NP230 Specialty Nursing Exam 2 Study Guide Questions
with Correct Answers
Congestive Heart Failure Symptoms✔✔Exercise intolerance, clubbing, frequent respiratory
infections.
Iron Deficiency Anemia Signs✔✔Pale mucous membranes, fatigue, poor growth, concave nails.
Type 1 Diabetes✔✔Insulin-dependent; pancreas fails to produce insulin.
Strabismus✔✔Eyes cannot focus on the same object.
Cataracts✔✔Opacities in the lens; can be congenital.
Glaucoma✔✔Increased intraocular pressure; can cause blindness.
Hemophilus Influenza Meningitis✔✔Requires isolation and IV antibiotics for treatment.
Cerebral Palsy Management✔✔Managed through physical therapy; no mental impairment.
Head Injury Monitoring✔✔Observe for vomiting and consciousness changes for 6 hours.
GERD Symptoms✔✔Vomiting after feeding; irritability and weight loss.
Diarrhea and Gastroenteritis✔✔Characterized by projectile vomiting in children.
, Appendicitis Symptoms✔✔Right lower quadrant pain, fever, nausea, constipation.
True Labor✔✔Contractions occur at regular intervals, gradually increase in frequency, duration
and intensity, bring about progressive cervical dilation and effacement (thinning out of cervix).
Membranes are bulging or ruptured, bloody show present.
False Labor✔✔Contractions are irregular, stop or slow with position changes, soften the cervix
but do not change dilation, do not contribute to goal of birth. Membranes remain intact, absent
bloody show.
Nonpharmacological pain relief during labor✔✔Labor support, hydrotherapy, ambulation &
position change, acupuncture, acupressure, attention focusing & imagery, therapeutic massage,
effleurage, breathing and heat application.
Monitor blood pressure during labor✔✔Every 3-5 mins.
Epidural anesthesia✔✔Green discharge report to nurse and the doctor.
Potential problems in labor✔✔Blood pressure (high/low), temp of 100.4+, uterine contractions
>90 seconds, bleeding.
Bishop scoring system✔✔a) Cervical consistency b) Effacement c) Station d) Dilation e) Cervix. 7
or more = likely safe induction, 6 or less = unfavorable cervix likely unsuccessful induction.
VBAC (Vaginal Birth After Cesarean)✔✔Contraindications: prior classic uterine incision, prior
uterine surgery, contracted pelvis, placenta previa.
with Correct Answers
Congestive Heart Failure Symptoms✔✔Exercise intolerance, clubbing, frequent respiratory
infections.
Iron Deficiency Anemia Signs✔✔Pale mucous membranes, fatigue, poor growth, concave nails.
Type 1 Diabetes✔✔Insulin-dependent; pancreas fails to produce insulin.
Strabismus✔✔Eyes cannot focus on the same object.
Cataracts✔✔Opacities in the lens; can be congenital.
Glaucoma✔✔Increased intraocular pressure; can cause blindness.
Hemophilus Influenza Meningitis✔✔Requires isolation and IV antibiotics for treatment.
Cerebral Palsy Management✔✔Managed through physical therapy; no mental impairment.
Head Injury Monitoring✔✔Observe for vomiting and consciousness changes for 6 hours.
GERD Symptoms✔✔Vomiting after feeding; irritability and weight loss.
Diarrhea and Gastroenteritis✔✔Characterized by projectile vomiting in children.
, Appendicitis Symptoms✔✔Right lower quadrant pain, fever, nausea, constipation.
True Labor✔✔Contractions occur at regular intervals, gradually increase in frequency, duration
and intensity, bring about progressive cervical dilation and effacement (thinning out of cervix).
Membranes are bulging or ruptured, bloody show present.
False Labor✔✔Contractions are irregular, stop or slow with position changes, soften the cervix
but do not change dilation, do not contribute to goal of birth. Membranes remain intact, absent
bloody show.
Nonpharmacological pain relief during labor✔✔Labor support, hydrotherapy, ambulation &
position change, acupuncture, acupressure, attention focusing & imagery, therapeutic massage,
effleurage, breathing and heat application.
Monitor blood pressure during labor✔✔Every 3-5 mins.
Epidural anesthesia✔✔Green discharge report to nurse and the doctor.
Potential problems in labor✔✔Blood pressure (high/low), temp of 100.4+, uterine contractions
>90 seconds, bleeding.
Bishop scoring system✔✔a) Cervical consistency b) Effacement c) Station d) Dilation e) Cervix. 7
or more = likely safe induction, 6 or less = unfavorable cervix likely unsuccessful induction.
VBAC (Vaginal Birth After Cesarean)✔✔Contraindications: prior classic uterine incision, prior
uterine surgery, contracted pelvis, placenta previa.
