Mandrakes
A woman is currently 32 weeks pregnant. She has had two other previous pregnancies, one resulting in a term birth (39 weeks) and the other ending in a miscarriage at 6 weeks. She has one living child. What is her GTPAL calculation?
G3 T1 P0 A1 L1
gravidity, term births, preterm births, abortions/miscarriages, living children
_______ criteria is used for diagnosing rheumatic fever
major- carditis, polyarthritis, chorea (sudden jerky movements) subcutaneous nodules
minor- fever, arthralgia, previous rheumatic fever
A patient is suspected of having a ruptured ectopic pregnancy. Which intervention or assessment would the nurse identify as the priority?
Preventing hemorrhage, assessing for
A 12-year-old boy is brought to the ED because he has made statements of hurting himself and states, "I wish I wasn't here anymore." What safety precautions should be put in place?
mental health eval, safety sitter, suicide precautions, taking non-essential equipment out of room, finger foods, full assessment, etc
Which is one of the most important factors to consider when communicating with children?
Child's developmental level
At what point in prenatal development do the lungs begin to produce surfactant?
20 weeks
A 3-week-old is suspected of having developmental dysplasia of the hip. What test(s) or sign(s) should the nurse expect the healthcare provider to assess?
Ortolani's and Barlow's
What signs and symptoms should a pregnant woman report immediately to her health care provider?
vaginal bleeding, rupture of membranes, heartburn accompanied by severe headache, etc.
A child is myelosuppressed. The nurse includes which teaching(s) to minimize or prevent bleeding episodes...name 3
Good oral hygiene, avoiding IV's or IM injections, hygiene emphasized, control active bleeding, appropriate activities, platelets for active bleeds, inspecting skin, urine, stool etc
Which body systems does Cystic Fibrosis affect? Name 3
Integumentary, reproductive, gastrointestinal, endocrine, and respiratory
The nurse is collecting initial data on a newborn in the delivery room. Which observations would the nurse expect to note in a healthy newborn? Name at least 3
RR rate between 30-60, three umbilical cord vessels, feeding without complications, absence of nasal flaring, no adventitious lung sounds, passing urine and stool, heart rate 120-160, greater than 92% on RA, temp at least 97 F, strong pulses x4, no heart murmur, general assessment
What are some of the major complications after a child has a total thyroidectomy?
hypocalcemia, can result in laryngospasm, loss of airway
injury to nearby structures like laryngeal nerve
bleeding
infection
A client in the postpartum unit complains of sudden, sharp chest pain. The nurse notes that the client is tachycardic and tachypneic. What does the nurse suspect?
Pulmonary embolism
A school-age child with diabetes gets 30 units of NPH insulin at 0800. When is the child at greatest risk for a hypoglycemic episode?
Lunch and Dinner
A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription?
IV infusion factor VIII, helps replace the missing clotting factor and minimize bleeding
While assessing the one minute APGAR score of a newborn baby the following is noted about the newborn patient: heart rate 140, cyanotic hands and feet pink body, weak cry, flexion of the arms and legs, active movement and crying when stimulated. What is the patient's APGAR score?
8
appearance, pulse, grimace, activity, respiration, taken 1 and 5 minutes after birth
The nurse is caring for a pediatric patient receiving an intravenous opioid medication for severe pain. The nurse notes that the patient is breathing slowly and cannot be aroused. What medication will the nurse expect to administer?
naloxone (Narcan)
What are the primary functions of the placenta? Name 3
protects the fetus from pathogens, provides hormones that maintain the pregnancy, removes waste products from the fetus, transfers nutrients to the fetus
A child with leukemia is being discharged after beginning chemotherapy. What teachings should the nurse include in the teaching plan for the parents or guardians of this child? Name at least 3
Avoid large crowds, avoid unwashed fruits and veggies, live vaccines, etc
The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Name 2
Uterine hyperstimulation and late decelerations of the fetal heart rate
stop when any s/s of uterine hyperstimulation, late decels or other adverse effects ocur
The nurse in the NICU receives a phone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. In planning for admission of this newborn, what is the nurse's highest priority?
Think ABC's
connect the resuscitation bag to the oxygen outlet, planning for O2 support
A child undergoes surgical removal of a brain tumor. During the post op period, the nurse notes that the child is restless, the pulse rate is elevated, and blood pressure is decreased significantly. What does the nurses suspect and what is the priority action?
The nurse should suspect shock, initial action is to notify provider. Do not place in trendelenburg, increase IVF can cause increased ICP, monitor for s/s of bleeding and worsening condition but will need to notify provider first
The nurse is explaining to a student that several physiological factors cause a pregnant woman to be prone to venous thrombosis and embolic phenomena. What factors are included? Name 3
increased blood factors, venous stasis, vascular injury, maternal age, obesity, smoking, previous blood clots or family hx, immobility after surgery, sedentary lifestyle,
A 4-month-old is diagnosed with Tetralogy of Fallot. The nurse educates the parents and notes what defects are included?
pulmonary artery stenosis, right ventricular hypertrophy, ventricular septal defect, displacement of the aorta
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? Name 3
respiratory depression, loss of deep tendon reflexes, sudden decline in fetal heart rate and maternal heart rate and BP, changes in vitals with mom and baby