Maternal Nursing

100 Questions  I  By Abangjoseph on July 13, 2012
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1.  Which of the following describes the Babinski reflex?
A.
B.
C.
D.
2.  When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
A.
B.
C.
D.
3.  FHR can be auscultated with a fetoscope as early as which of the following?
A.
B.
C.
D.
4.  Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?
A.
B.
C.
D.
5.  Which of the following danger signs should be reported promptly during the antepartum period?
A.
B.
C.
D.
6.  Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?
A.
B.
C.
D.
7.  A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?
A.
B.
C.
D.
8.  Which of the following best describes thrombophlebitis?
A.
B.
C.
D.
9.  Which of the following best reflects the frequency of reported postpartum “blues”?
A.
B.
C.
D.
10.  When uterine rupture occurs, which of the following would be the priority?
A.
B.
C.
D.
11.  When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?
A.
B.
C.
D.
12.  Which of the following is the primary predisposing factor related to mastitis?
A.
B.
C.
D.
13.  Which of the following would cause a false-positive result on a pregnancy test?
A.
B.
C.
D.
14.  Barbiturates are usually not given for pain relief during active labor for which of the following reasons?
A.
B.
C.
D.
15.  Which of the following would the nurse identify as a classic sign of PIH?
A.
B.
C.
D.
16.  Which of the following best describes preterm labor?
A.
B.
C.
D.
17.  Which of the following factors is the underlying cause of dystocia?
A.
B.
C.
D.
18.  Which of the following are the most commonly assessed findings in cystitis?
A.
B.
C.
D.
19.  Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?
A.
B.
C.
D.
20.  Which of the following factors would the nurse suspect as predisposing a client to placenta previa?
A.
B.
C.
D.
21.  When assessing the newborn’s heart rate, which of the following ranges would be considered normal if the newborn were sleeping?
A.
B.
C.
D.
22.  Before birth, which of the following structures connects the right and left auricles of the heart?
A.
B.
C.
D.
23.  Cervical softening and uterine souffle are classified as which of the following?
A.
B.
C.
D.
24.  A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?
A.
B.
C.
D.
25.  A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? 
A.
B.
C.
D.
26.  While the postpartum client is receiving herapin for thrombophlebitis, which of the following drugs would the nurse Mica expect to administer if the client develops complications related to heparin therapy?
A.
B.
C.
D.
27.  When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following?
A.
B.
C.
D.
28.  A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective? 
A.
B.
C.
D.
29.  The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says: 
A.
B.
C.
D.
30.  Thirty hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. By this time, the nurse expects that the phase of postpartal psychological adaptation that the client would be in would be termed which of the following? 
A.
B.
C.
D.
31.  A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? 
A.
B.
C.
D.
32.  Nurse Julia plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan? 
A.
B.
C.
D.
33.  When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
A.
B.
C.
D.
34.  A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform: 
A.
B.
C.
D.
35.  Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision? 
A.
B.
C.
D.
36.  Which of the following would the nurse Sandra most likely expect to find when assessing a pregnant client with abruption placenta? 
A.
B.
C.
D.
37.  While the client is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse’s most appropriate action?
A.
B.
C.
D.
38.  A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response? 
A.
B.
C.
D.
39.  A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in?
A.
B.
C.
D.
40.  A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond? 
A.
B.
C.
D.
41.  A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several cloth. What is the primary nursing diagnosis for this patient? 
A.
B.
C.
D.
42.  Immediately after a delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which factors determine the type of molding? 
A.
B.
C.
D.
43.  For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied? 
A.
B.
C.
D.
44.  A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense: 
A.
B.
C.
D.
45.  A female adult patient is taking a progestin-only oral contraceptive, or minipill. Progestin use may increase the patient’s risk for: 
A.
B.
C.
D.
46.  A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? 
A.
B.
C.
D.
47.  Because cervical effacement and dilation are not progressing in a patient in labor, Dr. Smith orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? 
A.
B.
C.
D.
48.  Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss? 
A.
B.
C.
D.
49.  After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Which is most likely to occur? 
A.
B.
C.
D.
50.  The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?
A.
B.
C.
D.
51.  After 3 days of breast-feeding, a postpartal patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she: 
A.
B.
C.
D.
52.  The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time? 
A.
B.
C.
D.
53.  Normal lochial findings in the first 24 hours post-delivery include: 
A.
B.
C.
D.
54.  Accompanied by her husband, a patient seeks admission to the labor and delivery area. The client states that she is in labor, and says she attended the hospital clinic for prenatal care. Which question should the nurse ask her first?
A.
B.
C.
D.
55.  A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions? 
A.
B.
C.
D.
56.  A patient is in last trimester of pregnancy. Nurse Jane should instruct her to notify her primary health care provider immediately if she notices: 
A.
B.
C.
D.
57.  The nurse in charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor? 
A.
B.
C.
D.
58.  During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, the nurse in charge should instruct the client to push the control button at which time? 
A.
B.
C.
D.
59.  When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her? 
A.
B.
C.
D.
60.  A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal:
A.
B.
C.
D.
61.  Which of the following would be inappropriate to assess in a mother who’s breast-feeding? 
A.
B.
C.
D.
62.  During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. Between 18 and 40 weeks’ gestation, which procedure is used to detect fetal anomalies?
A.
B.
C.
D.
63.  A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate? 
A.
B.
C.
D.
64.  A client who’s 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’s preparation for parenting, the nurse might ask which question? 
A.
B.
C.
D.
65.  A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks’ gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time? 
A.
B.
C.
D.
66.  Nurse Roy is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?
A.
B.
C.
D.
67.  The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Which nursing diagnosis takes priority for this client? 
A.
B.
C.
D.
68.  Which change would the nurse identify as a progressive physiological change in postpartum period? 
A.
B.
C.
D.
69.  A 39-year-old at 37 weeks’ gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s complaint of vaginal bleeding?
A.
B.
C.
D.
70.  A client with type 1 diabetes mellitus who’s a multigravida visits the clinic at 27 weeks gestation. The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus: 
A.
B.
C.
D.
71.  When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to: 
A.
B.
C.
D.
72.  What’s the approximate time that the blastocyst spends traveling to the uterus for implantation? 
A.
B.
C.
D.
73.  After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes stated by the client would indicate to the nurse that the teaching was effective? 
A.
B.
C.
D.
74.  A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and admits to cocaine use during the pregnancy. Which of the following persons must the nurse notify?
A.
B.
C.
D.
75.  When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following?
A.
B.
C.
D.
76.  A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?
A.
B.
C.
D.
77.  While caring for a multigravida client in early labor in a birthing center, which of the following foods would be best if the client requests a snack?
A.
B.
C.
D.
78.  The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The baby is coming!” which of the following would be the nurse’s first action? 
A.
B.
C.
D.
79.  While assessing a primipara during the immediate postpartum period, the nurse in charge plans to use both hands to assess the client’s fundus to: 
A.
B.
C.
D.
80.  Nurse Jacob is assessing a 15 month old child with acute otitis media. Which of the following symptoms would the nurse anticipate finding?
A.
B.
C.
D.
81.  Which of the following is the most appropriate intervention to reduce stress in a preterm infant at 33 weeks gestation?
A.
B.
C.
D.
82.  The parent of a client with albinism would need to be taught which preventive healthcare measure by the nurse:
A.
B.
C.
D.
83.  Mrs. Precilla Abuel, a 32 year old mulripara is admitted to labor and delivery. Her last 3 pregnancies in short stage one of labor. The nurses decide to observe her closely. The physician determines that Mrs. Abuel’s cervix is dilated to 6 cm. Mrs. Abuel states that she is extremely uncomfortable. To lessen Mrs. Abuel’s discomfort, the nurse can advise her to:
A.
B.
C.
D.
84.    Which is true regarding the fontanels of the newborn?
A.
B.
C.
D.
85.    Which of the following danger sings should be reported immediately during the antepartum period?
A.
B.
C.
D.
86.  Nurse Jonas assesses a 2 year old boy with a tentative diagnosis of nephroblastoma. Symptoms the nurse observes that suggest this problem include:
A.
B.
C.
D.
87.  Alice, 10 years old was brought to the ER because of Asthma. She was immediately put under aerosol administration of Terbutaline. After sometime, you observe that the child does not show any relief from the treatment given. Upon assessment, you noticed that both the heart and respiratory rate are still elevated and the child shows difficulty of exhaling. You suspect:
A.
B.
C.
D.
88.  Baby boy Villanueva, 4 months old, was seen at the pediatric clinic for his scheduled check-up. By this period, baby Villanueva has already increased his height by how many inches?  
A.
B.
C.
D.
89.  Isabelle, a 2 year old girl loves to move around and oftentimes manifests negativism and temper tantrums. What is the best way to deal with her behavior?
A.
B.
C.
D.