Nursing Practice Test II – Set B

Gravida refers to the total number of pregnancies including the current one. Para refers to the number of pregnancies that have reached viability. Thus, if the woman has had one abortion, she would be considered Para 3. Twin pregnancy is counted only as 1.

Preventive potential refers to the nature and magnitude of future problem that can be minimized or totally prevented if intervention is done before they occur. Nature of the problem refers to categorizing health problems as health threat, health deficit, foreseeable crisis. Modifiability of the problem refers to the probability of success in minimizing, alleviating or totally eradicating the problem through nursing intervention.

An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.

In normal pregnancy there is a higher demand for protein (body building foods), vitamins (esp. vitamin A, B, C, folic acid) and minerals (esp. iron, calcium, phosphorous, zinc, iodine, magnesium) because of the need of the growing fetus.

Lack of regular check up is a health deficit. A health deficit occurs when there is a gap between actual and achievable health status. Health threats are conditions that promote illness or injury such as inadequate immunization. Foreseeable crisis refers to stressful occurrences such as death of a loved one or relocation. Health need is a health problem that can be resolved by a medical or social technology.

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus, one pound a week is expected.

Stage 2 of labor and delivery process begins with full dilatation of the cervix and ends with the delivery of baby. Stage 1 begins with true labor pains and ends with full dilatation and effacement of the cervix.

Water-sealed flush type, aqua privies and pour flush toilets require water.

A newly born baby still is adjusting to extra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea, 30-60 breaths per minute. The apneic periods should be brief lasting not more than 15 seconds otherwise it will be considered abnormal.

The herbal plant that is used for its antifungal properties is the akapulko plant.

Food handlers, cooks and cook helpers must have an updated health certificate. Such certificate must include monitoring for intestinal parasites and bacterial infection.

Not all doctors order should be followed; the nurse should exercise independent judgment. Security of the unit is the responsibility of hospital administration.

The primary purpose of bag technique is to prevent spread of transfer of infection.

The Yin is the negative, Yielding and feminine Force. The Yang is the positive, dominant and masculine force.

Oxytocin can overstimulate the uterus. Therefore, it is essential to monitor contraction frequency, duration and intensity. Maternal vital signs, fetal heart rate and urinary output are important assessments, but they are not the priority at this time.

The pelvis is a bony structure that is part of the passageway but is not flexible. The lower uterine segment including the cervix as well as the vaginal canal and introitus are all part of the passageway in the delivery of the fetus.

Based on the last menstrual period, the expected date of delivery is Nov. 7. The formula for the Naegele’s Rule is subtract 3 from the month and add 7 to the day.

The anterior fontanelle is diamond shape with the antero-posterior diameter being longer than the transverse diameter. The posterior fontanelle is triangular shape.

For normal vaginal delivery, the nurse needs only the instruments for cutting the umbilical cord such as: 2 clamps (straight or curve) and a pair of scissors as well as the kidney basin to receive the placenta. The retractor is not part of the basic set. In the hospital setting, needle holder and tissue forceps are added especially if the woman delivering the baby is a primigravida wherein episiotomy is generally done.

Endometritis is an infection of the uterine lining and can occur after prolonged rupture of membranes.

The primary strategies to achieve health goals are: Increasing investment for primary health care, development of national standards and objectives for health, assurance of the health care, support to local health system development, support for frontline health workers.

Acupressure have been used by the Chinese for more than 5,000 years now to help relieve pain and other body ailments by massaging and applying pressure on certain points of the body. Acupuncture is the insertion of needle on certain parts of the body to relieve ailments that were also developed by ancient Chinese. Thai massage as its name implies originates from Thailand.

The standard requirement of Sentrong Sigla Movement are: Infrastructure, equipment, pharmaceuticals, supplies, training.

When the mass palpated is hard round and movable, it is the fetal head.

Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus, the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.