Impact of Pregnancy on Surgery for Intestinal Obstructions Quiz
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Questions and Answers

What is a potential complication associated with HELLP syndrome?

  • Idiopathic thrombocytopenia
  • Eclampsia
  • Preeclampsia
  • DIC (correct)

    • Which statement is true regarding idiopathic thrombocytopenia?

  • It causes high platelet counts.
  • It is a known complication of HELLP syndrome.
  • It is associated with preeclampsia.
  • The cause is unknown. (correct)

    • During a seizure in a woman with preeclampsia, what is the nurse's primary duty?

  • Insert an oral airway.
  • Administer oxygen by mask.
  • Stay with the client and call for help. (correct)
  • Suction the mouth to prevent aspiration.

    • What action is no longer the standard of care during a seizure in a pregnant woman?

    <p>Inserting an oral airway</p> Signup and view all the answers

    In a pregnant woman receiving magnesium sulfate for severe preeclampsia, what vital sign finding should concern the nurse?

    <p>Respiratory rate of 10 breaths/min</p> Signup and view all the answers

    What symptom in a pregnant woman receiving magnesium sulfate may indicate magnesium toxicity?

    <p>'Im so thirsty and warm' complaint</p> Signup and view all the answers

    What is the most appropriate action for the nurse to take based on the client's clinical presentation?

    <p>Discontinue the magnesium sulfate infusion</p> Signup and view all the answers

    Which medication is commonly used as an antidote for magnesium toxicity?

    <p>Calcium gluconate</p> Signup and view all the answers

    In the scenario described, what is a typical indication for administering hydralazine?

    <p>Systolic BP &gt; 160 mm Hg or diastolic BP &gt; 110 mm Hg</p> Signup and view all the answers

    What vital sign finding in the scenario should prompt immediate action by the nurse?

    <p>Blood pressure of 155/112 mm Hg</p> Signup and view all the answers

    What assessment finding suggests the need for close monitoring and intervention?

    <p>3+ deep tendon reflexes</p> Signup and view all the answers

    Why should magnesium sulfate be discontinued in the scenario described?

    <p>To avoid magnesium toxicity</p> Signup and view all the answers

    What is the most likely reason for this woman's protracted labor?

    <p>Magnesium sulfate's tocolytic effect</p> Signup and view all the answers

    Which nursing diagnosis is most appropriate for a woman with severe preeclampsia?

    <p>Risk for injury to the fetus related to uteroplacental insufficiency</p> Signup and view all the answers

    What is the correct nursing diagnosis for a woman experiencing severe preeclampsia?

    <p>Risk for preterm birth related to uteroplacental insufficiency</p> Signup and view all the answers

    Which statement is true regarding eclampsia?

    <p>It can develop from severe preeclampsia</p> Signup and view all the answers

    Why would there be a risk for excess fluid volume in a woman with severe preeclampsia?

    <p>Increased sodium retention</p> Signup and view all the answers

    What effect would antihypertensive drugs have on cardiac output in this scenario?

    <p>Decrease cardiac output</p> Signup and view all the answers

    Which surgical procedure should be delayed in pregnant women to minimize the impact on their pregnancy?

    <p>Surgery for intestinal obstructions</p> Signup and view all the answers

    What symptom is common in both appendicitis and pregnancy?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What condition predisposes a woman to ovarian problems?

    <p>Pregnancy</p> Signup and view all the answers

    How much more likely is the rupture of the appendix in pregnant women compared to others?

    <p>2 times more likely</p> Signup and view all the answers

    What laboratory marker indicates disseminated intravascular coagulation (DIC)?

    <p>Presence of fibrin split products</p> Signup and view all the answers

    What would occur with DIC in terms of fibrinogen levels?

    <p>Hypofibrinogenemia</p> Signup and view all the answers

    Which of the following statements best describes chronic hypertension?

    <p>It is general hypertension plus proteinuria.</p> Signup and view all the answers

    Why is HELLPS syndrome difficult to identify?

    <p>Symptoms are often not obvious and require a laboratory diagnosis.</p> Signup and view all the answers

    When does chronic hypertension typically develop?

    <p>Before pregnancy or before 20 weeks of gestation</p> Signup and view all the answers

    What defines severe chronic hypertension?

    <p>Diastolic BP of 110 mm Hg or higher</p> Signup and view all the answers

    Which statement about proteinuria is true?

    <p>It is a complication of hypertension, not a defining characteristic.</p> Signup and view all the answers

    In the context of hypertension, what does gestational hypertension refer to?

    <p>Hypertension that arises during pregnancy but does not persist postpartum</p> Signup and view all the answers

    During which stage of development does a child begin to understand that a person can be in more than one class at the same time?

    <p>Concrete operations stage</p> Signup and view all the answers

    Which stage of development is characterized by thinking that is egocentric and animistic?

    <p>Intuitive thought stage</p> Signup and view all the answers

    What is a characteristic of concrete thinking and logical reasoning in school-age children?

    <p>Understanding reversibility</p> Signup and view all the answers

    Which behavior might indicate peer victimization in school-age children?

    <p>Frequent visits to the nurse's office</p> Signup and view all the answers

    What are signs that a child might be bullied, according to the text?

    <p>Frequent missing or damaged belongings</p> Signup and view all the answers

    Which cognitive ability is associated with comprehending class inclusion in school-age children?

    <p>Concrete thinking</p> Signup and view all the answers

    Why should parents be educated regarding signs of bullying in school-age children?

    <p>To prevent peer victimization</p> Signup and view all the answers

    What is a common characteristic of preoperational thinking in children?

    <p>Inability to retrace processes</p> Signup and view all the answers

    Which activity is least likely to help develop fine motor skills in a school-age child?

    <p>Playing soccer</p> Signup and view all the answers

    What is a characteristic of moral development in a 4 to 7-year-old child?

    <p>Basing right and wrong on consequences</p> Signup and view all the answers

    Which statement accurately represents the moral development of a child younger than 4 years old?

    <p>Parents determining right and wrong</p> Signup and view all the answers

    Which statement is developmentally atypical for a 7-year-old boy?

    <p>&quot;My mom is my favorite person in the world.&quot;</p> Signup and view all the answers

    Which activity would be most beneficial for increasing a child's gross motor skills?

    <p>Swimming</p> Signup and view all the answers

    What is the usual basis for determining right and wrong for a 7 to 12-year-old child?

    <p>Conforming to rules to please others and avoid disapproval</p> Signup and view all the answers

    Which strategy by parents or teachers would be most beneficial for a child navigating the developmental task of industry?

    <p>Structuring the environment to facilitate task mastery</p> Signup and view all the answers

    What is a key difference between fine motor skills and gross motor skills?

    <p>Fine motor skills require more cognitive processing than gross motor skills.</p> Signup and view all the answers

    What is a common behavior observed in preschoolers regarding moral development?

    <p>Basing decisions on consequences</p> Signup and view all the answers

    In what aspect does swimming differ from activities like drawing and building models in terms of skill development?

    <p>Swimming focuses on gross motor skills improvement.</p> Signup and view all the answers

    How do 7-year-old children usually interact socially?

    <p>They socialize mainly with their peers</p> Signup and view all the answers

    Why are group activities important for school-age children's development?

    <p>Group activities foster social and gross motor skill development.</p> Signup and view all the answers

    What is a common misconception regarding the development of fine motor skills in children?

    <p>Fine motor skills are primarily genetic and cannot be improved through practice.</p> Signup and view all the answers

    What motivates school-age children to obey parents according to moral development theory?

    <p>Desire to please others</p> Signup and view all the answers

    What is a key aspect of moral development in a 9-year-old school-age child?

    <p>'Good-boy' or 'good-girl' orientation in decision-making</p> Signup and view all the answers

    What is one cognitive task of school-age children mentioned in the text?

    <p>Grasping the concept of conservation</p> Signup and view all the answers

    Which thought processes are typically seen in preschool children according to the text?

    <p>Animism, magical thinking, and belief in all-powerful thoughts</p> Signup and view all the answers

    What is a characteristic of the school-age child's logic in the stage of concrete operations?

    <p>Identifying themselves as son, brother, or nephew simultaneously</p> Signup and view all the answers

    Which concept does a school-age child NOT grasp according to the text?

    <p>Magical thinking and belief in all-powerful thoughts</p> Signup and view all the answers

    What can preschool children resist according to the text?

    <p>Perceptual cues indicating object alterations</p> Signup and view all the answers

    Which ability does a school-age child demonstrate based on the text?

    <p>Recognizing reversibility in mathematics problems</p> Signup and view all the answers

    Which cognitive skill is NOT mentioned in relation to preschool children?

    <p>Concrete operational thinking</p> Signup and view all the answers

    'Thoughts are all-powerful' is a characteristic observed in which age group according to the text?

    <p>'Tweens' (adolescents) and preschool children</p> Signup and view all the answers

    What is one way in which team play helps stimulate cognitive growth in children?

    <p>By requiring children to learn complex rules</p> Signup and view all the answers

    How does team play contribute to children's social growth?

    <p>By encouraging teamwork and collaboration</p> Signup and view all the answers

    What skill do children learn through team play regarding personal goals and group goals?

    <p>To modify or exchange personal goals for group goals</p> Signup and view all the answers

    Why is the division of labor considered an effective strategy in team play?

    <p>Because it helps in attaining a common goal</p> Signup and view all the answers

    Why do injuries still occur in middle childhood despite increased muscular coordination?

    <p>Due to risk-taking behaviors near home and school</p> Signup and view all the answers

    What is identified as the most effective means of injury prevention in middle childhood according to the text?

    <p>Education for both the child and family on hazards and risk-taking</p> Signup and view all the answers

    What is the focus of Erikson's theory of psychosocial development for infants?

    <p>Acquiring trust and overcoming mistrust</p> Signup and view all the answers

    How does Piaget's theory of cognitive development apply to infants?

    <p>Emphasizing sensorimotor phase</p> Signup and view all the answers

    What influences the interaction between an infant and parents according to the text?

    <p>Infant's temperament</p> Signup and view all the answers

    In terms of nutrition, what is recommended for infants during the first 6 months?

    <p>Exclusive breastfeeding</p> Signup and view all the answers

    Which aspect parallels sensorimotor development in infants?

    <p>Body image development</p> Signup and view all the answers

    What is a major concern for parents related to normal growth and development of infants?

    <p>Limit setting and discipline</p> Signup and view all the answers

    What is a common cause of death during infancy that parents should be vigilant about?

    <p>Injuries</p> Signup and view all the answers

    What is recommended as a preventive action to make the home environment safe for infants?

    <p>Childproofing cabinets and drawers</p> Signup and view all the answers

    Which dietary practice promotes good dental health in early childhood?

    <p>Regularly cleaning the teeth</p> Signup and view all the answers

    What may treatment of colic in infants involve?

    <p>Supporting the parent</p> Signup and view all the answers

    What is a common factor contributing to Failure to Thrive (FTT) in children?

    <p>Multifactorial causes</p> Signup and view all the answers

    What is the primary etiology of Failure to Thrive (FTT) according to the text?

    <p>Inadequate caloric intake</p> Signup and view all the answers

    What is a recommended strategy to reduce the risk of SIDS in infants?

    <p>Alternating the infant's head position nightly</p> Signup and view all the answers

    What factor places an infant at high risk for SIDS according to the text?

    <p>Using soft bedding</p> Signup and view all the answers

    What is a primary nursing responsibility in sudden infant death care?

    <p>Educating families about SIDS risks</p> Signup and view all the answers

    Why are infants with an ALTE carefully evaluated according to the text?

    <p>To determine the best treatment options</p> Signup and view all the answers

    What should parents avoid to reduce the risk of positional plagiocephaly according to the text?

    <p>Keeping the infant's head position unchanged</p> Signup and view all the answers

    What is a crucial factor in caring for infants to prevent sudden infant death?

    <p>Placing infants in a supine sleep position</p> Signup and view all the answers

    What is a potential consequence of not recommending whole milk until after 12 months?

    <p>Increased risk of dental caries</p> Signup and view all the answers

    Which is considered a common cause of death for infants according to the text?

    <p>Suffocation</p> Signup and view all the answers

    What is a key factor contributing to Failure to Thrive (FTT) in children as per the text?

    <p>Inadequate caloric intake</p> Signup and view all the answers

    How can parents help prevent injuries in infants as emphasized in the text?

    <p>Being vigilant and aware of potential dangers</p> Signup and view all the answers

    What is one recommended treatment approach for colic in infants according to the text?

    <p>Behavior modification</p> Signup and view all the answers

    Which routine immunizations are specifically mentioned for childhood in the text?

    <p>HBV, HAV, diphtheria, tetanus</p> Signup and view all the answers

    What is the focus of Erikson's theory of psychosocial development for infants?

    <p>Acquiring a sense of trust</p> Signup and view all the answers

    How does Piaget's theory of cognitive development apply to infants?

    <p>Developing sensorimotor skills</p> Signup and view all the answers

    What influences the type of interaction between infants and parents, especially the mother?

    <p>Infant's temperament</p> Signup and view all the answers

    Which of the following is a concern related to normal growth and development for parents of infants?

    <p>Thumb-sucking and pacifier use</p> Signup and view all the answers

    What is recommended as the optimal nutrition for infants during the first 6 months?

    <p>Breast milk</p> Signup and view all the answers

    In terms of social development, what guides the interactions of infants?

    <p>Attachment, language development, and play</p> Signup and view all the answers

    What is a crucial nursing responsibility related to sudden infant death syndrome (SIDS) as mentioned in the text?

    <p>Educating families about the risks associated with SIDS</p> Signup and view all the answers

    Which factor does NOT contribute to an increased risk of SIDS according to the text?

    <p>Regular use of car safety seats</p> Signup and view all the answers

    What is a recommended strategy to prevent positional plagiocephaly in infants based on the text?

    <p>Providing tummy time for short periods</p> Signup and view all the answers

    Why is it important to alternate an infant's head position nightly as per the text?

    <p>To reduce the risk of SIDS</p> Signup and view all the answers

    What is a common misconception regarding ALTE evaluation mentioned in the text?

    <p>Clues from ALTE evaluations may not help determine treatment options</p> Signup and view all the answers

    How can nurses support families who have experienced a loss due to SIDS?

    <p>Offering emotional support and education about safe sleep practices</p> Signup and view all the answers

    What is the primary focus of Erikson's theory of psychosocial development for infants?

    <p>Developing trust</p> Signup and view all the answers

    Which cognitive phase, according to Piaget, involves the coordination of secondary schemata and their application to new situations?

    <p>Sensorimotor phase</p> Signup and view all the answers

    What is a key consideration in the biologic development of a child?

    <p>Fine and gross motor development</p> Signup and view all the answers

    How does an infant's temperament influence interactions with parents?

    <p>Influences the type of interaction and bonding</p> Signup and view all the answers

    What is a primary concern for parents regarding normal growth and development?

    <p>Selecting appropriate child care arrangements</p> Signup and view all the answers

    Which feeding option is recommended as optimal nutrition for infants in the first 6 months?

    <p>Breast milk</p> Signup and view all the answers

    What is the primary nursing responsibility in care associated with sudden infant death?

    <p>Providing emotional support to families experiencing SIDS loss</p> Signup and view all the answers

    What is the best approach to prevent positional plagiocephaly in infants?

    <p>Utilizing prone positioning or 'tummy time' for short periods during awake time</p> Signup and view all the answers

    What is a common factor that places an infant at high risk for SIDS according to the text?

    <p>Maternal prenatal smoking</p> Signup and view all the answers

    What should infants with an ALTE be carefully evaluated for?

    <p>Underlying cause to determine best treatment options</p> Signup and view all the answers

    Why is alternating the infant's head position nightly recommended to prevent positional plagiocephaly?

    <p>To prevent prolonged pressure on one area of the skull</p> Signup and view all the answers

    What are some factors that contribute to the risk of SIDS according to the text?

    <p>Prone sleeping position</p> Signup and view all the answers

    What are some recommended routine immunizations for childhood according to the text?

    <p>DTaP, Polio, Pneumococcus, Influenza</p> Signup and view all the answers

    What are some common causes of death during infancy that parents should be vigilant about according to the text?

    <p>Drowning, Falls, Poisoning, Suffocation</p> Signup and view all the answers

    What is a potential treatment approach for colic in infants as mentioned in the text?

    <p>Change in feeding practices, Behavior modification</p> Signup and view all the answers

    What can lead to Failure to Thrive (FTT) in children based on the text?

    <p>Inadequate caloric intake regardless of cause</p> Signup and view all the answers

    What is a common potential cause of parental stress leading to colic in infants?

    <p>Chronic illness or poorly managed feeding practices</p> Signup and view all the answers

    Which injuries are highlighted as major causes of death during infancy in the text?

    <p>Suffocation and drowning</p> Signup and view all the answers

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