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 (C)</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 (A)</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 (C)</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 (D)</p> Signup and view all the answers

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

<p>Calcium gluconate (D)</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 (C)</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 (C)</p> Signup and view all the answers

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

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

Why should magnesium sulfate be discontinued in the scenario described?

<p>To avoid magnesium toxicity (B)</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 (D)</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 (D)</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 (D)</p> Signup and view all the answers

Which statement is true regarding eclampsia?

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

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

<p>Decrease cardiac output (A)</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 (B)</p> Signup and view all the answers

What symptom is common in both appendicitis and pregnancy?

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

What condition predisposes a woman to ovarian problems?

<p>Pregnancy (B)</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 (C)</p> Signup and view all the answers

What laboratory marker indicates disseminated intravascular coagulation (DIC)?

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

What would occur with DIC in terms of fibrinogen levels?

<p>Hypofibrinogenemia (D)</p> Signup and view all the answers

Which of the following statements best describes chronic hypertension?

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

When does chronic hypertension typically develop?

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

What defines severe chronic hypertension?

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

Which statement about proteinuria is true?

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

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

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

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

<p>Understanding reversibility (B)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>Concrete thinking (D)</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 (B)</p> Signup and view all the answers

What is a common characteristic of preoperational thinking in children?

<p>Inability to retrace processes (C)</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 (B)</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 (D)</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 (C)</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; (B)</p> Signup and view all the answers

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

<p>Swimming (C)</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 (D)</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 (D)</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. (B)</p> Signup and view all the answers

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

<p>Basing decisions on consequences (A)</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. (D)</p> Signup and view all the answers

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

<p>They socialize mainly with their peers (C)</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. (C)</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. (B)</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 (B)</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 (A)</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 (B)</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 (A)</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 (D)</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 (B)</p> Signup and view all the answers

What can preschool children resist according to the text?

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

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

<p>Concrete operational thinking (D)</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 (B)</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 (A)</p> Signup and view all the answers

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

<p>By encouraging teamwork and collaboration (D)</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 (C)</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 (C)</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 (C)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

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

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

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

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

Which aspect parallels sensorimotor development in infants?

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

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

<p>Injuries (D)</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 (D)</p> Signup and view all the answers

Which dietary practice promotes good dental health in early childhood?

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

What may treatment of colic in infants involve?

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

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

<p>Multifactorial causes (C)</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 (D)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Educating families about SIDS risks (D)</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 (C)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Suffocation (B)</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 (A)</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 (B)</p> Signup and view all the answers

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

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

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

<p>HBV, HAV, diphtheria, tetanus (A)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Infant's temperament (D)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Attachment, language development, and play (A)</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 (B)</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 (D)</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 (C)</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 (C)</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 (D)</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 (A)</p> Signup and view all the answers

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

<p>Developing trust (C)</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 (A)</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 (D)</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 (D)</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 (B)</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 (C)</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 (B)</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 (A)</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 (C)</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 (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>DTaP, Polio, Pneumococcus, Influenza (B)</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 (C)</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 (C)</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 (D)</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 (B)</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 (B)</p> Signup and view all the answers

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