Week 3-4

Question 1

A nurse using current research, statistical data, and quality measurements as a guide for nursing care is providing care that is:

a) Evidence-based.
b) Based on personal opinion.
c) Directed by habit.
d) Derived from memory.

Answer 1

a) Evidence-based.

Question 2

When the nurse asks a child’s parents what they feel caused their child’s illness, she is recognizing the importance of the family’s what?

a) Communication patterns
b) Religion
c) Education
d) Cultural values and beliefs

Answer 2

d) Cultural values and beliefs

Question 3

A 12-year-old pediatric client is in need of surgery. The healthcare member who is legally responsible for obtaining informed consent for an invasive procedure is?

a) The nurse
b) The physician
c) The unit secretary
d) The social worker

Answer 3

b) The physician

Question 4

A 7-year-old client tells the nurse that, “grandpa, mommy, daddy, and my brother live at my house.” The nurse identifies this family type as?

a) Traditional
b) Binuclear
c) Extended
d) Gay and lesbian

Answer 4

c) Extended

Question 5

Identify the two phases of the ovarian cycle

Answer 5

• Follicular Phase or proliferative (10-15 days)

* Luteal Phase or progestogenic

Question 6

Name 3 primary medications for newborns

Answer 6

• Vitamin K 2 • Erythromycin • Hep B vaccine.

Question 7

Postpartum haemorrhage is defined as:

Answer 7

Blood loss of 500 ml or more within 24 hours of birth.

Question 8

Most common causes of postpartum haemorrhage:

Answer 8

• Uterine atony • retained products • Lacerations (vagina, cervix, perineum)

Question 9

What is uterine atony?

Answer 9

failure of the uterine muscles to contract normally after the baby and placenta are delivered.

Question 10

Signs of shock

Answer 10

tachycardia and hypotension

Question 11

HELLP?

Answer 11

A sign of preeclampsia and PPH

- Haemolysis - Elevated Liver enzymes - Low Platelet count

Question 12

Resuscitation of postpartum haemorrhage (PPH) patient:

Answer 12

Minor: IV access with 14 gauge cannula and commence crystaloid infusion.
Major: Assess breathing, apply non-rebreather 10-15 litres a minute, IV access with 2 x 14 gauge cannulas, keep woman lying flat and wrm, transfuse blood as avail until then transfuse warmed (2L) crystaloid Hartmans solution/or 1-2 litres of colloid.

Question 13

Prophylactic oxytosis (oxytocin) does what?

Answer 13

Reduces risk of PPH by 60%. Helps speed up placenta birth.

Question 14

Drug fever management

Answer 14

Acetaminophen (Paracetemol, Panadol) (10-15 mg/kg 4-6 hrs)

Ibuprophen (Neurophen). NSA - non-steroidal antipyretic (4-10 mg/kg 6-8 hrs)

Question 15

Chain of Infection

Answer 15

• Pathogenic agent • Reservoir • Portal of exit • Transmission • Portal of entry • Host susceptibility

Question 16

Active Immunity

Answer 16

• Antibody production stimulated by vaccine antigens without causing disease

Question 17

Passive immunity

Answer 17

• Antibodies produced in another host (eg. mother) given when child needs antibodies faster than the body can make them
• Does not last - child will need vaccine in future

Question 18

Stages of labour

First Stage:

Answer 18

Latent: 0.4cm dilation Contractions 5-7mins.
Active: 4-7 cm. Contractions 2-5 mins. 30-50 secs duration. Maternal anxiety and pain.
Transition: ends 8-10 cm. Contractions 2-3 mins. 50 secs duration.

Question 19

Stages of labour

2nd Stage:

Answer 19

Complete effacement. Birth.

Question 20

Stages of labour

3rd Stage:

Answer 20

Delivery of the placenta.

Question 21

<p>Stages of labour 4th Stage:</p>

Answer 21

<p>Palpation of the fundus to assess uterine firmness. Return to pre-pregnancy norms.</p>