Nokea
A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patients obstetric history using the TPALM system?
- A. Gravida 2, para 20120
- B. Gravida 3, para 10011
- C. Gravida 3, para 10110
- D. Gravida 2, para 11110
Correct Answer: C
Rationale: Using the TPALM system: Gravida 3 (3 pregnancies), Para 10110 (1 term, 0 preterm, 1 abortion, 1 living child, 0 multiples).
You may also like to solve these questions
Immediately on the arrival of a premature baby to the neonatal intensive care unit, the nurse should do which of the following:
- A. Take temperature rectally
- B. Examine for anomalies
- C. Check airway for patency
- D. Cleanse skin of vernix
Correct Answer: C
Rationale: Ensuring airway patency is the immediate priority in a premature infant to support respiration, critical due to their immature respiratory system.
A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer MMR vaccine?
- A. In a month from now
- B. In a year from now
- C. At age 10
- D. At age 13
Correct Answer: C
Rationale: Based on the recommendations of the American Academy of Family Physicians and the American Academy of Pediatrics, the MMR vaccine should be given at the age of 10 if the child did not receive it between the ages of 4 to 6 years as recommended.
Which of the following best describes parallel play between two toddlers?
- A. Sharing crayons to color separate pictures
- B. Playing a board game with a nurse
- C. Sitting near each other while playing with separate dolls
- D. Sharing their dolls with two different nurses
Correct Answer: C
Rationale: Toddlers engaging in parallel play will play near each other, but not with each other.
A one year old child is brought to pediatric out patient clinic with a three day history of diarrhea and vomiting. What is the first step in your plan of management for the next 24 hours?
- A. Administer IV fluids at 20 mL/kg bolus
- B. Start oral rehydration therapy (ORT)
- C. Prescribe antibiotics
- D. Monitor blood glucose levels
Correct Answer: A
Rationale: For severe dehydration, initial management includes rapid IV fluid resuscitation with a 20 mL/kg bolus of normal saline or Ringer’s lactate to restore circulation.
The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of...
- A. Inadequately parental attention
- B. Mastery of language ambiguities
- C. Inappropriate peer influence
- D. Excessive television watching
Correct Answer: B
Rationale: Telling jokes and riddles reflects a school-age child's mastery of language ambiguities.