Muscular Dystrophy and Related Conditions Quiz

TemptingDubnium avatar
TemptingDubnium
·
·
Download

Start Quiz

Study Flashcards

Questions and Answers

What is the most likely cause of the muscle weakness in male children with the inherited disorder described?

Genetic mutation leading to lack of dystrophin protein

What intervention should the nurse implement when a 2-week-old female infant shows increased respiratory rate and heart rate after surgical repair of an umbilical hernia?

Notify the healthcare provider of these findings

When observing a 2-year-old girl drinking sweetened soda from a bottle, what information should the nurse discuss with the mother?

Dental caries are associated with drinking soda

What should be the nurse's priority intervention for the 5-month-old infant with rapid breathing and difficulty eating after surgical correction of tetralogy of Fallot?

<p>Auscultate heart and lungs while infant is held</p> Signup and view all the answers

Which herbal supplement is likely to help a client experiencing morning sickness at 6 weeks gestation?

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

What is the most important information for the nurse to provide the mother of the 11-year-old boy with juvenile arthritis who is concerned about pain medication dependence?

<p>Giving pain medication around the clock helps control the pain</p> Signup and view all the answers

After a postpartum client voids 250 ml of urine and the fundus remains deviated and boggy, what action should the nurse take?

<p>Re-evaluate the client in 15 minutes</p> Signup and view all the answers

When a woman discloses drinking coffee prior to a scheduled c-section to avoid getting a headache, what should the nurse do first?

<p>Inform the anesthesia care provider</p> Signup and view all the answers

What would be the most appropriate response to the mother of the 4-month-old baby girl regarding introducing solid foods?

<p>Start with iron-fortified rice cereal around 4-6 months of age</p> Signup and view all the answers

What should the nurse do first if a client on magnesium sulfate therapy develops slurred speech and decreased reflexes during active labor?

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

What is a common concern for parents regarding infants with tetralogy of Fallot post-surgical correction?

<p>Possible difficulty in feeding and breathing coordination</p> Signup and view all the answers

What is a key factor in managing pain for children with juvenile arthritis?

<p>Balancing scheduled pain medication with non-pharmacological strategies</p> Signup and view all the answers

Why is it important for the nurse to evaluate growth patterns in infants with tetralogy of Fallot?

<p>To assess cardiac function and response to surgical correction</p> Signup and view all the answers

What should the school nurse do when a middle school student with ADHD is referred for learning problems?

<p>Refer the child to the school counselor for educational testing</p> Signup and view all the answers

What should a mother do first when her child with Kawasaki disease is irritable and has skin peeling on hands and feet?

<p>Place the child in a quiet environment</p> Signup and view all the answers

What is an appropriate measure to promote adequate nutrition in a 6-month-old infant with GERD?

<p>Feed the baby smaller amounts more frequently</p> Signup and view all the answers

What can be a common symptom of Kawasaki disease in children?

<p>Joint swelling</p> Signup and view all the answers

How can parents best support a child with ADHD in school?

<p>Regularly communicate with teachers about the child's progress</p> Signup and view all the answers

What is a key aspect to consider when managing GERD in infants?

<p>Positioning the baby upright after feeds</p> Signup and view all the answers

What is the best action for the nurse to take upon noticing symmetrical, round, bruise-like blemishes on the chest of a 5-year-old Chinese boy who recently completed antibiotic therapy for pneumonia?

<p>Report suspected child abuse to the proper authorities</p> Signup and view all the answers

What is the most appropriate intervention when a parent makes the statement 'We should encourage her to dress in clothing that suits her sexual maturity level' in the context of a girl with precocious sexual development receiving LH-RH treatment?

<p>Educate the parents on the importance of age-appropriate clothing choices</p> Signup and view all the answers

Why is it important for healthcare providers to schedule an IV pyelogram in a child with an undescended testicle?

<p>To confirm the presence and location of the testicle in the abdomen</p> Signup and view all the answers

What does a parent's statement 'Our daughter will be on this hormone treatment the rest of her life' imply regarding understanding of LH-RH treatment for precocious sexual development?

<p>Overestimation of treatment duration and necessity</p> Signup and view all the answers

When auscultating lung sounds post-pneumonia treatment, what would be an inappropriate action by the nurse?

<p>Prescribe another course of antibiotics for pneumonia prophylaxis</p> Signup and view all the answers

Why should healthcare providers ask if the right testis has been seen in the scrotum before other interventions in a child with an undescended testicle?

<p>To ensure that necessary tests are ordered based on confirmed physical findings</p> Signup and view all the answers

What intervention is most important for the nurse to implement in the scenario described?

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

Which topic is most important for the nurse to include in a nutrition teaching program for pregnant teenagers?

<p>Excessive weight gain</p> Signup and view all the answers

Which assessment finding best indicates that the newborn infant is transitioning well to extra-uterine life?

<p>Cries vigorously when stimulated</p> Signup and view all the answers

What is the most appropriate initial management for a patient experiencing preeclampsia?

<p>Monitor fetal heart rate</p> Signup and view all the answers

What is a common complication associated with rapid progression of labor in multiparous women?

<p>Uterine rupture</p> Signup and view all the answers

Which laboratory test should be prioritized in a pregnant woman with signs of preeclampsia?

<p>Urinalysis for proteinuria</p> Signup and view all the answers

Why is monitoring fetal movements important in pregnant women with Preeclampsia?

<p>To detect fetal distress</p> Signup and view all the answers

What is a key consideration when managing hypertension in pregnant women with Preeclampsia?

<p>Ensuring adequate protein intake</p> Signup and view all the answers

What should be the nurse's initial action when a diabetic client delivers a jittery, large for gestational age infant?

<p>Obtain a blood glucose level</p> Signup and view all the answers

After a 30-hour labor, what is the priority nursing action for a client who delivers a 9-pound infant vaginally?

<p>Observe for signs of uterine hemorrhage</p> Signup and view all the answers

A multigravida client in labor is receiving Pitocin. The nurse has Lactated Ringers 1,000 ml with Pitocin 20 units available. How many ml/hr should the nurse program the infusion pump to deliver?

<p>12 ml/hr</p> Signup and view all the answers

What should the nurse prioritize when a term multigravida receiving Pitocin requests pain medication after being medicated with butorphanol 30 minutes ago?

<p>Monitoring for respiratory depression</p> Signup and view all the answers

When assisting in labor augmentation with oxytocin, what should the nurse do if the client starts requesting pain medication?

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

What could be a potential concern if a multigravida client in labor, receiving Pitocin, suddenly reports feeling lightheaded and dizzy?

<p>Water intoxication</p> Signup and view all the answers

In the context of labor augmentation with Pitocin, what should the nurse prioritize before increasing the infusion rate?

<p>Checking fetal heart rate</p> Signup and view all the answers

What is a crucial assessment to perform on a client receiving Pitocin who begins to experience severe abdominal pain and uterine hyperstimulation?

<p>Uterine tone</p> Signup and view all the answers

What should the nurse do first upon hearing a baby crying while a multiparous client at 38-weeks gestation is in the bathroom changing into a hospital gown?

<p>Notify a healthcare provider</p> Signup and view all the answers

In the case of a client experiencing hypersystolic or tetanic contractions with variable fetal heart decelerations while on Pitocin, what should the nurse do?

<p>Alert the charge nurse to the patient's condition</p> Signup and view all the answers

When assessing a newborn delivered at 38 weeks gestation who is tremulous, tachycardic, and hypertensive, what is the most important assessment action for the nurse to implement?

<p>Determine reactivity of neonatal reflexes</p> Signup and view all the answers

What is a key consideration for a nurse when a new infant is receiving positive pressure ventilation after delivery?

<p>Assess for umbilical cord abnormalities</p> Signup and view all the answers

For a pregnant client admitted with contractions 5 minutes apart, what should the nurse prioritize if there is no healthcare provider present during delivery?

<p>Prepare for imminent delivery</p> Signup and view all the answers

When caring for a newborn with tremors, tachycardia, and hypertension, what additional intervention should the nurse consider?

<p>Check blood glucose level</p> Signup and view all the answers

In a case where a newborn exhibits signs of respiratory distress post-delivery, what immediate action should the nurse take?

<p>Clear airway with suctioning</p> Signup and view all the answers

What is a priority nursing intervention for a postpartum client with persistent uterine atony despite massage and oxytocin administration?

<p>Consult with an obstetric surgeon for uterine exploration</p> Signup and view all the answers

What should the nurse do first when the newborn spits up breast milk during a diaper change?

<p>Turn the newborn to the side and bulb suction the mouth and nares</p> Signup and view all the answers

Why is it important for the nurse to assess the total amount of Pitocin infused in a client experiencing excessive vaginal bleeding postpartum?

<p>To evaluate the effectiveness of Pitocin in controlling bleeding</p> Signup and view all the answers

When caring for a newborn with a congenital heart defect, what assessment finding requires immediate intervention?

<p>Cyanotic lips and nail beds</p> Signup and view all the answers

Why is it crucial for the nurse to monitor the maternal apical pulse rate in a client experiencing excessive postpartum bleeding?

<p>To assess for maternal cardiac function</p> Signup and view all the answers

Which action by the nurse is most appropriate when a postpartum client's fundus remains deviated and boggy after voiding 250 ml of urine?

<p>Check for bladder distention by palpating the suprapubic area</p> Signup and view all the answers

In a client with uncontrolled vaginal bleeding after IV Pitocin infusion, what information is critical for the nurse to provide to the healthcare provider?

<p>The estimated blood loss since birth</p> Signup and view all the answers

What is the primary purpose of rubbing or patting a newborn's upper back after feeding?

<p>To improve airway clearance and gas expulsion</p> Signup and view all the answers

Why should a nurse assess for bladder distention in a postpartum client with uncontrolled vaginal bleeding?

<p>To identify potential causes of uterine atony</p> Signup and view all the answers

What is the priority action for the nurse to take when a client complains of vaginal warmth and is experiencing 90-second contractions with fetal heart rate decelerations 30 minutes after the insertion of vaginal prostaglandin gel?

<p>Turn the client to a side-lying position</p> Signup and view all the answers

When should the nurse initiate chest compressions based on the assessment findings provided?

<p>Central cyanosis</p> Signup and view all the answers

What information is the nurse obtaining through an amniocentesis for a fetus estimated to weigh 8 pounds at 36-weeks gestation?

<p>Fetal lung maturity</p> Signup and view all the answers

What should the nurse do first when a woman who delivered a normal newborn 24 hours ago expresses concerns about frequent urination?

<p>Evaluate for normal involution then massage the fundus</p> Signup and view all the answers

What action should the nurse prioritize for a client whose labor is being augmented with an oxytocin infusion and requests an epidural for pain control?

<p>Assess for signs of fetal distress</p> Signup and view all the answers

What should the nurse consider as concerning when a client delivered normally 24 hours ago reports frequent urination?

<p>Urinary tract infection</p> Signup and view all the answers

Which maternal condition requires immediate intervention when present during labor induction using vaginal prostaglandin gel?

<p>Fetal heart rate decelerations</p> Signup and view all the answers

What action should the nurse prioritize when a client experiences uterine hyperstimulation following intravaginal prostaglandin gel administration?

<p>Discontinue the prostaglandin gel immediately</p> Signup and view all the answers

Study Notes

Labor and Delivery

  • A client at 38 weeks gestation with contractions 5 minutes apart needs immediate attention; the nurse should inspect the client's perineum first.
  • A client receiving oxytocin (Pitocin) to augment early labor with hypersystolic or tetanic contractions and variable fetal heart decelerations requires the nurse to decrease the rate of the Pitocin infusion.

Newborn Care

  • A newborn delivered at 38 weeks gestation who is tremulous, tachycardic, and hypertensive may indicate maternal cocaine use; the nurse should obtain a drug screen for cocaine.
  • A newborn's transition to extra-uterine life is indicated by flexion of all four extremities.

Postpartum Care

  • A multigravida client who has just given birth vaginally after a 30-hour labor is at risk for uterine hemorrhage; the nurse should observe for signs of uterine hemorrhage.
  • A client who has just given birth and is experiencing vaginal bleeding after IV Pitocin infusion requires the nurse to notify the healthcare provider, providing information on the total amount of Pitocin infused, maternal blood pressure, and maternal apical pulse rate.

Pediatric Care

  • A 2-week-old infant with an umbilical hernia requires the nurse to wrap the infant tightly and rock them in a rocking chair if they are experiencing increased respiratory and heart rates.
  • A 2-year-old girl who is drinking sweetened soda from a bottle needs the nurse to educate the mother about the risks of dental caries and childhood obesity.

Medication and Treatments

  • A client with gestational diabetes receiving oxytocin (Pitocin) infusion for labor augmentation needs the nurse to decrease the rate of the Pitocin infusion if the client is experiencing hypersystolic or tetanic contractions with variable fetal heart decelerations.
  • A client who delivered a full-term infant and is experiencing excessive vaginal bleeding after IV Pitocin infusion requires the nurse to notify the healthcare provider, providing information on the total amount of Pitocin infused, maternal blood pressure, and maternal apical pulse rate.

Pediatric Conditions

  • A child with juvenile arthritis needs the nurse to educate the mother about the importance of giving pain medication around the clock to control pain.
  • A child with Kawasaki disease needs the nurse to instruct the mother to place the child in a quiet environment and apply lotion to hands and feet.

Herbal Supplements

  • A client experiencing morning sickness at 6 weeks gestation may benefit from taking ginger, a herbal supplement that helps alleviate nausea.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Quizzes Like This

Use Quizgecko on...
Browser
Browser