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CARE OF MOTHER QUIZ – Labor related 7.

A client attending the prenatal clinic for


quiz the first time tells the nurse that her last
menstrual cycle began on January 11 the
1. Which of the following preparations is
client also states that she had a one day of
NOT an appropriate prophylactic agent for
light spotting on February 7, the client is
Ophthalmia Neonatorum?
expected day of delivery is which of the
ANS: Gentian Violet Solution following choices?

2. The nurse is aware that the age at ANS: October 18


which the posterior fontanelle closes is
8. The benefits of a skin to skin contact
_____ months.
during delivery are all of the following
ANS: 2-3 months EXCEPT:

3. Which of the following suggestions is ANS: Makes the delivery staff more relax
mostly helpful in relieving early morning due to less work load
nausea when it occurs?
9. Client H believes that she is pregnant.
ANS: Eat a little soda cracker before Which of the following is NOT a
arising. presumptive sign of pregnancy?

4. If client D attempts to bear down with ANS: None of the above


contractions during the first stage of
(amenorrhea, n&v, breast changes)
labor, the MOST LIKELY result is that the
cervix will manifest which of the 10. A client in early labor is receiving
following ? oxytocin. When observing a deceleration
in the Fetal heart tone, the nurse should
ANS: Become swollen
first do which of the following ?
5. An evidence-based practice in
ANS: Place her on her left side
Maternal and Child health is the
integrations of ALL of the following 11. Which of the following reason the
EXCEPT: nurse explains that frequency of urination
is common during the first 3 months of
ANS: None of the above
pregnancy?
(Client’s values, Best research evidences,
ANS: Pressure on the bladder from the
Clinical expertise)
enlarging uterus.
6. When Ms. Y is admitted to the hospital
12. When the nurse accidentally bumps
in early active labor, the following signs
the crib, Baby F throws out his arms and
are present : 3 cmsdilatred with
legs and begin to cry. The reflex Baby F is
effacement of 85%; presenting part at
demonstrating is which of the following
station minus 1, In view of this findings,
reflex?
which of the following actions should the
nurse take first? ANS: Moro Reflex
ANS: Check the client’s blood pressure
and fetal heart rate.

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13. Which of the following explanations ANS: April 20
should the nurse to explain that heartburn
19. To instill a medication properly into
is due to?
Baby F’s eyes, where in the eye should a
ANS: A backflow of stomach contents medication be placed first?
into the esophagus.
ANS: At the inner canthus
14. Ms. F uses rooming-in. The rooming-in
20. Ms. P. 20 years old, consults the clinic
method od caring for newborns has been
and states that she has no menstruation
developed on the principles that rooming-
for two months. She claims that this is her
in?
second pregnancy but her first was an
ANS: Provides opportunities for abortion. Which of the following terms
developing a positive relationship refer to Ms. P ?
between the mother and baby.
ANS: Nullipara
15. A client attending the prenatal clinic
21. If Ms. Y enjoyed all of the following
for the first time tells the nurse that her
activities, which of the following should
last menstrual cycle began on January 11
be taught to discontinue at about the
the client also states that she had a one
beginning of her seventh month of
day of light spotting on February 7, the
pregnancy?
client is expected day of delivery is which
of the following choices? ANS: Horseback riding
ANS: October 18 22. Ms. Y asks how long she will be in
labor. All of the following factors will
16. Ms. P. 20 years old, consults the clinic
influence the length of her labor EXCEPT:
and states that she has no menstruation
for two months. She claims that this is her ANS: Size of the placenta
second pregnancy but her first was an
23. Immediately following the birth of Ms.
abortion. Which of the following terms
Y’s baby , the nurse should carry out all of
refer to Ms. P ?
the following EXCEPT:
ANS: Nullipara
ANS: Removing the cord clamp
17. Client H believes that she is pregnant.
24. Approximately 10 minutes after
Which of the following is NOT a
delivery, Ms. G experience chill. Which of
presumptive sign of pregnancy?
the following actions is MOST
ANS: None of the above APPROPRIATE for the nurse to take?
18. Ms. MDY consulted her physician after ANS: Cover the client with additional
missing three menstrual periods. She was blanket
found to be pregnant.Since July 13 was
25. Which of the following measures by
the first day ofMs Y’s last menstrual
the nurse will help Ms. Y to relax during
period, her estimated date of delivery,
her pelvic examination?
according to Naegele’s rule is which of
the following? ANS: Helping her to do deep breathing

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QUIZ for Care for Mother – Prenatal – 10. An estimate used to determine the
Postnatal age of gestation in weeks by the fundic
height.
1. An estimate used to determine the
Expected Date of Delivery (EDD) from the ANS: McDonald’s rule
first day of the woman's Last Menstrual
11. refers to a woman who has never
Period (LMP)
been and is not currently pregnant
ANS: Naegele’s rule
ANS: Nullipara
2. The progress of placental separation
12. The number of cotyledons in a normal
inward from the edges, presenting the
placenta is Answer
maternal surface of the placenta on
expulsion. 15-20 cotyledons – answer sa LMS
ANS: Duncan Mechanism Sa ppt – 15-25 cotyledons
3. refers to a woman who is pregnant for 13. is a proposed condition in which an
the first time. expectant father experiences some of the
same symptoms and behavior as his
ANS: Primigravida
pregnant partner
4. also known as the pregnancy line, is a
ANS: Couvade syndrome
dark line that develops across the
abdomen of a pregnant woman. 14. This test of fetal well-being combines
a nonstress test with ultrasound.
ANS: Linea Nigra
ANS: biophysical profile
5. It refers to the softening of the cervix.
15. are indented streaks that often appear
ANS: Goodell’s sign
on the abdomen, breasts, hips, buttocks,
6. A presumptive sign of pregnancy where and thighs of a pregnant woman.
there is a bluish discoloration of the
ANS: Striae gravidarum
vaginal mucosa and cervix.
16. It refers to the relationship of the long
ANS: Chadwick's sign
axis of the fetus in relation to the long axis
7. It refers to the softening of the lower of the mother.
segment of the uterus .
ANS: Fetal lie
ANS: Hegar's sign
17. A Leopold's maneuver that helps the
8. An estimate used to determine the AOG examiner to differentiate whether a fetal
by the relative position of the uterus in presentation is either cephalic or breech
the abdominal cavity
ANS: LM1
ANS: Bartholomew's rule
18. It is white, thick and sticky vaginal
9. The maximum amount of blood loss discharge common during pregnancy as
during the third stage of labor is Answer well as other times during a woman’s
reproductive years.
250-350ml – Answer is 500ML
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ANS: Leukorrhea pregnancy. What change persists after
birth?
19. is an instrument that you used to
listen for FHR at 12th ANS: Striae gravidarum
ANS: Doppler 6. Which of the following hormones is
essential for maintaining pregnancy?
ANS: Progesterone
7. A woman has come to the clinic for
QUIZ FOR – PRENATAL
preconception counseling because she
wants to start trying to get pregnant in 3
months. Which of the following advices to
1.Prenatal testing for the human
the client is expected?
immunodeficiency virus (HIV) is
recommended for which of the following ANS: "Make sure that you include
clients? adequate folic acid in your diet."

ANS: All women, regardless of risk 8. During a client's physical examination


factors. the nurse notes that the lower uterine
segment is soft on palpation. The nurse
2. Which symptom is considered a first-
would document this finding as which of
trimester warning sign and should be
the following?
reported immediately by the pregnant
woman to her health care provider? ANS: Hegar’s sign

ANS: Vaginal bleeding 9. With regard to protein in the diet of


pregnant women, which of the following
3. The nurse sees a woman for the first
should nurses be aware of?
time when she is 30 weeks pregnant. The
woman has smoked throughout the ANS: Many protein-rich foods are also
pregnancy, and fundal height good sources of calcium, iron, and B
measurements now are suggestive of vitamins.
growth restriction in the fetus. In addition
10. The phenomenon of someone other
to ultrasound to measure fetal size, what
than the mother-to-be experiencing
would be another tool useful in
pregnancy- like symptoms such as nausea
confirming the diagnosis?
and weight gain applies to which of the
ANS: Doppler blood flow analysis following?

4. Which of the following refers to the ANS: Expectant father


mucous plug that forms in the
11. Which of the following is TRUE for
endocervical canal?
women with hyperemesis gravidarum?
ANS: Operculum.
ANS: Women have vomiting severe and
5. A number of changes in the persistent enough to cause weight loss,
integumentary system occur during dehydration, and electrolyte imbalance.

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12. A 22-year-old woman pregnant with a positive Chadwick sign. Which of the
single fetus has a preconception body following information about the finding
mass index (BMI) of 24. When she was would be appropriate for the nurse to
seen in the clinic at 14 weeks of gestation, convey at this time?
she had gained 1.8 kg (4 lb) since
ANS: "It is a bluish coloration of your
conception. How would the nurse
cervix."
interpret this?
3. A client enters the prenatal clinic. She
ANS: The woman's weight gain is
states that she believes she is pregnant.
appropriate for this stage of pregnancy.
Which of the following hormone
13. Which blood pressure (BP) finding elevations will indicate a high probability
during the second trimester indicates a that the client is pregnant?
risk for pregnancy-induced hypertension?
ANS: Chorionic gonadotropin.
ANS: Baseline BP 100/70, current BP
4. A client is in the 10th week of her
130/85
pregnancy. Which of the following
14. A 40-year-old woman is 10 weeks symptoms would the nurse expect the
pregnant. Which diagnostic tool would be client to exhibit?
appropriate to suggest to her at this time?
ANS: Urinary Frequency
ANS: Transvaginal ultrasound
5. A client makes the following statement
15. Which of the following describes a after fi nding out that her pregnancy test
woman who has completed one is positive, "This is not a good time. I am in
pregnancy with a fetus (or fetuses) college and the baby will be due during
reaching the stage of fetal viability ? final exams!" Which of the following
responses by the nurse would be most
ANS: primipara
appropriate at this time?
ANS: "It sounds like you're feeling a little
overwhelmed right now."

QUIZ FOR CARE OF MOTHER – 6. A first-time mother at 18 weeks of


Antepartum gestation is in for her regularly scheduled
prenatal visit. The client tells the nurse
1. A 16-year-old, G1 P0000, is being seen
that she is afraid that she is going into
at her 10-week gestation visit. She tells
premature labor because she is beginning
the nurse that she felt the baby move that
to have regular contractions. Which of the
morning. Which of the following
following correctly describes what
responses by the nurse is appropriate?
Braxton Hicks is ?
Ans: "Would you please describe what
ANS: Braxton Hicks sign is a painless type
you felt for me?"
of contraction.
7. A gravida, G1 P0000, is having her first
2. A client asks the nurse what was meant prenatal physical examination. Which of
when the physician told her she had a the following assessments should the

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nurse inform the client that she will have 12. During a preconception counseling
that day? session, the nurse encourages a couple to
prepare a birth plan. Which of the
1. Pap smear. following is the most important goal for
2. Mammogram. this action?
3. Glucose tolerance test.
4. Biophysical profi le. ANS: Promote communication between
5. Complete blood count. the couple and healthcare professionals.

Ans: 1 and 5 13. The nurse is caring for a pregnant


client who is a vegan. Which of the
8. A multigravid client is 22 weeks following foods should the nurse suggest
pregnant. Which of the following the client consume as substitutes for
symptoms would the nurse expect the restricted foods?
client to exhibit? ANS: Tofu, legumes, broccoli.

ANS: Leg cramping. 14. The nurse midwife tells a client that
the baby is growing and that ballottement
9. A nurse is advising a pregnant woman was evident during the vaginal
about the danger signs of pregnancy. The examination. How should the nurse
nurse should teach the mother that she explain what the nurse midwife means by
should notify the physician immediately if ballottement?
she experiences which of the following
signs/symptoms? ANS: The nurse midwife felt the baby
1. Convulsions. rebound after being pushed.
2. Double vision.
3. Epigastric pain. 15. When analyzing the need for health
4. Persistent vomiting. teaching of a prenatal multigravida, the
5. Polyuria. nurse should ask which of the following
questions?
ANS: 1, 2, 3, & 4
ANS: "Do you ever drink alcohol?"
10. A woman states that she frequently
awakens with "painful leg cramps" during 16. Which of the following vital sign
the night. Which of the following changes should the nurse highlight for a
assessments should the nurse make? pregnant woman's obstetrician?

ANS: Woman's exercise schedule ANS: Prepregnancy blood pressure (BP)


100/60 and third trimester BP 140/90.
11. Because nausea and vomiting are such
common complaints of pregnant women,
the nurse provides anticipatory guidance
to a 6 week gestation client by telling her
to do which of the following?

ANS: Avoid eating greasy foods.

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1. Bulging perineum.
2. Increased bloody show.
3. Spontaneous rupture of the
membranes.
4. Uncontrollable urge to push.
5. Inability to breathe through
QUIZ - INTRAPARTUM contractions.

1. A client in labor is talkative and happy. ANS: 1, 2, 4


How many centimeters dilated would a
6. A nurse is coaching a woman who is in
maternity nurse suspect that the client is
the second stage of labor. Which of the
at this time?
following should the nurse encourage the
ANS: 2 cm woman to do?
2. A client in labor, G2 P1001, was ANS: Take a slow cleansing breath before
admitted 1 hour ago at 2 cm dilated and bearing down.
50% effaced. She was talkative and
7. A nurse is educating a pregnant woman
excited at that time. During the past 10
regarding the moves a fetus makes during
minutes she has become serious, closing
the birthing process. Please place the
her eyes and breathing rapidly with each
following cardinal movements of labor in
contraction. Which of the following is an
the order the nurse should inform the
accurate nursing assessment of the
client that the fetus will make:
situation?
1. Descent.
ANS: The client is exhibiting an expected 2. Expulsion.
behavior for labor. 3. Extension.
4. External rotation.
3. A client is in the third stage of labor. 5. Internal rotation.
Which of the following assessments
should the nurse make/observe for? ANS: 1, 5, 3, 4, 2
ANS: Uterus rising in the abdomen and
8. A primigravida is pushing with
feeling globular.
contractions. The nurse notes that the
4. A nurse concludes that a woman is in woman's perineum is beginning to bulge
the latent phase of labor. Which of the and that there is an increase in bloody
following signs/symptoms would lead a show. Which of the following actions by
nurse to that conclusion? the nurse is appropriate at this time?

ANS: The woman talks and laughs during ANS: Continue to provide encouragement
contractions. during each contraction.

5. A nurse is caring for a laboring woman 9. A woman had a baby by normal


who is in transition. Which of the spontaneous delivery 10 minutes ago. The
following signs/symptoms would indicate nurse notes that a gush of blood was just
that the woman is progressing into the expelled from the vagina and the umbilical
cord lengthened. What should the nurse
second stage of labor?
conclude?
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present, the client will demonstrate which of
ANS: The woman is about to deliver the the following?
placenta.
ANS: Progressive dilatation of the cervix with
10. A woman who is in active labor is told by effacement.
her obstetrician, "Your baby is in the flexed
attitude." When she asks the nurse what that 16. The nurse checks client's blood pressure
means, what should the nurse say? between contractions, which of the following
is primarily is rationale?
ANS: The baby's chin is resting on its chest. ANS: The blood pressure normally increases
during contraction.
11. During delivery, the nurse notes that the
baby's head has just been delivered. The 17. The nurse is assessing a client who states,
nurse concludes that the baby has just gone "I think I'm in labor." Which of the following fi
through which of the following cardinal ndings would positively confirm the client's
moves of labor? belief?

ANS: Extension ANS: Her cervix has dilated from 2 to 4 cm.

12. On examination of a full-term primipara, a 18. The nurse is performing a vaginal


labor nurse notes: active labor, right examination on a client in labor. The client is
occipitoanterior (ROA), 7 cm dilated, and +3 found to be 5 cm dilated, 90% effaced, and
station. Which of the following should the station –2. Which of the following has the
nurse report to the physician? nurse palpated?

ANS: Descent is progressing well. ANS: thin cervix

13. One hour ago, a multipara was examined 19. The nurse sees the fetal head through the
with the following results: 8 cm, 50% vaginal introitus when a woman pushes. The
effaced, and +1 station. She is now pushing nurse, interpreting this finding, tells the client,
with contractions and the fetal head is seen at "You are pushing very well." In addition, the
the vaginal introitus. The nurse concludes that nurse could also state which of the following?
the client is now:
ANS: "The baby is almost crowning."
ANS: 10 cm dilated, 100% effaced, and +5
station. 20. The physician orders that client Z have
only fluids during labor. Which of the
14. The labor and delivery nurse performs following is the primary reason explains why?
Leopold maneuvers. A soft round mass is felt
in the fundal region. A flat object is noted on ANS: The digestive process is normally slower
the left and small objects are noted on the during labor.
right of the uterus. A hard round mass is
noted above the symphysis. Which of the 21. When during the latent phase of labor
following positions is consistent with these should the nurse assess the fetal heart
findings? pattern of a low-risk woman, G1 P0000?
1. After vaginal examinations.
ANS: Left occipital anterior (LOA). 2. Before administration of analgesics.
3. Periodically at the end of a contraction.
15. The major distinction between true labor 4. Every ten minutes.
and false labor is that when true labor is 5. Before ambulating.

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ANS: 1, 2, 3, 5

22. Which of the following pictures depicts a


fetus in the frank breech position?

ANS:

23. Which of the following pictures


depicts a fetus in the LSA position?
ANS:

24. Which of the following pictures


depicts a fetus in the ROP position?
ANS:

25. While performing Leopold maneuvers


on a woman in labor, the nurse palpates a
hard round mass in the fundal area, a flat
surface on the left side, small objects on
the right side, and a soft round mass just
above the symphysis. Which of the
following is a reasonable conclusion by
the nurse?
ANS: The fetal lie is vertical.

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mg/capsule. How many capsules should
the nurse administer per dose?
ANS: 2 capsules

5. A nurse on a medical unit is admitting a


ANOTHER TEST SA PHARMACOLOGY
client and completing a preassessment
1. As part of patient Onyx maintenance before administration of medications.
for his heart condition, doctor Pasia Which of the following data should NOT
ordered Ramipril 2.5 mg once daily. The be included in the preassessment?
only available stock is 10 mg per tablet.
ANS: Daily fluid intake
How many tablets should patient Onyx be
instructed to take each day? 7. A client is receiving 250 mL normal
saline IV over 4 hours, using tubing with a
ANS: 1/4 tablet
drip factor of 10 drops/mL. How many
drops per minute should be delivered?
ANS: 10 gtts/min

2. The order is Ampicillin 0.4mg/kg.


Patient weighs 38.5 pounds. The bottle
8. A nurse is providing instructions to a
reads Ampicillin 10mg/ml. How many
client who is receiving warfarin sodium
milliliters should the nurse administer?
(Coumadin). Which statement made by
ANS: 0.7 ml the client indicates the need for further
instruction?
ANS: "I will take Ecotrin (Enteric coated
aspirin) for my headaches".
3. A nurse is preparing to administer
9. The doctor orders Ibuprofen 500mg for
dextrose 5% in water (D5W) 500 mL IV to
your patient. The available stock is 250 mg
infuse over 4 hr.
tablets. How many tablets will you
The nurse should set the IV infusion pump administer?
to deliver how many mL/hr?
ANS: 2 tablets
ANS: 125 ml/hour

10. Which of the following is part of a


4. A nurse is preparing to administer complete medication history?
phenytoin (Dilantin) 0.2 g PO every 8 hr.
ANS: Use of OTC drugs
The amount available is phenytoin 100

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11. A nurse is orienting a newly hired 17. A nurse is preparing to administer
nurse and discussing how to take a furosemide (Lasix) 80 mg PO daily. The
telephone prescription. Which of the amount available is furosemide oral
following statements by the newly hired solution 40 mg/5 mL. How many mL
nurse indicates understanding of the should the nurse administer?
discussion?
ANS: 10 ml
ANS: “Another nurse should listen to the
18. Patient Cutiepie weighs 200 lbs. and
phone call.”
Doctor Pogiboy orders to infuse 250 mg
12. A nurse is preparing to administer Dobutamine in 500 ml PNSS at 10
haloperidol (Haldol) 2 mg PO every 12 hr. mcg/kg/min. How many milligrams of
The amount available is haloperidol 1 Dobutamine will be infused per hour?
mg/tablet. How many tablets should the
ANS: 54.5 mg/hour
nurse administer?
ANS: 2 tablets
19. Dr. Pedro orders your patient to
13. A nurse is preparing a client’s
receive 125 ml of D5W an hour for the
medications. Which of the following is
next 8 hours. nursing unit uses tubing
NOT a legal responsibility of the nurse?
with a drop factor of 10 drops/ml. Which
ANS: Formulating a medical diagnosis of the following drip rate per minute
should your IV therapy be set?
14. Prescribed medications are prepared
and administered during which phase of ANS: 21 ml
the nursing process?
ANS: Implementation
15. A physician orders 1 unit of packed
20. Amoxicillin 625 mg PO is ordered for
red blood cells to infuse over 4 hours. The
patient Babykong. It is supplied as a liquid
unit of blood contains 250 ml. The drop
preparation containing 250 mg in 5 ml.
factor is 10 drops per 1 ml. A nurse
How much would nurse Danes
prepares to set the flow rate at how many
administer?
drips per minute?
ANS: 12.5 ml
ANS: 10 gtts/min

16. Administer heparin 5,000 units I.V.


push. Available is heparin 10,000 21. A nurse is preparing to administer
units/mL. How many mL will you need to cefixime (Suprax) 8 mg/kg/day PO divided
administer to achieve a 5,000 unit dose? in equal doses every 12 hr to a toddler
who weighs 22 lb. The amount available is
ANS: 0.5 ml
cefixime suspension 100 mg/5 mL. How
many mL should the nurse administer per
dose?

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ANS: 2 ml

22. A nurse is reviewing a client’s health


record and notes a new prescription by
the provider for lisinopril
(Zestril) 10 mg PO every day. The nurse
should recognize this as which of the
following types of prescription?
ANS: Routine Prescription
23. A nurse is preparing to administer
erythromycin estolate 0.25 g PO every 6
hr. The amount available is erythromycin
estolate oral suspension 250 mg/mL. How
many mL should the nurse administer per
dose?
ANS: 1 ml

24. Which of the following is the most


common method of calculating doses for
pediatric patients?
ANS: Base on weight
25. Which of the following terms
describes the units of measure by which
the nurse gauges the effectiveness of drug
therapy?
ANS: Expected outcomes

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