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CONCORDIA |\NUR |\ 418 |\PEDS/OB |\EXAM |\ 1 |\
QUESTIONS |\WITH |\CORRECT |\ANSWERS
Focus |\of |\Community |\Based |\Maternal |\Child |\Health |\Programs |
(Maternal |\child |\Discussion |\board) |- |\CORRECT |\ANSWERS |\✔✔Specific |
objectives |\of |\MCH |\Care |\focuses |\on |\the |\reduction |\of |\maternal, |
perinatal, |\infant |\and |\childhood |\mortality |\and |\morbidity |\and |\the |
promotion |\of |\reproductive |\health |\and |\the |\physical |\and |\psychosocial |\development |\of |\the |\child |\and |\adolescent |\within |\the |\family. Community |\Based |\Delegation |- |\CORRECT |\ANSWERS |\✔✔Community |
based |\nurse: |\serves |\communities |\with |\greater |\risks |\and |\barriers |\to |
achieving |\positive |\maternal |\and |\child |\health |\outcomes obstetric/neonatal |\nurse: |\work |\with |\pregnant |\women |\to |\ensure |
healthy |\pregnancies |\before, |\during, |\and |\after |\childbirth, |\works |
directly |\with |\newborn |\infants What |\can |\be |\delegated? |- |\CORRECT |\ANSWERS |\✔✔•Delegate |\to |\role |
below |\nurse. |\Cannot |\delegate |\assessment. |\Stable |\condition. |
Predictable. |\YES |\to |\bathing |\NO |\to |\assessing |\a |\wound Family |\Centered |\Care |\concepts |(FCC |\Care |\Video |) |- |\CORRECT |
ANSWERS |\✔✔Focus |\shifted |\from |\the |\biomedical |\aspect |\of |\a |\child's |
condition |\to |\view |\the |\child |\in |\the |\context |\of |\their |\family |\Use |\of |\
interdisciplinary |\team |\specific |\per |\fam |\Employees |\dignity, |\respect, |
collaboration, |\participation, |\information |\sharing •Family |\is |\involved |\in |\the |\care |\planning. |\Increases |\adherance, |
improves |\outcomes |\Maintain |\routines, |\foods, |\languages Assigning |\Parity |- |\CORRECT |\ANSWERS |\✔✔G= |\total |\number |\of |\times |
pregnant |
T= |\number |\of |\term |\infants |\born |(Between |\38-42wks) |
P= |\number |\of |\preterm |\infants |\born |
A= |\number |\of |\abortions |\before |\ 20 |\weeks |
L= |\number |\of |\children |\currently |\living Parity |- |\CORRECT |\ANSWERS |\✔✔-multipara: |\ 2 |\or |\more |\births |\at |\more |\or |\ 20 |\weeks |-nulipara: |\no |\births |\at |\more |\than |\ 20 |\weeks |\gestation |- primapara: |\ 1 |\birth |\at |\more |\than |\ 20 |\weeks |\gestation Fundal |\height |- |\CORRECT |\ANSWERS |\✔✔-fundal |\height |\in |\cm |\should |
equal |\weeks |\of |\gestation |+/-2cm -12 |\weeks= |\above |\pubic |\symphysis -16 |\weeks= |\halfway |\between |\pubic |\symphysis |\and |\umbilicus |-20 |
weeks= |\on |\the |\umbilicus
Fetal |\Monitoring |(OB |\ch |\ 9 |\pg |\ 272 |\Box |\9-1) |- |\Nurse |\Interventions |- |
CORRECT |\ANSWERS |\✔✔Nursing |\actions: |\
- |\Review |\plan/expectations |\with |\woman |\and |\her |\family |
-Maintain |\calm |\environment |\ - |\Stay |\at |\the |\bedside |\as |\much |\as |\possible |\Monitor |\only |\at |\the |\level |
needed |\for |\this |\patient |\Frequent |\position |\changes/upright |
positioning |\Judicious |\use |\of |\technology |\Adjust |\IVF, |\oxytocin |\if |\using, |\tocolytics |(terbutaline) |\if |\using |\to |\promote |\uterine |\relaxation, |
supplemental |\O2 |\to |\promote |\fetal |\oxygenation Safe |\Ranges |\and |\Therapeutic |\Levels |- |\CORRECT |\ANSWERS |\✔✔-if |\a |
med |\is |\dosed |\below |\minimum |\safe |\range= |\child |\isnt |\getting |
therapeutic |\dose |-if |\a |\med |\is |\dosed |\above |\safe |\range= |\may |\be |
toxic, |\severe |\medical |\consequences, |\medications |\are |\weight |\based Nonpharm: |\Bradley |\method |- |\CORRECT |\ANSWERS |\✔✔Bradley |
method |\uses |\techniques |\that |\focus |\the |\woman |\on |\inward |
relaxation, |\by |\means |\of |\breathing |\control, |\abdominal |\breathing, |
and |\general |\relaxation. |\The |\partner |\facilitates |\the |\implementation |
of |\these |\techniques |\through |\coaching, |\giving |\rise |\to |\the |\term |"husband-coached |\childbirth." |\To |\assist |\the |\partner |\in |\coaching |\the |\laboring |\woman |\to |\relax, |\there |\is |\an |\emphasis |\on |\darkness, |
solitude, |\and |\quiet |\to |\reduce |\stimulation |\and |\enhance |\the |\calm |\and |\comfort |\needed |\to |\conserve |\energy |\that |\will |\be |\required |\for |\birth |
and |\to |\decrease |\anxiety |\and |\tension |\in |\the |\woman.
Pediatric |\Physiological |\Differences |\to |\medication |- |\CORRECT |
ANSWERS |\✔✔-immature |\blood |\brain |\barrier. |
-increased |\permeability |\of |\skin |\and |\conjunctiva |-immature |
cardiovascular |\system |
-higher |\metabolic |\rate |
-differences |\in |\protein |\binding |
-altered |\absorption |\patterns |
-delayed |\gastric |\emptying, |\relative |\lack |\of |\gastric |\acid |
-immature |\renal |\function |
-high |\total |\water |\volume |
-low |\body |\fat |
-rapidly |\growing |\tissues |
-large |\body |\surface |\area Higher |\water |\volume |\Lower |\body |\fat |\Increased |\skin |\permeability |
Immature |\blood |\brain |\barrier Postpartum |\Assessment |(OB |\Chp |\12) |- |\CORRECT |\ANSWERS |
✔✔*supine |\position |-pain |\level |-last |\urine |\and |\BM |-LOC |-VS |-cap |
refil |-edema |-breast |\for |\redness |-check |\fundus |(fundal |\height, |
boggy, |\firm) |-check |\peri |\pad |\and |\note |\the |\amount |\of |\blood |- episiostomy, |\c-section, |\tear |\assess |\for |\redness, |\edema, |\drainage, |
approximation |-check |\for |\edema |\in |\extremeties |-assess |\emtional |
status |-assess |\comfort |\level
R- |\respiratory |\rate |\0= |\absent |
1=slow, |\weak |\cry |
2= |\good |\strong |\cry Newborn |\Care |(OB |\text |\Chp |\ 8 |& |\15) |- |\CORRECT |\ANSWERS |\✔✔:-note |
day/time |\of |\delievery |-APGAR |-respiratory |\interventions |-thermal |
intervention |-eye |\prophylaxis |-vitamin |\K |\adm |-vital |\signs |(no |\bp) |- weight, |\length, |\head |\circumference |-gestational |\assessment |- physical |\exam |-body |\system |\assessment |-feeding |-passage |\of |
meconium |\and |\urine |-umbilical |\cord |\care |-jaundice |-circumcision |- hearing |\screening |-PKU |\testing Antibiotics |\in |\their |\eyes, |\go |\from |\the |\inside |\to |\the |\outside, |\one |
stripe |\do |\not |\touch |\the |\eyes |
Vitamin |\K |\shot: |\blood |\clotting |\if |\no |\vitamin |\K |\cant |\have |\a |
circumsion, |\no |\vitamin |\K= |\potential |\for |\brain |\bleeds, |\Hep |\B Thermoregulation |(OB |\text |\Chp |\ 8 |& |\15) |- |\CORRECT |\ANSWERS |\✔✔- maintain |\thermoregulation |\with |\immediate |\drying |\and |\removal |\of |
wet |\linens, |\chilling |\increases |\oxygen |\consumption |\and |\metabolism |
through |\the |\process |\of |\evaporation |-kangaroo |\care |-factors |\that |
negatively |\affect |\thermoregulation: |\decreased |\fat, |\decreased |\BAT, |
large |\body |\surface |\area, |\loss |\of |\body |\heat |\interventions: |\dry |
thoroughly |\and |\place |\on |\mothers |\chest, |\place |\stocking |\cap |\over |
head, |\assess |\acillary |\temp |\every |\ 30 |\minutes, |\wrap |\neonate |\in |
blankets |\when |\in |\open |\crib,
Observational |\Assessment |( |\Peds |\Module |\Presentation) |- |\CORRECT |
ANSWERS |\✔✔Head |\to |\toe: |\Visual |\assesment |\from |\doorway: |
Triangulation: |\appearance, |\work |\of |\breathing, |\circulation |\Least |
invasive/intrusive |\Assess |\at |\baseline |\Visual, |\Auscultation, |\Palpation |
Talk |\to |\parent Order |\of |\Assessment |\w/Pain |\Assessment |(Peds |\chp |\8Text |\pg |\149*) |- |\CORRECT |\ANSWERS |\✔✔Assess |\VS |\and |\cause |\of |\the |\pain |(injection, |
injury, |\surgical |\procedural, |\of |\disease |\process) |\VS= |\increased |\HR, |\BP |\and |\R.Rate. |\Observe |\and |\monitor |\for |\reaction |\to |\pain- |\facial |
expression, |\movement, |\vocalized |( |\furrowed |\brows, |\restlessness, |
withdraw |\from |\stimulation, |\wariness, |\no |\vocalization, |\use |
appropriate |\pain |\scale. |\Go |\from |\least |\invasive |\to |\most |\intrusive, |
saving |\painful |\areas |\for |\last. Developmental |\Characteristics |\of |\Pain |\Presentation |- |\CORRECT |
ANSWERS |\✔✔-infants: |\rapid |\changes |\in |\behavioral |\state, |\distinctive |
motor |\movements |\associated |\with |\pain |-toddlers: |\generalized |
restlessness, |\guarding |\of |\painful |\site, |\excessive |\crying |-pre-school: |
cry |\and |\struggle, |\may |\deny |\pain |-school |\age: |\stiff |\body |\posture, |
withdrawn |-adolescents: |\can |\describe |\quantity |\and |\location |\of |\pain •FACES |\vs |\Number |\•If |\screaming: |\no |\obstruction, |\no |\change |\in |\LoC |
FLACC |(Newborns-age |\7): |\Faces, |\Legs, |\Activity, |\Crying, |\Consolability
R—Resolve: |\the |\ability |\to |\devote |\time |\to |\other |\family |\members |\in |
the |\nurturing |\process Functional |\Family |\Assessment |(Peds |\text |\pg |\131, |\pg |\144, |\pg |\161, |\pg |\46; |\Peds |\Module |\presentation) |- |\CORRECT |\ANSWERS |\✔✔The |\nurse |
conducts |\a |\Functional |\Family |\Assessment |\through |\interviews |\with |
family |\members. |\This |\type |\of |\assessment |\also |\allows |\the |\nurse |\to |
develop |\cultural |\sensitivity |\in |\recognizing |\cultural |\factors |\that |\shape |\family |\perceptions, |\as |\well |\as |\cultural |\competence |\as |\a |\nursing |
assessment |\tool. Carrier |\Testing, |\Predictive |\Testing, |\Pre-Implantation |\Testing, |
Amniocentesis, |\Diagnostic |\Testing |( |\Peds |\Presentation |\Genomics |& |
Gentics) |- |\CORRECT |\ANSWERS |\✔✔-diagnostic |\testing: |\family |\member |\has |\symptoms |\of |\disease |\that |\may |\be |\caused |\by |\mutated |\genes |
the |\testing |\will |\reveal |\if |\the |\suspected |\disorder |\is |\present |
(huntingtons, |\CF) |
-presymptomatic |\and |\predictive |\testing: |\family |\history |\of |\genetic |
condition |\testing |\can |\show |\risks |\for |\identifiying |\i.e |\colorectal |\cancer |
-carrier |\testing: |\family |\history |\of |\genetic |\disorder |(sickle |\cell |\or |\CF) |
or |\high |\risk |\group |\testing |\can |\be |\done |\before |\having |\children |\to |
see |\if |\they |\have |\the |\genes |
-preimplantation |\testing: |\IVF, |\embryos |\are |\screened |\for |\genetic |
abnormalities |\
-amniocentesis: |\prenatal |\genetic |\test |\where |\doctor |\inserts |\a |\thin, |
hollow |\needle |\through |\abdominal |\wall |\and |\into |\the |\uterus |\to |\collect |\a |\small |\amount |\of |\amniotic |\fluid |\for |\testing Endometrial |\Preparation |\and |\Infertility |(OB |\Presentation: |\Womens |
Health |\and |\FCC |\Presentation/ |\Slide |\on |\Essesntial |\Components |\of |
Fertility |\and |\Cause |\of |\Infertility- |\Female) |- |\CORRECT |\ANSWERS |\✔✔- endo, |\PCOS, |\TSS, |\STIs, |\HPV, |\PID, |\ovarian |\masses |\or |\cancer, |\cystitis |\
- |\favorable |\cervical |\mucus: |\cervicitis, |\cervical |\stenosis |\
- |\clear |\passage |\between |\cervix |\and |\tubes: |\myomas, |\endo, |\polyps, |
cervical |\stenosis |\ - |\patent |\tubes |\with |\normal |\motility: |\PID, |\endo, |\IUC |\
- |\ovulation |\and |\relase |\of |\ova: |\PCOS. |\hypothyroidism, |\endo |\
- |\no |\obstruction |\between |\ovary |\and |\tubes: |\adhesions, |\endo, |\PID |\
- |\endometrial |\preperation: |\anovulation, |\luteal |\phase |\defect Different |\types |\of |\Infertility |- |\CORRECT |\ANSWERS |\✔✔Understanding |
different |\types |\of |\infertility: |*endometrial |\prep |\for |\conception |
(ovulation, |\luteal |\phase |\need |\to |\be |\right) |*adhesions, |\endometriosis |(egg |\can't |\get |\through |\tube) |*Maternal |\weight |\gain |(about |\25lb) |- Overweight |(none) |-underweight |(more |\than |\25lb) |*organs |\formed |
by |\ 8 |\weeks. |*Hydration, |\nutrition"
Positive |\Signs |\of |\Pregnancy |(OB |\Text |\Chp |\ 3 |& |\4, |\pg |\ 60 |& |\74) |- |
CORRECT |\ANSWERS |\✔✔Objective |(noted |\by |\the |\examiner) |- auscultation |\of |\fetal |\heart |(by |\10-12 |\weeks |\gestation) |-fetal |
movement |(20 |\weeks) |-sonograph- |\cardiac |\movement |\noted |\at |\4-8 |
weeks Pregnancy |\Hormones |- |\CORRECT |\ANSWERS |\✔✔HcG |- |\pregnancy |
hormone |\Estrogen |\and |\progesterone |- |\Lutenizing |\hormone |- |\after |
ovulation |\but |\before |\menstruation Typical |\Physical |\Growth |\Patterns |\of |\Infants |(Text, |\Module |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔Height: |\ 1 |\inch |\per |\month, |
50% |\increase |@ |\ 12 |\months |\Weight: |\doubles |\at |\ 6 |\months, |\triples |\at |
12 Erikson's |\Psychosocial |\Theory |\of |\Development |(Peds |\Text |\pg |\83, |
Module |\Presentation) |- |\CORRECT |\ANSWERS |\✔✔-infant: |\trust |\vs |
mistrust: |\child |\learns |\to |\trust |\as |\needs |\are |\met |\by |\the |\caregiver |
-toddler: |\autonomy |\vs |\shame |\and |\doubt: |\child |\becomes |\more |
independent, |\starts |\to |\have |\some |\control |\over |\body |\functions |- preschool: |\initiative |\vs |\guilt: |\develops |\a |\concious, |\learns |\right |\from |
wrong |
-school |\age: |\industry |\vs |\inferiority: |\rule |\following |\behavior, |\forming |
social |\relationships |\
-adolescent: |\identity |\vs |\role |\confusion: |\body |\changes/appearance, |
peers |\are |\important, |\establishing |\identity Establishing |\Rapport |\and |\Trust |\with |\Small |\Children |(Module |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔-allow |\child |\to |\stay |\with |
parent, |\assess |\in |\their |\comfort |\zone, |\get |\down |\to |\their |\eye |\level, |
use |\gentle |\touch, |\incorperate |\play, |\use |\special |\toys |\or |\games |\to |
assist |\with |\assessments/education Effective |\Communication |\with |\Children |- |\CORRECT |\ANSWERS |\✔✔1. |
Active |\communication |\strategies. |\
- |\Incorporate |\an |\understanding |\of |\growth |\and |\development. |\3. |
Observe |\body |\language, |\facial |\expressions, |\and |\other |\nonverbal |
gestures. |\ - |\Incorporate |\play |\into |\nursing |\assessments |\and |\interactions |
where |\appropriate. |\ - |\Use |\special |\toys |\or |\games |\to |\assist |\with |\assessments/education. |\
- |\Be |\aware |\of |\both |\verbal |\and |\nonverbal |\communication |\
- |\Use |\visual |\forms |\of |\communication, |\including |\signs, |\photos, |\and |
illustrations, |\as |\appropriate. |\ - |\Incorporate |\play, |\which |\allows |\children |\to |\express |\feelings |\and |
concerns |\nonverbally.
S/S |\of |\Preclampsia |\and |\Eclampsia |(OB |\text |\Chp |\ 7 |\pg |\ 156 |& |\165) |- |
CORRECT |\ANSWERS |\✔✔-new |\onset |\hypertension |\after |\ 20 |\weeks |
gestation |\with |\two |\blood |\pressure |\readings |\at |\least |\140/90 |\taken |\at |\least |\ 4 |\hours |\apart |
-impaired |\liver |\function |
-elevated |\creatinine |\level |
-new |\onset |\cerebral/visual |\symptoms |(headache) |
-pulmonary |\edema/ |\SOB |
-low |\platelet |\count |
-HELLP |\syndrome |(hemolysis, |\elevated |\liver |\enzymes, |\low |\platelets) Preclampsia |\Interventions/Symptoms |\from |\collab |- |\CORRECT |
ANSWERS |\✔✔*Always |\put |\mom |\on |\left |\side |*Severe |\headache |
*HTN |*Blurred |\vision |*Swelling |*Seizure Hyperemesis |\Gravidarum |(OB |\Text |\pg |\ 172 |& |\224: |\figures) |- |
CORRECT |\ANSWERS |\✔✔-vomiting |\so |\severe |\it |\leads |\to |\dehydration, |
electrolyte |\imbalance, |\weight |\loss |-early |\treatment |\of |\N/V |\to |
prevent |\hyperemesis Give: |\•Antiemetics, |\IV |\hydration, |\vitamin |\B
Birth |\Presentation |\Positions |- |\Baby |-(OB |\Text |\pg |\ 172 |& |\224: |\figures) |- |\CORRECT |\ANSWERS |\✔✔1. |\cephalic |(head |\first) |\
- |\breech |(pelvis |\first) |\
- |\shoulder |(shoulder |\first) Abruption |\Placentae |( |\OB |\Text |\Chp |\ 7 |\pg |\184; |\OB |\Module |\ 5 |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔-risk |\factors: |\hypertensive |
disorders, |\previous |\abruption, |\maternal |\age, |\preterm |\pregnancies, |
uterine |\fibroids, |\cigarette |\smoking, |\meth |\use, |\abdominal |\trauma |
-risk |\for |\woman: |\hemorrhage, |\maternal |\death |
-risk |\for |\fetus: |\low |\birthweight, |\preterm |\delivery, |\stillbirth |
-assessment: |\vaginal |\bleeding |(severe), |\fetal |\assessment: |\tachy, |
brady, |\late |\decelerations S/S |\Abruption |\Placentae |( |\OB |\Text |\Chp |\ 7 |\pg |\184; |\OB |\Module |\ 5 |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔•s/s: |\bright |\red |\vaginal |
bleeding, |\severe |\abdominal |\pain, |\decreased |\fetal |\movement Abruptio |\Placentae |( |\OB |\Text |\Chp |\ 7 |\pg |\184; |\OB |\Module |\ 5 |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔risk |\factors: |\endometrial |
scarring, |\c-section, |\short |\pregnancy |\intervals, |\advanced |\maternal |
age, |\diabetes, |\hypertension, |\cigarette |\smoking, |\uterine |\abnomalities |\risks |\for |\woman: |\hemorrhage, |\hypovolemic |\shock |\risk |\for |\fetus: |
anemia, |\hypoxia, |\death |\assessment: |\painless |\vaginal |\bleeding |\in |
third |\trimester, |\may |\be |\accompanied |\with |\abdominal |\pain, |\
Severe |\Dehydration |(ATI, |\Peds |\Text |\Chp |\ 15 |\pg |\325-346; |\Module |
Presentation) |- |\CORRECT |\ANSWERS |\✔✔-weight |\loss |\is |\most |
significant |\indicator |\of |\dehydration |-rapid |\respiration |\can |\cause |
dehydration |\because |\they |\can |\cause |\evaporation |\of |\fluid |\on |\mucus |
membranes |-can |\lead |\to |\shock IV |\fluids, |\no |\oral |\hydration Fluid |\Volume |\and |\Metabolic |\Differences |\in |\Peds |\pt's |(ATI, |\Peds |\Text |
Chp |\ 15 |\pg |\325-346; |\Module |\Presentation) |- |\CORRECT |\ANSWERS |\✔✔- GI |\tract |\has |\larger |\proportion |\of |\surface |\area |\than |\adults |-infants |
have |\greater |\body |\surface |\area |\than |\adults |-metabolic |\rate |\is |
higher |-more |\likely |\to |\lose |\ECP |\than |\ICP |*fluid |\output |\1ml/kg/hr Reason |\for |\Feeding |\Tube |\Placement |(Module |\Presentation; |\Peds |
Text |\pg |\328) |- |\CORRECT |\ANSWERS |\✔✔-when |\foods |\cannot |\safely |\be |\taken |\by |\mouth |-when |\nutrition |\is |\insufficient |-when |\eating |\or |
swallowing |\is |\impaired |-to |\conserve |\energy |\for |\other |\vital |\activities •Dietary |\need, |\supplemental |\feeding, |\energy |\conservation |\•Eating |
disorders |\•Coma Appendicitis |(Module |\Presentation; |\Peds |\Text |\pg |\328) |- |\CORRECT |
ANSWERS |\✔✔-blockage |\in |\the |\lining |\that |\results |\in |\infection
•Present |\similarly |\as |\adult. |\RLQ |\pain, |\rebound |\pain, |\n/v |\•Change |\is |
not |\always |\good |(new |\lack |\of |\pain |\may |\mean |\perferation) |\•Pain |
mgmt Stoma |\Assessment |(Module |\Presentation) |- |\CORRECT |\ANSWERS |\✔✔- should |\be |\red |-free |\of |\rashes |\and |\broken |\down |\areas |-may |\bleed |
easily |\but |\should |\be |\minor |-mucous |\is |\not |\unusual •Education |\about |\care |\•Red, |\moist, |\low |\bleeding, |\NO |\discoloration Internal |\vs |\external |\fetal |\monitoring |- |\CORRECT |\ANSWERS |\✔✔Do |
internal |\when |\membranes |\rupture; |\little |\risk |\for |\infection, |\actually |
allows |\mom |\to |\get |\up |\and |\walk |\around Non-stress |\test |- |\CORRECT |\ANSWERS |\✔✔Reactive |= |\Healthy |(FHR |
goes |\up |\with |\movements) Non |\reactive |= |\bad Relieving |\vena |\caval |\syndrome |- |\CORRECT |\ANSWERS |\✔✔instruct |
mom |\to |\lie |\on |\her |\left |\side |\or |\semi |\fowlers, |\or |\if |\she |\wants |\to |\lie |
flat, |\she |\needs |\to |\have |\a |\wedge |\under |\her |\right |\hip
