Pearson Vue NCLEX and NP Review RN, PN, LVN Exams...๐ฉโโ๐งโโ๐จโโ
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Obstetrics & Gynecology (Q21โ30)
21-A primigravida at 32 weeks has BP 160/110, proteinuria, and edema. Which complication is suspected?
A. Severe preeclampsia.
B. Gestational diabetes.
C. Placenta previa.
D. Ectopic pregnancy.
22.A woman in active labor suddenly complains of severe abdominal pain and absent fetal heart sounds. Uterus is tense and tender. Which complication?
A. Uterine rupture.
B. Placenta previa.
C. Placental abruption.
D. Cord prolapse.
23.A postpartum mother is found with excessive vaginal bleeding, boggy uterus. What is priority?
A. Uterine massage.
B. Give antibiotics.
C. Provide oral iron.
D. Start breastfeeding.
24.A woman at 36 weeks pregnancy has painless bright-red vaginal bleeding. Which condition is most likely?
A. Placenta previa.
B. Abruptio placentae.
C. Ectopic pregnancy.
D. Threatened abortion.
25.Which drug is used for prevention of eclampsia?
A. Magnesium sulfate.
B. Diazepam.
C. Oxytocin.
D. Methyldopa.
26.The normal duration of the third stage of labor is:
A. 5โ30 minutes.
B. 1 hour.
C. 2โ3 hours.
D. 10 seconds.
27.Which sign is diagnostic of pregnancy?
A. Fetal heart sounds.
B. Amenorrhea.
C. Breast tenderness.
D. Morning sickness.
28.A woman in labor develops umbilical cord prolapse. First nursing action?
A. Place mother in knee-chest or Trendelenburg position.
B. Immediately give oxytocin.
C. Push cord inside forcibly.
D.Delay action until doctor arrives.
29.A woman has a Pap smear result showing precancerous lesion (CIN II). This is an example of:
A. Secondary prevention.
B. Primary prevention.
C. Tertiary prevention.
D. Rehabilitation.
30.Which is a danger sign of pregnancy?
A. Severe headache, blurred vision.
B. Increased appetite.
C. Morning sickness.
D. Breast tenderness.
โค 1
A primigravida at 32 weeks has BP 160/110, proteinuria, and edema. Which complication is suspected?
A. Severe preeclampsia.
B. Gestational diabetes.
C. Placenta previa.
D. Ectopic pregnancy.
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โค 1
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โค 1
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โค 1
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Short Notes The Human Heart
1. Walls of the Heart
Epicardium: Outer protective layer.
Myocardium: Muscular middle layer; responsible for contraction.
Endocardium: Inner lining in contact with blood.
Septum: Divides heart into left and right; prevents mixing of oxygen-rich and oxygen-poor blood.
---
2. Structure of the Heart
4 Chambers:
Right Atrium: Receives oxygen-poor blood from the body.
Right Ventricle: Pumps oxygen-poor blood to the lungs.
Left Atrium: Receives oxygen-rich blood from the lungs.
Left Ventricle: Pumps oxygen-rich blood to the body.
---
3. Valves of the Heart
Atrioventricular (AV) Valves:
Tricuspid Valve: Between right atrium and right ventricle.
Mitral Valve: Between left atrium and left ventricle.
Pulmonary Valve: Between right ventricle and pulmonary artery.
Aortic Valve: Between left ventricle and aorta.
Function: Maintain one-way blood flow and prevent backflow.
๐ฉบ UTERINE FIBROID (Leiomyoma)
๐ธ Benign smooth muscle tumor of uterus
๐ก Hormone-dependent โ grows with estrogen & progesterone
๐ Types:
1๏ธโฃ Submucosal โ beneath endometrium โ ๐ heavy bleeding, ๐ซ infertility
2๏ธโฃ Intramural โ within myometrium โ โญ most common
3๏ธโฃ Subserosal โ beneath serosa โ โ๏ธ pressure on bladder/bowel
โ ๏ธ Risk Factors:
๐ฏ Age 30โ40 yrs
๐ฉโ๐ผ Nulliparity
โณ Early menarche
๐ Family history
๐ Symptoms:
๐ง Menorrhagia (MC)
โก Dysmenorrhea
โ๏ธ Pelvic pressure / mass abdomen
๐ซ Infertility / pregnancy loss
โ Complications:
*Infertility
* Pregnancy problems
* Degeneration (esp. ๐ด red degeneration in pregnancy)
๐งช Diagnosis:
๐ฅ USG โ first-line
๐งฒ MRI for mapping
๐ Hysteroscopy โ for submucosal
๐ Management:
๐ Asymptomatic โ observe
Medical: ๐ NSAIDs, Tranexamic acid, GnRH agonists
Surgical: โ๏ธ Myomectomy (fertility), ๐ Hysterectomy (definitive), UAE
๐ง Key mnemonic: B-P-M โ Bleeding, Pressure, Mass
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Let's LEARN all about ....
๐๐๐๐๐๐
MURPHY.
๐๐๐๐๐๐๐๐๐
๐Murphy sign - Cholecystitis
๐Murphy eye ๐๐ - Endotracheal tube
๐Murphy Traid- Appendicitis
PAFA- Pa, F, A
๐Pain in Right lower quadrant
๐Fever
๐Anorexia, nausea /vomiting
๐Murphy punch ๐ sign- Kidney disease
๐Such as renal stone, perinephric abscess.
๐Murphy sign- Also called Sweeney sign.
๐Murphy Button surgery - mechanical device used for intestinal anastomosis.
๐Murphy percussion- Piano ๐น percussion.
Acronym Asked in BTSC STAFF NURSE 2025 ๐ธ๐ธ๐ธ๐ผ๐ผ๐ผ
๐PICOT
P - Patient population or problem
I - Intervention or exposure
C - Comparison (another intervention, standard of care, or placebo)
O - Outcome (what you want to measure)
T - Time (optional, but useful for specifying the duration of the study).
๐ BE-FAST -Balance, Eyes, Face, Arm, Speech, Time
๐SAMPLE -
Signs and Symptoms,
Allergies,
Medications,
Past medical history,
Last oral intake, and
Events leading up to the present illness or injury.
๐EBP - EVIDENCE BASED PRACTICE
๐OCD - OBSESSIVE compulsive disorder
๐BPAD - Bipolar Affective disorder.
๐POSDCORB
Planning, Organizing, Staffing, Directing, Coordinating, Reporting, and Budgeting.
๐ADHD - Attention deficit hyperactive disorder
๐ธ๐ธ๐ธ๐ธ๐ธ
๐ Bishop Score
๐ ALVARDO SCORE
