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NCLEX Review: Health Promotion and Maintenance Exam Prep Questions And Answers ()
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NCLEX Review: Health Promotion and Maintenance Exam Prep QuestionsAnd Answers (202472025)
L&D:
Epidural + Active labor
1,000 cc fluid bolus to be given with Lactated Ringer's Solution - ✔✔Lactated Ringer's replaces
electrolytes lost, adds volume to decrease risk for hypotension
Erikson's
Industry vs. Inferiority - ✔✔School aged child learns to compete and cooperate with others via
learning rules and how to play with others
L&D:
Maximum intensity of FHT for LOP (left occiput posterior) fetal position - ✔✔Left side of mother,
below umbilicus
L&D:
Maximum intensity of FHT for LSA (left sacrum anterior) fetal position - ✔✔Left side of mother,
above umbilicus
Infant:
Assessment Order for a 3 month old infant - ✔✔1. Auscultate heart & lung sounds first when child
is quiet.
2. record values before proceeding
3. Palpate & Percuss abdomen (head to toe)
4. examine eyes, ears, & mouth
5. do more disturbing assessment last (can check Moro Reflex first if baby is crying at the
beginning of the exam)
Toddler Milestones
(in order) - ✔✔walks without help (between 13 to 15 months)
build tower of 3 to 4 blocks (at 18 months)
, use 2 to 3 word phrases (at 24 months)
jumps with both feet (at 30 months)
Toddler:
Normal expectations for 24 months old - ✔✔1. kick ball without falling
2. pick up object without falling
3. builds block tower of 6 blocks
4. turn doorknobs & unscrew lids
5. 300 word vocal and can use 2 to 3 word phrases
Infant:
Toy- push pull - ✔✔Appropriate when child is able to walk and begin to coordinate movements
(18 to 21 months)
Breastfeeding:
Advice during cessation of breastfeeding - ✔✔running warm water over breast, pumping breasts,
having infant suck breasts should be avoided- stimulates hormonal response, increase milk
production, and can cause engorgement
Toilet Training - ✔✔can begin when voluntary control sphincters is achieved at 18 to 24 months
Infant:
Normal expectations for 9 month old - ✔✔1. pull to standing position, stand while holding onto
furniture
2. sit unsupported
3. respond to simple verbal commands like "no-no"
CVA:
Assessment for neuro status - ✔✔1. muscle strength
2. orientation to Person Place and Time
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