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Obstetrics-Maternal And Child Health Nursing Practice Test
SITUATION : Aling Martha, a 32 year old fish vendor from baranggay matahimik came to see you at the prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember her LMP.
1. Which of the following would be useful in calculating Aling Martha's EDC? A. Appearance of linea negra B. First FHT by fetoscope C. Increase pulse rate D. Presence of edema 2. Which hormone is necessary for a positive pregnancy test? A. Progesterone B. HCG C. Estrogen D. Placental Lactogen 3. With this pregnancy, Aling Martha is a A. P3 G B. Primigravida C. P3 G D. P0 G 4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in pregnancy as A. Ovum, embryo, zygote, fetus, infant B. Zygote, ovum, embryo, fetus, infant C. Ovum, zygote, embryo, fetus, infant D. Zygote, ovum, fetus, embryo, infant 5. Aling Martha states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead you to think she is stressed? A. She told you about her drunk husband B. She states she has very meager income from selling C. She laughs at every advise you give even when its not funny D. She has difficulty following instructions 6. When teaching Aling Martha about her pregnancy, you should include personal common discomforts. Which of the following is an indication for prompt professional supervision? A. Constipation and hemorrhoids B. Backache C. Facial edema D. frequent urination 7. Which of the following statements would be appropriate for you to include in Aling Martha's prenatal teaching plan? A. Exercise is very tiresome, it should be avoided B. Limit your food intake C. Smoking has no harmful effect on the growth and development of fetus D. Avoid unnecessary fatigue, rest periods should be included in you schedule 8. The best advise you can give to Aling Martha regarding prevention of varicosities is A. Raise the legs while in upright position and put it against the wall several times a day B. Lay flat for most hours of the day
C. Use garters with nylon stocking D. Wear support hose
9. In a 32 day menstrual cycle, ovulation usually occurs on the A. 14th day after menstruation B. 18th day after menstruation C. 20th day after menstruation D. 24th day after menstruation 10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops by A. First month B. Third month C. Fifth month D. Seventh month 11. In evaluating the weight gain of Aling Martha, you know the minimum weight gain during pregnancy is A. 2 lbs/wk B. 5 lbs/wk C. 7 lbs/wk D. 10 lbs/wk 12. The more accurate method of measuring fundal height is A. Millimeter B. Centimeter C. Inches D. Fingerbreadths 13. To determine fetal position using Leopold's maneuvers, the first maneuver is to A. Determine degree of cephalic flexion and engagement B. Determine part of fetus presenting into pelvis C. Locate the back,arms and legs D. Determine what part of fetus is in the fundus 14. Aling Martha has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the laboring patient. This physical intervention is effective because A. Pain perception is interrupted B. Gate control fibers are open C. It distracts the client away from the pain D. Empathy is communicated by a caring person 15. Which of the following could be considered as a positive sign of pregnancy? A. Amenorrhea, nausea, vomiting B. Frequency of urination C. Braxton hicks contraction D. Fetal outline by sonography SITUATION : Maternal and child health is the program of the department of health created to lessen the death of infants and mother in the Philippines. 16. What is the goal of this program? A. Promote mother and infant health especially during the gravida stage B. Training of local hilots C. Direct supervision of midwives during home delivery D. Health teaching to mother regarding proper newborn care
C. 14th day D. End of menstrual cycle
26. To correctly determine the day of ovulation, the nurse must A. Deduct 14 days at the mid of the cycle B. Subtract two weeks at cycle's end C. Add 7 days from mid of the cycle D. Add 14 days from the end of the cycle 27. The serum progesterone is lowest during what day of the menstrual cycle? A. 3rd day B. 13th day C. 14th day D. End of menstrual cycle 28. How much blood is loss on the average during menstrual period? A. Half cup B. 4 tablespoon C. 3 ounces D. 1/3 cup 29. Menstruation occurs because of which following mechanism? A. Increase level of estrogen and progesterone level B. Degeneration of the corpus luteum C. Increase vascularity of the endothelium D. Surge of hormone progesterone 30. If the menstrual cycle of a woman is 35 day cycle, she will approximately A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day of her cycle B. Ovulate on the 21st day with fertile days beginning on the 16th day to the 21th day of her cycle C. Ovulate on the 22st day with fertile days beginning on the 16th day to the 26th day of her cycle D. Ovulate on the 22st day with fertile days beginning on the 14th day to the 30th day of her cycle SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be successful. 31. The Biparietal diameter of a fetus is considered matured if it is atleast A. 9.8 cm B. 8.5 cm C. 7.5 cm D. 6 cm 32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience quickening? A. 16th B. 20th C. 24th D. 28th 33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? A. Abnormal B. Non reactive C. Reactive D. Inconclusive, needs repeat 34. When should the nurse expect to hear the FHR using a fetoscope?
A. 2nd week B. 8th week C. 2nd month D. 4th month
35. When should the nurse expect to hear FHR using doppler Ultrasound? A. 8th week B. 8th month C. 2nd week D. 4th month 36. The mother asks, What does it means if her maternal serum alph feto protein is 35 ng/ml? The nurse should answer A. It is normal B. It is not normal C. 35 ng/ml indicates chromosomal abberation D. 35 ng/ml indicates neural tube defect 37. Which of the following mothers needs RHOGAM? A. RH + mother who delivered an RH - fetus B. RH - mother who delivered an RH + fetus C. RH + mother who delivered an RH + fetus D. RH - mother who delivered an RH - fetus 38. Which family planning method is recommended by the department of health more than any other means of contraception? A. Fertility Awareness Method B. Condom C. Tubal Ligation D. Abstinence 39. How much booster dose does tetanus toxoid vaccination for pregnant women has? A. 2 B. 5 C. 3 D. 4 40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? A. 5 B. 7 C. 50 D. 70 SITUATION : Reproductive health is the exercise of reproductive right with responsibility. A married couple has the responsibility to reproduce and procreate. 41. Which of the following is ONE of the goals of the reproductive health concept? A. To achieve healthy sexual development and maturation B. To prevent specific RH problem through counseling C. Provide care, treatment and rehabilitation D. To practice RH as a way of life of every man and woman 42. Which of the following is NOT an element of the reproductive health? A. Maternal and child health and nutrition B. Family planning C. Prevention and management of abortion complication
B. Acidosis C. Hypocapnia D. Ketosis
52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? A. Muscle flaccidity B. Hypoglycemia C. Decreased intracranial pressure D. Spontaneous respiration SITUATION : Nurses should be aware of the different reproductive problems. 53. When is the best time to achieve pregnancy? A. Midway between periods B. Immediately after menses end C. 14 days before the next period is expected D. 14 days after the beginning of the next period 54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: A. Estrogen therapy B. Sulfur insufflations C. Lactic acid douches D. Na HCO3 Douches 55. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed A. 1 week after ovulation B. Immediately after menses C. Just before the next menstrual period D. Within 1 to 2 days of presumed ovulation 56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a A. Past infection B. Fibroid Tumor C. Congenital Anomaly D. Previous injury to a tube 57. Which test is commonly used to determine the number, motility and activity of sperm is the A. Rubin test B. Huhner test C. Friedman test D. Papanicolau test 58. In the female, Evaluation of the pelvic organs of reproduction is accomplished by A. Biopsy B. Cystoscopy C. Culdoscopy D. Hysterosalpingogram 59. When is the fetal weight gain greatest? A. 1st trimester B. 2nd trimester C. 3rd trimester D. from 4th week up to 16th week of pregnancy
60. In fetal blood vessel, where is the oxygen content highest? A. Umbilical artery B. Ductus Venosus C. Ductus areteriosus D. Pulmonary artery 61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates A. The woman is in transition stage of labor B. The woman is having a complication and the doctor should be notified C. Labor is slowing down and the woman may need oxytocin D. The woman is emotionally distraught and needs assistance in dealing with labor SITUATION : Cynthia, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0. 62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? I - A desire to defecate II - Begins to bear down with uterine contraction III - Perineum bulges IV - Uterine contraction occur 2-3 minutes intervals at 50 seconds duration A. I,II,III B. I,II,III,IV C. I,III,IV D. II,III,IV 63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? A. High risk for infection related to membrane rupture B. Potential for injury related to prolapse cord C. Alteration in comfort related to increasing strength of uterine contraction D. Anxiety related to unfamiliar procedure 64. Cynthia complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? I - Rubbing the back with a tennis ball II- Effleurage III-Imagery IV-Breathing techniques A. II,IV B. II,III C. I,IV D. I,II 65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? A. Reposition from side to side B. Administer oxygen C. Increase IV fluid as indicated D. Assess for maternal hypotension 66. Which is NOT the drug of choice for epidural anesthesia? A. Sensorcaine B. Xylocaine C. Ephedrine D. Marcaine
D. Iron supplementation
75. How many days and how much dosage will the IRON supplementation be taken? A. 365 days / 300 mg B. 210 days / 200 mg C. 100 days/ 100mg D. 50 days / 50 mg 76. When should the iron supplementation starts and when should it ends? A. 5th month of pregnancy to 2nd month post partum B. 1st month of pregnancy to 5th month post partum C. As early in pregnancy up to 9th month of pregnancy D. From 1st trimester up to 6 weeks post partum 77. In malaria infested area, how is chloroquine given to pregnant women? A. 300 mg / twice a month for 9 months B. 200 mg / once a week for 5 months C. 150 mg / twice a week for the duration of pregnancy D. 100 mg / twice a week for the last trimester of pregnancy 78. Which of the following mothers are qualified for home delivery? A. Pre term B. 6th pregnancy C. Has a history of hemorrhage last pregnancy D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy. 79. Which of the following is not included on the 3 Cs of delivery? A. Clean Surface B. Clean Hands C. Clean Equipments D. Clean Cord 80. Which of the following is unnecessary equipment to be included in the home delivery kit? A. Boiled razor blade B. 70% Isopropyl Alcohol C. Flashlight D. Rectal and oral thermometer SITUATION : Pillar is admitted to the hospital with the following signs : Contractions coming every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station. 81. On the basis of the data provided above, You can conclude the pillar is in the A. In false labor B. In the active phase of labor C. In the latent phase of labor D. In the transitional phase of labor 82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except A. Diuresis B. Hypertension C. Water intoxication D. Cerebral hemorrhage 83. The normal range of FHR is approximately
A. 90 to 140 bpm B. 120 to 160 bpm C. 100 to 140 bpm D. 140 to 180 bpm
84. A negative 1 [-1] station means that A. Fetus is crowning B. Fetus is floating C. Fetus is engaged D. Fetus is at the ischial spine 85. Which of the following is characteristics of false labor A. Bloody show B. Contraction that are regular and increase in frequency and duration C. Contraction are felt in the back and radiates towards the abdomen D. None of the above 86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR A. Bradley B. Simpson C. Lamaze D. Dick-Read 87. Which sign would alert the nurse that Pillar is entering the second stage of labor? A. Increase frequency and intensity of contraction B. Perineum bulges and anal orifice dilates C. Effacement of internal OS is 100% D. Vulva encircles the largest diameter of presenting part 88. Nursing care during the second stage of labor should include A. Careful evaluation of prenatal history B. Coach breathing, Bear down with each contraction and encourage patient. C. Shave the perineum D. Administer enema to the patient SITUATION : Baby boy Jose was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9 respectively. Routine procedures are carried out. 89. When is the APGAR Score taken? A. Immediately after birth and at 30 minutes after birth B. At 5 minutes after birth and at 30 minutes after birth C. At 1 minute after birth and at 5 minutes after birth D. Immediately after birth and at 5 minutes after birth 90. The best way to position a newboarn during the first week of life is to lay him A. Prone with head slightly elevated B. On his back, flat C. On his side with his head flat on bed D. On his back with head slightly elevated 91. Baby boy Jose has a large sebaceous glands on his nose, chin, and forehead. These are known as A. Milia B. Lanugo C. Hemangiomas D. Mongolian spots 92. Baby boy Jose must be carefully observed for the first 24 hours for
