Question 20

a woman is in labor, she receives hydromorphone hydrochloride (Dilaudid) @ 11:30 am and gives birth at 12:45. what nursing action is priority?

Answer 20

assess neonate frequently for respiratory depression.

Question 21

funic souffle of 158 bpm and uterine souffle of 90 bpm. what does this mean?

Answer 21

fetal and maternal HR are within normal limits.

Question 22

what is the average O2 sat in the right atrium?

Answer 22

70%

Question 23

child SOB with activity

Answer 23

elevated brain natriuretic peptide

Question 24

child with clubbed fingernails lab findings

Answer 24

PaO2: 72 mmHg

Question 25

child with a heart murmur is scheduled for an electrocardiogram , why?

Answer 25

it shows location and size of a heart defect

Question 26

infant after heart surgery going home on O2 and meds

Answer 26

“if your baby is irritable, check O2 sat.”

Question 27

child with patent ductus arterioles(PDA) taking a NSAID

Answer 27

inhibit prostaglandin, helps close PDA

Question 28

child with transposition of the great vessels, child looks blue

Answer 28

“her body gets blood that doesn’t have much O2.”

Question 29

toddler becomes cyanotic when he cries, what is appropriate for the nurse to ask the parents?

Answer 29

“does he squat when he cries?”

Question 30

nurse has 4 patients which is priority?

Answer 30

temp of 104.6 F (40.3C) 3 days after dental visit

Question 31

Kawasaki disease taking aspirin and warfarin

Answer 31

risk for bleeding related to meds

Question 32

19 kg child admitted for management of cardiomyopathy (CMP) taking Carvedilol (Coreg) 15 mg PO twice daily

Answer 32

Ask provider to clarify dose

Question 33

3 year old is 4 hours post-cardiac cath via right femoral artery, what should the nurse report to the provider?

Answer 33

right pedal pulse weaker than the left

Question 34

child with a large ventricular septal defect (VSD) with left-to-right shunting

Answer 34

• a harsh, pansystoid murmur is heard
• most common congenital heart defect
• some VSD’s can close spontaneously

Question 35

atrioventricular canal defects (AVCs)

Answer 35

• often occurs in children with down syndrome

- the tricuspid and mitral valves form one opening

Question 36

which anomalies compromise the disorder tetralogy of Fallot?

Answer 36

• overriding aorta
• hypertrophic right ventricle
• pulmonary stenosis or atresia
• ventricular septal defect (VSD)

Question 37

who is the most appropriate pt. for an amnioinfusion is a woman who has a FHR tracing with:

Answer 37

variable decelerations

Question 38

rapid decrease in FHR does not recover after amniotomy, what does the nurse do first?

Answer 38

perform a vaginal exam

Question 39

dinoprostone (Cervidil) prior to labor induction with oxytocin (piton), question pt. about what before giving it?

Answer 39

asthma

Question 40

multiparous woman in labor, cervix is 5cm dilated and contractions every 1-2 minutes and strong, what kind of labor is this?

Answer 40

precipitous labor.

Question 41

Pitocin via infusion, uterine contractions lasting 100 seconds every 1.5 minutes, resting tone 35 mmHg, FHR 108 with absent variability, what is the priority nursing action?

Answer 41

STOP THE INFUSION

Question 42

pregnant woman with DM has met goal if:

Answer 42

her blood glucose is consistently less than 130 mg/dL

Question 43

external version, what does the nurse do before?

Answer 43

determine Rh status; give Rh goblin if needed

Question 44

umbilical cord protruding from vagina

Answer 44

cover cord with warm sterile saline-soaked compress

Question 45

No VBAC if C-section was

Answer 45

classic-style operation

Question 46

nurse actions beneficial for parents who have lost a newborn

Answer 46

• ask baby’s name and use it
• clean infant and wrap in a blanket
• explain how the newborn will look
• take photos to give to the parents