OB /PEDS ---ATI / NCLEX Review questions with answers correct (graded A+)

OB /PEDS ---ATI / NCLEX Review questions with answers correct (graded A+) How j long j should j you j leave j a j diaphragm j in j after j intercourse? j - j correct j answers-6 j hours What j type j of j lubricant j is j used j with j a j diaphragm? j - j correct j answers-Water-based j lubricant What j should j you j do j before j inserting j diaphragm? j - j correct j answers-Empty j bladder How j often j should j a j diaphragm j be j refitted? j - j correct j answers-Every j 2 j years What j are j 2 j reasons j a j diaphragm j would j need j to j be j refitted? j - j correct j answers---Client j gains/loses j 15lbs --After j full j term j pregnancy Risk j associated j with j Estrogen-Progestin j oral j contraceptives? j - j correct j answers--increased j risk j of j thrombosis -CVD -breast j cancer -poor j liver j function Risk j associated j with j Medroxyprogesterone j (demo-Provera)? j - j correct j answers-Decreased j bone-mineral j density j & j Osteoporosis When j is j an j IUD j contraindicated? j (3) j - j correct j answers-1. j non-monogamous j women 2. j no j pregnancy j hx 3. j hx j of j pelvic j inflammatory j disease When j is j Norelgestromin/ethinyl j estrialdol j (transdermal j patch) j contraindicated? j - j correct j answers-Hx j of j HTN j or j thromboembolism What j is j Nagele's j rule? j - j correct j answers--take j LMP j date, j subtract j 3 j months j & j add j 7 j days j & j add j 1 j year j to j obtain j approximate j due j date j (LMP: j 3/15/16 j = j 12/22/17) When j is j Rhogam j given? j - j correct j answers--anytime j mother-fetal j transfer j of j blood j might j occur - j (ie: j mva's, j amniocentesis, j abd j trauma, j routinely j at j 28 j weeks, j post-partrum j if j mom j is j Rh- j & j baby j is j Rh+, j & j w/ j each j pregnancy/miscarriage). How j many j weeks j gestation j is j the j Rubella j titer j given? j - j correct j answers-6 j weeks. At j how j many j weeks j is j a j 1 j hour j glucose j tolerance j test j done? j - j correct j answers-28 j weeks At j how j many j weeks j is j a j GBS j culture j done? j - j correct j answers-36 j weeks How j often j is j a j urine j dipstick j done? j & j what j is j this j testing j for? j - j correct j answers-Done j every j visit j to j test j for j proteinuria. What j percent j increase j in j blood j flow j occurs j during j pregnancy? j - j correct j answers-50% What j are j 3 j effects j that j occur j during j pregnancy j d/t j increased j blood j flow? j - j correct j answers-Increased j RR j & j HR j & j workload j on j the j heart. How j do j you j manage j Hyperemesis? j - j correct j answers--dry j toast/crackers j in j am -each j a j small j snack j w/ j protein j @ j bedtime -Don't j eat j fatty j foods. -Eat j what j sounds j good j instead j of j trying j to j eat j all j food j groups. What j should j you j do j if j the j patient j becomes j dehydrated? j - j correct j answers-1) j Monitor/check j kidney j function j tests 2) j Assess j / j monitor j for j : j increased j BUN j & j Creatinine; j decreased j urine j output, j & j weight j loss. What j are j risk j factors j for j Abruptio j placenta? j (4) j - j correct j answers-1) j HTN 2) j Cocaine j use 3) j more j than j 1 j fetus 4) j polyhydramnios How j soon j should j you j resume j sexual j activity j after j delivery? j - j correct j answers-6 j weeks What j steps j should j you j do j when j resuming j sexual j activity j after j delivery? j - j correct j answers-1) j use j water j soluble j lubrication j (KY j jelly) 2) j use j protection j (ovulation j can j occur j 1 j month j after j delivery). When j should j you j first j start j breastfeeding j after j delivery? j - j correct j answers-Feed j within j 1 j hour j of j delivery j & j then j on j demand (usually j 8-12 j feedings/24hrs) How j should j you j treat j engorgement? j - j correct j answers-Use j Cabbage j leaves -(Warning: j contain j phytoestrogens j which j can j decrease j milk j supply j if j used j too j often) What j do j you j use/treat j sore j nipples j with? j - j correct j answers-Lanolin j cream What j do j you j use j for j flat j nipples? j - j correct j answers-Breast j shells s/s j of j mastitis? j (4) j - j correct j answers--fever -unilateral j breast j tenderness -chills -body j aches s/s j of j candidiasis? j (4) j - j correct j answers--pink -shiny j nipples j -fine j rash -burning j & j stinging j w/ j feeding How j many j additional j calories j should j a j woman j eat j every j day j when j pregnant? j - j correct j answers-300 j calories j / j day How j many j additional j calories j should j a j woman j eat j per j day, j when j breastfeeding? j - j correct j answers-400-500 j / j day What j should j you j use j when j bottle j feeding? j - j correct j answers-a j breast j binder. -no j stimulation j to j breasts When j should j you j use j oxytocin j during j labor? j (2) j - j correct j answers-1) j Induction 2) j Augmentation j of j labor When j should j you j turn j the j oxytocin j off? j - j correct j answers--If j client j has j prolonged j OR j late j decelerations What j RN j interventions j should j be j done j if j there j are j prolonged j OR j late j decelerations? j (5) j - j correct j answers-1) j turn j pt j to j side 2) j increase j IV j fluid 3) j give j O2 j per j face j mask j @ j 10-15 j L/min 4) j stimulate j fetal j scalp j if j needed 5) j may j need j to j give j terbutaline What j can j STI's j or j any j infection j cause? j - j correct j answers-preterm j labor s/s j of j preterm j labor? j (4) j - j correct j answers-1) j low j back j pain 2) j diarrhea j (could j mean j infection) 3) j cramping 4) j increased j vaginal j mucous What j meds j can j be j given j if j preterm j labor j occurs? j - j correct j answers-Terbutaline, j Magnesium j sulfate, j and j Betamethasone What j are j 3 j side j effects j of j terbutaline? j - j correct j answers-1) j HYPOkalemia 2) j HYPERtension 3) j HYPERgycemia How j often j is j Terbutaline j given? j - j correct j answers-Terbutaline j SQ j q4hr j -IF j pt j goes j home, j Terbu download for the complete and clear document