NUR 209 Reproductive Final Exam MD 8
Excelsior College
A localized dilation of an artery either within the original diameter of the artery (fusiform) or an out
pouching of the artery (saccular). - correct answer Aortic Aneurysm
What is aortic aneurysm the result of - correct answer a weakening of the arterial wall and occurs
where arteries curve or flex.
Where is the aortic aneurysm located? - correct answer Can be in the abdominal area such as
abdominal aortic aneurysm or thoracic aorta
What is the cause of aortic aneurysm? - correct answer • Hypertension
• Atherosclerosis
• Smoking
• Age
• Family history
• Syphilis
• Marfan's syndrome
• Blunt trauma.
Sudden expansion with danger; the patient may experience a sudden increase in pain with radiation to
groin, buttocks, and legs with signs and symptoms of hypovolemic shock. - correct answer Ruptured
Abdominal Aortic Aneurysm
blood has tunneled into the artery wall between the layers of the arterial wall. The effect is decreased
perfusion to organs. - correct answer Aortic Dissection
What is Aortic Dissection accompanied by? - correct answer by diaphoresis, nausea, vomiting,
faintness, apprehension.
What is the treatment for treatment for Aortic Dissection? - correct answer for partial dissection is
medical management with control of blood pressure maintained below 100-120 mmHg, or in the event
of dissection with hemodynamic compromise,surgical repair surgical repair.
Blood is diverted into the artery wall. - correct answer Aortic Dissection
A narrowing in the aorta usually near the ductus arteriosus, causing increased pressure in the head and
upper extremities and decreased pressure in the body and lower extremities. - correct answer
Coarctation of the Aorta (CoA)
Blood flows from the aorta to the pulmonary artery through an opening, which usually closes during the
first weeks of life - correct answer Patent Ductus Arteriosus (PDA):
,NUR 209 Reproductive Final Exam MD 8
Excelsior College
Aortic dissection symptoms - correct answer are sudden pain described as tearing, ripping, or stabbing
in the anterior chest, back, neck, throat, jaw, or teeth.
Blood does not flow easily because the entrance of the pulmonary artery is narrow, causing hypertrophy
of the RV - correct answer Tetralogy of Fallot (TOF):
Blood flows between all four chambers due to a low ASD, high VSD and modified valves. - correct
answer Atrioventricular Septal Defect (ASD):
Blood does not flow because the aortic valve has narrowed, causing hypertrophy in the LV and
decreased cardiac output - correct answer Pulmonic Stenosis (PS)
Ineffective airway clearance related to retained secretions as evidenced by abnormal breath sounds.
What's outcome? - correct answer Pt. Will exhibit clear breath sounds in bilateral lower lobes after
nebulizer and chest physiotherapy (PT)
Ineffective airway clearance related to retained secretions as evidenced by abnormal breath sounds.
What's interventions? - correct answer -Provide nebulizer treatment and chest and chest
physiotherapy/postural drainage as prescribed
-Administer IV antibiotics on time
Caregiver role strain related to perceived lack of support as evidenced by lack of compliance to
prescribed treatment regimen. What is the outcome? - correct answer Grandmother will identify
resources to assist with caring for the child with chronic illness by discharge.
Caregiver role strain related to perceived lack of support as evidenced by lack of compliance to
prescribed treatment regimen. What is the interventions? - correct answer -Provide grandmother with
contact information for the American Lung Association and Cystic Fibrosis Foundation
-Refer the pt.'s family to a hospital social worker.
Imbalanced nutrition: less than body requirements related to inadequate absorption of calories as
evidenced by height and weight below 3rd percentile. What is the outcome? - correct answer The child
will gain 2 pounds within one month
Impaired Gas Exchange related to poor perfusion as evidenced by cyanosis and clubbing of fingers. What
is the outcome? - correct answer The child will maintain oxygen saturation above 92% on room air by
discharge.
Imbalanced nutrition: less than body requirements related to inadequate absorption of calories as
evidenced by height and weight below 3rd percentile. What is the interventions? - correct answer -Elicit
the patient's food preferences when completing the menu
-Provide pancrelipase with meals and snack
,NUR 209 Reproductive Final Exam MD 8
Excelsior College
Impaired Gas Exchange related to poor perfusion as evidenced by cyanosis and clubbing of fingers. What
is the interventions? - correct answer -Limit feeding times to 20 minutes
-Place child in knee-chest position during that spells
- correct answer Group B streptococcal infection
- correct answer Hirschsprung's
- correct answer necrotizing enterocolitis,
- correct answer Pyloric stenosis
- correct answer Choanal atresia,
- correct answer Bronchopulmonary dysplasia
- correct answer Hydrocephalus
- correct answer Omphalocele,
- correct answer Gastroschisis,
- correct answer Imperforate anus
- correct answer Pierre-Robins syndrome
- correct answer Esophageal atresia
- correct answer Cleft lip
- correct answer cleft palate
- correct answer Cerebral palsy
Tetralogy of Fallot abnormality of blood flow - correct answer
- correct answer
Atria Septal Defects abnormality of blood flow - correct answer
Coarctation of the aorta abnormality of blood flow, explain. - correct answer
What are the interventions for Atria Septal Defects? - correct answer
What are the interventions for Ventricular Septal Defects? - correct answer
, NUR 209 Reproductive Final Exam MD 8
Excelsior College
What are the interventions for AV canal defects? - correct answer
Physical assessments for Artria Septal defects. - correct answer
Physical assessments for Ventricular Septal defects. - correct answer
Physical assessments for Tetralogy of Fallot - correct answer
Physical assessment for Coarctation of the arota - correct answer
Psychical assessment for Patent ductus arteriosis - correct answer
The registered nurse is getting ready to administer the ophthalmic (erythromycin) preparation to the
newborn. Which is true regarding the medication? Select all that apply. - correct answer Silbert-Flagg &
Pillitteri 8th edition, p. 431
Which newborn assessment finding would require the RN to report to the health care provider? -
correct answer Silbert-Flagg & Pillitteri 8th edition, pp433-443
The RN assesses that the 2-hour-old infant's axillary temperature is 97F (36.1C). which intervention
should the nurse implement first? - correct answer Silbert-Flagg & Pillitteri 8th edition, p. 430
A parent is questioning why their newborn needs a Hepatitis B vaccine so soon after birth. Which
explanation is the most appropriate to offer the parent? - correct answer Silbert-Flagg and Pillitteri, 8th
ed, pp 1270-1271
The grandmother of a newborn comes to the nursery and tells the RN she wants to bring the baby back
to the mother. The grandmother is not wearing an identification bracelet. Which response is most
appropriate by the RN? - correct answer Silbert-Flagg and Pillitteri, 8th ed, pp. 451-452
Which newborn assessment finding would require the RN to report to the health care provider? -
correct answer The newborn whose toes curl when the lateral heel is stroked. : Please review normal
newborn characteristics Reference: Silbert-Flagg & Pillitteri 8th edition, pp433-443
The registered nurse is caring for an infant with the nursing diagnosis of Ineffective thermoregulation.
Which is a realistic, measurable patient outcome for this infant? - correct answer The patient will
maintain a body temperature of 97.8° to 98.6° F by discharge. Reference: Silbert-Flagg & Pillitteri 8th
edition, p 689 Review the NANDA-I nursing diagnosis of Ineffective thermoregulation
The registered nurse is caring for an infant with the nursing diagnosis of Ineffective breathing pattern
and the outcome "patient will have a respiratory rate below 60 breaths per minute with no retractions".
Which is the priority nursing intervention for a baby? - correct answer Provide supplemental oxygen
Reference: Silbert-Flagg & Pillitteri 8th edition, pp. 698-701 Review Nursing interventions for the
NANDA-I of Ineffective breathing pattern
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