NORCET 2023

[Q] .......is the condition in women, which give [Q] The nurse implements a teaching plan for a
them a feeling of something coming out from pregnant client who is newly diagnosed with
vagina. gestational diabetes mellitus. Which
(a) Disc prolapsed statement made by the client indicates a
(b) Cord prolapsed need for further teaching?
(c) Rectal prolapsed (a) “I should stay on the diabetic diet.”
(d) Uterine prolapse (b) “I should perform glucose monitoring at
[Q] The drug of choice for the management of home.”
gestational Diabetes mellitus is (c) “I should avoid exercise because of the
(a) Troglitazone (b) Glipizide negative effects on insulin production.”
(c) Metformin (d) Insulin Rubs (d) “I should be aware of any infections and
[Q] How should a nurse screen a newborn of a report signs of infection immediately to my
diabetic mother for hypoglycemia? obstetrician.”
(a) Test for glucose tolerance. [Q] Pre-eclampsia is more common after 20
(b) Draw blood for a serum glucose level. weeks of pregnancy in women with
(c) Arrange for a fasting blood glucose level. (a) Normotensive
(d) Test heel blood with a glucose-oxidase strip. (b) Non protein uric
[Q] The most difficult time to control diabetes (c) Hydatidiform mole
during maternity cycle is – (d) a & b
(a) First trimester [Q] The home care nurse is monitoring a
(b) Last trimester pregnant client who is at risk for
(c) Labour & delivery preeclampsia. At each home care visit, the
(d) Puerperium nurse assesses the client for which sign of
[Q] A maternity nurse should screen for Diabetes preeclampsia?
mellitus in pregnancy at : (a) Hypertension
(a) 6 to 17 weeks (b) 18 to 23 weeks (b) Low-grade fever
(c) 24 to 28 weeks (d) 28 to 32 weeks (c) Generalized edema
[Q] Multi system disorder of unknown etiology (d) Increased pulse rate
characterized by hypertension (140/90 mm of [Q] Which of the below is true with regard to
Hg or above) with proteinuria after 20th week pregnancy induced hypertension?
of pregnancy is called: (a) Visual disturbances are always present
(a) Gestational hypertension (b) Proteinuria is usually present
(b) Pre eclampsia (c) It is also called as gestational hypertension
(c) Eclampsia (d) There is raised BP before 20 weeks
(d) Chronic hypertension with pregnancy [Q] The home care nurse is monitoring a
[Q] Maternal Ketoacidosis is due to deficient pregnant client who is at risk for
intake of: preeclampsia. At each home care visit, the
(a) Protein (b) Fat nurse assesses the client for which sign of
(c) Carbohydrate (d) Vit. preeclampsia?
[Q] The home care nurse visits a pregnant client (a) Hypertension
who has a diagnosis of preeclampsia. Which (b) Low-grade fever
assessment finding indicates a worsening of (c) Generalized edema
the preeclampsia and the need to notify the (d) Increased pulse rate
primary health care provider (PHCP)? [Q] All the following are characteristics of
(a) Urinary output has increased. preeclampsia EXCEPT:
(b) Dependent edema has resolved. (a) Vomiting
(c) Blood pressure reading is at the prenatal (b) Hypertension
baseline. (c) Edema
(d) The client complains of a headache and (d) Proteinuria
blurred vision.

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 NORCET 2023
[Q] A nurse is assessing a client with pregnancy
induced hypertension. The nurse expects the
client's blood pressure to be
(a) 150/100 mm Hg while standing and sitting
(b) Elevated and accompanied by a headache
(c) Above the baseline and fluctuating at each
reading
(d) 30/15 mm Hg over the baseline on two
occasions 6 hours part
[Q] Eclampsia is characterized by the following
EXCEPT
(a) Seizures.
(b) Mild facial edema.
(c) BP more than 160/110Hg.
(d) Marked proteinuria.
[Q] A pregnant woman is presenting to the OPD at 35
weeks of gestation with severe facial and pedal
edema. Her blood pressure is 160/110 mmHg,
proteinuria is 3 + and serum creatinine is 1.8 mg/dL.
She is complaining of headache, breathlessness
and epigastric pain. In which of the following
categories would you classify her status?
(a) Gestational Hypertension
(b) Mild Preeclampsia
(c) Severe Preeclampsia
(d) Eclampsia
[Q] The drug of choice in pre-eclampsia is:
(a) Dopamine
(b) Magnesium sulphate
(c) Sodium bicarbonate
(d) Sodium Nitropruside
[Q] Which of the following is NOT a feature of
HELLP syndrome:
(a) Thrombocytopenia (b) Eosinophilia
(c) Raised liver enzyme (d) Hemolytic anemia
[Q] A client with pregnancy-induced
hypertension is hospitalized and is receiving
magnesium sulfate (MgSO4) by IX push.
Before administering each dose, the nurse
should assess the client's
(a) Temperature and pulse rate
(b) Respirations and patellar reflex
(c) Blood pressure and apical pulse
(d) Urinary output relative to fluid intake
[Q] A client is receiving magnesium sulfate
therapy for severe preeclampsia. What initial
sign of toxicity should alert the nurse to
intervene?
(a) Hyperactive sensorium
(b) Increase in respiratory rate
(c) Development of a cardiac dysrhythmia
(d) Lack of knee jerk reflex
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[Q] While monitoring a patient with severe
preeclampsia who is receiving an infusion of
Magnesium Sulphate, Assessment reveals a
pulse rate of 55 per minute, respiration of 12
per minute and a flushed face. The next
priority action would be
(a) Continue infusion and notify obstetrician
(b) Stop the infusion and start an infusion of 5 %
dextrose
(c) Continue the infusion and document finding
(d) Decrease the rate of infusion and obtain a
blood sample for serum magnesium level
[Q] A client is in the hospital undergoing therapy
for severe pregnancy-induced hypertension.
If eclampsia occur, the nurse's first action
should be to:
(a) Assess fetal heart tones
(b) Maintain an open airway
(c) Protect the client from injury
(d) Increases the infusion of magnesium sulfate
immediately
[Q] A pregnant client with preeclampsia is
receiving magnesium sulphate. What should
the nurse keep at the bedside to prepare for
the possibility of magnesium sulphate
toxicity?
(a) Calcium gluconate (b) Nalline
(c) Oxygen (d) Suction equipment’s
[Q] Bed rest is essential in pre-eclampsia since it:
(a) Prevents eclampsia
(b) Mobilizes tissue fluid thereby lowering BP
(c) Improves blood circulations and decreases
oedema
(d) Prevents premature labour
[Q] A patient progress from pre-eclampsia to
eclampsia. Nurse's first action should be to:
(a) Administer oxygen by face mask
(b) Clear and maintain an open airway
(c) Administer magnesium sulphate IV
(d) Assess blood pressure and fetal heart rate
[Q] The nurse is assessing a pregnant client in the
second trimester of pregnancy who was
admitted to the maternity unit with a
suspected diagnosis of abruptio placentae.
Which assessment finding should the nurse
expect to note if this condition is present?
(a) Soft abdomen
(b) Uterine tenderness
(c) Absence of abdominal pain
(d) Painless, bright red vaginal bleeding
 NORCET 2023
[Q] Placenta praevia and Abruption placentae are [Q] Placenta praevia is characterized by all of the
examples of following EXCEPT:
(a) APH (a) Painless bleeding
(b) PPH (b) Present in 1st trimester
(c) Eclampsia (c) Causeless bleeding
(d) Vesicular mole (d) Recurrent bleeding
[Q] A woman is 37 weeks pregnant and she is [Q] The nurse in the postpartum unit is caring for
bleeding profusely with no pain is suggestive a client who has just delivered a newborn
of: infant following a pregnancy with placenta
(a) Ante partum hemorrhage previa. The nurse reviews the plan of care and
(b) Unavoidable hemorrhage prepares to monitor the client for which risk
(c) Accidental hemorrhage associated with placenta previa?
(d) Concealed hemorrhage (a) Infection
[Q] Vaginal bleeding after 28th weeks of (b) Hemorrhage
pregnancy which is sudden onset, painless, (c) Chronic hypertension
causeless & recurrent is known as: (d) Disseminated intravascular coagulation
(a) Abortion [Q] Possibilities of common complications after
(b) Abruptio placenta delivery into a mother suffering with
(c) Placenta previa placenta previa
(d) Vasa previa (a) Infertility
[Q] The maternity nurse is preparing for the (b) Uterine Atonicity
admission of a client in the third trimester of (c) Haemorrhage
pregnancy who is experiencing vaginal (d) Amenorrhea
bleeding and has a suspected diagnosis of [Q] Management during minor placenta previa
placenta previa. The nurse reviews the (a) Blood transfusion
primary health care provider’s prescriptions (b) Complete rest
and should question which prescription? (c) Caesarean section
(a) Prepare the client for an ultrasound. (d) Drug therapy
(b) Obtain equipment for a manual pelvic [Q] Which of these drugs is contraindicated in a
examination. laboring mother with hypertension?
(c) Prepare to draw a hemoglobin and (a) Oxytocin (b) Prostaglandins
hematocrit blood sample. (c) Methergine (d) Magnesium sulphate
(d) Obtain equipment for external electronic [Q] Definitive treatment of placenta praevia are:
fetal heart rate monitoring. (a) Bed rest
[Q] An ultrasound is performed on a client at (b) Supplementary hematinic
term gestation who is experiencing moderate (c) Use of tocolytics
vaginal bleeding. The results of the (d) Caesarian section
ultrasound indicate that abruptio placentae is [Q] While administering oxytocin infusion in a
present. On the basis of these findings, the term pregnant woman, what rate should not
nurse should prepare the client for which be exceeded because it is likely to cause
anticipated prescription? tetanic contractions?
(a) Delivery of the fetus (a) 2 milli units/min (b) 4 milli units/min
(b) Strict monitoring of intake and output (c) 16 milli units/min (d) 20 milli units/min
(c) Complete bed rest for the remainder of the [Q] The purpose for using oxytocin (Pitocin)
pregnancy during labor and delivery is to
(d) The need for weekly monitoring of (a) Provide pain relief
coagulation studies until the time of delivery (b) Stimulate effective uterine contractions
[Q] What is the colour of blood in placenta (c) Prevent premature separation of the placenta
praevia? (d) Increase ability for nutrients and oxygen to
(a) Bright red (b) Brick red cross the placental blood barrier
(c) Brown red (d) None of the above

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 NORCET 2023
[Q] One of the hazards during induction of Pitocin is – [Q] After an incomplete abortion, a client tells a nurse that
(a) Elevation in B.P. (b) Infection although her health care provider explained what an
(c) Rupture of uterus (d) Early Rupture of membrane incomplete abortion was, she did not understand.
[Q] Tocolytic agents are used to : What is the nurse’s best response?
(a) Enhance the preterm labor (a) “I don’t think you should focus on this anymore.”
(b) Suppress the preterm labor (b) “This is when the fetus dies but is retained in the
(c) Enhance the normal labor uterus for at least two months.”
(d) Suppress the normal labor (c) “I think it is best if you asked your health care provider
[Q] During assessment nurse observed signs of foetal for the answer to that question.”
distress, she immediately: (d) “This is when the fetus is expelled but other parts of
(a) If on oxytocin stop it, start I/V and oxygen the pregnancy remain in the uterus.”
(b) Inform doctor, start I/V and oxytocin [Q] A pregnant woman who is in the third trimester
(c) Stop oxytocin and inform doctor arrives in the emergency department with vaginal
(d) Shift the patient to OT with I/V bleeding. She states that she snorted cocaine
[Q] Complication of tocolytic agent is approximately 2 hours ago. Which complication does
(a) Uterine rupture the nurse suspect is the cause of the bleeding?
(b) Hyper stimulation of uterus (a) Placenta previa (b) Tubal pregnancy
(c) Increased peristaltic movement (c) Abruptio placentae (d) Spontaneous abortion
(d) Pulmonary edema [Q] A client in labor at 39 weeks’ gestation is told by the
[Q] A nurse is assessing a client with a tentative diagnosis health care provider that she will need a cesarean
of hydatidiform mole. Which clinical finding should the birth. The nurse reviews the client’s prenatal history.
nurse anticipate? What preexisting condition is the most likely reason
(a) Hypotension for the cesarean birth?
(b) Decreased fetal heart rate (a) Gonorrhea (b) Chlamydia
(c) Unusual uterine enlargement (c) Chronic hepatitis (d) Active genital herpes
(d) Painless, heavy vaginal bleeding [Q] A client in the prenatal clinic is diagnosed with
[Q] A nurse is caring for a client who had a spontaneous preeclampsia. What clinical findings support this
abortion. For what complication should the nurse diagnosis?
assess this client? (a) Elevated blood pressure of 150/100 mm Hg
(a) Hemorrhage (b) Dehydration (b) Elevated blood pressure that is accompanied by a
(c) Hypertension (d) Sub involution headache
[Q] Which sign or symptom leads a nurse to suspect that a (c) Blood pressure above the baseline while fluctuating at
client has a tubal pregnancy? each reading
(a) A painful mass centered in the abdomen (d) Blood pressure more than 140 mm Hg systolic
(b) Lower abdominal cramping for one week accompanied by proteinuria
(c) A sharp lower right or left abdominal pain radiating to [Q] A client with the diagnosis of severe preeclampsia is
the shoulder admitted to the hospital from the emergency
(d) Leucorrhea or dysuria a few days after the first missed department. What precaution should the nurse
menstrual period initiate?
[Q] A client tells a nurse in the prenatal clinic that she has (a) Pad the side rails on the bed.
vaginal staining but no pain. Her history reveals (b) Place the call button next to the client.
amenorrhea for the last 2 months and pregnancy (c) Have oxygen with face mask available.
confirmation after her first missed period. She is (d) Assign a nursing assistant to stay with the client.
admitted to the high-risk unit because she may be [Q] A nurse is teaching breast care to a client who is
having a spontaneous abortion. What type of abortion breastfeeding. Which client statement indicates that
is suspected? the teaching was effective?
(a) Missed (b) Inevitable (a) “I should air dry my nipples after each feeding.”
(c) Threatened (d) Incomplete (b) “Mild soap is appropriate for washing my breasts.”
[Q] A few hours after being admitted to the hospital with (c) “My breast pads should be lined with plastic shields.”
a diagnosis of inevitable abortion, a client, at 16 (d) “I will remove my brassiere before I go to bed at
weeks’ gestation, begins to experience bearing-down night.”
sensations and suddenly expels the products of
conception in bed. What should the nurse do first?
(a) Notify the health care provider.
(b) Administer the prescribed sedative.
(c) Take the client to the operating room.
(d) Check the client’s fundus for firmness.

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