Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NUR 2513>MCH final exam, Exams of Nursing

NUR 2513>MCH final examNUR 2513>MCH final exam

Typology: Exams

2022/2023

Available from 08/24/2023

Peterr
Peterr 🇺🇸

215 documents

1 / 13

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NUR 2513>MCH final exam
1. Expected findings for bacterial pneumonia
a. Ronchi (crackles), SOB, fever
2. What reflects safe practice in administration of blood products
a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off)
3. Kawasaki Disease
a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate
4. Bronchiolitis home treatment
a. Humidifier
5. Pharyngitis causes increased risk for developing
a. Rheumatic fever
6. Post tonsillectomy, clear fluids are best
a. Avoid carbonated beverages, acidic or red dyes
7. Signs and Symptoms of pneumonia
a. SOB, crackles, using accessory muscles, diminished sounds
8. Epiglottitis position
a. Upright
9. A new heart noninvasive diagnostic testing:
a. First echocardiogram
10. Legg-Calve-Perthes disease a child may have:
a. A non-weight bearing period
11. Symptoms associated with patent ductus arteriosus
a. Machine like murmur head at the left sub clavicular margin
12. Contraction of aorta
a. Be sure to assess femoral and radial pulses simultaneously
13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic
a. Place in knee chest position
14. Initial nursing interventions for sickle cell anemia
a. Hydration and pain management
15. What to do for severe dehydration
a. IV fluids
16. Mild to moderate
a. try oral hydration first
17. Adolescents are at greater risk for developing a STI because they are:
a. Engaging in risky behaviors
18. A nurse would do what with a voiding cystourethrogram
a. Insert foley catheter for instillation of contrast
19. Kidney transplant post op care would include:
a. Reduce socialization, infection control precautions
20. Treatment for croup:
a. Corticosteroids
Page 1 of 13
pf3
pf4
pf5
pf8
pf9
pfa
pfd

Partial preview of the text

Download NUR 2513>MCH final exam and more Exams Nursing in PDF only on Docsity!

NUR 2513>MCH final exam

  1. Expected findings for bacterial pneumonia a. Ronchi (crackles), SOB, fever
  2. What reflects safe practice in administration of blood products a. Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off)
  3. Kawasaki Disease a. S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate
  4. Bronchiolitis home treatment a. Humidifier
  5. Pharyngitis causes increased risk for developing a. Rheumatic fever
  6. Post tonsillectomy, clear fluids are best a. Avoid carbonated beverages, acidic or red dyes
  7. Signs and Symptoms of pneumonia a. SOB, crackles, using accessory muscles, diminished sounds
  8. Epiglottitis position a. Upright
  9. A new heart noninvasive diagnostic testing: a. First echocardiogram
  10. Legg-Calve-Perthes disease a child may have: a. A non-weight bearing period
  11. Symptoms associated with patent ductus arteriosus a. Machine like murmur head at the left sub clavicular margin
  12. Contraction of aorta a. Be sure to assess femoral and radial pulses simultaneously
  13. What to do when a tetralogy of Fallot patient becomes cyanotic and dyspneic a. Place in knee chest position
  14. Initial nursing interventions for sickle cell anemia a. Hydration and pain management
  15. What to do for severe dehydration a. IV fluids
  16. Mild to moderate a. try oral hydration first
  17. Adolescents are at greater risk for developing a STI because they are: a. Engaging in risky behaviors
  18. A nurse would do what with a voiding cystourethrogram a. Insert foley catheter for instillation of contrast
  19. Kidney transplant post op care would include: a. Reduce socialization, infection control precautions
  20. Treatment for croup: a. Corticosteroids
  1. S/S of dehydration in an infant a. Elevated HR, sunken fontanels
  2. Acute glomerulonephritis is most frequently caused by: a. Group a beta-hemolytic streptococcus

a. A non-weight bearing period

  1. S/S of infection a. Lethargy, increased HR, increased temp
  2. Intervention for a superficial burn a. Relieving pain and discomfort
  3. Daily debridement for severe burns is important to: a. Decrease the risk for infection
    1. Sickle Cell Anemia safety precautions a. Prevent dehydration
  4. A terminally ill child wakes up at 2am and is putting on call light, you should: a. Sit with them until child falls asleep
  5. Meningitis goal: a. Reduce pain related to nuchal rigidity
  6. When does an infant get the measles vaccine? a. After 12 months of age
  7. Describe chicken pox rash a. Starts as macules then turns into papules and then vesicles i. Will have high fever and fatigue
  8. S/S of pertussis a. Loud brassy cough, violent rapid coughing
  9. S/S of PTSD a. Sleep disturbances, hypervigilance, flashbacks, withdrawal from family
  10. Large, ruptured blisters and a white or pale color to the injured tissue with extreme pain is: a. Deep partial thickness burn
  11. When the left eye intermittently deviated medially a. Esotropia
  12. Child reports vision that is blurry at a close range and clear at a far range: a. Hyperopia
  13. Episoadias a. Upper surface or dorsal side, medial opening of the penis is in the wrong spot
  14. S/S of Pyelonephritis a. Pain in abdomen/back/side or groin, painful/burning urination. Cloudy urine (may have pus or blood)
  15. Intervention for superficial burn a. Relieving pain and discomfort
  16. When caring for a preschool age child who is aware of impending death you should: a. Expect them to have a fear of being separated from parents
  17. Atopic dermatitis a. Keep skin moist and hydrate child b. Avoid any astringents that would be drying to the skin
  18. Daily debridement for severe burns is important to:
  1. S/S of fractures a. Point tenderness
  2. Gastroesophageal reflux a. Be sure to position upright for 30 min after feedings
  3. Sickle cell anemia safety precautions a. Prevent dehydration
  4. Signs of sexual abuse a. Child reports abdominal pain, change in school performance, demonstrates anxiety or trouble sleeping, does not want to be left alone with a certain adult
  5. Preschool age child getting a CT scan a. Help the child to pretend the CT scan machine is a camera
  6. A chronically hospitalized child who is alone at night a. Sit with child till they fall asleep
  7. Teaching to provide to the family regarding achieving the goal of BMI within normal range a. Maintain a balanced eating approaching the home and encourage increased activity
  8. Epiphyseal lines of long bones: a. Close by 18-20 years in males
  9. Adolescent sexual activity teaching a. Do not be influenced by friends to have sex b. The only 100% effective method of preventing pregnancy is abstinence c. Learn about safe sex practices
  10. Encourage friends be available through social media: a. Helps chronically ill children form not feeling lonely
  11. When a child is in skeletal traction: a. Important to engage child in therapeutic play while confined to this position
  12. Cast care includes: a. Cover with plastic bag to bathe b. Don’t place anything in the cast c. Use a hair dryer on cool setting to ease itchy skin d. Remain as active as possible with appropriate modifications
  13. Preschool health screening program a. Height, weight, vision, hearing
  14. When should the nurse be prepared to clamp chest tubes? a. Only if detached
  15. Protecting an immunocompromised child focuses on which important measure a. Hand hygiene
  16. Primary legal nursing responsibility when suspecting child abuse is to: a. Report the case to the local authorities and your supervisor/ charge nurse
  17. The safest place to install the care seat in the vehicle is:

a. Back, middle and rear facing

a. Improve heart contractility

  1. Anaphylactic: fist give , then take child to hospital for observation a. Epinephrine
  1. How long does Moro reflex last? a. Birth to 4 months
  2. Infants their weight by 6 months and at one year a. Double, triple
  3. The anterior fontanel closes at : a. 12-18 months
  4. When a baby is in breech presentation auscultate for fetal heart sounds in what location a. Belly button
  5. Babies with spastic cerebral palsy have a. Strong Moro reflex when startled b. Which is stiff, tight muscles on one or both sides of the body c. Exaggerated movements, limited mobility and abnormal gait
  6. S/S of infection a. Lethargy, increased HR, increased temp, chills, new onset of cough
  7. S/S of Prolapsed cord a. Seeing or feeling the cord before the baby is delivered b. Fetal distress from lack of oxygen can also be observed as a sudden or prolonged fetal heart deceleration on fetal monitor c. Encourage left lateral position
  8. S/S of Placenta Previa a. Bright red painless vaginal bleeding during second half of pregnancy b. Some have contractions c. If diagnosed early on, will resolve on its own
  9. Placenta Abruption S/S a. Painful vaginal bleeding b. Back pain, labor pain, pain in abdomen that does not relax c. Blood in amniotic fluid d. Feeling faint e. Not feeling the baby move as much as before
  10. Postpartum Hemorrhage risk factors a. Placental abruption is the early detachment of the placent from uteris b. Placenta previa c. Overdistended uterus d. Multiple pregnancies e. Gestational hypertension or preeclampsia f. Prolonged labor g. Infections
  11. 36 week pregnant, lab tests thatll be done a. Weight and BP
  1. Non stress test and what it looks for a. Used to evaluate baby health before birth b. Used to provide useful information about you baby oxygen supply baby checking for HR and how it responds to the baby movement c. Test might indicate the need for further monitoring, testing or delivery
  2. Accelerations/decelerations/variability in the FHR a. Accelerations: transient increased in the FHR, they are usually associated with fetal movement, vaginal exams, uterine contractions, umbilical vein compression, fetal scalp stimulation or even external acoustive stimulation b. Decelerations: temporary drops in the FHR. Three types (early, late and variable). Early are generally normal and not concerning, late and variable can be a sign baby isn’t doing well c. Variability: causes are from vagal reflex triggered by head compression during pushing and cord compression
  3. Test you give 24- weeks a. One hour glucose