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Aware of the signs of an impending postpartum hemorrhage secondary to laceration of the

cervix, the nurse assesses a postpartum client for a firm uterus and:
a. A decrease in pulse rate
b. Persistent muscular twitching
c. Continuous trickling of blood
d. An increase in blood pressure
2. A womans nurse tells her that she has developed dystocia. You would explain that this term
a. A difficult or abnormal labor
b. High blood pressure related to difficult labor
c. Potential for placental detachment
d. Muscle weakness related to prolonged labor
3. Which of the following actions would be least effective in maintaining a neutral thermal
environment in a newborn?
a. Placing the newborn under a radiant warmer after bathing
b. Covering the scale with a warmed blanket prior to weighing
c. Placing crib close to the air conditioner unit
d. Covering the infants head with a bonnet
4. During the first Apgar scoring, a newborn has a heart rate of 120 beats per minute, lustly cry,
acrocyanosis and some flexion of the extremities. A nurse would give the newborn an Apgar
score of:
a. 6
b. 7
c. 8
d. 9
5. How would the nurse interpret an Apgar score of 7?
a. Poor condition
b. Fair condition
c. Good condition
d. None of the above
6. Neonates of mother with diabetes are at risk for which complication following birth?
a. Atelectasis
b. Microcephaly
c. Pneumothorax
d. Macrosomia
7. The nurse performed an emergency birth in the labor room on a multigravida. After the birth of
an infant, the nurse refrains from applying traction to the umbilical cord to prevent uterine:
a. Atony
b. Rupture
c. Inversion
d. Infection
8. Immediately after the delivery of the placenta, as a Delivery room nurse you would anticipate
the need for which nursing action first:
a. administer 10 units of oxytocin via IM
b. place ice pack over the hypogastric area
c. take vital signs and relay findings
d. none of the above
9. A patient who has just given birth to his 5th child was brought to the OB ward after caesarean
section. The nurse noticed that the linens are soaked with blood and palpated the hypogastric
area the fundus was not well contracted. The nurse foresees that this is a case of:
a. Placenta previa
b. Transient uterine atony
c. Abruption placenta
d. None of the above
10. During the situation above, a correct nursing actions that a competent nurse will initiate are the
following except:
a. Massage the fundus
b. Place ice on hypogastric area
c. Monitor Blood pressure
d. None of the above
11. In handling a pediatric client who was diagnosed with AGN it is most imperative to secure which
of the following diagnostic exam results:
a. CBC with PC
b. UA
c. FA
d. X- Ray
12. A 3 year old patient was brought to the hospital by her parents. It is reported that the parents
was noticing that their son has a swollen belly and is complaining of pain when defecating. The
pediatrician wants to rule out if it is a case of Hirschprungs Disease. A nurse would anticipate
which of the following diagnostic exams would be done:
a. Barium Enema
b. Rectal Biopsy
c. Abdominal X-ray
d. All of the above
13. The birth of a baby can trigger a jumble of powerful emotions, from excitement and joy to fear
and anxiety. But it can also result in something more severe form of mood disorder including
crying spells, difficulty sleeping and delusions that result after childbirth. This is known as:
a. Postpartum Hemorrhage
b. Postpartum Anxiety
c. Postpartum Psychosis
d. Postpartum Period
14. A 30 year old pregnant mother went to the ER and complains dizziness and blurring of vision
with the blood pressure of 150/100. The Physician suspects Pre-eclampsia. A competent nurse
knows that the drug of choice for stabilizing the patients blood pressure is:
a. Methylergonotmetrine
b. Magnesium Sulfate
c. Hydralazine
d. Nicardipine