NUR1025 Module 4 EAQs WELL ANSWERED
The dnurse dobserves dthat dintravenous d(IV) dadministration dof dmagnesium dsulfate
dhas dresulted din dmagnesium dtoxicity din da dpregnant dpatient dwith dpreeclampsia.
dThe dnurse dimmediately ddiscontinues dthe dinfusion dand dreports dto dthe dprimary
dhealth dcare dprovider d(PHP). dFor dwhich ddrug ddoes dthe dnurse dobtain da
dprescription dfrom dthe dPHP? d- dANSWER-Calcium dgluconate
A dpregnant dpatient dafter d20 dweeks dof dgestation dreports dpainless, dbright dred
dvaginal dbleeding. dUpon dassessment, dthe dnurse dfinds dthat dthe dpatient's dvital
dsigns dare dnormal. dWhich dcondition ddoes dthe dnurse dsuspect din dthe dpatient? d-
dANSWER-Placenta dprevia
The dnurse dis dcaring dfor da dpregnant dpatient dwho dis dscheduled dfor dsurgery.
dWhich dnursing dintervention dwill dhelp dprovide dsufficient dfetal doxygenation
dduring dthe dsurgery? d- dANSWER-Positioning dthe dpatient dwith da dlateral dtilt
After dbeing drehydrated din dthe demergency ddepartment, da d24-year-old dprimipara
din dher d18th dweek dof dpregnancy dis dat dhome dand dis dto drest dat dhome dfor
dthe dnext d2 ddays dand dtake din dsmall dbut dfrequent dfluids dand dfood das
dpossible. dDischarge dteaching dat dthe dhospital dby dthe dnurse dhas dbeen
deffective dif dthe dpatient dmakes dwhich dstatement? d- dANSWER-"I'm dgoing dto
deat dfive dto dsix dsmall dservings dper dday, dwhich dcontain dsuch dfoods dand dfluids
das dtea, dcrackers, dor da dfew dbites dof dbaked dpotato."
A dpatient dreports dexcessive dvomiting din dthe dfirst dtrimester dof dthe dpregnancy,
dwhich dhas dresulted din dnutritional ddeficiency dand dweight dloss. dThe durinalysis
dreport dof dthe dpatient dindicates dketonuria. dWhich ddisorder ddoes dthe dpatient
dhave? d- dANSWER-Hyperemesis dgravidarum
Which dis dan dimportant dnursing dintervention dwhen da dpatient dhas dan dincomplete
dmiscarriage dwith dheavy dbleeding? d- dANSWER-Prepare dthe dpatient dfor ddilation
dand dcurettage.
A dwoman dwith dsevere dpreeclampsia dis dbeing dtreated dwith dan dintravenous
dinfusion dof dmagnesium dsulfate. dThis dtreatment dis dconsidered dsuccessful dif
dwhat doccurs? d- dANSWER-Seizures ddo dnot doccur
, Which dis da dpriority dnursing dintervention dwhile dcaring dfor da dpregnant dpatient
dwith dhyperemesis dgravidarum? d- dANSWER-Initiate dintravenous d(IV) dfluid
dtherapy.
Which dstatement dmade dby dthe dnursing dstudent dabout dthe dmanagement dof
dreduced dcervical dcompetence d(premature ddilation dof dthe dcervix) din da dpregnant
dpatient dindicates deffective dlearning? d- dANSWER-"A dprophylactic dcerclage dis
dused dto dconstrict dthe dinternal dos dof dthe dcervix."
At d38 dweeks dof dgestation, da d24-year-old dprimipara ddelivers da d6-lb d2-oz dinfant
dwhose dfive-minute dApgar dwas d8. dHow dshould dthe dneonatal dnurse devaluate
dthe doutcome dof dthis dpregnancy dbecause dhis dmother dhad dbeen dexperiencing
dhyperemesis dgravidarum dsince dthe deighth dweek dof dpregnancy? d- dANSWER-
Within dhealthy dparameters dfor dgestation, dweight, dand dApgar.
A dpregnant dpatient dreports dabdominal dpain din dthe dright dlower dquadrant, dalong
dwith dnausea dand dvomiting. dThe dpatient's durinalysis dreport dshows dan dabsence
dof dany durinary dtract dinfection din dthe dpatient. dA dchest dx-ray dalso drules dout
dlower-lobe dpneumonia. dWhich dcondition ddoes dthe dnurse dsuspect din dthe
dpatient? d- dANSWER-Appendicitis
At d37 dweeks dof dgestation, dthe dpatient dis din da dsevere dautomobile dcrash
dwhere dher dabdomen dwas dhit dby dthe dsteering dwheel dand dher dseat dbelt.
dWhat dpriority daction dwould dthe demergency droom dnurse dexpect dto dperform
dupon dthe dpatient's darrival dat dthe dhospital? d- dANSWER-Assess dthe dpatient's
dvital dsigns, ddetermine dlocation dand dseverity dof dpain, dand destablish dcontinual
dfetal dheart drate dmonitoring.
Signs dof da dthreatened dabortion d(miscarriage) dare dnoted din da dwoman dat d8
dweeks dof dgestation. dWhat dis dan dappropriate dmanagement dapproach dfor dthis
dtype dof dabortion? d- dANSWER-Prepare dthe dwoman dfor dan dultrasound dand
dbloodwork.
The demergency ddepartment dnurse dis dassessing da dpregnant dtrauma dvictim dwho
djust darrived dat dthe dhospital. dWhat dare dthe dnurse's dmost dappropriate dactions?
dSelect dall dthat dapply. d- dANSWER-Assess dfor dpoint dof dmaximal dimpulse dat
dfourth dintercostal dspace.
Collect durine dfor durinalysis dand dculture.
Monitor dvital dsigns dfrequently.
Which dclinical dreports ddoes dthe dnurse devaluate dto didentify dectopic dpregnancy
din da dpatient? dSelect dall dthat dapply. d- dANSWER-Quantitative dhuman dchorionic
dgonadotropin d(β-hCG) dlevels
Transvaginal dultrasound
Progesterone dlevel
The dnurse dobserves dthat dintravenous d(IV) dadministration dof dmagnesium dsulfate
dhas dresulted din dmagnesium dtoxicity din da dpregnant dpatient dwith dpreeclampsia.
dThe dnurse dimmediately ddiscontinues dthe dinfusion dand dreports dto dthe dprimary
dhealth dcare dprovider d(PHP). dFor dwhich ddrug ddoes dthe dnurse dobtain da
dprescription dfrom dthe dPHP? d- dANSWER-Calcium dgluconate
A dpregnant dpatient dafter d20 dweeks dof dgestation dreports dpainless, dbright dred
dvaginal dbleeding. dUpon dassessment, dthe dnurse dfinds dthat dthe dpatient's dvital
dsigns dare dnormal. dWhich dcondition ddoes dthe dnurse dsuspect din dthe dpatient? d-
dANSWER-Placenta dprevia
The dnurse dis dcaring dfor da dpregnant dpatient dwho dis dscheduled dfor dsurgery.
dWhich dnursing dintervention dwill dhelp dprovide dsufficient dfetal doxygenation
dduring dthe dsurgery? d- dANSWER-Positioning dthe dpatient dwith da dlateral dtilt
After dbeing drehydrated din dthe demergency ddepartment, da d24-year-old dprimipara
din dher d18th dweek dof dpregnancy dis dat dhome dand dis dto drest dat dhome dfor
dthe dnext d2 ddays dand dtake din dsmall dbut dfrequent dfluids dand dfood das
dpossible. dDischarge dteaching dat dthe dhospital dby dthe dnurse dhas dbeen
deffective dif dthe dpatient dmakes dwhich dstatement? d- dANSWER-"I'm dgoing dto
deat dfive dto dsix dsmall dservings dper dday, dwhich dcontain dsuch dfoods dand dfluids
das dtea, dcrackers, dor da dfew dbites dof dbaked dpotato."
A dpatient dreports dexcessive dvomiting din dthe dfirst dtrimester dof dthe dpregnancy,
dwhich dhas dresulted din dnutritional ddeficiency dand dweight dloss. dThe durinalysis
dreport dof dthe dpatient dindicates dketonuria. dWhich ddisorder ddoes dthe dpatient
dhave? d- dANSWER-Hyperemesis dgravidarum
Which dis dan dimportant dnursing dintervention dwhen da dpatient dhas dan dincomplete
dmiscarriage dwith dheavy dbleeding? d- dANSWER-Prepare dthe dpatient dfor ddilation
dand dcurettage.
A dwoman dwith dsevere dpreeclampsia dis dbeing dtreated dwith dan dintravenous
dinfusion dof dmagnesium dsulfate. dThis dtreatment dis dconsidered dsuccessful dif
dwhat doccurs? d- dANSWER-Seizures ddo dnot doccur
, Which dis da dpriority dnursing dintervention dwhile dcaring dfor da dpregnant dpatient
dwith dhyperemesis dgravidarum? d- dANSWER-Initiate dintravenous d(IV) dfluid
dtherapy.
Which dstatement dmade dby dthe dnursing dstudent dabout dthe dmanagement dof
dreduced dcervical dcompetence d(premature ddilation dof dthe dcervix) din da dpregnant
dpatient dindicates deffective dlearning? d- dANSWER-"A dprophylactic dcerclage dis
dused dto dconstrict dthe dinternal dos dof dthe dcervix."
At d38 dweeks dof dgestation, da d24-year-old dprimipara ddelivers da d6-lb d2-oz dinfant
dwhose dfive-minute dApgar dwas d8. dHow dshould dthe dneonatal dnurse devaluate
dthe doutcome dof dthis dpregnancy dbecause dhis dmother dhad dbeen dexperiencing
dhyperemesis dgravidarum dsince dthe deighth dweek dof dpregnancy? d- dANSWER-
Within dhealthy dparameters dfor dgestation, dweight, dand dApgar.
A dpregnant dpatient dreports dabdominal dpain din dthe dright dlower dquadrant, dalong
dwith dnausea dand dvomiting. dThe dpatient's durinalysis dreport dshows dan dabsence
dof dany durinary dtract dinfection din dthe dpatient. dA dchest dx-ray dalso drules dout
dlower-lobe dpneumonia. dWhich dcondition ddoes dthe dnurse dsuspect din dthe
dpatient? d- dANSWER-Appendicitis
At d37 dweeks dof dgestation, dthe dpatient dis din da dsevere dautomobile dcrash
dwhere dher dabdomen dwas dhit dby dthe dsteering dwheel dand dher dseat dbelt.
dWhat dpriority daction dwould dthe demergency droom dnurse dexpect dto dperform
dupon dthe dpatient's darrival dat dthe dhospital? d- dANSWER-Assess dthe dpatient's
dvital dsigns, ddetermine dlocation dand dseverity dof dpain, dand destablish dcontinual
dfetal dheart drate dmonitoring.
Signs dof da dthreatened dabortion d(miscarriage) dare dnoted din da dwoman dat d8
dweeks dof dgestation. dWhat dis dan dappropriate dmanagement dapproach dfor dthis
dtype dof dabortion? d- dANSWER-Prepare dthe dwoman dfor dan dultrasound dand
dbloodwork.
The demergency ddepartment dnurse dis dassessing da dpregnant dtrauma dvictim dwho
djust darrived dat dthe dhospital. dWhat dare dthe dnurse's dmost dappropriate dactions?
dSelect dall dthat dapply. d- dANSWER-Assess dfor dpoint dof dmaximal dimpulse dat
dfourth dintercostal dspace.
Collect durine dfor durinalysis dand dculture.
Monitor dvital dsigns dfrequently.
Which dclinical dreports ddoes dthe dnurse devaluate dto didentify dectopic dpregnancy
din da dpatient? dSelect dall dthat dapply. d- dANSWER-Quantitative dhuman dchorionic
dgonadotropin d(β-hCG) dlevels
Transvaginal dultrasound
Progesterone dlevel