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Questions and Answers
Which statement by the patient indicates a need for re-education regarding self-care during pregnancy?
Which statement by the patient indicates a need for re-education regarding self-care during pregnancy?
What assessment finding would the nurse expect to note in a patient with abruptio placenta?
What assessment finding would the nurse expect to note in a patient with abruptio placenta?
What is the safest method to confirm placenta previa?
What is the safest method to confirm placenta previa?
Which observation would lead the nurse to suspect a neonate has been exposed to meconium in utero?
Which observation would lead the nurse to suspect a neonate has been exposed to meconium in utero?
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What is an expected nursing action when a baby with elevated bilirubin levels is placed under bili lights?
What is an expected nursing action when a baby with elevated bilirubin levels is placed under bili lights?
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Which action should the nurse take while providing care during fluorescent phototherapy for a baby with hemolytic jaundice?
Which action should the nurse take while providing care during fluorescent phototherapy for a baby with hemolytic jaundice?
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Where should the skin thermal sensor be placed for a neonate in the warming crib for poor thermoregulation?
Where should the skin thermal sensor be placed for a neonate in the warming crib for poor thermoregulation?
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What would be an appropriate nursing action for a baby in the NICU whose mother was addicted to heroin during pregnancy?
What would be an appropriate nursing action for a baby in the NICU whose mother was addicted to heroin during pregnancy?
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What condition is indicated by edema of the testicles in a teen?
What condition is indicated by edema of the testicles in a teen?
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Which statement about testicular self-examination is inaccurate?
Which statement about testicular self-examination is inaccurate?
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Which metabolic change in pregnancy does not affect diabetes mellitus?
Which metabolic change in pregnancy does not affect diabetes mellitus?
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Which fetal complication is not associated with gestational diabetes?
Which fetal complication is not associated with gestational diabetes?
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Which condition poses a risk for developing deep vein thrombosis (DVT) during pregnancy?
Which condition poses a risk for developing deep vein thrombosis (DVT) during pregnancy?
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What should a woman with heart disease avoid during her pregnancy?
What should a woman with heart disease avoid during her pregnancy?
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What should the nurse do while administering Surfactant (beractant) to a 1,000-gram neonate?
What should the nurse do while administering Surfactant (beractant) to a 1,000-gram neonate?
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Which of the following is not a risk factor for cardiac disease in pregnancy?
Which of the following is not a risk factor for cardiac disease in pregnancy?
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Which sign should the nurse specifically monitor for in an infant at risk for fetal alcohol syndrome?
Which sign should the nurse specifically monitor for in an infant at risk for fetal alcohol syndrome?
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What is an effect of pregnancy on heart disease?
What is an effect of pregnancy on heart disease?
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What assessment should the nurse request for an infant showing signs of withdrawal, such as tremors and a shrill cry?
What assessment should the nurse request for an infant showing signs of withdrawal, such as tremors and a shrill cry?
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In an infant of a non-insulin dependent diabetic mother, what is the appropriate action when the glucose level is slightly elevated?
In an infant of a non-insulin dependent diabetic mother, what is the appropriate action when the glucose level is slightly elevated?
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What characteristic finding would be expected in the smaller twin of monochorionic twins with twin-to-twin transfusion syndrome?
What characteristic finding would be expected in the smaller twin of monochorionic twins with twin-to-twin transfusion syndrome?
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What is a common sign that may occur in newborns experiencing neonatal abstinence syndrome?
What is a common sign that may occur in newborns experiencing neonatal abstinence syndrome?
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Which of the following could be a predisposing factor for mastitis in breastfeeding mothers?
Which of the following could be a predisposing factor for mastitis in breastfeeding mothers?
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Which finding indicates a possible complication in a newborn from a mother with a history of diabetes?
Which finding indicates a possible complication in a newborn from a mother with a history of diabetes?
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What indicates that the patient should see an OB-GYN for medical advice regarding iron supplementation?
What indicates that the patient should see an OB-GYN for medical advice regarding iron supplementation?
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Which factor does not contribute to the nurse assessing the patient's risk for imbalanced nutrition?
Which factor does not contribute to the nurse assessing the patient's risk for imbalanced nutrition?
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Which statement shows the patient's understanding of health teaching regarding iron supplementation?
Which statement shows the patient's understanding of health teaching regarding iron supplementation?
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What condition is indicated by extreme nausea and vomiting in a pregnant patient leading to weight loss and dehydration?
What condition is indicated by extreme nausea and vomiting in a pregnant patient leading to weight loss and dehydration?
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What is the abnormality in pregnancy when an ultrasound shows pregnancy in the fallopian tube?
What is the abnormality in pregnancy when an ultrasound shows pregnancy in the fallopian tube?
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Which condition is NOT associated with molar pregnancy?
Which condition is NOT associated with molar pregnancy?
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What condition is suggested by the absence of fetal heart sounds and skeletal observation during ultrasound?
What condition is suggested by the absence of fetal heart sounds and skeletal observation during ultrasound?
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What signifies that a first-time expectant mother may be experiencing atypical pregnancy signs?
What signifies that a first-time expectant mother may be experiencing atypical pregnancy signs?
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Which of the following should not be a therapeutic management approach for a molar pregnancy?
Which of the following should not be a therapeutic management approach for a molar pregnancy?
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Which of the following conditions would likely require immediate medical attention during pregnancy?
Which of the following conditions would likely require immediate medical attention during pregnancy?
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Which action is contraindicated when caring for a pediatric client scheduled for Wilms tumor removal?
Which action is contraindicated when caring for a pediatric client scheduled for Wilms tumor removal?
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How should the nurse respond to a parent who asks about stage III cancer in their child?
How should the nurse respond to a parent who asks about stage III cancer in their child?
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What is the priority action when caring for a child newly diagnosed with Wilms tumor?
What is the priority action when caring for a child newly diagnosed with Wilms tumor?
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Which of the following is a well-defined risk management technique to prevent childhood cancer?
Which of the following is a well-defined risk management technique to prevent childhood cancer?
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What are common sites where rhabdomyosarcoma occurs?
What are common sites where rhabdomyosarcoma occurs?
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What complication is important to monitor for in a patient with a molar pregnancy?
What complication is important to monitor for in a patient with a molar pregnancy?
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Study Notes
Testicular Examination
- Edema of the testicles could indicate a testicular tumor, scrotal hernia, scrotal edema, or torsion of the spermatic cord.
- During testicular self-examination, the testicle should feel smooth, rounded, and firm.
- The epididymis can be felt on top and behind each testicle.
- The best time to perform testicular self-examination is in the shower or bath when the scrotum is relaxed.
- If the testicle has any lumps or is enlarged, call a healthcare provider immediately.
Pregnancy and Diabetes Mellitus
- Increased insulin antagonistic hormones during pregnancy include cortisol, estrogen, progesterone, and human placental lactogen.
- Excess glucose crossing the placenta during pregnancy can lead to a large for gestational age (LGA) baby.
Gestational Diabetes Complications
- Gestational diabetes can lead to fetal complications such as hyperbilirubinemia, spontaneous abortion or fetal anomalies, and neonatal hyperglycemia.
Deep Vein Thrombosis (DVT) in Pregnancy
- Conditions at risk for developing DVT in pregnancy include spontaneous miscarriage, gestational diabetes mellitus, gestational hypertension, and antiphospholipid antibodies (aPLA) / antiphospholipid syndrome.
Heart Disease in Pregnancy
- Weight gain, infection, edema, and anemia should all be avoided during a pregnancy complicated by heart disease.
- Rheumatic fever, hypertension, and pulmonary disease are risk factors for cardiac disease in pregnancy.
- Pregnancy increases cardiac output by 50%, blood volume peaks at 24-28 weeks, and the heart must contract harder and faster to accommodate the increased blood volume.
Placenta Previa
- Placenta previa can cause painless, bright red vaginal bleeding.
- Ultrasound is the most accurate and safest way to diagnose placenta previa.
Meconium In Utero Exposure
- Green umbilical cord is the most common indicator of meconium exposure in utero.
Neonatal Jaundice
- Jaundice is treated by placing the infant under bili lights.
- Rotate the infant from front to back every 2 hours to ensure even exposure.
Thermoregulation in Newborns
- The xiphoid process is the most appropriate site for placement of a skin thermal sensor to monitor thermoregulation in a warming crib.
Neonatal Abstinence Syndrome (NAS)
- Babies born to mothers addicted to heroin may experience NAS, characterized by tremors, sneezing, excessive sucking or mouthing, and a shrill, high-pitched cry.
Respiratory Distress Syndrome (RDS)
- Survanta (beractant) is used to prevent RDS in premature infants by providing surfactant to the lungs.
Fetal Alcohol Syndrome (FAS)
- Babies born to mothers addicted to alcohol may exhibit signs of FAS, such as poor suck reflex, absent Moro reflex, and failure to thrive.
Macrosomia in Infants of Diabetic Mothers
- Macrosomic infants are born to mothers with diabetes and have an elevated risk of hypoglycemia.
- Infants of diabetic mothers have a higher normal glucose range.
Twin-to-Twin Transfusion Syndrome
- In monochorionic twins, the smaller twin can experience pallor and anemia due to twin-to-twin transfusion syndrome.
Mastitis
- The primary predisposing factor for mastitis is breastfeeding.
Iron Deficiency Anemia (IDA)
- IDA is most common during the second trimester of pregnancy.
- Iron supplementation is usually recommended during pregnancy.
- Eating green, leafy vegetables, beans, and supplementing with iron can help prevent IDA.
Hyperemesis Gravidarum
- Hyperemesis gravidarum is characterized by extreme nausea and vomiting during pregnancy, often resulting in weight loss and dehydration.
Ectopic Pregnancy
- An ectopic pregnancy occurs when the fertilized egg implants outside the uterus.
- The most common location for an ectopic pregnancy is the fallopian tube.
Molar Pregnancy
- A molar pregnancy is a condition where the placenta is not fully formed and there is no fetus.
- A molar pregnancy presents with an enlarged uterus, abnormal bleeding, and elevated levels of human chorionic gonadotropin (HCG).
Wilms Tumor (Nephroblastoma)
- Palpation of the abdomen is contraindicated when caring for a patient with a Wilms tumor to prevent rupture of the tumor.
- The priority action for a child newly diagnosed with a Wilms tumor is to protect the abdomen from manipulation.
Rhabdomyosarcoma
- Common sites for rhabdomyosarcoma include the head, gastrointestinal tract, and genitourinary system.
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Description
This quiz covers essential knowledge about testicular examinations, signs of potential issues like tumors, and the impacts of pregnancy on diabetes management. It highlights the importance of self-examination techniques and the complications that may arise from gestational diabetes. Understanding these concepts is crucial for both men's health and prenatal care.
