NUR 437 Midterm Exam Questions with
Correct Answers
Telehealth - Answer--The use of digital information and communication technologies,
such as computers and mobile devices, to access health care services remotely and
manage you health care
-These may be technologies you use from home or that your doctor uses to improve or
support health care services
Goals of Telehealth - Answer--Make health care accessible to people who live in rural or
isolated communities
-Make services more readily available or convenient for people with limited mobility,
time, or transportation options
-Provide access to medical specialists
-Improve communication and coordination of care among members of health care team
and a patient
-Provide support for self-management of health care
Patient portal - Answer--Offer an alternative to email, which is a generally insecure
means to communicate about private medical information
-Provides a more secure online tool
-Communicate with your doctor or a nurse
-Request prescription refills
-Review test results and summaries of previous visits
-Schedule appointments or request appointment reminders
Virtual appointments - Answer-Telehealth service in which you are able to see your
doctor or nurse via online videoconferencing
Virtual appointments drawbacks - Answer--Treatment may not be coordinated with your
regular doctor
-Essential information from your medical history may not be considered
-The computer driven decision-making model may not be optimal if you have a complex
medical history
-The virtual visit lacks an in-person evaluation, which may hamper accurate diagnosis
-The service doesn't easily allow for shared doctor-patient decision-making about
treatments or making a plan B if initial treatment doesn't work
Nurse's role within Telehealth - Answer--Using the nursing process to provide nursing
care to patients through telecommunication technologies, including high-speed internet,
wireless, satellite, and video communication
-Nurses can assess patient's health status, deliver interventions, and evaluate
outcomes of nursing care while separated geographically from the patient
,Telehealth uses - Answer--Triaging patients, monitoring patients with chronic and critical
conditions, helping patients and manage symptoms, providing patient and caregiver
education and emotional support, and providing follow-up care
-Increases access to care
APGAR score - Answer-1) Appearance (skin color)
-Blue or pale (0)
-Body pink, hands and feet blue (1)
-Completely pink (2)
2) Pulse (heart rate)
-Absent (0)
-<100 bpm (1)
->100 bpm (2)
3) Grimace (reflex irritability)
-Absent (0)
-Grimace (1)
-Grimace (or vigorous cry) and cough/sneeze (2)
4) Activity (muscle tone)
-Limp (0)
-Some flexing of arms and legs (1)
-Active flexing of arms and legs; active motion (2)
5) Respiration
-Absent (0)
-Slow, irregular respirations, weak cry (1)
-Good respirations (30-60), strong cry (2)
Components of newborn assessment - Answer--Skin color
-Head
-Neck and shoulders
-Eyes
-Ears
-Nose
-Mouth
-Heart and respiratory
-Abdomen
-Umbilical cord
-Genitalia
-Extremities
-Reflexes
-Back, spine, anus
Newborn skin color - Answer--Should be pink
, -Vernix caseosa = normal
-Lanugo
-Acrocyanosis: first 24-48 hours is normal
-Polycythemia: ruddy or dark red color
-Pallor: blood loss or infection
-Cyanosis: infection, hypothermia, hypoglycemia, respiratory/cardiac difficulties
-Mottled skin: infant is cold
-Jaundice: high bilirubin levels from hemolysis of RBC
-Green: meconium stool released before birth
Newborn head - Answer--Molding
-Overriding sutures
-Caput
-Cephalohematoma
-Anterior and posterior fontanels
Newborn neck and shoulders - Answer--Check the movement and position of the head
-Palpate simultaneously for intactness and crepitus of clavicles
-Assess range of motion of arms
-Shoulder dystocia
Newborn eyes - Answer--Iris color
-Conjunctival hemorrhage: traumatic birth
Newborn ears - Answer--Assess the position of each ear by drawing an invisible line
across the eyes to the insertion of the ears
-Low set ears: abnormalities of internal organs
-Assess for size and stiffness
Newborn nose - Answer-Observe for flaring: respiratory distress
Newborn mouth - Answer--Assess the outside and inside
-The color of the lips, gums, and tongue should be red
-Inspect the lip for abnormalities
-Palpate the upper part of the mouth for an intact soft and hard palate
-Check the strength of the infants suck reflex
-Check the gums or palpate for nodules
-Assess the tongue for attachment, mobility, and size
Newborn heart and respiratory - Answer--Observe for chest for evenness of respirations
-Observe for intercostal and substernal retractions
-Assess for nipple/breast tissue for size and symmetry
-Breast buds are the amount of areola raised off the chest
-Palpate the brachial artery in each arm
-Auscultate heart sounds
-Count heart rate for a full minute
Correct Answers
Telehealth - Answer--The use of digital information and communication technologies,
such as computers and mobile devices, to access health care services remotely and
manage you health care
-These may be technologies you use from home or that your doctor uses to improve or
support health care services
Goals of Telehealth - Answer--Make health care accessible to people who live in rural or
isolated communities
-Make services more readily available or convenient for people with limited mobility,
time, or transportation options
-Provide access to medical specialists
-Improve communication and coordination of care among members of health care team
and a patient
-Provide support for self-management of health care
Patient portal - Answer--Offer an alternative to email, which is a generally insecure
means to communicate about private medical information
-Provides a more secure online tool
-Communicate with your doctor or a nurse
-Request prescription refills
-Review test results and summaries of previous visits
-Schedule appointments or request appointment reminders
Virtual appointments - Answer-Telehealth service in which you are able to see your
doctor or nurse via online videoconferencing
Virtual appointments drawbacks - Answer--Treatment may not be coordinated with your
regular doctor
-Essential information from your medical history may not be considered
-The computer driven decision-making model may not be optimal if you have a complex
medical history
-The virtual visit lacks an in-person evaluation, which may hamper accurate diagnosis
-The service doesn't easily allow for shared doctor-patient decision-making about
treatments or making a plan B if initial treatment doesn't work
Nurse's role within Telehealth - Answer--Using the nursing process to provide nursing
care to patients through telecommunication technologies, including high-speed internet,
wireless, satellite, and video communication
-Nurses can assess patient's health status, deliver interventions, and evaluate
outcomes of nursing care while separated geographically from the patient
,Telehealth uses - Answer--Triaging patients, monitoring patients with chronic and critical
conditions, helping patients and manage symptoms, providing patient and caregiver
education and emotional support, and providing follow-up care
-Increases access to care
APGAR score - Answer-1) Appearance (skin color)
-Blue or pale (0)
-Body pink, hands and feet blue (1)
-Completely pink (2)
2) Pulse (heart rate)
-Absent (0)
-<100 bpm (1)
->100 bpm (2)
3) Grimace (reflex irritability)
-Absent (0)
-Grimace (1)
-Grimace (or vigorous cry) and cough/sneeze (2)
4) Activity (muscle tone)
-Limp (0)
-Some flexing of arms and legs (1)
-Active flexing of arms and legs; active motion (2)
5) Respiration
-Absent (0)
-Slow, irregular respirations, weak cry (1)
-Good respirations (30-60), strong cry (2)
Components of newborn assessment - Answer--Skin color
-Head
-Neck and shoulders
-Eyes
-Ears
-Nose
-Mouth
-Heart and respiratory
-Abdomen
-Umbilical cord
-Genitalia
-Extremities
-Reflexes
-Back, spine, anus
Newborn skin color - Answer--Should be pink
, -Vernix caseosa = normal
-Lanugo
-Acrocyanosis: first 24-48 hours is normal
-Polycythemia: ruddy or dark red color
-Pallor: blood loss or infection
-Cyanosis: infection, hypothermia, hypoglycemia, respiratory/cardiac difficulties
-Mottled skin: infant is cold
-Jaundice: high bilirubin levels from hemolysis of RBC
-Green: meconium stool released before birth
Newborn head - Answer--Molding
-Overriding sutures
-Caput
-Cephalohematoma
-Anterior and posterior fontanels
Newborn neck and shoulders - Answer--Check the movement and position of the head
-Palpate simultaneously for intactness and crepitus of clavicles
-Assess range of motion of arms
-Shoulder dystocia
Newborn eyes - Answer--Iris color
-Conjunctival hemorrhage: traumatic birth
Newborn ears - Answer--Assess the position of each ear by drawing an invisible line
across the eyes to the insertion of the ears
-Low set ears: abnormalities of internal organs
-Assess for size and stiffness
Newborn nose - Answer-Observe for flaring: respiratory distress
Newborn mouth - Answer--Assess the outside and inside
-The color of the lips, gums, and tongue should be red
-Inspect the lip for abnormalities
-Palpate the upper part of the mouth for an intact soft and hard palate
-Check the strength of the infants suck reflex
-Check the gums or palpate for nodules
-Assess the tongue for attachment, mobility, and size
Newborn heart and respiratory - Answer--Observe for chest for evenness of respirations
-Observe for intercostal and substernal retractions
-Assess for nipple/breast tissue for size and symmetry
-Breast buds are the amount of areola raised off the chest
-Palpate the brachial artery in each arm
-Auscultate heart sounds
-Count heart rate for a full minute
