pg. 1 NUR 682- Exam 2/ Actual Exam Questions with Correct Verified Answers/ Latest Update 2024/ Rated A+
Which type of topical antibiotics should be avoided? - ANSWER - Products containing NEOMYCIN due to high incidence of contact sensitization
Which cutaneous reaction to trauma/infection/inflammation results in scar and keloid formation? - ANSWER - The mesenchymal response
Patients with darker skin tones should be careful using which topical medications? - ANSWER - -High- potency steroids -Benzoyl peroxide -Isotretinoin
Futcher line (aka Ito line) define - ANSWER - The vertical line that separates the hyperpigmented dorsal surfaces from the less pigmented ventral surfaces in darker skinned people
Acute inflammation- best types of products to use - ANSWER - -Wet dressings -Powders -Aerosols
-Suspension lotions -Alcohol or water-based lotions
Chronic inflammation- best types of products to use - ANSWER - -Creams -Oil-based lotions or gels -Ointments 1 / 4
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Best preparations for wet vs. dry rashes - ANSWER - Wet rashes --> CREAMS (powder-based)
Dry rashes --> OINTMENTS (oil-based)
Potency of preparations from most --> least - ANSWER - 1) Ointments 2) Creams 3) Lotions
What type of topical product is best for hairy areas? - ANSWER - Foams
First-line treatment for mild acne - ANSWER - Keratolytics:
**Benzoyl peroxide **Retinoic acid
Topical antibiotics used for acne - ANSWER - -Clindamycin -Erythromycin -Sulfacetamide
Systemic antibiotics used for inflammatory acne - ANSWER - -Tetracycline -Doxycycline -Minocycline -Erythromycin
Side effects of topical steroids - ANSWER - -Skin atrophy -Increased fragility of skin -Secondary infection -Hypopigmentation -Folliculitis 2 / 4
pg. 3 -Telangiectasia -Purpura -Stria What is referred to as the infants "first immunization"? - ANSWER - ***Colostrum***
Colostrum (define) - ANSWER - Thick, rich, yellowish fluid; rich in immunoglobulins and other antibodies and helps passage of meconium
Lower in (compared to mature milk):
-Calories -Fat
Higher in:
-Protein -Fat-soluble vitamins -Cholesterol -NaCl
Transitional milk (define) - ANSWER - Appears several days after delivery
Higher in:
-Calories -Fat -Lactose
Lower in:
-Protein
Mature milk (define) - ANSWER - Appears by about 2nd week after delivery -90% water -3.8% fat 3 / 4
pg. 4 -0.9% protein
Primary carb in breastmilk? - ANSWER - Lactose
Cradle position (define) - ANSWER - **Mother begins sitting upright or leaning slightly forward **Mother and infant are in a tummy-to-tummy arrangement -Baby's head is supported in crook of elbow
Side-lying position (define) - ANSWER - **Mother lies on her side -Baby is supported in elbow
Football hold (define) - ANSWER - **Infant is supported off to the side of the mother **Baby's head is supported in Mom's hand
Good for:
-Moms with C-sections -Moms with twins (can feed both at one time) -Moms with flat or inverted nipples
When should first breastfeeding happen? - ANSWER - As soon after birth as possible
Infant should be encouraged to suck at each breast for how long? - ANSWER - 10-15 minutes
When should milk supply come in for mom? - ANSWER - Between the 2nd and 4th day
After the first 24 hours, the infant should be fed how often? - ANSWER - 8-12 times a day -OR- every 2-3 hours
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