Ajuda para tarefas de saúde pública

23. A 46-year-old woman was admitted for chemotherapy of stage IC ovarian cancer.On admission, she had persisten t abdominal and pelvic pain. She has loss of appetite, nausea , vomiting, increased urinary urgency and frequency. What is the priority nursing management for this woman? (Hidar 2012/ December 2019 ) A. Administering mild opioids B. Paracentesis for abdominal distention C. Patient education on catheterization D. Terminal stage symptom control 24. A six month lactating mother came to health center for family planning service. After assessing her eligibility and providing counseling, the nurse inserts Jadelle in September 2012 E.C. Before the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose. What would be the most appropriate appointment date for the next visit?(Tikimt 2013/October2020) A. September 2014 B. September 2015 C. September 2016 D. September 2017

12. A woman has delivered 4000g baby within 3 hours since labor starts . At the initial postpartum assessment, fundus is firm and at the level of the umbilicus.But there is heavy brighter red bleeding with occasional small clots. Vital signs are unchanged from prenatal value. What is the best next step of your intervention?(Hidar 2012/December 2019 ) A. Tell the mother it is normal having vaginal discharge after delivery B. Tell the mother it is okay as long as the bleeding is less than 500ml C. Begin aggressive intravenous fluid and oxytocic administration D. Insert speculum and explore cervix , vagina and perineum for tear 13. A 25-year-old woman delivered her baby at a health center. You attempt to deliver the placenta actively with intramuscula oxytocin but it was not successful. She starts to bleed heavily. It has been 40 minute since the delivery of the baby . Despite your attempt, the placenta neither expels out nor it shows sign of separation. What is your best intervention at this level? ( Hidar 2012/December 2019 ) A. Put her on IV fluid,give ampicilline 2 g IV . refer her B. Change oxytocin with ergometrine and attempt CCT once again C. Wait the placenta for additional 20 minutes, attempt manual removal D. Give sedative agent and prophylactic antibiotics, attempt manual removal

12. A woman has delivered 4000g baby within 3 hours since labor starts . At the initial postpartun assessment, fundus is firm and at the level of the umbilicus. But there is heavy brighter red bleeding with occasional small clots. Vital signs are unchanged from prenatal value. What is the best next step of your intervention? (Hidar 2012/December 2019 ) A. Tell the mother it is normal having vaginal discharge after delivery B. Tell the mother it is okay as long as the bleeding is less than 500ml C. Begin aggressive intravenous fluid and oxytocic administration D. Insert speculum and explore cervix , vagina and perineum for tear 13. A 25-year-olc woman delivered her baby at a health center. You attempt to deliver the placenta actively with intramuscular oxytocin but it was not successful. She starts to bleed heavily. It has been 40 minute since the delivery of the baby . Despite your attempt, the placenta neither expels out nor it shows sign of separation. What is your best intervention at this level? ( Hidar 2012/December 2019 ) A. Put her on IV fluid, give ampicilline 2 g IV , refer her B. Change oxytocin with ergometrine and attempt CCT once again C. Wait the placenta for additional 20 minutes, attempt manual removal D. Give sedative agent and prophylactic antibiotics, attempt manual removal

BOOKLI TCODE:011 SUBMECT CODE 101 da mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervix is scan dilated. Miter an hour, the cervis became fully dilated, fetal heart heal is 90 min and there is thrue rogular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure" (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 II of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved . After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 20-year-old primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pair secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother

BOOKLITCODE: 011 w) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervis is 8cm dilated After an hour, the cervis became fully dilated fetal heart beat is 90 min and there is three regular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure? (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 IU of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drup per minute and increased every 30 minutes till adequate uterine contraction is achieved After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy, What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 93. A 20-year-ol primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pain secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother 22 SUBJECT CODE: 01