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WorksheetsNCM 109 (LECTURE) — Midterm Examination
Total questions: 88
Worksheet time: 1hrs 28mins
This is the primary builder of RBC
Folic acid
Iron
Fiber
Vitamins
To alleviate the anxiety of patients with "black stool" what should you do?
Explain the need to eat more green leafy foods
Explain the need to defacate
Explain that fiber can blacken stool
Explain that green leafy foods can blacken stool
This is caused by multiple pregnancies
Iron Deficiency Anemia
Folic Acid Anemia
Sickel Cell Anemia
Nursing Intervention: If the patient has prophylactic anemia, give ___ mg of iron and foods rich in iron.
25
26
27
30
Nursing Intervention: Given when a patient has a hard stool
Give foods high in fiber
Give foods high in calcium
Give foods rich in vitamin C
Give foods rich in potassium
Select the symptoms of Iron Deficiency Anemia
Pale
Underweight
Pre-term birth or low birth weight
PICA
Nursing Intervention: If the patient is in need of acid, give the following except
Give orange juice
Vitamin A
Vitamin C
Ascorbic acid
This is known as big or large RBC
Megaloblastic Anemia
Normoblasts Anemia
Megaloblasts Anemia
These are iron stored in the bone marrow
Ferritin
Transferrin
Hemosiderin
Hepatocytes
Pick the two nursing interventions for Folic Acid Anemia
Begin folic acid supplements = 400 ug/daily
Begin folic acid supplements = 450 ug/daily
Introduce rich in iron foods
Introduce rich in folic acid foods
A term used for less hemoglobin content of RBC
Hypochromic anemia
Microcytic anemia
Anemia
Folic acid anemia
Nursing Intervention: If the patient is already anemic, give _____
120-200 mg elemental iron per day
150-200 mg iron vitamins three times a day
170-200 mg elemental iron per day
120-200 mg of iron rich foods every day
This type of anemia can cause the fetus to develop neural tube defects or not develop a brain, skull
Iron deficiency anemia
Folic acid anemia
Sickle cell anemia
Nursing Intervention: Is taking pre-natal vitamins important?
Yes
No
This is the swelling of the lower legs or hands
Peripheral Edema
Peripheral hypertension
Pulmonary Edema
Edema of the extremities
Known as small red blood cells
Microlytic anemia
Microcytic anemia
Microsystic anemia
Micro anemia
This absorbs iron into the bloodstream passing it to the liver and spleen
Jejunum
Illium
Duodenum
Transverse colon
What are the normal iron levels for women?
60-176 mcg/dL
65-176 mcg/dL
50-170 mcg/dL
55-170 mcg/dL
A 30 ug/dL and below blood test level and iron level indicate?
Positive result
Negative result
It is a condition in which the body does not have enough healthy red blood cells
Anemia
Hemophilia
Leukemia
Myeloma
This type of anemia is longer to heal
Iron Deficiency Anemia
Folic Acid Anemia
Sickle Cell Anemia
Folic Acid Anemia is also known as
Lack of Vitamins
Lack of Vitamin B
Lack of Vitamin C
Lack of Vitamin E
What are the normal iron levels for males?
60-176 mcg/dL
50-170 mcg/dL
65-176 mcg/dL
55-178 mcg/dL
Choose two significant steps, when right-sided heart failure is detected in a pregnant mother
Advice not to conceive the baby
Administer beta-blockers
Give diuretics and Heparin
Early monitoring and management
Why is there a need for hospitalization when peripheral hypertension is detected in a pregnant woman?
To monitor vital signs
To monitor the signs of hypertension
To monitor blood gases
To alleviate pain
If there is pressure in the systemic circulation, where is the leak?
Liver and spleen
Mother's tummy
Peritoneal Cavity
Pulmonary Valve
It is caused by diet, excessive menstruation, and fasting
Folic acid anemia
Iron deficiency anemia
Sickle cell anemia
Essential causes of insufficient iron in the body
Excessive bleeding
Lack of green leafy vegetables
Heavy menstrual period
Multiple pregnancies
Why does the pregnant mother experience difficulty in breathing?
Compression of uterus to the diaphragm
Because of pulmonary edema
Because there is a problem with pulmonary edema
Because of a thrombus in the lungs
What happens when a mother has ascites?
Her liver and spleen are affected
There is enlargement of tummy
This leads to pulmonary edema
Can lead to miscarriage
There is a leak in the systemic circulation
When a mother is suffering from pulmonary edema that causes breathing hardly, what should a healthcare provider do?
Monitor heart rate
Monitor respiratory rate
Monitor placental perfusion
Monitor mother's response
This is a fluid that connects in spaces within the abdomen
Cerebrospinal fluid
Peritonitis
Ascites
Peritoneum
A condition wherein blood from the right atrium cannot come to the lungs
Left Sided Heart Failure
Right Sided Heart Failure
These are all hematologic disorders, except?
Anemia
Iron Deficiency Anemia
Folic Acid Anemia
Sickle Cell Anemia
Menstrual anemia
Choose two activities needed to be done during Left-Sided Heart Failure
Ultrasound
Pre-Natal Visit
Fetal Monitoring
Monthly Check-up
Inferior Vena Cava, Superior Vena Cava, (a) , Tricuspid Valve, Right Ventricle
During right-sided heart failure, where is the problem with the mother?
Liver
Spleen
Pulmonary Valve
Uterus
Mitral Valve, Left Ventricle, (a) , Aorta
(a) , Pulmonary Artery, Lungs, Pulmonary Vein, Left Atrium
Choose three importance of Pre-Natal Care
To know the congenital abnormalities
To ask questions relevant to the patient's current situation
To know what the mother feels
To know who is at risk
Prevent problems before they occur
Inferior Vena Cava, Superior Vena Cava, Right Atrium, (a) , Right Ventricle
Pick three importance of Pre-Natal Care
Reduce the incidence of maternal mortality and fetal death
Decrease fetal problems
Baseline of the mother
Helps in assessment and prevention
To know the complication with the mother
Choose the importance of Pre-Natal Care
Reduce maternal mortality and fetal death
Know the fetal congenital abnormalities
This is the baseline of the all mother's information
To know who is at risk and prevent problems before they occur
To know the complications with the mother
Danger Sign: It is caused by an embolus or blockage.
Hemorrhoids
Spotting
Edema
Chest Pain
Danger Sign: Bad side effect of Hyperemesis Gravidarum.
The nutritional values of food from the mother does not reach the fetus.
It causes dehydration to the fetus.
It makes the fetus underweight.
This makes the mother and fetus have a low BMI.
Danger Sign: What is needed to be done when a mother experiences "spotting"?
Call the physician
There is a need for further evaluation
Do not conceive the fetus
Tell the mother that everything will be alright
Danger Sign: Select some of the danger signs in pregnancy
Ectopic pregnancy
Pregnancy-induced hypertension
Diabetes
Edema (swelling)
Dots in the face
Danger Sign: Decreased fetal movement is caused by?
Loss of response to oxygen by the fetus
Oxygen is not available in sufficient amounts for the fetus
Loss of oxygen from the mother to the fetus
Not enough oxgen to go to the placenta
Danger Sign: Blurring of vision is caused by?
Edema
Hyperemesis Gravidarum
Gestational Diabetes
Pregnancy-induced Hypertension
Danger Sign: These are some of the danger signs in pregnant women
Dots or lights in the eyes
Low urine output
Hemorrhoids
Dehydration
Rapid weight gain
What is included in the Medical History?
Fundal Height
Pelvic Measurement abd Type
Seizure Disorders
Hypertension
STI & Malignancy
Danger Sign: Severe Headaches are caused by?
High blood pressure
High respiratory rate
Severely high temperature
Changes in the basal temperature of the patient
Frist Step in Assessing the Pregnant Women
Know the medical history
Know the current obstetric status
Know the psychiatric history
Know the obstetric history
Uterine and Cervical anomalies can lead to?
Spotting
Early Pregnancy
Microsomic Infants
Abnormal Cell Growth
What ages is at risk for pregnancy?
< 16
> 34
< 18
> 35
< 16
> 35
< 18
> 35
Educational age at risk for pregnancy?
< 10 years old
< 11 years old
< 17 years old
> 11 years old
Sub-fertility is related to:
Delay in being pregnant
Varicocele (sperm dying)
Delay in menstruation
Infertility
What is infertility?
After 6 months of unprotected sex, the female is not pregnant
After one year of unprotected sex, the female is not pregnant
Related to sub-fertility
Not having safe sex
What is ectopic pregnancy?
Mass of tissue seen inside the uterus
Egg cell growing inside the uterus
Fetal growth outside the uterus
A cervical anomaly
During left sided heart failure, what happens to the lungs?
Depleted with air
Filled with blood
Abnormal fluid enters
They die
What are need to be assessed in "Obstetric History"?
Cervical Dilation
Macrosomic or Microsomic Infants
Abortion
Hemorrhoids
Fundal Height
No seatbelt while driving, alcohol intake, jobs that lift heavy objects, and unusual stress is asked under?
Obstetric History
Medical History
Psychiatric History
Psychosocial History
This leads to pulmonary edema
Left sided heart failure
Right sided heart failure
It is a clump of blood
Viscous Blood
Pulmonary Edema
Thrombus
Ascites
What is Hydatidiform Mole?
Trophoblast grows instead of egg cell
Oocyte grows in the uterus
Egg cell grows outside the uterus
It is a growing fetus
Danger Sign: Amniotic Sac Rupture is often taken as?
Loss of white or colorless fluid
Stress Incontinence
Leakage of fluid
Early pregnancy
Condition where there is blood in phlegm when a person sneeze or coughs
Left pulmonary hypertension
Pulmonary Edema
Paroxysmal Nocturnal Dyspnea
Blood-speckle sputum
Sleeping position when experiencing difficultly in breathing or Orthopnea
Side-lying
High Fowler's
Dorsal Recumbent
Standing
Condition of suddenly waking up at night due to shortness of breath
Sleep Walking
Hypoxia
Ascites
Paroxysmal Nocturnal Dyspnea
What part of the heart is affected during a heart failure?
Pulmonary Valve
Mitral Valve
Left Ventricle
Aorta
It improves ventricular filling
Warfarin
Heparin
Beta blockers
Anti-coagulant
What to do when there is presence of viscous blood?
Give anti-coagulant
Give beta-blockers
Monitor heart rate
Give diuretics
What is the shape of the blood cell when a person has Sickle Cell Anemia?
Circle
Square
Flat
Disc
A mother with Sickle Cell Anemia must?
Not take pre-natal vitamins
Not take iron supplements
Take iron supplements
Take pre-natal vitamins and have a pre-natal check up
It does not flow or enter the placenta
Warfarin
Diuretics
Heparin
Beta blockers
It is the narrowing of valve between two left heart chambers
Thrombus
Viscous Blood
Mitral Stenosis
Capillary Rupture
Why is Sickle Cell Anemia damaging?
Because there is less oxygen content in the blood
Because there is a presence of faulty hemoglobin genes
Because there is less blood in the blood stream
Because of viscous blood
It results in irregularly shaped RBCs
Iron deficiency anemia
Folic acid anemia
Sickle cell anemia
What type of hemoglobin causes Sickle Cell Anemia?
HbA2
HbE
HbF
HbS
Why is Sickle Cell Anemia harmful?
Can cause the blood to hemolyze
It causes dehydration
Life threatening
Can cause internal hemorrhage
What is the meaning of "hemolyze"?
Break
Destroy
Shatter
What are three facts about "Sickle Cell Anemia"?
This is very rare
Only in Africans
Only in black and white Americans
This is inherited
Nursing Intervention: Pick what should a nurse do when a mother has Sickle Cell Anemia.
Monitor the mother
Drink 8 glasses of water
Begin iron supplements
Take pre-natal vitamins
Blood Test and Flow Test
Nursing Intervention: Pick what should a nurse do when a mother has Sickle Cell Anemia.
Blood transfusion
Assess the mother's lower extremities
Assess the mother's upper extremities
Take pre-natal and folic acid supplements
Avoid exercise
Nursing Intervention: Pick what should a nurse do when a mother has Sickle Cell Anemia.
Control the pain
Increase fluid intake
Hospitalization
Epidural anesthesia
Surgery
What should be monitored in a mother with Sickle Cell Anemia?
Fundal height
Nutritional intake
Clean catch urine test
Fetal heart rate
How many mg is there when a person has Sickle Cell Anemia?
9 to 18 mg/100 ml of hemoglobin blood
6 to 8 mg/100 ml of hemoglobin blood
4 to 6 mg/100 ml of hemoglobin blood
10 to 12 mg/100 ml of hemoglobin blood
Why are the lower extremities checked in a mother with Sickle Cell Anemia?
To supply more blood in the legs and feet
To educate the mother about the effects of the conditions
To have an understanding of the mother's situation
To observe varicose veins for fast venous return
