Maternal and Child Health Nursing

Exam 2

1. Nurse Bella explains to a 28 year old pregnant woman undergoing a non-

stress test that the test is a way of evaluating the condition of the fetus by
comparing the fetal heart rate with:

A. Fetal lie
B. Fetal movement
C. Maternal blood pressure
D. Maternal uterine contractions
2. During a 2 hour childbirth focusing on labor and delivery process for
primigravida. The nurse describes the second maneuver that the fetus goes
through during labor progress when the head is the presenting part as which
of the following:

A. Flexion
B. Internal rotation
C. Descent
D. External rotation
3. Mrs. Jovel Diaz went to the hospital to have her serum blood test for alpha-
fetoprotein. The nurse informed her about the result of the elevation of serum
AFP. The patient asked her what was the test for:

A. Congenital Adrenal Hyperplasia

B. PKU
C. Down Syndrome
D. Neural tube defects
4. Fetal heart rate can be auscultated with a fetoscope as early as:

A. 5 weeks of gestation
B. 10 weeks of gestation
C. 15 weeks of gestation
 D. 20 weeks of gestation
5. Mrs. Bendivin states that she is experiencing aching swollen, leg veins. The
nurse would explain that this is most probably the result of which of the
following:

A. Thrombophlebitis
B. PIH
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
6. Mrs. Ella Santoros is a 25 year old primigravida who has Rheumatic heart
disease lesion. Her pregnancy has just been diagnosed. Her heart disease has
not caused her to limit physical activity in the past. Her cardiac disease and
functional capacity classification is:

A. Class I
B. Class II
C. Class III
D. class IV
7. The client asks the nurse, “When will this soft spot at the top of the head of
my baby will close?” The nurse should instruct the mother that the neonate’s
anterior fontanel will normally close by age:

A. 2-3 months
B. 6-8 months
C. 10-12 months
D. 12-18 months
8. When a mother bleeds and the uterus is relaxed, soft and non-tender, you
can account the cause to:

A. Atony of the uterus

B. Presence of uterine scar
C. Laceration of the birth canal
D. Presence of retained placenta fragments
9. Mrs. Pichie Gonzales’s LMP began April 4, 2010. Her EDD should be which
of the following:

A. February 11, 2011

 B. January 11, 20111
C. December 12, 2010
D. Nowember 14, 2010
10. Which of the following prenatal laboratory test values would the nurse
consider as significant?

A. Hematocrit 33.5%
B. WBC 8,000/mm3
C. Rubella titer less than 1:8
D. One hour glucose challenge test 110 g/dL
11. Aling Patricia is a patient with preeclampsia. You advise her about her
condition, which would tell you that she has not really understood your
instructions?

A. “I will restrict my fat in my diet.”

B. “I will limit my activities and rest more frequently throughout the
day.”
C. “I will avoid salty foods in my diet.”
D. “I will come more regularly for check-up.”
12. Mrs. Grace Evangelista is admitted with severe preeclampsia. What type
of room should the nurse select this patient?

A. A room next to the elevator.

B. The room farthest from the nursing station.
C. The quietest room on the floor.
D. The labor suite.
13. During a prenatal check-up, the nurse explains to a client who is Rh
negative that RhoGAM will be given:

A. Weekly during the 8th month because this is her third pregnancy.
B. During the second trimester, if amniocentesis indicates a problem.
C. To her infant immediately after delivery if the Coomb’s test is
positive.
D. Within 72 hours after delivery if infant is found to be Rh positive.
14. A baby boy was born at 8:50pm. At 8:55pm, the heart rate was 99 bpm.
She has a weak cry, irregular respiration. She was moving all extremities and
only her hands and feet were still slightly blue. The nurse should enter the
APGAR score as:

A. 5
B. 6
C. 7
D. 8
15. Billy is a 4 year old boy who has an IQ of 140 which means:

A. average normal
B. very superior
C. above average
D. genius
16. A newborn is brought to the nursery. Upon assessment, the nurse finds
that the child has short palpebral fissures, thinned upper lip. Based on this
data, the nurse suspects that the newborn is MOST likely showing the effects
of:

A. Chronic toxoplasmosis
B. Lead poisoning
C. Congenital anomalies
D. Fetal alcohol syndrome
17. A priority nursing intervention for the infant with cleft lip is which of the
following:

A. Monitoring for adequate nutritional intake

B. Teaching high-risk newborn care
C. Assessing for respiratory distress
D. Preventing injury
18. Nurse Jacob is assessing a 12 year old who has hemophilia A. Which of
the following assessment findings would the nurse anticipate?

A. an excess of RBC
B. an excess of WBC
C. a deficiency of clotting factor VIII
D. a deficiency of clotting factor IX
19. Celine, a mother of a 2 year old tells the nurse that her child “cries and has
a fit when I have to leave him with a sitter or someone else.” Which of the
following statements would be the nurse’s most accurate analysis of the
mother’s comment?

A. The child has not experienced limit-setting or structure.

B. The child is expressing a physical need, such as hunger.
C. The mother has nurtured overdependence in the child.
D. The mother is describing her child’s separation anxiety.
20. Mylene Lopez, a 16 year old girl with scoliosis has recently received an
invitation to a pool party. She asks the nurse how she can disguise her
impairment when dressed in a bathing suit. Which nursing diagnosis can be
justified by Mylene’s statement?

A. Anxiety
B. Body image disturbance
C. Ineffective individual coping
D. Social isolation
21. The foul-smelling, frothy characteristic of the stool in cystic fibrosis
results from the presence of large amounts of which of the following:

A. sodium and chloride

B. undigested fat
C. semi-digested carbohydrates
D. lipase, trypsin and amylase
22. Which of the following would be a disadvantage of breast feeding?

A. involution occurs rapidly

B. the incidence of allergies increases due to maternal antibodies
C. the father may resent the infant’s demands on the mother’s body
D. there is a greater chance of error during preparation
23. A client is noted to have lymphedema, webbed neck and low posterior
hairline. Which of the following diagnoses is most appropriate?

A. Turner’s syndrome
B. Down’s syndrome
C. Marfan’s syndrome
 D. Klinefelter’s syndrome
24. A 4 year old boy most likely perceives death in which way:

A. An insignificant event unless taught otherwise

B. Punishment for something the individual did
C. Something that just happens to older people
D. Temporary separation from the loved one.
25. Catherine Diaz is a 14 year old patient on a hematology unit who is being
treated for sickle cell crisis. During a crisis such as that seen in sickle cell
anemia, aldosterone release is stimulated. In what way might this influence
Catherine’s fluid and electrolyte balance?

A. sodium loss, water loss and potassium retention

B. sodium loss, water los and potassium loss
C. sodium retention, water loss and potassium retention
D. sodium retention, water retention and potassium loss
Answers and Rationales
1. (B) Fetal movement. Non-stress test measures response of the FHR
to the fetal movement. With fetal movement, FHR increase by 15
beats and remain for 15 seconds then decrease to average rate. No
increase means poor oxygenation perfusion to fetus.
2. (A) Flexion. The 6 cardinal movements of labor are descent, flexion,
internal rotation, extension, external rotation and expulsion.
3. (D) Neural tube defects. Alpha-fetoprotein is a substance produces by
the fetal liver that is present in amniotic fluid and maternal serum.
The level is abnormally high in the maternal serum if the fetus has
an open spinal or abdominal defect because the open defect allows
more AFP to appear.
4. (D) 20 weeks of gestation. The FHR can be auscultated with a
fetoscope at about 20 weeks of gestation. FHR is usually
auscultated at the midline suprapubic region with Doppler
ultrasound at 10 to 12 weeks of gestation. FHR cannot be heard any
earlier than 10 weeks of gestation.
5. (C) Pressure on blood vessels from the enlarging uterus. Pressure of the
growing fetus on blood vessels results in an increase risk for venous
 stasis in the lower extremities. Subsequently, edema and varicose
vein formation may occur.
6. (A) Class I. Clients under class I has no physical activity limitation.
There is a slight limitation of physical activity in class II, ordinary
activity causes fatigue, palpitation, dyspnea or angina. Class III is
moderate limitation of physical activity; less than ordinary activity
causes fatigue. Unable to carry on any activity without experiencing
discomfort is under class IV.
7. (D) 12-18 months. Anterior fontanel closes at 12-18 months while
posterior fontanel closes at birth until 2 months.
8. (A) Atony of the uterus. Uterine atony, or relaxation of the uterus is the
most frequent cause of postpartal hemorrhage. It is the inability to
maintain the uterus in contracted state.
9. (B) January 11, 20111. Using the Nagel’s rule, he use this formula ( -3
calendar months + 7 days).
10. (C) Rubella titer less than 1:8. A rubella titer should be 1:8 or greater.
Thus, a finding of a titer less than 1:8 is significant, indicating that
the client may not possess immunity to rubella. A hematocrit of
33.5%, WBC of 8,000/mm3, and a 1 hour glucose challenge test of
110 g/dL are within normal parameters.
11. (B) “I will limit my activities and rest more frequently throughout the
day.”Pregnant woman with preeclampsia should be in a complete
bed rest. When body is in recumbent position, sodium tends to be
excreted at a faster rate. It is the best method of aiding increased
excretion of sodium and encouraging diuresis. Rest should always
be in a lateral recumbent position to avoid uterine pressure on the
vena cava and prevent supine hypotension.
12. (C) The quietest room on the floor.A loud noise such as a crying
baby, or a dropped tray of equipment may be sufficient to trigger a
seizure initiating eclampsia, a woman with severe preeclampsia
should be admiotted to a private room so she can rest as
undisturbed as possible. Darken the room if possible because bright
light can trigger seizures.
13. (D) Within 72 hours after delivery if infant is found to be Rh
positive. RhoGAM is given to Rh-negative mothers within 72 hours
after birth of Rh-positive baby to prevent development of antibodies
 in the maternal blood stream, which will be fata to succeeding Rh-
positive offspring.
14. (B) 6. Heart rate of 99 bpm-1; weak cry-1; irregular respiration-1;
moving all extremities-2; extremities are slightly blue-1; with a total
score of 6.
15. (D) genius. IQ= mental age/chronological age x 100. Mental age
refers to the typical intelligence level found for people at a give
chronological age. OQ of 140 and above is considered genius.
16. (D) Fetal alcohol syndrome. The newborn with fetal alcohol
syndrome has a number of possible problems at birth.
Characteristics that mark the syndrome include pre and postnatal
growth retardation; CNS involvement such as cognitive challenge,
microcephally and cerebral palsy; and a distinctive facial feature of
a short palpebral fissure and thin upper lip.
17. (A) Monitoring for adequate nutritional intake. The infant with cleft lip
is unable to create an adequate seal for sucking. The child is at risk
for inadequate nutritional intake as well as aspiration.
18. (C) a deficiency of clotting factor VIII. Hemophillia A (classic
hemophilia) is a deficiency in factor VIII (an alpha globulin that
stabilizes fibrin clots).
19. (D) The mother is describing her child’s separation anxiety. Before
coming to any conclusion, the nurse should ask the mother focused
questions; however, based on initial information, the analysis of
separation anxiety would be most valid. Separation anxiety is a
normal toddler response. When the child senses he is being sent
away from those who most provide him with love and security.
Crying is one way a child expresses a physical need; however, the
nurse would be hasty in drawing this as first conclusion based on
what the mother has said. Nurturing overdependence or not
providing structure for the toddler are inaccurate conclusions based
on the information provided.
20. (B) Body image disturbance. Mylene is experiencing uneasiness
about the curvative of her spine, which will be more evident when
she wears a bathing suit. This data suggests a body image
disturbance. There is no evidence of anxiety or ineffective coping.
 The fact that Mylene is planning to attend a pool party dispels a
diagnosis of social isolation.
21. (B) undigested fat. The client with cystic fibrosis absorbs fat poorly
because of the think secretions blocking the pancreatic duct. The
lack of natural pancreatic enzyme leads to poor absorption of
predominantly fats in the duodenum. Foul-smelling, frothy stool is
termed steatorrhea.
22. (C) the father may resent the infant’s demands on the mother’s
body. With breast feeding, the father’s body is not capable of
providing the milk for the newborn, which may interfere with feeding
the newborn, providing fewer chances for bonding, or he may be
jealous of the infant’s demands on his wife time and body. Breast
feeding is advantageous because uterine involution occurs more
rapidly, thus minimizing blood loss. The presence of maternal
antibodies in breast milk helps decrease the incidence of allergies in
the newborn. A greater chance for error is associated with bottle
feeding. No preparation required for breast feeding.
23. (A) Turner’s syndrome. Lymphedema, webbed neck and low
posterior hairline, these are the 3 key assessment features in
Turner’s syndrome. If the child is diagnosed early in age, proper
treatment can be offered to the family. All newborns should be
screened for possible congenital defects.
24. (D) Temporary separation from the loved one. The predominant
perception of death by preschool age children is that death is
temporary separation. Because that child is losing someone
significant and will not see that person again, it’s inaccurate to infer
death is insignificant, regardless of the child’s response.
25. (D) sodium retention, water retention and potassium loss. Stress
stimulates the adrenal cortex to increase the release of aldosterone.
Aldosterone promotes the resorption of sodium, the retention of
water and the loss of potassium.