Maternal and Child Nursing

Dr. Yanga’s Colleges, Inc.

Wakas, Bocaue, Bulacan

College of Health Sciences

B
MR. REGIE P. DE JESUS, MAN

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Situation: Many children of varied age range are waiting with their
mothers at a pediatric clinic for the consultation to start.
1. Claudine, a 20 year old mother, tells you that she is
concerned about her 6 month old son who is teething. He is
fussy and drooling more than usual. Which of the following
statements is true regarding infant teething?
a. Vomiting is common sign of teething
b. A fever 39˚ C is normal for Claudine baby
c. Central incisors usually erupts first
d. Diarrhea is normal for babies who are teething

5. When the newly delivered baby opened her eyes, the

mother noticed that they are crossed. Which of the
following explanations of the nurse is correct?
a. “Bring him to a pediatrician for proper evaluation and
treatment.”
b. “It is normal because your baby cannot focus a light at
his age”
c. “This is normal because there is lack of eye muscle
coordination among neonates”
d. “Maybe we should refer your baby to an eye doctor”

6. During the home visit on the fifth post-partum day, the

weight of Baby De la Cruz is 2,835 grams. Which of the
following health teachings of the nurse is correct?
a. “Supplement your breast milk with formula so she can
regain her weight”
b. “Continue breast feeding him on demand because his
weight loss is normal”
c. “Give additional feedings because her weight loss is
alarming”
d. “Drink milk and eat nutritious food so your baby will
get more fro you”

8. The mother asked the nurse “When will be the best time to

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fully bathe my baby?” The nurse should tell the mother to

bathe the baby:
a. every morning if she has no fever or chills
b. when the umbilical cord has dried
c. as soon as the umbilical sloughs
d. when the temperature of the baby is normal

Situation: Miss Maricel Joy, 23 years old is a science teacher. She is

attending the mother’s class in Brgy. Malipayon and is asking the
nurse about the different reproductive organs and the process of
reproduction.
13. She asked what organ of menstruation is. The correct
response of the nurse is:
a. Ovaries
b. Uterus
c. Fallopian tube
d. Vagina

14. The average life span of the ovum is

a. 12 hours
b. 36 hours
c. 24 hours
d. 48 hours

Situation: Victoria, a fourteen-year-old second year school student

is sent at the school clinic for her annual check-up.
18. Victoria shows interest in learning about the physiologic
changes in her body. Which of the following bodily changes
normally occurs FIRST?
a. Appearance of axillary’s and pubic hair
b. Broadening of the lips
c. Menarche
d. Breast development

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19. The nurse knows that Victoria understands the changes in

her basal body temperature during the luteal phase when
she states?
a. “Progesterone causes the rise in basal body
temperature to about 0.3 degree centigrade”
b. “Luteinizing hormone causes the basal body
temperature to dip slightly”
c. “Estrogen level is at its peak when there is thermal
heat”
d. “Thermal heat is not significant”

25. Internal genitalia in both male and female embryo forms at

around:
a. 6 to 10 weeks
b. 8 to 10 weeks
c. 13 weeks
d. 12-14 weeks

Situation: Mrs. Olga C, 28 years old, comes to the clinic for her
yearly gynecologic examination. She is concerned because she has
been unable to conceive.
26. Mrs. Olga says, “I can’t understand why I haven’t gotten
pregnant. What could be wrong?” Which of the following
ideas should be incorporated into the nurse’s answer to
her?
a. infertility is due chiefly to congenital anomalies of the
reproductive organs
b. infertility is often caused by the use of nonprescription
drugs
c. infertility is usually due to emotional difficulties
d. infertility is frequently caused by multiple, rather than
single factors

28. The physician prescribed clomiphine citrate (Clomid). The

nurse should explain that the action of this drug is to

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a. promote ovulation
b. lower the pH of the cervical mucus
c. strengthen the peristaltic movement of the fallopian
tubes
d. prepare the endometrium for implantation

Situation: As the nurse caring for a growing child, the following

features should be considered.
29. If an infant is given a toy, what will the infant do with the
toy?
a. Destroy the toy
b. Throw away
c. Put the toy in the egg
d. Put the toy in the mouth

32. According to Piaget, a preschool should be able to:

a. See another’s point of view
b. Exhibit intuitive thought
c. Make simple classification
d. See relationships

Situation: Julia, primigravida is brought to the labor room with the

following IE findings: Cervical dilation 8cm fully effaced + 1 AOG:
39-40 weeks.
37. When is the first stage of labor considered to be achieved?
a. Presenting part is t station + 1
b. Cervix is 10 cm dilated
c. Uterine contractions occur every 2-3 min. interval
d. Cervix is fully effaced

39. Which of the following observation requires the nurse to

refer stat to the obstetricians?
a. Frequent urination
b. Blood-streak mucus in the vaginal discharge

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c. Sudden gush of amniotic fluid from the vagina

d. FHT is 150 during uterine contractions but returns to
130 after 10 seconds following contract.

40. Which of the following signs indicate that delivery is near?

1. Julie verbalized her desire to defecate
2. Uterine contractions increased in frequency duration
and intensity
3. the perineum is bulging
4. bloody show is increased
a. 1, 2, 3, 4
b. 1, 2, 3
c. 1, 2, 4
d. 2, 3, 4

Situation: Alpha, a 24-year-old G4P3, at full term gestation is

brought to the ER after a gush of fluid passed through her vagina
while doing her holiday shopping.
42. She is bought to the Triage Unit. The FHT is noted to be 114
beats per minute. Which of the following actions of the
nurse should be done FIRST?
a. Monitor FHT every 15 minutes
b. Administer oxygen inhalation
c. Ask the charge nurse to notify the obstetrician
d. Place her on left lateral position

43. Alpha asks the nurse “Why do I have to be on complete bed

rest? I am not comfortable in this position.” Which of the
following responses of the nurse is MOST appropriate?
a. “Keeping you on bed rest will prevent possible cord
prolapse”
b. “Complete bed rest will prevent more amniotic fluid to
escape”
c. “You need to save your energy so you will be strong
enough to push later”
d. “Let us ask your obstetrician when she comes to check
on you”

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The nurse checks the perineum of Alpha. Which of the

44. following characteristics of the amniotic fluid would cause
alarm to the nurse?
a. Greenish
b. Scantly
c. Colorless
d. Blood-tinged

Situation: Mica, a 26 year old pregnant woman complains of

chronic fatigue and dyspnea. Assessment reveals extreme pallor
and mild glossitis. The physician suspects Iron Deficiency Anemia.
47. The doctor ordered parenteral administration of iron. You
give it by:
a. Subcutaneous route
b. Intradermally
c. Mix with intravenous fluid
d. By z-tract technique

49. The physician prescribed Ferrous Sulfate tablets for Mica to

take home twice a day. Which statement by the client
signifies that the client require further teaching regarding
iron supplementation?
a. It will turn her stools black
b. She needs to increase her vitamin C intake
c. She must take it at least one hour before meals
d. It will be better if she takes her iron supplement
together with a glass of milk

Situation: Blanca, 8 weeks pregnant with her first baby, calls the
clinic to tell the nurse that she has slight vaginal bleeding without
abdominal cramping.
50. If there is bleeding and the cervix is closed, this is known as?
a. Imminent abortion
b. Inevitable abortion
c. Incomplete abortion
d. Threatened abortion

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52. In spontaneous abortion, if membranes have ruptured and

the cervix is open, it is known as
a. Inevitable
b. Complete
c. Threatened
d. Incomplete

53. If there is succession of abortion occurring in certain

women, the condition is:
a. Incomplete
b. Habitual
c. Inevitable
d. Missed

54. In contrast to threatened abortion, inevitable abortion is

characterized by:
a. A closed cervix
b. A lesser amount of vaginal bleeding
c. A dilated cervix
d. Fever

56. Recognizing that Blanca has the signs and symptoms of

threatened abortion, the nurse should inform the physician
and advice the client to:
a. Come to clinic immediately
b. Restrict her activities and call again if bleeding persist
c. Elevate her legs whenever she rest
d. Continue her activities, but limit her oral intake to fluid
only

57. A week later, Blanca had complete abortion. She asked how
long after the bleeding stops can she and her husband
resume sexual intercourse. The nurse should inform her
that coitus may be resume after:
a. 48 hours
b. 1 week

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c. 2 weeks
d. 6 weeks

Situation: Miguela, 32 years old, is admitted to the hospital

because of vaginal bleeding and lower abdominal pain. Pregnancy
test is negative but according to her, her menstruation is already
delayed by 15 days now.
58. The safest tool to diagnose ectopic pregnancy is:
a. Ultrasound
b. Vaginal Exam
c. Blood test of HCG
d. Clinical signs and symptoms

59. The doctor diagnosed Miguela as having unruptured ectopic

pregnancy. Which medical intervention below is used to
induce abortion in unruptured ectopic pregnancy?
a. Salphingectomy
b. Culdocentesis
c. Antibiotic therapy
d. Methotrexate administration

60. Which is not a classical sign f ruptured tubal pregnancy?

a. Shoulder or neck pain
b. Temperature above 38˚C
c. Cervical motion tenderness
d. Cul-de-sac bulging

Situation: Review of the concepts of parturition was made by the

clinical instructor to a group of nursing students preliminary to
their assignments in the labor room and delivery room.
62. In vertex presentation which suture is not palpable during
labor when doing an internal examination?
a. Coronal
b. Lambdoid
c. Temporal
d. Sagittal

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64. A fetus in occipitoanterior position will have a FHT heard at

the:
a. Short distance from the midline
b. Laterally on the abdomen
c. Anywhere in the abdomen
d. Near the maternal xiphoid

66. Engagement cannot be determined by:

a. Internal examination
b. 4th maneuver of Leopold’s
c. 2nd maneuver
d. Rectal examination

67. When upon IE the nurse felt the anterior fontanel facing the
birth canal, the presentation is:
a. Sinciput
b. Brow
c. Face
d. Vertex

71. Julia, 5-months pregnant expresses concern about having

occasional heartburn. Which of the following measure will
the nurse most likely advice?
a. Take a cup of tea after meals
b. Take one tablet of Simeco three time daily
c. Decrease intakes of fluids to 1 liter a day
d. Eat smaller and more frequent meals

73. Julia is worried about gaining too much weight. She asks
what the average weight gain in pregnancy is. As a nurse
you answer that she should gain around:
a. 15 lbs
b. 35 lbs
c. 40 lbs
d. 24 lbs

74. As part of health teaching, the nurse provides Julia with

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information about food items high in folic acid. Which of the

following mid afternoon snacks would be recommended to
supply folic acid?
a. 1 medium banana
b. Nuts and green leafy vegetables
c. 1 cup milk 2 graham crackers
d. 1 cup yoghurt

75. Julia is at 20 weeks gestation. At this stage, the conceptus is

at the stage of:
a. Ovum
b. Zygote
c. Embryo
d. Fetus

92. Painless vaginal bleeding in the second half of pregnancy is a

sign of:
a. Placenta previa
b. Abruptio placenta
c. Placenta accreta
d. Placenta percreta

Situation: Mrs. Mary Ann Melchor, G2P1 is in the labor room. She
is becoming very quiet and irritable.
99. Several factors affect labor. Which of the following factors
refers to the passageway?
a. size of the fetal head and its ability to mold to the
maternal pelvis
b. the structure of the maternal pelvis
c. the fetal attitude and the relationship of fetal parts to
one another
d. the distance of the presenting part from the ischial
spines

10 Mrs. Mary Ann Melchor asked the nurse which stage of

0. labor does crowning occurs, the correct answer is that it
takes place during the:

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a. first stage
b. third stage
c. second stage
d. fourth stage

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