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CHD & High Risk OB

Authored by Selena Perez

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CHD & High Risk OB
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62 questions

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1.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

A parent is told their infant has a heart defect with a left to right shunt. What is the best way for the nurse to explain this type of shunting to the parent?

This type of shunting causes an increase of blood to the systemic circulation.

This type of shunting causes an increase of blood to the lungs.

This type of shunting causes a decrease of blood to the brain.

This type of shunting causes a decrease of blood to the lungs.

2.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating which of the following?

Iron-deficiency anemia

A multiple gestation pregnancy

Greater-than-expected weight gain

Hemodilution of pregnancy

3.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

A 2-day-old infant was just diagnosed with aortic stenosis. What is the most likely nursing assessment finding?

Gallop and rales

Right ventricular hypertrophy on ECG

Widening pulse pressure

Bounding pulses

Heart murmur

4.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect?

Pancreatic function is affected by pregnancy.

Glucose is utilized more rapidly during a pregnancy.

The pregnant woman increases her dietary intake.

Glucose moves through the placenta to assist the fetus.

5.

FILL IN THE BLANK QUESTION

10 mins • 1 pt

While assessing a 4-month-old infant, the nurse notes that the baby experiences a hypercyanotic spell. What is the priority nursing action? Fill-in-the-blank.

6.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse’s understanding that the placenta produces:

hCG, which increases maternal glucose levels

hPL, which deceases the effectiveness of insulin

Estriol, which interferes with insulin crossing the placenta

Relaxin, which decreases the amount of insulin produced

7.

MULTIPLE CHOICE QUESTION

10 mins • 1 pt

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?

Contact the physician

Offer a snack and administer another dose

Immediately administer another dose

Administer next dose as ordered in 12 hours

Immediately administer half of a dose

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