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国际护士证ISPN考试模拟题(1050-1052)

发表日期:2016-09-06 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 

1050) The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction?

        1. Variability
        2. Accelerations
        3. Early decelerations
        4. Early decelerations

Answer:4. Variable decelerations occur if the umbilical cord becomes compressed, reducing blood flow between the placenta and the fetus. Variability refers to fluctuations in the baseline fetal heart rate. Accelerations are a reassuring sign and usually occur with fetal movement. Early decelerations result from pressure on the fetal head during a contraction.  


1051) The nurse in the gynecology clinic is reviewing the record of a pregnant client after the first prenatal visit. The nurse notes that the health care provider has documented that the woman has a platypelloid pelvis. On the basis of this documentation, the nurse plans care, knowing that this type of pelvis has which characteristic?

        1. Is heart-shaped
        2. Has a flat shape
        3. Has an oval shape
        4. Is a normal female pelvis

Answer:2. A platypelloid pelvis has a flat shape. An anthropoid pelvis has an oval shape, and an android pelvis is heart-shaped. A gynecoid pelvis is a normal female pelvis. 


1052) The nurse is assessing the deep tendon reflexes of a client with severe preeclampsia who is receiving intravenous magnesium sulfate. The nurse should perform which procedure to assess the brachioradialis reflex? Refer to Figure.


        1. A
        2. B
        3. C
        4. D

Answer:1. To assess the brachioradialis reflex, the client's thumb is held to suspend the forearm in relaxation. The nurse then strikes the forearm directly, about 2 to 3 cm above the radial styloid process. The normal response is flexion and supination of the forearm. Option 2 identifies the procedure for assessing the quadriceps reflex. Option 3 identifies the procedure for assessing the biceps reflex. Option 4 identifies the procedure for assessing the triceps reflex.

 

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