1 :

Hint : 💊Divide, then multiply

Correct Answers:

  • 20


Rationale :

🟢The dose ordered is 500 mg and the dose available is in liquid form.

🟢 Each 5 mL contains 125 mg, which means 4 × 125 mg = 500 mg.

🟢 Calculation: (500 mg ÷ 125 mg) × 5 mL = 20 mL


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2 :

Hint : 🗣Encourage client expression

Correct Answers:

  • "What part of the exam makes you most nervous?"


Rationale :

🔷 This uses therapeutic communication by encouraging the client to share feelings.

🔷 It allows the nurse to address specific fears or misconceptions.

🔷 Avoids dismissing the client’s anxiety or making assumptions.

🔷 Demonstrates active listening and patient-centered care.

🔷 Builds trust and rapport, which is critical in reproductive health.


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3 :

Hint : 🧪 Volume ÷ time

Correct Answers:

  • 100


Rationale :

◾ Formula: mL/hr = 400 mL ÷ 4 hr = 100 mL/hr

◾ Correct infusion rate ensures medication timing accuracy.


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4 :

oral temperature 36.7 oc (98.0 OF)

Heart rate 100/min

Respiratory rate 20/min

Blood pressure 100/50 mm Hg

sa02 on room air

0830:

Heart rate 105/min

Respiratory rate 20/min

Blood pressure 90/52 mm Hg

sa02 on room air

Heart rate 1 15/min

Respiratory rate 22/min

Blood pressure 86/50 mm Hg

sa02 95% on room air


For each finding, click to specify if the assessment findings is consistent with placenta previa or abruptio placentae. Each finding may support more than one disease process.


Assessment Findings Placenta Previa Abruptio Placentae
Abdominal assessment
Abdominal pain level
Hemoglobin level
Description of vaginal bleeding
Uterine tone

Hint : 📍Pain + rigid uterus = abruptio

Correct Answers

  • Abdominal assessment [ Abruptio Placentae ]
  • Abdominal pain level [ Abruptio Placentae ]
  • Hemoglobin level [ Placenta Previa ; Abruptio Placentae ]
  • Description of vaginal bleeding [ Abruptio Placentae ]
  • Uterine tone [ Abruptio Placentae ]

Rationale :

✅Suggests abruptio placentae, where tenderness or rigidity may be present due to internal bleeding.

✅ Pain is characteristic of abruptio placentae; placenta previa usually presents painless bleeding.

✅ Can be decreased in both due to blood loss, making it a shared feature.

✅ Abruptio: dark red, possibly clotted.

✅ Abruptio: increased tone (rigid).


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5 :

Hint : 🚽 Watch urine output

Correct Answers:

  • Urinary output 40 mL in 2 hr


Rationale :

✅ Oliguria is a sign of magnesium toxicity (normal is >30 mL/hr).

✅ Low output means magnesium is not being excreted, increasing serum levels.

✅ Retained magnesium can lead to respiratory depression or cardiac issues.

✅ Continuous monitoring of urine output is essential during magnesium therapy.

✅ Nurse must alert provider to prevent serious toxicity events.


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6 :

Hint : 🧬 Prior birth + no new conception

Correct Answers:

  • Secondary infertility


Rationale :

✴️ Defined as difficulty conceiving after prior pregnancy.

✴️ Differs from primary infertility, where there is no previous conception.

✴️ Often caused by tubal damage, uterine issues, or age.

✴️ Requires thorough reproductive history and diagnostic testing.

✴️ Emotional impact may be underestimated compared to primary infertility.


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7 :

Hint : 💊 Divide ordered by available

Correct Answers:

  • 2


Rationale :
🟨 Calculation: 250 mg ÷ 125 mg/tablet = 2 tablets

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8 :

Hint : 🍼 Use ratio (mg: mL)

Correct Answers:

  • 0.5


Rationale :

🔶 Calculation: 1 mg ÷ (1 mg/0.5 mL) = 0.5 mL

🔶 Vitamin K is essential to prevent bleeding in newborns.


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9 :

Hint : 📅 Subtract 14 from cycle length

Correct Answers:

  • 21


Rationale :

🟢 Ovulation occurs ~14 days before the next period, regardless of cycle length.

🟢 35 - 14 = Day 21 is the most likely ovulation day.

🟢 Understanding ovulation helps in fertility and contraception.

🟢 Tools like ovulation kits or BBT tracking can assist.

🟢 Ovulation is the window for fertile intercourse timing.


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10 :

Hint : 🔬 Rash on hands + feet

Correct Answers:

  • Syphilis stage II


Rationale :

🟠 Stage II syphilis presents with rash on palms and soles, lymphadenopathy.

🟠 Occurs weeks after primary chancre heals.

🟠 Highly infectious via mucocutaneous lesions.

🟠 Requires penicillin treatment to prevent progression.

🟠 Education must include partner notification and testing.


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Total Questions: 10

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