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• A woman who is 22 weeks pregnant has a vaginal infection. She tells the
nurse that she is afraid that this infection will hurt the fetus. The nurse
knows that which of these statements is true?
A thick mucus plug forms that protects the fetus from infection.
• In assessment of 1-month-old, nurse notes a lack of response to noise or
stimulation. mother reports that in the last week he has been sleeping all
the time + when awake all he does is cry. nurse hears that infant’s cries
are very high pitched and shrill. What would be nurse’s appropriate
response?
1.Refer the infant for further testing.
2.Talk with the mother about eating habits.
3. Nothing; these are expected findings for an infant this age.
4.Tell the mother to bring the baby back in a week for a recheck.
A high-pitched shrill cry or cat-sounding screech occurs with central nervous
system damage. Lethargy, hyporeactivity, hyperirritability, and parent’s report of
significant change in behavior all warrant referral.
• A female patient is 8 months pregnant. She comments that she has
noticed a change in posture and is having lower back pain. The nurse
tells her that during pregnancy women have a posture shift to
compensate for the enlarging fetus. This shift in posture is:
NSG 6020 FINAL STUDY GUIDE EXAM QUESTIONS
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,NSG 6020 FINAL STUDY GUIDE EXAM QUESTIONS
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lordosis
• A 14-year-old girl is anxious about not having reached menarche. When
taking the history, the nurse should ascertain which of the following?
The age:
she began to develop breasts
• A 9-year-old girl is in the clinic for a sports physical. After some initial
shyness she finally asks, “Am I normal? I don’t seem to need a bra yet,
but I have some friends who do. What if I never get breasts?” The
nurse’s best response would be:
“I understand that it is hard to feel different from your friends. Breasts
usually develop between 8 and 10 years of age.”
• During an examination, the nurse notes a supernumerary nipple just
under the patient’s left breast. The patient tells the nurse that she
always thought it was a mole. Which statement about this finding is
correct?
It is a normal variation and not a significant finding
NSG 6020 FINAL STUDY GUIDE EXAM QUESTIONS
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,NSG 6020 FINAL STUDY GUIDE EXAM QUESTIONS
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• The major artery that supplies blood to arm
brachial artery
• The nurse is testing the function of cranial nerve XI. Which of these
best describes the response the nurse should expect if the nerve is
intact? The patient
moves head and shoulder against resistance w/equal strength
• In a person with an upper motor neuron lesion such as a cerebrovascular
accident, which of the following physical assessment findings would the nurse
expect to see?
1.Hyperreflexia
2.Fasciculations
3.Loss of muscle tone and flaccidity
4.Atrophy and wasting of the muscles
Hyperreflexia, diminished or absent superficial reflexes, increased muscle tone or
spasticity can be expected with upper motor neuron lesions.
• A few days after a summer hiking trip, a 25-year-old man comes to the
clinic with a rash. On examination, the nurse notes that the rash is red,
macular, with a bull's eye pattern across his midriff and behind his knees. The
nurse suspects:
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Lyme Disease
• To assess the dorsalis pedis artery, the nurse would palpate
lateral to the extensor tendon of the great toe. The dorsalis pedis artery is located
on the dorsum of the foot. Palpate just lateral to and parallel with the extensor
tendon of the big toe.
• The nurse is performing a neurologic assessment on a 41-year-old woman
with a history of diabetes. When testing her ability to feel the vibrations of a
tuning fork, the nurse notes the following: unable to feel vibrations on the
great toe or ankle bilaterally; is able to feel vibrations on both patellae. Given
this information, what would the nurse suspect?
NSG 6020 FINAL STUDY GUIDE EXAM QUESTIONS
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