Questions and CORRECT Answers
ottis media - CORRECT ANSWER - inflammation of the middle ear.
Presence of fluid in the middle ear, along with the cute signs of illness and symptoms of middle
ear inflammation
Acute Otis Media (AOM) - CORRECT ANSWER - And inflammation of the middle ear
space with a rapid onset of the signs and symptoms of acute infection: fever, and otalgia(ear
pain)
Otitis Media with Effusion (OME) - CORRECT ANSWER - Fluid in the middle ear space
without the signs and symptoms of infection. Down syndrome patients are at risk.
Treatment for acute otitis media - CORRECT ANSWER - Antibiotic, stewardship, watch
and see for children older than 2 treat in children younger than two.
Ampicillin first line
Amoxicillin clavulanate azithromycin cephalosporin is second
Acetaminophen or ibuprofen for pain and fever
Can use hot and cold
Benzo cane drops for pain
myringotomy - CORRECT ANSWER - incision into the tympanic membrane
Drains infected middle ear fluid, alleviates, severe pain, and allows for culture of fluid.
Tympanostomy tube placement, and adenoidectomy can be done to treat chronic OM
RELIEVES PRESSURE
Myringotomy - CORRECT ANSWER - Finish the full antibiotic prescription
,Most common type of hearing loss - CORRECT ANSWER - Conductive or middle ear
hearing loss is the interference with loudness of sound
Sensory neural hearing loss - CORRECT ANSWER - hearing loss caused by damage to
the inner ear or the auditory nerve by loud sounds, or a congenital defect caused by kinectorus,
infection, or auto toxic drugs
fetal alcohol syndrome - CORRECT ANSWER - Baby born to parents who drink during
pregnancy causes physical and cognitive delays.
Fetal alcohol syndrome, physical characteristics - CORRECT ANSWER - Short, flat nose
Small eye openings
Thin upper lip
Short palpebral fissures
Indistinct philtrum
Singular Palmer crease
Respiratory distress (apnea or cyanosis)
Irritability , trimmers, poor, feeding, seizures
Fetal alcohol syndrome, interventions - CORRECT ANSWER - Breast-feeding ,
swaddling, monitor for hypoglycemia
Down Syndrome (Trisomy 21) - CORRECT ANSWER - Most common chromosomal
abnormality. Diagnosed w/ amniocentesis, chorionic, villus, sampling, blood screen
Down syndrome signs and symptoms - CORRECT ANSWER - Palpebral fissures, flat
nasal bridge, protruding tongue, big toe, separated, congenital heart defects, Palmer crease,
hypotonia(no muscle), increased risk for leukemia and hypothyroidism
, Nifedipine (Procardia) - CORRECT ANSWER - Tocolytic. Side effects: hypotension,
fatigue, nausea, flushing, uteroplacental perfusion complications. Monitor BP, avoid concurrent
use with magnesium sulfate, monitor contractions and FHT, used to prevent HYPERTENSION.
Methylergonovine (Methergine) - CORRECT ANSWER - 140/90 and above BP- don't
give. Also assess for n/v and headache
Used to prevent postpartum hemorrhage
Carboprost - CORRECT ANSWER - Treatment for postpartum hemorrhage
Hydralazine - CORRECT ANSWER - Antihypertensive use for severe hypertension and
preeclampsia
** A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous
infusion for 8 hours. The nurse assesses the client and documents the following findings:
temperature of 37.1° C, pulse rate of 96 beats per minute, respiratory rate of 24 breaths per
minute, BP of 155/112 mm Hg, 3+ DTRs, and no ankle clonus. The nurse calls the provider with
an update. The nurse should anticipate an order for which medication? *** - CORRECT
ANSWER - Hydrolazine
Aminoglycosides can cause - CORRECT ANSWER - ototoxicity and nephrotoxicity and
photosensitivity
mastitis - CORRECT ANSWER - inflammation of the breast; flu like symptoms, fever,
chills, bodyaches, headache, nausea, vomiting, hot, red, and area on the breast. Occurs in upper
portion of breast. Tx: breast-feeding., hot compresses, cabbage leaves, NSAIDS, antibiotics.
The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is:
a. A gravida 3 who has had two low-segment transverse cesarean births.
b. A gravida 2 who had a low-segment vertical incision for delivery of a 10-pound infant.
c. A gravida 5 who had two vaginal births and two cesarean births.
d. A gravida 4 who has had all cesarean births. - CORRECT ANSWER -d