WCF Review 2022 Questions And Answers

What is a multi system disorder, hypertension after 20 weeks gestation with proteinuria? - preeclampsia What is hypertension identified prior to 20 weeks gestation and proteinuria after 20 weeks gestation? - Chronic hypertension with Superimposed preeclampsia What is hypertension after 20 weeks gestation without proteinuria? - gestational hypertension What is hypertension before conception? - chronic hypertension What assessment findings are warning signs of an impending eclamptic even or convulsion? - restlessness severe, persistent headache epigastric pain hyperreflexia with clonus An infant with spina bifida and hydrocephalus had a V/P shunt placed. The nurse is teaching the parents about caring for the shunt at hme. Which teaching point is included in the plan? - fever, vomiting and irritability and seizures can indicate shunt infection or malfunction A nurse is caring for a 7 month old infant who has bacterial meningitis. Which finding is associated with this condition? - high pitched cry and irritability What are clonic movements? - bilateral rhythmic jerking of the extremities Which clinical manifestations of increased intracranial pressure may be seen in a preschool child? - headache and forceful vomiting seizures blurred vision The most important nursing observation following head trauma is assessment of the child's ____. - LOC What is the overall goal for a child with cerebral palsy? - maximizing the capabilities of the child Supplementation with folic acid before and during pregnancy can help reduce the risk of which condition? - Myelominengocele (neural tube defect) A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk of transmission of the disorder to an infant. The nurse's response should be based on what information? - Each pregnancy carries a 50% chance of inheriting the disorder. The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs: - Two weeks before menstruation. The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception? - Between the time the temperature falls and rises. The 23rd chromosome pair is called what? - sex chromosomes How many chromosomes does each human have? - 46 Disorder that is polygenic, influenced by environmental factors, and tends to cluster in families. - Multifactorial When is the best time to administer a growth hormone replacement injection? - bedtime Which of the following is important for parents of a child with precocious puberty to know? - The child's mental age is congruent with the chronological age. What is the most common cause of thyroid disease in children and adolescents? - Hashimoto disease (lymphocytic thyroiditis) Which is a common cause of secondary hyperparathyroidism? - Chronic renal disease Which of the following is important in the teaching of the parents of a child with Addison disease? - Report signs of adrenal insufficiency to the physician. Which of the following tests, which yields immediate results, is particularly useful in diagnosing congenital adrenal hyperplasia? - Pelvic ultrasound What is the most common acute complication of diabetes that a young child may encounter? - hyperglycemia At what age are problems of adjustment to diabetes most likely to occur if newly diagnosed? - Adolescence Necrotizing enterocolitis usually occurs 3 hours after birth. True or false? - 4 to 10 days after birth The nurse caring for a premature infant in the NICU is concerned that the infant may be developing NEC when the infant develops which of the following? - vomiting bloody stools unstable temperatures Which should the nurse recognize as moderate dehydration in a preschooler? - Dry Mucous Membranes When caring for a patient with probable appendicitis, the nurse should be alert to recognize that a sign of perforation is: - Sudden relief from pain An infant with pyloric stenosis experiences excessive vomiting that can result in which of the following? - Metabolic Alkalosis A 12 year old child with Crohns disease is hospitalized with weight loss, abdominal pain, and worsening inflammation. The child is not vomiting but has a poor appetite. Which 2 collaborative care interventions does the nurse anticipate? - administration of steroids daily weights A nurse is caring for an infant who is post-operative following cleft lip and palate repair. Which action would the nurse take? - Place infant in an upright position An infant with Hirschprung's disease who has not had surgery yet develops increased abdominal distension, vomiting, abdominal tenderness, and irritability. The nurse suspects which condition has developed as a complication of Hirschprung's disease? - Enterocolitis (the most serious complication that is associated with hirschprung's disease) A nurse is caring for a preschooler with acute gastroenteritis who has had about 3% weight loss over the past 2 days. The child is awake and alert, able to tolerate oral fluids, and has a normal physical exam. The nurse would anticipate which initial intervention? - Offering oral rehydration solution What are clinical manifestations of UTI's in infants? - poor feeding frequent urination fever A school aged child with a strep throat infection 2 weeks earlier is seen in the Emergency Department with decreased urinary output, BP of 160/90, and edema. The nurse suspects which condition? - Acute Glomerulonephritis A postpartum woman is hypotensive, tachycardic, her skin is moist and she is having difficulty responding to commands. Which nursing action is the priority? - Call for Help from the bedside