Women who have human papillomavirus (HPV) are

Women who have human papillomavirus (HPV) are at risk for development of Uterine fibroid tumors Sterility Cervical cancer Irregular menses The nursing care management of a newborn whose mother is HIV positive would most likely include which of the following Wearing gloves for routine cares such as feeding the baby All of the above Initiating treatment with antiviral medications as soon as the newborn is confirmed to be HIV positive Administering chemoprophylaxis against Pneumo-cystis carinii pneumonia in HIV-exposed infants Implementing standard precautions immediately after birth Telling the mother she should not breastfeed A nurse is caring for an antepartum client whose laboratory findings indicate that she is not immune to rubella. Which of the following is the correct interpretation of this data? The client is not experiencing a rubella infection at this time The client is immune to the rubella virus The client requires a rubella immunization following delivery The client requires a rubella vaccination at this time A young child that develops a disability at 4 years old is most likely to have difficulties with which of the following developmental tasks? Socialization skills with other children, developing a sense of initiative Development of autonomy and language acquisition Beginning self-care skills, developing sense of initiative Walking and eating with a fork The nurse is precepting a new graduate nurse at an ambulatory pediatric hematology and oncology clinic. What cardinal signs of cancer in children should the nurse make the new nurse aware of? (Select all that apply.) Excessive, rapid weight gain Gradual, steady fever Transitory, generalized pain Frequent headaches Sudden tendency to bruise easily Unexplained loss of energy According to the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine, magnesium sulfate in obstetric care is recommended for these conditions and for appropriate durations of treatment except for which of the following: Prevention and treatment of seizures in women with preeclampsia or eclampsia Fetal neuroprotection before anticipated early preterm (less than 32 weeks of gestation) delivery For induction or augmentation of labor between 38wks and 40wks of gestation including postdate Short-term prolongation of pregnancy (up to 48 hours) to allow for the administration of antenatal corticosteroids in pregnant women who are at risk of preterm delivery within 7 days A woman is taking oral contraceptives. The nurse teaches the client that the medications efficacy improves when the medicine is: Taken with milk Taken with food Taken at the same time every day Taken with orange juice to improve absorption Which action by the school nurse is important in the prevention of rheumatic fever? Encourage cholesterol screens Recommend salicylates instead of acetaminophen for minor discomforts Refer children with sore throats for throat cultures Conduct routine blood pressure screenings A nulligravid client calls the clinic and tells the nurse that she forgot to take her oral contraceptive this morning. The nurse should tell the client to: Take the medication immediately REstart the medication in the morning Use another form of contraceptive for 2 weeks Take two pills tonight before bedtime An 18 month old, comes into the ER with severe dehydration. She weighs 12 kg and is ordered to receive a 360 ml bolus of 09.% sodium chloride (NaCl) over the next 20 minutes. The nurse should this order because: The veins of this child are too small to tolerate this infusion The amount of fluid is excessive for this child The type of fluid is incorrect for this situation The rates too fast for this aged child According to ACOG, the normal Fetal Heart Rate (FHR) ranges from 90-150 bpm 100-170 bpm 110-160 bpm 120-140 bpm The heart rate of the newly born neonate is regular at 142 bpm. What should the nurse do next? Check for the presence of cyanosis Notify the neonate’s health care provider (HCP) Document this as a normal neonatal finding Assess the heart rate again in 3 hours A nurse is performing a postpartum assessment on a client who delivered vaginaly. Which of the following actions will the nurse perform? (Select all that apply) Palpate the breasts Auscultate the carotid Assess the lochia flow for normal color, amount, and consistency Assess the ability to void every 2-3 hours Observe the perineum for erythema and edema The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her disease when she tells the nurse: “I could have trouble getting pregnant someday if I don’t get treated” “My partner does not need treatment” “Once I am treated, I will have immunity” “I will not have any more problems once I learn to protect myself” The nurse is preparing to administer vitamin K intramuscularly to a term neonate of a primipara who has just given birth. After explaining the purpose of the drug to the mother, which statement by the mother indicates effective teaching? “Vitamin K will prevent my baby from becoming jaundiced” “Vitamin K will prevent my baby from developing an infection” “Vitamin K will help my baby’s blood to clot properly” “Vitamin K will help my baby breathe easier” The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. What should the nurse tell the family to do to minimize joint injury? Provide intravenous (IV) infusion of factor VIII concentrates Administer DDAVP Administer nonsteroidal anti-inflammatory drugs Encourage elevation and application of ice to the involved joint The nurse is planning a discussion group for parents with children who have cancer. Which of the following would the nurse include when describing the differences between cancer in children and adults? Childhood cancers are usually localized when found Most childhood cancers affect the tissues rather than organs Unlike adult cancers, childhood cancers are less responsive to treatment Most childhood cancers can be prevented Patients receiving chemotherapy often experience nausea and vomiting. The most effective way to handle this is to Keep the patient NPO during chemotherapy Provide ondansetron (Zofran) at the onset of nausea Provide ondansetron (Zofran) before and during active treatment Administer the chemotherapy during the night hours only The nurse is planning care for a neonate to prevent neonatal heat loss immediately after birth. To conserve heat and help the infant maintain a stable temperature, the nurse should: Position the neonate lying in an open crib with a diaper on Nestle the neonate against the crib wall Bathe the neonate with warm water Place the infant skin to skin with the gestational carrier The nurse is working with an 8-year-old child with hemophilia. They are preparing for discharge and explains the importance of preparing for factor replacement therapy. Which of the following is the correct rationale for this intervention? Prevent joint infection Minimize risk for bleeding by replacing clotting factors Control pain Thin blood to prevent clots When caring for a neonate, what is the most important step the nurse can take to prevent and control infection? Using sterile technique for all caregiving Assessing frequently for signs of infection Wearing gloves at all times Practicing meticulous hand washing A nurse is teaching a group of clients about birth control methods. When providing instruction about subdermal contraceptive implants, the nurse should cite which feature as the main advantage of this method? The implants cost less over the long term than other contraceptive methods The implants can be removed easily if pregnancy occurs The implants provide effective, continuous contraception that is not user dependent The implants require a lower hormonal dose than other hormonal contraceptive methods A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan? “Another method of contraception is needed until the sperm count is 0” “Vasectomy requires only a yearly follow-up once the procedure is completed” “Vasectomy is easily reversed if children are desired in the future” “Vasectomy is contraindicated in makes with prior history of cardiac disease” The nurse is caring for a client in labor and notes late decelerations on the external fetal monitoring strip. Which of the following actions will the nurse include in the client’s plan of care? Select all that apply Change the client’s position Contact the healthcare provider Administer oxygen to the client Discontinue the external fetal heart rate monitor Increased the pitocin infusion Category I FHR tracing includes all of the following except: Baseline rate: 110-160 beats per minute Late or variable decelerations: absent Baseline FHR variability: moderate FHR tracing: Sinusoidal pattern Which of the following statements made by the mother of an infant with sickle cell anemia, would require further education by the nurse? “My sister is worried about having the trait, so I told her to call you at the clinic” “We’d like to have another child but this time. I would like to consider pre-conceptual counseling” “My husband keeps telling me that it is my side of the family that has caused Jason to have sickle cell, but I told him it took both of us” “I read somewhere that if I had one child with sickle cell disease I would not need to worry about having another child with the disease” The nurse is assessing children in ambulatory clinic. Which children would determine to be at most risk for iron-deficiency anemia? (Select all that apply) A 4-month old infant born at 27 weeks gestation who is breastfeed An 8-year old who takes her lunch to school An 18-month-old who drinks a quart of milk a day A 7-month old who has started solid foods along with formula A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A 10-year-old child who has sickle cell anemia who reports severe chest pain A 7-year-old child who has diabetes insipidus and urine specific gravity of 1.016 A 1-year-old toddler who has roseola and a temperature of 39 C (102.2 F) A 4-year-old child who has asthma and a PCO2 of 37 mm Hg An adolescent with sickle cell disease is admitted for a vaso-occlusive episode (VOE) in their arms and legs. Vital signs are temperature: 37 C, Pulse: 78, Respiratory rate: 20, Oxygen Saturations = 98% (on room air). They are on a PCA pump with morphine. Which of the following orders should the nurse ? Encourage gentle passive range of motion Humidified oxygen by nasal cannula at 2 L/min Apply warm packs to the affected area Encourage incentive spirometry 5-10 times each hour Ten days after a child’s second round of chemotherapy, they develop a fever of 39.2 C. The mother calls you, the clinic nurse, for advice. What would be the MOST appropriate advice to give this mother? Start them on oral antibiotics and call back in the morning if the fever persists Push fluids provide sponging with warm water and keep the environment cool Give the child an appropriate dose of Tylenol and call back in two hours ifi the fever persists Bring them in to the clinic to be examined immediately A 4-month-old was admitted for severe and dehydration. She weighs 6.4 kg. Which of the following findings would concern the nurse the MOST? She is taking Pedialyte 80 ml every 3 hours Heart rate = 140 at rest, BP 74/47 She has had 150 ml of urine output recorded in the past 24 hours She cries and fusses when her IV is started Twenty-four hours after cesarean birth, a neonate at 30 weeks’ gestation is diagnosed with respiratory distress syndrome (RDS). When explaining to the parents about the cause of this syndrome, the nurse should include a discussion about an alteration in the body’s secretion of which substance? Somatotropin Testosterone Progesterone Surfactant A nurse places a neonate with hyperbilirubinemia under a phototherapy lamp, covering the eyes and gonads for protection. The parents asked the nurse to tell them how their baby will benefit from having phototherapy done. Which statement by the nurse is the most appropriate response about phototherapy? “Phototherapy promotes respiratory stability” “Phototherapy decreases the serum unconjugated bilirubin level” “Phototherapy prevents hypothermia” “Phototherapy increases the baby’s iron level” Which of the following are contraindications for giving an MMR vaccine to a child? SELECT ALL that apply. Mother of child is 3 months pregnant Child’s weight is at or less than the 5th percentile Child has an allergy to eggs Child is receiving chemotherapy Child experienced an anaphylactic reaction after previous dose When doing an intake for a patient who is transgender: Avoid using medical terms for any body parts to avoid causing offence Don’t ask for the patient’s preferred name and pronoun because they are listed in the patient’s chart Incorporate information about the patient’s name and pronouns into shift change and report Ask targeted sexual ehalth sitory questions based on your knowledge of what sexual activities most transgender people engage in A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about what major complication? Loss of estrogen Negative calcium balance Dowager’s hump Bone fracture A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vagianl bleeding. The nurse should recognize this finding as an indication of which of the following conditions? Precipitous labor Abruptio placentae Placenta previa Threatened abortion A parent mentions that his 8-year old son has become very moody, has headaches almost daily, and has begun wetting the bed several nights a week. What advice should the nurse provide to the parent? Ignore these signs because they are just part of a phase that many school-age children experience Take your son to his primary care provider to be examined Just watch him for a few more weeks before doing anything Ignore these signs because they are probably experiencing stress at school What information should the nurse include when teaching the mother of a 9-month old infant about administering liquid iron preparations? Give with meals Adequately dosing will turn the stools tarry green color Allow preparations to mix with saliva and bathe the teeth before swallowing Stop immediately if nausea and vomiting occur Your 3-year-old patient with a known seizure disorder starts to actively seizure during your assessment. The patient is having tonic-clonic movements of all extremities, upward eye deviation, and frothing at the mouth. Your INITIAL action should be to. Give lorazepam IV Obtain a fingerstick blood glucose Notify the MD/APN Suction and secure the airway It is formulated by assessing the heart rate, respiratory effort, skin color, muscle tone, and reflex response of the newborn. BISHOPS Score APGAR Score LACERATION Degree FHR Category When caring for the child with Kawasaki disease, the nurse should understand the principles of care is? The child’s fever is usually responsive to antibiotics with in 48 hours Aspirin is contraindicated Therapeutic management includes administration of gamma globulin and aspirin The principal area of involvement is in the joints The nurse is assessing their 9-month-old patient. The nurse determines the infant is developing appropriately by which of the following findings? Crawls, waves “bye bye”, say ba Sits when propped, head lag evident, coos Pulls to stand, grabs ball with both hands, says da Pulls to stand, eats cheerios with fingers, says dada When documenting the above tracing, you document _____ Early decelerations Accelerations No decelerations, broken tracing Variable decelerations A child requires maintenance fluids. They weigh 42 pounds. What rate in mL/hour should the IV be set to provide the needed amount of maintenance fluids? A child has been admitted with status epilepticus. An emergency medication has been ordered. What medication should the nurse expect to be prescribed ? Ethosuximide (Ethosuximide) Phenytoin (Dilantin) Lorazepam (Ativan) Topiramate (Topamax) A 6-month-old infant is hospitalized with respiratory syncytial virus (RSV) bronchiolitis. They have a nasal cannula with 1/2 liter/min of oxygen, nasal secretions, and respiratory rate of 48. Over the past 4 hours her oxygen saturations have decreased from 94% to 90% and they are working harder to breath. The nurse should FIRST Suction the nares and reposition Call respiratory therapy to give an albuterol nebulization Increase their oxygen to 2 liter/min Call a rapid response When estrogen and progesterone levels drop, the endometrium sloughs, which is also called this Menstruation Ovulation Thrombophlebitis Menopause The nurse understands the need to run IV antibiotics every 4 hours for the laboring patient who is ____ in order to prevent neonatal infection. HSV 2+ HIV+ RH- GBS+ According to the 2008 NICHD consensus report, uterine contraction frequency in excess of normal is defined as Hypercontractility Hypertonus Hyperstimulation Tachysystole A primigravida experiences gross spontaneous rupture of the membranes. What should the nurse do first? Prepare the client for childbirth Monitor the fetal heart rate and pattern Assess maternal temperature Perform a nitrazine test to confirm that the membrane is ruptured Tell the client that birth will most likely occur within the next hour Which of following best describes signs of respiratory distress in preterm infants? Tachypnea Periodic breathing pattern Suprasternal retractions Nasal flaring A,C, & D SCIENCE HEALTH SCIENCE NURSING NURS 412

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