1. Right Answer: D
Explanation: (A) Wrong calculation (B) Wrong calculation (C) Wrong calculation(D) Ngeles rule is: Expected Date of Confinement = LastMenstrual Period - 3 months + 7 days + 1 year
2. Right Answer: B
Explanation: (A) If the client is experiencing water satiety, there is no more desire for water. (B) Absorption of saline into circulation rather than into amniotic sac increases serum sodium and desire for water. (C) Edema can be a late side effect caused by water intoxication. (D) Diabetes insipidus occurs as a result of deficient antidiuretic hormone.
3. Right Answer: C
Explanation: (A) Pupil response should be assessed but is not part of Apgar scoring. (B) Respiratory effort is an essential part of Apgar scoring, not respiratory rate. (C) Heart rate is the most critical component of Apgar scoring. (D) Assessment of Babinskis reflex is not a component of Apgar scoring.
4. Right Answer: C
Explanation: (A) Menstruation should not occur during pregnancy. (B) Abruptio placentae is marked by painful vaginal bleeding following a premature placental detachment after 20th week of gestation. (C) A low-lying placenta separates from the uterine wall as the uterus contracts and cervix dilates. This separation causes painless bleeding in the 7th-8th month. (D) Polyhydramnios is excessive amniotic fluid.
5. Right Answer: B
Explanation: (A) This observation can be made during the taking-in phase when the mothers needs are more important. (B) This observation can be made during the taking- hold phase when the mother is actively involved with herself and the infant. (C, D) This observation can be made during the taking-in phase.
Write a public review