The hormones progesterone, estrogen, and human chorionic gonadotropin all signal what to occur during pregnancy?
Increased glucose circulation and increased immune response
Increased glucose circulation and decreased immune response
Decreased glucose circulation and increased immune respon...
The hormones progesterone, estrogen, and human chorionic gonadotropin all signal
what to occur during pregnancy?
Increased glucose circulation and increased immune response
Increased glucose circulation and decreased immune response
Decreased glucose circulation and increased immune response
Decreased glucose circulation and decreased immune responseANS - Increased
glucose circulation and decreased immune response
These three hormones signal for increased glucose circulation, or availability in the
blood, and decreased immune response, among other functions. Both of these effects
aid in fetal development and growth.
Which of the following foods is/are a choking hazard to a young child?
Grapes
Hot dog
Applesauce
Peanut butter and jelly sandwichANS - Grapes and Hot dog
Hot dogs and grapes are both choking hazards for young children. Applesauce is easily
swallowed, and although peanut butter on its own is a hazard, as part of a sandwich it is
not. Size, shape, and texture should all be taken into account when determining
whether a food is a choking hazard
,A pregnant patient is experiencing constipation and asks if this is normal. Constipation
is normal and leads to increased absorption of nutrients, particularly iron and calcium,
and is caused by an increased production of what hormone?
Thyroxine
Human placental lactogen
Progesterone
EstrogenANS - Progesterone
Progesterone is a hormone that signals smooth muscle relaxation, including the muscle
cells of the uterus and the gastrointestinal tract. Smooth muscle relaxation leads to
increased transit time and increased nutrient absorption; however, it also leads to
constipation for a majority of pregnant women. The patient is advised to drink plenty of
fluids and follow a diet that will produce soft stools.
An 18-year old African-American patient enters the clinic. She is 21 weeks pregnant.
She has been experiencing dizziness, headaches, severe nausea, and small amounts
of blood in her urine. Her hands, face, and feet look puffy. What is a possible diagnosis
for these symptoms?
Diabetes mellitus
Foodborne illness
Maternal phenylketonuria
PreeclampsiaANS - Preeclampsia
These symptoms indicate preeclampsia. Preeclampsia is pregnancy-induced
hypertension and can be fatal to both the mother and the infant. This patient should
immediately see her obstetrician to received appropriate medical care.
The nurse is performing an initial antepartal assessment on a woman who has missed
two periods. Assessment of this woman for alcohol consumption is best determined by
the:
,A. CAGE test.
B. T-ACE test.
C. non-stress test.
D. protein dipstick test.ANS - B. The T-ACE test
provides a much more sensitive measure of alcohol intake patterns than that derived
from the CAGE test. The T-ACE test considers the following assessment criteria:
- How many drinks does it Take to make you feel high?
- Have you ever been Annoyed by people criticizing your drinking?
- Have you ever felt you ought to Cut down your drinking?
- Have you ever had a drink first thing in the morning (Eye Opener) to steady your
nerves or get rid of a hangover?
The CAGE test considers data collected from the client on Cutting down on drinking,
being Annoyed by criticism of drinking, feeling Guilty about drinking, and using alcohol
as an Eye opener.
The non-stress test evaluates the fetal heart rate response to fetal movement, which is
assessed after the fetus is 20 weeks or more. The protein dipstick is performed at each
prenatal visit and measures the amount of protein in the client's urine. Proteinuria is a
symptom seen with pre-eclampsia.
Reference: p. 128
The nurse, teaching a class on primary prevention at a women's health club,
emphasizes participation in:
A. physician visits during illness.
B. recommended immunization schedules.
C. taking antibiotics at the first sign of symptoms.
D. water aerobics to develop muscle building.ANS - B. recommended immunization
schedules.
, Primary prevention is a concept central to nursing and includes generalized health
promotion and specific protection from disease. Health promotion connotes an active
process involving specific protections, including immunizations, occupational safety, and
environmental control, along with a set of behaviors that enhances health. Physician
visits that promote health promotion focus on screening and wellness visits that include
teaching on preventative health practices. Antibiotics should only be taken when there is
evidence of an infection. Water aerobics focuses on flexibility, not muscle building.
Reference: p. 129
The individual's perceived health and well-being and how health is managed describes
the:
A. cognitive-perceptual pattern.
B. coping-stress tolerance pattern.
C. health perception-health management pattern.
D. self-perception-self-concept pattern.ANS - C. health perception-health
management pattern.
The health perception-health management pattern provides an overview of the
individual's health status and the health practices that are used to reach the current
level of health or wellness. The focus is on perceived health status and the meaning of
health, along with the individual's level of commitment to maintaining health. The
cognitive-perceptual pattern focuses on sensory perceptual and cognitive patterns. The
coping-stress tolerance pattern identifies the general coping pattern and effectiveness
on stress tolerance. The self-perception-self-concept pattern describes the individual's
perception of self to include body comfort, body image, and feeling state as well as
self-conception and self-esteem.
Reference: p. 131
In assessing the nutritional-metabolic pattern, the nurse performs an examination of:
A. attention span.
B. blood pressure.
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