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Maternal and Child Health Exam Questions with Solutions
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A. September 27 B. October 21 C. November 7 D. December 27
A. Placing infant under radiant warmer after bathing B. Covering the scale with a warmed blanket prior to weighing C. Placing crib close to nursery window for family viewing D. Covering the infant’s head with a knit stockinette 21.A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following? A. Talipes equinovarus B. Fractured clavicle C. Congenital hypothyroidism D. Increased intracranial pressure 22.During the first 4 hours after a male circumcision, assessing for which of the following is the priority? A. Infection B. Hemorrhage C. Discomfort D. Dehydration 23.The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Whish of the following would be the best response by the nurse? A. “The breast tissue is inflamed from the trauma experienced with birth” B. “A decrease in material hormones present before birth causes enlargement,” C. “You should discuss this with your doctor. It could be a malignancy” D. “The tissue has hypertrophied while the baby was in the uterus”
D. 6 ounces 27.The postterm neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following? A. Respiratory problems B. Gastrointestinal problems C. Integumentary problems D. Elimination problems 28.When measuring a client’s fundal height, which of the following techniques denotes the correct method of measurement used by the nurse? A. From the xiphoid process to the umbilicus B. From the symphysis pubis to the xiphoid process C. From the symphysis pubis to the fundus D. From the fundus to the umbilicus 29.A client with severe preeclampsia is admitted with of BP 160/110, proteinuria, and severe pitting edema. Which of the following would be most important to include in the client’s plan of care? A. Daily weights B. Seizure precautions C. Right lateral positioning D. Stress reduction
D. Cervical dilation 40.Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa? A. “You will have to ask your physician when he returns.” B. “You need a cesarean to prevent hemorrhage.” C. “The placenta is covering most of your cervix.” D. “The placenta is covering the opening of the uterus and blocking your baby.” 41.The nurse understands that the fetal head is in which of the following positions with a face presentation? A. Completely flexed B. Completely extended C. Partially extended D. Partially flexed 42.With a fetus in the left-anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas? A. Above the maternal umbilicus and to the right of midline B. In the lower-left maternal abdominal quadrant C. In the lower-right maternal abdominal quadrant D. Above the maternal umbilicus and to the left of midline 43.The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following? A. Lanugo B. Hydramnio C. Meconium D. Vernix 44.A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following? A. Quickening B. Ophthalmia neonatorum C. Pica D. Prolapsed umbilical cord 45.When describing dizygotic twins to a couple, on which of the following would the nurse base the explanation? A. Two ova fertilized by separate sperm B. Sharing of a common placenta C. Each ova with the same genotype D. Sharing of a common chorion 46.Which of the following refers to the single cell that reproduces itself after conception? A. Chromosome B. Blastocyst C. Zygote
D. Trophoblast 47.In the late 1950s, consumers and health care professionals began challenging the routine use of analgesics and anesthetics during childbirth. Which of the following was an outgrowth of this concept? A. Labor, delivery, recovery, postpartum (LDRP) B. Nurse-midwifery C. Clinical nurse specialist D. Prepared childbirth 48.A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle accident as a teenager. The nurse is aware that this could prevent a fetus from passing through or around which structure during childbirth? A. Symphysis pubis B. Sacral promontory C. Ischial spines D. Pubic arch 49.When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases? A. Menstrual phase B. Proliferative phase C. Secretory phase D. Ischemic phase 50.When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells? A. Follicle-stimulating hormone B. Testosterone C. Leuteinizing hormone D. Gonadotropin releasing hormone Answers and Rationales
the date of December 27, 7 days were added to the last day of the LMP (rather than the first day of the LMP) and December indicates counting back only 1 month (instead of 3 months) from January.
per feeding: 60 calories per feeding; 60 calories per feeding with formula 20 cal/oz = 3 ounces per feeding. Based on the calculation. 2, 4 or 6 ounces are incorrect.
appropriate. Eating six small meals a day would keep the stomach full, which often decrease nausea.