NUR 145 PAPER 1 EXAM Questions with Answers | 2023/2024 | NUR 145 P1 LONG EXAM

NUR 145 PAPER 1 EXAM Questions with Answers | 2023/2024 | NUR 145 P1 LONG EXAM. A woman delivers a 3,250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination of this neonate? * A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching? * NUR 145 P1 LONG EXAM B. “I can use analgesics to assist in alleviating some of the discomfort.” C. “I need to wear a supportive bra to relieve the discomfort.” D. “I need to stop breastfeeding until this condition resolves.” 1/1 A. Keep the patent ductus arteriosus (PDA) open B. Reduce joint inflammation C. Decrease swelling of strawberry tongue D. Treat ventricular hypertrophy of endocarditis. 1/1 A. If the patient was A+ she would need to receive RhoGAM. B. The patient will need to receive RhoGAM during this visit to prevent hemolytic disease of the newborn. C. The baby will need to receive RhoGAM after it’s born. D. Since the mother is A- the baby can be Rh positive, which could lead to an immune attack on the mother’s body. Option 1 Aspirin has been ordered for the child with rheumatic fever (RF) in order to: * A 26 year old female is 27 weeks pregnant with her second child. The woman is A-. As the nurse you know that: * NUR 145 P1 LONG EXAM 1/1 A. Disuse syndrome B. Infection C. Fluid volume deficit D. Decreased cardiac output 1/1 A. Severe anemia leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems. B. Severe nausea and vomiting leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems. C. Loss of appetite and continuous vomiting that commonly results in dehydration and ultimately decreasing maternal nutrients D. Severe nausea and diarrhea that can cause gastrointestinal irritation and possibly internal bleeding A baby was born 2 hours ago by Cesarean section. The newborn has a myelomeningocele with the sac intact and has been placed in an incubator. The nurse, when planning care for the baby, should focus on potential for: * Which of the following statements best describes hyperemesis gravidarum? * NUR 145 P1 LONG EXAM 1/1 A. Assess vital signs every 4 hours B. Inform health care provider of assessment findings C. Measure fundal height every 4 hours D. Prepare an ice pack for application to the area. 1/1 A. Cardiovascular symptoms, such as decreased hemoglobin and hematocrit levels B. CNS symptoms, such as ataxia and peripheral neuropathy C. Gastrointestinal symptoms, such as nausea and vomiting D. Respiratory symptoms, such as cough and sore throat A nurse is developing a plan of care for a postpartum woman with a small vulvar hematoma. The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client? * Gianna a 22-year old pregnant woman, who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to thiamin deficiency? * NUR 145 P1 LONG EXAM 1/1 A. Medication that will provide sedation B. Increased hydration C. Oxytocin (Pitocin) infusion D. Administration of a tocolytic medication 1/1 a. Instillation of antibiotic in the eyes. b. Identification by bracelet and foot prints. c. Placement in a warm environment. d. Neurological assessment to determine gestational age. A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of a slowing labor. The nurse is reviewing the physician’s orders and would expect to note which of the following prescribed treatments for this condition? * All of the following are important in the immediate care of the premature neonate. Which nursing activity should have the greatest PRIORITY? * NUR 145 P1 LONG EXAM 1/1 A. “I will maintain strict bedrest throughout the remainder of pregnancy.” B. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding.” C. “I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad.” D. “I will watch for the evidence of the passage of tissue.” 1/1 A. Routine vaginal examinations B. Monitoring vital signs C. Administer RhoGAM per MD order D. Assess internal fetal monitoring E Placing patient on side-lying position A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement, if made by the client, indicates a need for further education? * Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient’s care? Select all that apply: * NUR 145 P1 LONG EXAM E. Placing patient on side-lying position F. Monitoring pad count G. Monitoring CBC and clotting levels 1/1 A. “Do not be concerned; it is common for children to have a decreased appetite during a respiratory illness.” B. “Be sure your child is taking an adequate amount of fluids. The appetite should return soon.” C. “Try offering the child some favorite food. Maybe that will improve the appetite.” D. “You need to force your child to eat whatever you can; adequate nutrition is essential.” 1/1 a. smoking, paternal factors, young age. b. competent cervix, high parity, heart defects. c. accidents, early pregnancy coitus, high parity. d. infection, defective ovum, diabetes mellitus, incompetent cervix. A school-age child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little or no appetite for the last 24 hours. Which is the nurse’s best response? * The factors that play a significant role in the causation of spontaneous abortion include: * NUR 145 P1 LONG EXAM 1/1 a. “The fetus is Rh negative and you are Rh positive.” Rh n b. “You and the neonate’s father are both Rh negative.” Rh n c. “You are Rh positive and the neonate’s father is Rh negative.” Rh n d. “You are Rh negative and the neonate’s father is Rh positive.”