Regular > RN

Exam Review

Paediatrics and maternity (examplify)

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Total Questions : 50

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Question 1:

A nurse is instructing a client who is taking a combined oral contraceptive (COC) about warning signs and symptoms to report to the provider. Which of the following symptoms would the nurse include? Select all that apply

Answer and Explanation

A
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Question 2:

The nurse is assessing a newborn who has Trisomy 21. Which of the following would they expect to find during the assessment

Answer and Explanation

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Question 3:

The following describes the child with common characteristics of attention deficient hyperactivity disorder. Select all that apply

Answer and Explanation

A
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Question 4:

A client and their partner are planning to use natural family planning to prevent pregnancy. The client decides the calendar (rhythm) method would work best and monitors their menstrual cycle for 6 months prior to beginning this method. Over the 6 months menstrual cycles lasted from 29-32 days. Based on this information the client knows that if they desire to prevent pregnancy they should avoid intercourse from day

to day of their cycle.

Answer and Explanation

Explanation

Rationale:
To calculate the fertile window using the calendar (rhythm) method: Subtract 18 days from the shortest cycle length (29 – 18 = 11). This gives the first fertile day.

Subtract 11 days from the longest cycle length (32 – 11 = 21). This gives the last fertile day.
Therefore, to prevent pregnancy, the client should avoid unprotected intercourse from day 11 through day 21 of their cycle.


A
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Question 5:

The nurse is planning care for the child admitted with signs and symptoms consistent with meningitis. Based on the mode of transmission of this infection, which precautionary intervention would be included in the plan of care?

Answer and Explanation

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Question 6:

The nurse is reviewing the charts of four clients in active labor. Which of the clients should the nurse monitor carefully for a potential uterine rupture?

Answer and Explanation

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Question 7:

A 13-year-old child has been admitted to the hospital with a diagnosis of pneumococcal pneumonia. The parents are extremely distraught over the child's condition and the fact that the child has not wanted to eat anything for the past 2 days. Which nursing approach would be most important to take to help alleviate the high anxiety level of the parents?

Answer and Explanation

A
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Question 8:

A nurse in the emergency department is caring for a client who is concerned about an unplanned pregnancy after having unprotected intercourse with a casual acquaintance last evening. Which of the following statements by the nurse regarding emergency contraception is correct?

Answer and Explanation

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Question 9:

A nurse is educating a client about the menstrual cycle and the monthly hormonal changes that occur. Starting with day 1 of the menstrual cycle, please place the following four hormones into chronological order in which they rise during the menstrual cycle.

Answer and Explanation

Explanation

Rationale:

Day 1 (Menstrual phase): FSH rises first to stimulate follicle development in the ovary.

As follicles grow, they secrete estrogen, which rises next and leads to thickening of the endometrium.

Rising estrogen levels trigger a mid-cycle LH surge, which induces ovulation.

After ovulation, the corpus luteum forms and secretes progesterone, which rises to support implantation and maintain the endometrium.


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Question 10:

Which nursing action will best assist a 15-year-old client accomplish the developmental task according to Erikson?

Answer and Explanation

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