NUR 320 FINAL EXAM LATEST 2022 – Questions and Answers

NUR 320 FINAL EXAM LATEST 2022 – Questions and Answers. A 40-year-old woman comes to the clinic complaining of having missed her period for two months. A pregnancy test is positive. What is she and her fetus at increased risk for? a. Post-term delivery b. Type I diabetes Mellituus c. Type II diabetes Mellitus d. Placental abnormalities Explanation: A woman older than 35 years is more likely to conceive a child with chromosomal abnormalities, such as Down syndrome. She is also at higher risk for spontaneous abortion (miscarriage), preeclampsia-eclampsia, gestational diabetes, pre-term delivery, bleeding and placental abnormalities, and other intrapartum complications. P692 2. A woman with a long history of controlled asthma has just had her first antenatal visit for her fourth child. She is late for a meeting and says she knows what to do. What is the best action the nurse can take? a. Note in the chart that the woman was not counseled about her asthma. b. Acknowledge her need to leave but ask her to demonstrate the use of her inhaler and her peak flow meter before she goes; make any necessary corrections to her technique. Remind her to take her regular medications. c. Remind her to continue taking her asthma medications, to monitor her peak flow daily, and to monitor the baby's kicks in the second and third trimesters. d. Schedule an appointment for her to return to discuss her asthma management. Explanation: Management of asthma during pregnancy is very important, the nurse must document the patient has the proper ability to manage her asthma for her health and the health of the fetus. Reminding the patient to continue taking her prescribed medication to monitor her peak flow daily is not enough. It is the nurse's responsibility to KNOW that the patient knows how to take her medications. Monitoring the baby's kicks in the second and third trimester is an appropriate action. Scheduling a return appointment to discuss asthma management is not appropriate. She could have an asthma attack between the time you see her and the time you schedule a return appointment. Noting in the chart that the woman was not counseled does not relieve the nurse of her obligation to ensure that the woman knows how to use her inhaler and her peak flow meter. P669 3. A nurse is caring for a pregnant client with heart disease in a labor unit. Which of the followingisthemostimportantinterventionforthisclientinthefirst48hours consumes a high-fiber diet are interventions during pregnancy, not in the first 48 hours postpartum. P665 4. A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this make her infant at risk for? a. Neonatal laryngeal papillomas b. Deafness c. Chicken pox d. Blindness Explanation: A pregnant woman who contracts chlamydia is at increased risk for spontaneous abortion (miscarriage), pre-term rupture of membranes, and pre-term labor. The postpartum woman is at higher risk for endometritis (Fletcher & Ball, 2006). The fetus can encounter bacteria in the vagina during the birth process. If this happens, the newborn can develop pneumonia or conjunctivitis that can lead to blindness. P677 5. You are the clinic nurse caring for a pregnant woman in her third trimester. The woman is HIV positive and voices concerns about passing the infection on to her baby. What is your best response? a. If you are taking antiretroviral medications and you don't breastfeed your baby, you greatly reduce the risk of perinatal transmission of the disease. b. Perinatal transmission of the virus is a real fear. Would you like to talk to a social worker? c. There is nothing you can do. You will just have to wait and see if your baby is born HIV positive. d. Do you have other children? Your baby has a one-in-four chance of having HIV at birth, so if you have three other children who are not HIV positive, then this one will be HIV positive. Explanation: Receiving appropriate antiretroviral treatment during pregnancy and childbirth and refraining from breastfeeding substantially reduce the risk of perinatal transmission. P684 6. When educating a pregestational patient on how to control her blood sugar, the nurse knows there are three main facets to glycemic control: diet, exercise and _______. Which of the following is the third facet? a. Glucose tablets b. Insulin c. Folic acid d. Niacin We offer online tutoring and help with assignments for all majors with a guaranteed pass. For assistance contact Tutor Lucas: +1(775) 766-9089