ATI PN PEDIATRIC NURSING REVISED EXAM WITH QUESTION AND
REVISED ANSWER GRADED A+
begin checking for fetal movement between weeks.... - Answer 16-20
Rh negative clients receive Rho(D) immune globulin IM around... - Answer 28 weeks
Cbc with differential (types of wbc's analyzed)
Hgb and Hct - Answer detect infection and anemia
Hgb electophoresis - Answer identifies hemoglobinopathies (sickle cell and
thalassemia)
rubella titer - Answer determines immunity to rubella
hep B screen - Answer identifies carriers of hep b
group B streptococcus - Answer obtain a vaginal/anal culture at 35-37 weeks to
check for group b strep infection
urinalysis with exam of pH, specific gravity, color, sediment, protein, glucose, albumin,
RBC's, WBC's, casts, acetone, and hCG - Answer identify pregnancy, diabetes,
gestational hypertension, renal disease, preeclampsia,
one hour glucose tolerance - Answer Identifies hyperglycemia; done at initial visit for
at-risk clients, and at 24 to 28 weeks of gestation for all pregnant women ( greater than
140 mg/dL requires follow up).
Papanicolaou (Pap) test - Answer Screening tool for cervical cancer, herpes simplex
type 2, and/or human papillomavirus.
PPD test - Answer tuberculosis test at 20 weeks gestation
gestational hypertension signs - Answer severe persistent headaches
blurred vision
edema of face and hands
epigastric pain
relieve backache during pregnancy - Answer perform the pelvic rock exercise every
day (bend back forward then backwards)
use proper body mechanics
which is a complication that should be promptly reported?
a. vaginal bleeding
, b. swelling ankles
c. heartburn after eating
d. lightheadedness when lying on her back - Answer vaginal bleeding- could indicate
placental problems
Contraceptive use - Answer a water soluble lubricant should be used with condoms
Oral contraceptive danger indications - Answer Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) - Answer Check for presence of IUD strings following each
menstruation to ensure the device is still present. A change in the length of the strings
should be reported to the provider
Implantable progestins adverse effects - Answer Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone - Answer clients should take calcium and vitamin D o prevent
loss of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive - Answer changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable - Answer changes that make the examiner suspect
pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
Signs of Pregnancy: Positive - Answer those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
REVISED ANSWER GRADED A+
begin checking for fetal movement between weeks.... - Answer 16-20
Rh negative clients receive Rho(D) immune globulin IM around... - Answer 28 weeks
Cbc with differential (types of wbc's analyzed)
Hgb and Hct - Answer detect infection and anemia
Hgb electophoresis - Answer identifies hemoglobinopathies (sickle cell and
thalassemia)
rubella titer - Answer determines immunity to rubella
hep B screen - Answer identifies carriers of hep b
group B streptococcus - Answer obtain a vaginal/anal culture at 35-37 weeks to
check for group b strep infection
urinalysis with exam of pH, specific gravity, color, sediment, protein, glucose, albumin,
RBC's, WBC's, casts, acetone, and hCG - Answer identify pregnancy, diabetes,
gestational hypertension, renal disease, preeclampsia,
one hour glucose tolerance - Answer Identifies hyperglycemia; done at initial visit for
at-risk clients, and at 24 to 28 weeks of gestation for all pregnant women ( greater than
140 mg/dL requires follow up).
Papanicolaou (Pap) test - Answer Screening tool for cervical cancer, herpes simplex
type 2, and/or human papillomavirus.
PPD test - Answer tuberculosis test at 20 weeks gestation
gestational hypertension signs - Answer severe persistent headaches
blurred vision
edema of face and hands
epigastric pain
relieve backache during pregnancy - Answer perform the pelvic rock exercise every
day (bend back forward then backwards)
use proper body mechanics
which is a complication that should be promptly reported?
a. vaginal bleeding
, b. swelling ankles
c. heartburn after eating
d. lightheadedness when lying on her back - Answer vaginal bleeding- could indicate
placental problems
Contraceptive use - Answer a water soluble lubricant should be used with condoms
Oral contraceptive danger indications - Answer Shortness of breath can indicate
pulmonary embolism or myocardial infarction
IUD (intrauterine device) - Answer Check for presence of IUD strings following each
menstruation to ensure the device is still present. A change in the length of the strings
should be reported to the provider
Implantable progestins adverse effects - Answer Irregular vaginal bleeding
weight gain
breast changes
medroxyprogesterone - Answer clients should take calcium and vitamin D o prevent
loss of bone density
can cause irregular bleeding
Signs of pregnancy: Presumptive - Answer changes might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks gestation)
abdominal enlargement
Signs of Pregnancy: Probable - Answer changes that make the examiner suspect
pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
Signs of Pregnancy: Positive - Answer those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
