RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)

SITUATION I

 

Question 1:

A  typical response of a victim accepting blame for the abuser.

 

SITUATION II

 

Question 1:

Routine supplementation may interfere with establishing an adequate milk volume because decreased stimulation to the mother's nipples affects hormonal levels and milk production

 

Question 2:

Teaching the client how to express her breasts in a warm shower aids with letdown and will give temporary relief. Ice can promote comfort by decreasing blood flow, numbing, and discouraging further letdown of milk; however, this is followed by a rebound reaction of more letting down on the ice is removed.

 

SITUATION III

 

Question 1:

The client with mastitis should be encouraged to continue breast-feeding while taking antibiotics for the infection. No supplemental feedings are necessary because breast-feeding doesn't need to be altered and actually encourages resolution of the infection. Analgesics are safe and should be administered as necessary.

 

SITUATION IV

 

Question 1:

Blood pressure and pulse

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The rapid decrease in intra-abdominal pressure occurring after birth causes splanchnic engorgement. The client is at risk for orthostatic hypotension due to blood pooling in this area. Breast engorgment is caused by vascular congestion in the breast before true lactation. The client shouldn't experience separation of the episiotomy incision or chest pain when standing.

 

Question 2:

The client must understand that she must not become pregnany for 2 to 3 months after the vaccination because of its potential teratogenic effects. The rubella vaccine is made from duck eggs so an allergic reaction may occur in clients with egg allergies. The virus isn't transmitted into the breast milk so clients may continue to breast-feed after vaccination. Transient arthralgia and rash are common adverse effects of the vaccine.

 

Question 3:

Yes

 

SITUATION V

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Rh incompatibility can only happen when the mother is Rh NEGATIVE and the fetus is Rh POSITIVE.

And that the first pregnancy the baby would be probably not affected. To prevent maternal antibody production Rhogam is given at 28 weeks of pregnancy and 72 hours after delivery.

 

SITUATION VI

 

Question 1:

1. Apply ice to the perineum
2. Take a cold sitz bath during the first 24 hours
3. Take a lukewarm sitz baths after the first 24 hours
4. Keep the buttock tightened when she sits down

 

SITUATION VII

 

Question 1:

High HCG causing ↓motility

 

Question 2:

1. Eat dry crackers or toast before getting up from bed

2. Have a small frequent meal throughout the day

3. Avoid odorous, fatty, and spicy foods

 

SITUATION VIII

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Question 1:

1. Pack and hide a bag with needed items.

2. Have personal documents (Social Security card, driver’s license, medical cards, etc.) available.

3. Hide extra sets of house and car keys.

4. Establishing an emergency code with family and friends.

5. Having a plan for where to go after leaving.

6. Refer the patient who are experiencing IPV to women’s shelters and provide a list of other resources, such as legal aid clinics, free clinics, mental health services, and local hotlines.

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SITUATION IX

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1. Contraction: Regular, Increase in frequency, duration and intensity, Short intervals

2. Pain or discomfort: Radiates from back around the abdomen

3. Rest and activity: Pain does not decrease with rest or activity/walking

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SITUATION X

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When the client is taking oral contraceptives and begins antibiotics, another method of birth control should be used. Antibiotics decrease the effectiveness of oral contraceptives. 

 

SITUATION XI

Question 1:

1. Encourage her to empty her bladder and drink plenty of fluids

(Start IV infusion)
An empty bladder and adequate hydration may help decrease or stop labor contractions. 

 

SITUATION XII

 

Question 1:

Compression of the inferior vena cava and aorta by the uterus may cause supine hypotension syndrome (vena cava syndrome) late in pregnancy. Having the client turn onto her left side or elevating the left buttock during fundal height measurement will correct or prevent the problem. Options A, B, and C are unrelated to this syndrome.

 

SITUATION XIII

 

Pregnancy outcomes can be described with the acronym GTPAL. G is gravidity, the number of pregnancies. T is term births, the number born at term (38-41 weeks). P is preterm births, the number born before 38 weeks gestation. A is abortions or miscarriages (included in gravida if before 20 weeks gestation; included in parity if past 20 weeks gestation). L is live births, the number of live births or living children. Therefore, a woman who is pregnant with twins and has a child has a gravida of 2. Because the child was delivered at 37 weeks, the number of preterm births is 1, and the number of term births is 0. The number of abortions is 0, and the number of live births is 1.

G = 2, T = 0, P = 1, A = 0, L =1

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SITUATION XIV

Question 1:

June 26, 2017