(NUR 4467C) Final Exam Guide Q & S - Care of Women, Children & Families.(NUR 4467C) Final Exam Guide Q & S - Care of Women, Children & Families.(NUR 4467C) Final Exam Guide Q & S - Care of Women, Children & Families.(NUR 4467C) Final Exam Guide Q & S - Care of Women, Children & Families.
,1. A pregnant woman with gestational diabetes is at
increased risk for which of the following complications?
- A. Polyhydramnios
- B. Preeclampsia
- C. Placenta previa
- D. Oligohydramnios
Answer: A. Polyhydramnios
Rationale: Gestational diabetes can increase the risk of
polyhydramnios due to fetal hyperglycemia resulting in
increased fetal urine output.
2. Which of the following interventions should a nurse
prioritize when caring for a child experiencing a sickle cell
crisis?
- A. Initiating a high-calorie diet
- B. Administering IV fluids
- C. Providing oral supplements
- D. Encouraging ambulation
Answer: B. Administering IV fluids
Rationale: Hydration is critical in managing a sickle cell
crisis to prevent further sickling and promote circulation.
Answer: A. Umbilical cord prolapse
Rationale: A sudden and significant drop in fetal heart
rate can be indicative of an umbilical cord prolapse where
the cord becomes compressed.
4. What is the most appropriate nursing action when a
breastfeeding mother reports cracked and sore nipples?
- A. Advise her to stop breastfeeding until the nipples heal
- B. Suggest the use of nipple shields during feeding
- C. Rotate breastfeeding positions regularly
- D. Increase feeding duration per session
Answer: C. Rotate breastfeeding positions regularly
Rationale: Different positions can relieve pressure on
sore areas and allow cracked nipples to heal.
5. A 5-year-old child is scheduled for a tonsillectomy.
Which preoperative concern is most critical for this pediatric
patient?
- A. Ensuring comfort with regular toys
- B. Obtaining informed consent
- C. Preventing aspiration
- D. Managing anxiety through parental support
Answer: C. Preventing aspiration
Rationale: Preoperative fasting and preparation are
crucial to prevent aspiration during the procedure.
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