FREE Registered Nurse Questions and Answers
An expectant woman in her 38s meets her nurse practitioner for her routine prenatal appointment. She is thirty weeks pregnant. Which condition connected to her age should the nurse be on the lookout for?
Increased risks for PIH, cesarean delivery, fetal and neonatal death, and trisomy are among the physical hazards for pregnant clients older than 35.
A pregnant woman is monitored for PIH at 36 weeks of pregnancy and experiences proteinuria. Which of the following items will offer the most protein to her diet when combined with the 100 mL of milk she now consumes?
The fat content of ice cream would overwhelm the protein benefits. Because of its caffeine content, chocolate syrup should not be consumed during pregnancy.
The monitor exhibits late decelerations with tachycardia and declining variability while evaluating the status of the fetal heart rate during labor. What steps need to be taken by the nurse?
Action must be taken right away, including reporting results, changing the mother onto her left side, giving oxygen, stopping the use of oxytocin (Pitocin), checking the mother's blood pressure and labor progress, getting ready for an emergency cesarean delivery, and communicating the plan of action to the client.
To avoid perinatal mortality in women with diabetes during pregnancy, glucose levels must be tightly controlled metabolically. The nurse is aware of the recommended range for serum glucose levels during pregnancy, which is:
To decrease the risk of perinatal mortality, the range of 70–120 mg/dL is advised.
A client's gestational age is determined by the nurse practitioner to be around 9 weeks. The healthcare provider gives the client information on the bodily changes that will occur during the first trimester, such as:
During the first three months of pregnancy, nausea and vomiting affect about half of all pregnant women due to increased levels of human chorionic gonadotropin and altered carbohydrate metabolism.
The monitor exhibits late decelerations with tachycardia and declining variability while evaluating the status of the fetal heart rate during labor. What steps needs to be taken by the nurse?
Action must be taken right away, including reporting results, changing the mother onto her left side, giving oxygen, stopping the use of oxytocin (Pitocin), checking the mother's blood pressure and labor progress, getting ready for an emergency cesarean delivery, and communicating the plan of action to the client.
A patient has gained 10 lb in the past two months and is back for her 6-month pregnancy visit. Her physical examination revealed no abnormalities. How does the nurse assess the efficacy of the diet and weight-control advice?
She requires a reevaluation of her eating habits and reinforcement of appropriate dietary habits for pregnancy due to her excessive weight gain of 10 lb in 2 months. Most pregnant women with a weight increase of 2730 lb over the course of nine months are advised to follow a 2200 calorie diet. PIH might also be investigated when there is a quick and significant weight gain.
Diabetes-afflicted pregnant women frequently experience issues with insulin's capacity to regulate their blood sugar levels throughout the second part of pregnancy.
The nurse explains to the customer why this is so:
Later in pregnancy, human placental lactogen levels rise. This hormonal antagonist increases the flow of free fatty acids, accelerates lipolysis, and lessens the efficacy of insulin.
For a patient with PIH, the doctor advises rapid hospital admission. Which of these techniques by the nurse would likely be best after understanding her feelings when she tells the nurse, "It's not so easy for me to just go right to the hospital like that"?
The nurse should look into potential causes of the client's concern, such as whether there are young children living at home or whether the husband is absent. The nurse should assist the patient in looking for assistance or interventions to lessen hospital anxiety.
What is the best way to spot breast cancer tumors in the early stages?
The best strategy for early breast cancer screening has been demonstrated to be monthly self-examination of the breasts. 95% of lumps are found by the women who are experiencing them.
A client who is 25 years old thinks she might be expecting her first kid. To find out the state of her potential pregnancy, she makes an appointment with the nurse practitioner for an obstetric examination. Her last period started on May 20, and based on the Naegele’s rule, her anticipated date of confinement is
February 27 is the right response. To determine the anticipated confinement date using the Naegele’s rule, take 3 months off the start of the most recent menstrual cycle, then double the result by 7 days.
A customer is six weeks pregnant. She queries the nurse during her first prenatal appointment, "How much alcohol is safe to drink during pregnancy?" and receives the following response:
There is no established safe drinking limit for expectant mothers.
Preeclampsia has been identified in one of the clients. The doctor prescribes magnesium sulfate. Preeclampsia is treated with magnesium sulfate (MgSO4) for:
MgSO4 is categorized as an anticonvulsant medication. MgSO4 is used in the treatment of preeclampsia to stop seizures.
Which of the following observations in a postpartum lady would be abnormal?
Due to labor's physical strain and dehydration, a temperature of 100.4F (38C) may develop after birth. Any temperature, though, that is more than to discover any infectious processes, 100.4F requires more research.
The following are the main goals of a newborn's initial Apgar score:
The Apgar system's goal is to assess the newborn's physical health upon birth and determine whether resuscitation is necessary right away.
Which of the following breast cancer risk factors would a nurse rate as being the most important in a client's history?
A woman's risk of getting breast cancer is raised if her family has a good history of the disease. It is advised that mammograms start 5 years before the age at which a female immediate relative received a breast cancer diagnosis.