PINEDA REVIEW GROUP

Maternal and Child Nursing

Prepared by: Niko T. Manalili

Source: 2008 an 2009 NLE

1. Cindy was diagnosed with endometriosis. The condition interferes with fertility because:

a. Endometrial implants can block the fallopian tubes.

b. The uterine cervix become inflamed and swollen.

c. The endometrial lining becomes inflamed leading to narrowing of the cervix.

d. Inflammation of the endometrium causes release of substance P which kills the sperm.

2. Cindy’s cousin on the other hand knowing nurse your specialization on family planning, ask what artificial insemination entails. Which will be your best response?

a. Donor sperm are introduced vaginally into the uterus of the cervix

b. Donor of the sperm are injected intrabdominally into each ovary

c. Artificial sperm are injected vaginally to test tubal patency

d. The husband’s sperm is adminitered intravenously weekly

3. The painful phenomenon known as “black labor” occurs in a client whose fetus is in what position?

a. Brow position b. Breech c. ROA positiond. LOP positione.

4. A female client asked the nurse about the use of cervical cap. Which statement is correct regarding the use of cervical cap?

a. It may affect pap smear resultsb. It is not need to be fitted by the

physicianc. It doesn’t require the use of spermicided. It must be removed within 24 hours

5. A pregnant woman asked you about fetal development. Approximately, at what gestational age does the fetus single chambered

heart begin to pump its own blood cells through main blood vessels?

a. 10 weeks c. 8 weeksb. 5 weeks d. 3 weeks

6. How long is the gestational period of a full term pregnancy?

a. Raining from 245 days to 259 daysb. Arround 5,554 hours to 5880 hours.c. More than 294 daysd. Averaging of 256 to 294 days

7. An 18 year old woman in her 18th week of pregnancy is being evaluated. Which positive sign of pregnancy should expect the nurse to be present?

a. Fetal heart tones detectable by Doppler stethoscope.

b. Fetal movements detectable by palpation.

c. Visualization of the fetus by ultrasound examination.

d. Fetal heart tones detectable by a fetoscope.

8. A large number of neural tube defects can be prevented if a pregnant woman includes which supplement in her diet?

a. Vitamin A c. Vitamin Bb. Vitamin D d. Vitamin B9

9. The nurse would anticipate cesarian birth for a client who has which infection present at the onsent of labor?

a. Herpes Simplex Virus IIb. Human Papilloma Virusc. Hepatitisd. Toxoplasmosis

10. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput anterior position. The client will anticipate that the client will have?

a. A preciptious birthb. Intense back painc. Frequent leg crampsd. Nausea and vomiting

11. The rationale for using prostaglandin gel for a client prior to induction of labor is to:

a. Soften and efface the cervixb. Numb cervical pain c. Cervical Lacerationsd. Stimulate uterine contractions

12. Bernadette received a laceration on her leg from an automobile accident. Why are lacerations of the lower extremities potentially serious in pregnant woman than others?

a. Lacerations can provoke allergic responses because of gonadotrophic hormone

b. Increased bleeding can occur from uterine pressure on leg veins

c. A woman is less able to keep the laceration clean because of her fatigue

d. Healing is limited during pregnancy, so these will not heal until after birth

13. Bernadette routinely takes ASA for athritis. Why should she limit or discontinue this toward the end of pregnancy?

a. Aspirin can lead to deep vein thrombosis following birth

b. Newborn develop a red rash from salicylate toxicity

c. Newborn develop withdrawal headaches from salicyclates

d. Salicyclates can lead to increased maternal bleeding at children

14. A public health nurse would instruct a pregnant woman to notify the physician immediately iif which of the following symptoms occur during pregnancy?

a. A presence of dark color in the neckb. Increased vaginal dischargec. Swelling of the faced. Breast Tenderness.

15. A woman who is 9 weeks pregnant comes to the health center with moderate bright red vaginal bleeding. On physical examination, the physician

finds the cervix 2 cm dilated. Which term describes the client abortion?

a. Missed Abortionb. Incomplete Abortionc. Inevitable Abortiond. Threatened Abortion

16. In a big government hospital, Nurse Pura is taking care of a woman with a diagnosis of abruptio placenta. What complication of this condition is most concern to nurse Pura.

a. UTIb. Pulmonary Embolismc. Hypocalcemiad. DIC

17. Which of the following findings of newly delivered woman’s chart would indicate she is at risk for developing pospartum hemorage?

a. Post term deliveryb. Epidural Anesthesiac. Grand Multiparityd. Premature Rupture of Membranes

18. The endometrium thickens at which stage of menstrual cycle?

a. Secretory Phaseb. Menstrual Phasec. Proliferative Phased. Ischemic Phase

19. The nurse knows that the occurrence of shoulder dystocia during labor is most likely caused by?

a. Polyhydraminiosb. Maternal agec. Preterm birthd. Macrosomia

20. The nurse uses what equipment to check fluid between the parietal and visceral layers of the tunica vaginalis. The outermost covering of the testes.

a. 30 cc syringeb. Transilluminatorc. Fluid meterd. Manometer

Prepared by: Niko T. Manalili

Source: 2008 an 2009 NLE