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Maternal newborn online practice 2019 A with rationale

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Maternal newborn online practice 2019 A with rationale A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? -Reports increased urinary output Rationale: Increased urinary output, n/v, reports of thirst, abd. pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath, urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL. A nurse is caring for a client who is at 22 weeks gestation and is HIV positive. Which of the following actions should the nurse take? -Report the clients condition to the health department Rationale: HIV is one of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be reported. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? -Depression Rationale: The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives. Other common AE of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness. A nurse if providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? -"I can administer oxytocin 4 hours after the insertion of the medication." Rationale: The nurse can administer oxytocin no sooner than 4 hours after the last dose of misoprostol. Oxytocin can be administered following misprostol for clients who have cervical ripening and have not begun labor. A nurse is caring for a prenatal client who has parvovirus B19 (5th disease). Which of the following actions should the nurse take? - Schedule an ultrasound examination Rationale: to monitor fetus during the pregnancy to detect the possible development of fetyal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth. A nurse is preparing to collect a blood speciman from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

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Patho/Phys Fall 2022
An artificial membrane is created consisting of a lipid bilayer without protein
molecules in the membrane. The lipid composition of the membrane is essentially
the same as that of a normal, biological membrane. Which of the following
substances permeates the membrane more readily than water molecules?
A. Carbon Dioxide
B. Glucose
C. Glycerol
D. Sodium
E. Urea
ANS: A
2. A cell is equilibrated in an aqueous solution of 300 mOsm/L sodium chloride.
Which of the following best describes what will happen to cell volume when the
cell is placed in an aqueous solution of 300 mOsm/L calcium chloride?
A. Decrease
B. Decrease and then increase
C. Increase
D. Increase and then decrease
E. No change
ANS: E
3. The intracellular calcium ion concentration of ventricular muscle cells averages
10-4 mmol/L during diastole. The calcium ion concentration in transverse tubules
(T-tubules) averages 2.5 mmol/L at rest. A protein transporter on the membrane of
the T-tubule exchanges sodium for calcium. The transporter uses the
transmembrane sodium gradient to fuel the exchange. Which of the following
transport mechanisms best describes this type of transporter?
A. Facilitated diffusion
B. Primary active transport
C. Secondary active co-transport
D. Secondary active counter-transport
E. Simple diffusion
ANS: D
4. Human red blood cells (RBCs) and rabbit RBCs are equilibrated in separate
solutions of isotonic saline (300 mOsm/L NaCl). The human RBCs are then placed
in a solution of 300 mOsm/L glycerol, which causes them to swell and burst.
However, rabbit RBCs placed in 300 mOsm/L glycerol neither swell nor shrink.
Based on this information, which of the following can be concluded about a 300
mOsm/L solution of glycerol for the different cell types?

Human RBCs
A. Hypertonic and hyperosmotic
B. Hypotonic and hypoosmotic
C. Hypotonic and isoosmotic
D. Isotonic and hypoosmotic
E. Isotonic and isoosmotic

, F. Isotonic and hyperosmotic

Rabbit RBCs
A. Hypotonic and hypoosmotic
B. Hypertonic and hyperosmotic
C. Isotonic and isoosmotic
D. Isotonic and hyperosmotic
E. Hypotonic and isoosmotic
F. Isotonic and isoosmotic
ANS: C
5. The molarity of a 2% solution of NaCl is 340 mmol/L. The molecular weight of
NaCl is 58.5. What is the osmolarity of a 2% solution of NaCl (in mOsm/L)?
A. 170
B. 340
C. 510
D. 680
ANS: D
6. Secondary active transport typically moves which of the following substances
against a concentration gradient?
Glucose. Amino acids Sodium ions
A. NO. NO. NO
B. NO. NO. YES
C. YES. NO. YES
D. YES. YES. NO
E. YES. YES. YES
ANS: D
. Which of the following transport mechanisms can move sodium ions across a
cell membrane?
Primary active | Secondary active | Simple diffusion
A. NO. NO NO
B. NO YES YES
C. YES NO YES
D. YES YES NO
E. YES YES YES
ANS: E
The diagram illustrates possible changes in red blood cell volume resulting from
a change in extracellular fluid composition for a cell equilibrated in a 150 mmol/L
solution of sodium chloride (NaCl) at time zero. Which curve best illustrates the
volume change caused by immersion of the cell in an aqueous solution of 300
mOsm/L calcium chloride (CaCl2)?
ANS: C
The cell membrane is leastpermeable to which of the following substances?
a. Sodium
b. Oxygen
c. Ethanol

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