d. cold clammy skin, decreased urine output, and dizziness (rationale: this is due to the release of RAAS, SNS, and ADH) What are the early manifestations of hypovolemic shock? a. hypotension, tachycardia, tachypnea b. hypertension, bradycardia, bradypnea c. hot/warm skin, increased urine output, a...
NCMA 219 Exam Questions and Correct
Answers
d. cold clammy skin, decreased urine output, and dizziness (rationale: this is due to the
release of RAAS, SNS, and ADH) ✅What are the early manifestations of hypovolemic
shock?
a. hypotension, tachycardia, tachypnea
b. hypertension, bradycardia, bradypnea
c. hot/warm skin, increased urine output, and blurred vision
d. cold clammy skin, decreased urine output, and dizziness
B and D (rationale: the position should be left side lying to prevent vena cava syndrome;
vaginal examination should be omitted since it can agitate the cervix) ✅The nurse is
caring for a pregnant woman who is bleeding. The nursing action that tells that the
nurse needs further teaching is: SATA.
a. The nurse alerted the health care team
b. The nurse placed the patient in a right side lying position.
c. The nurse administered oxygen as this was necessary
d. The nurse did a vaginal examination
C. Abortion (rationale: bleeding is a manifestation; incompetent labor is not a real thing;
pre-term labor labor that occurs before the end of week 37) ✅What is the term used to
describe any interruption of pregnancy before the age of viability?
a. bleeding
b. incompetent labor
c. abortion
d. pre-term labor
A,B, and C (rationale: D is a manifestation of missed abortion and not threatened
abortion) ✅A client is having threatened abortion. What manifestations are present?
SATA.
a. mild bright red vaginal bleeding
b. positive uterine cramping
c. 0 cervical dilatation
d. no fetal movement
D. Betamethasone (rationale: steroids are administered to aid in fetal lung maturity to
increase lung surfactant of the fetus) ✅A client is pregnant at 19 weeks AOG with an
LS ratio of 1.5:1. What medication would you administer, as prescribed by the
physician?
a. Oxytocin
b. Methergine
c. Leucovorin
, d. Betamethasone
B. Imminent Abortion (rationale: between imminent and threatened abortion, threatened
abortion manifests (-) cervical dilatation) ✅A client manifests severe bright red vaginal
bleeding, positive uterine cramping, and positive cervical dilatation. What type of
spontaneous abortion is this?
a. threatened abortion
b. imminent abortion
c. missed abortion
d. induced abortion
Complete ✅This type of imminent abortion means that all products of conception are
expelled.
Incomplete ✅This type of imminent abortion means that some parts of the product of
conception are not expelled.
A. Misoprostol brand name: Cytotec (rationale: it aids in cervical dilatation) ✅What
medication would you administer in a patient who suffers from incomplete imminent
abortion?
a. Misoprostol
b. Oxytocin
c. Betamethasone
d. Terbutaline
A. Misoprostol or Cytotec (rationale: it is an anti-ulcer drug which aids in cervical
dilatation) ✅What medication would you administer in a patient who suffers from
incomplete imminent abortion?
a. Misoprostol
b. Oxytocin
c. Betamethasone
d. Terbutaline
C. Missed abortion ✅A client manifests foul-smelling vaginal bleeding and there is no
fetal movement upon assessment. What type of spontaneous abortion is this?
a. threatened abortion
b. imminent abortion
c. missed abortion
d. induced abortion
D. Induced Abortion ✅This type of abortion is also called as medical or therapeutic
abortion which is done for defective pregnancies in the U.S.
a. threatened abortion
b. imminent abortion
c. missed abortion
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