 A woman informed a nurse that she was never vaccinated against rubella.

Which of the following is the best

nursing advice?
A. No need for her to be distress, rubella is not harmful to the fetus
B. The vaccine can be administered any time during her pregnancy
C. She can get pregnancy any time after receiving the vaccine
D. She should be vaccinated after delivery of the baby she get discharge

 A 29 year old woman had been diagnosed with a 3 cm ovarian cyst. Which of the following is the appropriate
step in management?
A. Cyst aspiration
B. Hormonal therapy
C. Cyst removal by laparoscopy
D. Examination after next menstruation

 A diabetic mother delivered a full term neonate by Caesarean section infant is admitted to the neonatal
intensive care unit for observation. This infant is at risk of which of the following complication?
A. Pneumothorax atelectasis
B. Hyperglycemia
C. Atelectasis
D. Hypoglycemia

 The midwife was assessing a 36 year old gravis 4 para 2mother. The patient was in labour for 10 hour and
had extraction. Two saturated pads were fully soaked with blood with hours been admitted in the post natal
ward. Which of the following is the appropriate nursing diagnosis?
A. Anxiety related to blood loss
B. Fatigue related to lack of oral intake
C. Activity intolerance due to discomfort
D. Fluid volume deficit due to uterine atony

 Which dietary intake should be initiated in pregnant woman?

A. Yogurt
B. Soft cheese
C. Processed cheese
D. Pasteurized milk

 A 33 old woman presented to the ER with general weakness. The laboratory investigation indicated VIT D
deficiency. Which of the following nutrient should be recommended as a good source of vitamin?
A. Rice
B. Green tea
C. Orange juice
D. Fish liver oils

 The midwife was caring for a 30 year old gravida 3 para 3 postpartum normal delivery mother. After three
hours, the patient was restless, her skin was cool, clammy and feeling thirsty. What will be midwife’s initial
action?
A. Notify the doctor
B. Check the vital sign
C. Give patient a drink

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 D. Start fundal massage

 Which of the following statement indicate nursing action during the first hour after delivery of the placenta?
A. Monitor of mothers hemoglobin
B. Assess maternal vital signs every 15 minutes
C. Ensure that the mother mobilize and empty her bladder
D. Administer 10 units of oxytocin via IV line to ensure uterus is well contracted.

 Which of the following nursing responsibilities should be done immediately following administration of
lumbar epidural anesthesia to a woman in labor?
A. Reposition from side to side
B. Administer oxygen
C. Assess for maternal hypotension

 A nurse is assessing the uterus of a G5P4 patient immediately after delivery. The nurse notes the fundus isnot
contracted. Which of the following is the most appropriate immediate action should be taken?
A. Massage the fundus
B. Assess the bladder
C. Elevated the mother's legs
D. Encourage the mother to void

 A nurse is assisting during a normal vaginal delivery on a 22 year diabetic patient. The head was delivered
without any complication head suddenly retracts against the perineum prompting the physician to immediately
ask for the nurse assistance with this dystocia. Which of the following will be the nurse appropriate action to
impacted shoulders of the infant?
A. Fracture the infants clavicle.
B. Prepare patient for immediate cesarean section
C. Apply fundal pressure to displace anterior shoulder
D. Perform supra public pressure to release anterior shoulder

 At labor room, a nurse assessed the condition of the patient and gathered the following data. Cervical
dilatation 2-5minutes lasting 40-60seconds increasing bloody show leg discomfort with heaviness what is the
significance of the data?
A. Patient on the first stage of labor
B. Patient on the third stage of labor
C. Patient on the second stage of labor
D. Patient is experience a prolonged labor

 A primigravida mother is having her baby through normal vaginal delivery. The baby is completely deliveredbut
the mother is still experiencing the uterine contractions.
A. Beginning of the third stage of labour
B. Indication of increase in vaginal bleeding
C. Need for reducing the rate of intravenous oxytocin
D. Uterine contraction will gradually reduce then stop.

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