Dif cognitive level analysis ref 901 obj 5 top

DIF: Cognitive Level: Analysis REF: 901 OBJ: 5
TOP: Diabetes KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
19. A patient with a history of rheumatic heart disease is being admitted to the labor and delivery
unit. To prevent further stress on the heart, what should the nurse anticipate to be ordered?
a. Oxygen administration
b. Administering large amount of IV fluids
c. Positioning the patient on her back
d. Encouraging activity between contractions
ANS: A
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Oxygen is administered to increase blood oxygen saturation and decrease the stress on the
heart. IV fluid administration is kept to a minimum to prevent fluid overload. The patient
would be positioned in a semi-Fowler’s position to improve circulation. The patient should
be encouraged to rest between contractions to conserve energy.
DIF: Cognitive Level: Application REF: 901 OBJ: 12
TOP: Cardiovascular defects KEY: Nursing Process Step: Planning MSC:
NCLEX: Health Promotion and Maintenance
20. A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should
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Foundations of Nursing 8th Edition Cooper Test Bank
b. Cephalopelvic disproportion
c. Bleeding tendency
d. Low hemoglobin levels
ANS: B
There are several physiologic concerns for pregnant adolescents, including cephalopelvic
disproportion.
DIF: Cognitive Level: Analysis REF: 903 OBJ: 7
TOP: Adolescent pregnancy KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity
21. When should the gestational age of the infant be determined?
DIF: Cognitive Level: Comprehension REF: 908 OBJ: 9
TOP: Gestational age KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance