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SARAH MICHELLE LIVE REVIEW STUDY GUIDE EXAM WITH A STUDY GUIDE | ACCURATE AND VERIFIED QUESTIONS AND ANSWERS | LATEST UPDATE | GUARANTEED PASS | GRADED A | 2024$17.99
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SARAH MICHELLE LIVE REVIEW STUDY GUIDE EXAM WITH A STUDY GUIDE | ACCURATE AND VERIFIED QUESTIONS AND ANSWERS | LATEST UPDATE | GUARANTEED PASS | GRADED A | 2024
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Course
SARAH MICHELLE CRASH COURSE
Institution
SARAH MICHELLE CRASH COURSE
SARAH MICHELLE LIVE REVIEW STUDY GUIDE
EXAM WITH A STUDY GUIDE | ACCURATE AND
VERIFIED QUESTIONS AND ANSWERS | LATEST
UPDATE | GUARANTEED PASS | GRADED A |
2024
SARAH MICHELLE LIVE REVIEW STUDY GUIDE
EXAM WITH A STUDY GUIDE | ACCURATE AND
VERIFIED QUESTIONS AND ANSWERS | LATEST
UPDATE | GUARANTEED PASS | GRADED A |
2024
What are positive signs of pregnancy? - ✔✔ANSW✔✔..Objective signs that are going to
be confirmatory
PUF
Palpation of the fetus
Ultrasound
Fetal heart tones
What is an ectopic pregnancy? - ✔✔ANSW✔✔..When an eggs implants outside of the
uterus where it belongs
What are risk factors of ectopic pregnancy? - ✔✔ANSW✔✔..Previous ectopic
pregnancy, scar tissue from past surgery, infections, age > 35, IUD
What are signs and symptoms of ectopic pregnancy? - ✔✔ANSW✔✔..Positive
pregnancy test, abdominal pain, bleeding, lightheaded mess, possible syncope,
amenorrhea, nausea
What is our biggest concern with ectopic pregnancy? - ✔✔ANSW✔✔..Possibility of
rupture- REFER OUT- EMERGENT
What is Nagele's Rule? - ✔✔ANSW✔✔..LMP + 9 months + 7 days
,What re expectations regarding weight gain in pregnancy? - ✔✔ANSW✔✔..If patient
was normal weight BMI: expect about 25-35 lb weight gain
Greater weight gain is going to be recommended if the patient was underweight
previously
Lower weight gain is going to be recommended if the patient was overweight
What heart sound may be audible in pregnant women due to that extra fluid of
pregnancy? - ✔✔ANSW✔✔..S3
Where should the fundal height be at 12 weeks? - ✔✔ANSW✔✔..Symphysis pubis
Where should the fundal height be at 20 weeks? - ✔✔ANSW✔✔..Umbilicus
What does it mean if the mother is Rh-negative and the baby is Rh- positive? -
✔✔ANSW✔✔..An incompatibility is present, that can affect future pregnancies.
It is common during deliveries for fetal and maternal blood to mix, and so the mother
can develop antibodies against that Th-positive blood type. This would mean that if she
had a future pregnancy with an Rh-positive baby, those antibodies could attack.
What pregnant mothers need Rhogam? When is it given? - ✔✔ANSW✔✔..All Rh-
negative mothers
28 weeks
***If the mother is Rh-negative and the baby is Rh-positive, then ANOTHER dose will be
given within 72 hours of delivery
A new graduate nurse practitioner has a patient presents with a hearing complaint. The
patient states that they have had decreased hearing on the right side for the last month
that is continuing to get worse. The NP completes both the Rinne and Weber tests. If
the patient has Ménière's disease, what would be the expected finding on the Weber
test?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear - ✔✔ANSW✔✔..4. The tuning fork lateralizes
to the left ear
What are common signs and symptoms of Meniere's Disease? - ✔✔ANSW✔✔..Vertigo,
tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? - ✔✔ANSW✔✔..There is a
possibility for a potential, permanent hearing loss.
,What is rhinitis meidcamentosa? - ✔✔ANSW✔✔..Drug-induced rebound nasal
congestion, this can happen after use of nasal decongestants like Afrin. These nasal
decongestants should ideally not be used for greater than 3-5 days because of this risk.
What is herpes keratitis? - ✔✔ANSW✔✔..This is an infection of the cornea due to
herpes simplex virus
How is herpes keratitis diagnosed? - ✔✔ANSW✔✔..By examining the eye under a black
lamp and visualized the cornea, in herpes keratitis, fern like lines will be seen on the
cornea
A child that has a history of mononucleosis is at increased risk for development for what
cancer later in life? And why? - ✔✔ANSW✔✔..Hodgkin's Lymphoma and Burkitt's
Lymphoma, this is due to the exposure of the Epstein-Barr virus
What types of patients will be at a higher risk of pneumonia? - ✔✔ANSW✔✔..Patient
with chronic lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? -
✔✔ANSW✔✔..Because we WANT them to get that gunk out, we do not want them to
hold it in their lungs, an expectorant would be a better option for these patients.
When should a follow up chest X-Ray be completed after treatment of pneumonia? -
✔✔ANSW✔✔..Around 8 week mark
What is COPD? - ✔✔ANSW✔✔..Chronic Obstructive Pulmonary Disease. This is a
chronic condition that is made up of chronic bronchitis and emphysema. It is a
progressive inflammatory lung disease that makes it hard for the patients to breathe,
because the chronic bronchitis leads to mucous build up and the emphysema portion
destroys areas of the lungs.
What signs and symptoms are common in COPD patients? - ✔✔ANSW✔✔..Chronic
cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
✔✔ANSW✔✔..Neurological symptoms, paresthesia (numbness and tingling in hands
and feet), unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? - ✔✔ANSW✔✔..Vegan- oral supplements can
be used for treatment
, What surgery can result in B12 deficiency? - ✔✔ANSW✔✔..Gastric surgery- patient will
lose intrinsic factor that is required to absorb B12- these patients will require life long IM
B12 injections
What patient population is lupus commonly seen? - ✔✔ANSW✔✔..Women of
childbearing age- ages 15-45, African Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - ✔✔ANSW✔✔..Must have 4/11 diagnostic
criteria:
What is Sjogren's Syndrome and what is the treatment? - ✔✔ANSW✔✔..Dry eyes and
dry mouth- treatment revolves around symptom management- artificial tears, hard
candies, etc.
Common in lupus patients
What is a major concern for lupus patients? How do we monitor this? -
✔✔ANSW✔✔..Impact on the kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys and protect them
What is the function of the thyroid? - ✔✔ANSW✔✔..Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH? - ✔✔ANSW✔✔..Pituitary gland
What is the function of TSH? - ✔✔ANSW✔✔..Tells your thyroid when to produce and
release those critical thyroid hormones- T3 and T4.
What disorders include hypothyroidism? - ✔✔ANSW✔✔..Iodine deficiency,
Hashimoto's, or thyroiditis
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