Maternal 9
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- 1.Which of the following conditions will lead to a small-for-gestational age fetus due to less blood supply to the fetus?
- A.
Diabetes in the mother
- B.
Maternal cardiac condition
- C.
Premature labor
- D.
Abruptio placenta
- 2.The lower limit of viability for infants in terms of age of gestation is:
- A.
21-24 weeks
- B.
25-27 weeks
- C.
28-30 weeks
- D.
38-40 weeks
- 3.Which provision of our 1987 constitution guarantees the right of the unborn child to life from conception is
- A.
Article II section 12
- B.
Article II section 15
- C.
Article XIII section 11
- D.
Article XIII section 15
- 4.In the Philippines, if a nurse performs abortion on the mother who wants it done and she gets paid for doing it, she will be held liable because
- A.
Abortion is immoral and is prohibited by the church
- B.
Abortion is both immoral and illegal in our country
- C.
Abortion is considered illegal because you got paid for doing it
- D.
Abortion is illegal because majority in our country are catholics and it is prohibited by the church
- 5.The preferred manner of delivering the baby in a gravido-cardiac is vaginal delivery assisted by forceps under epidural anesthesia. The main rationale for this is:
- A.
To allow atraumatic delivery of the baby
- B.
To allow a gradual shifting of the blood into the maternal circulation
- C.
To make the delivery effort free and the mother does not need to push with contractions
- D.
To prevent perineal laceration with the expulsion of the fetal head
- 6.When giving narcotic analgesics to mother in labor, the special consideration to follow is:
- A.
The progress of labor is well established reaching the transitional stage
- B.
Uterine contraction is progressing well and delivery of the baby is imminent
- C.
Cervical dilatation has already reached at least 8 cm. and the station is at least (+)2
- D.
Uterine contractions are strong and the baby will not be delivered yet within the next 3 hours.
- 7.The cervical dilatation taken at 8:00 A.M. in a G1P0 patient was 6 cm. A repeat I.E. done at 10 A.M. showed that cervical dilation was 7 cm. The correct interpretation of this result is:
- A.
Labor is progressing as expected
- B.
The latent phase of Stage 1 is prolonged
- C.
The active phase of Stage 1 is protracted
- D.
The duration of labor is normal
- 8.Which of the following techniques during labor and delivery can lead to uterine inversion?
- A.
Fundal pressure applied to assist the mother in bearing down during delivery of the fetal head
- B.
Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation
- C.
Massaging the fundus to encourage the uterus to contract
- D.
Applying light traction when delivering the placenta that has already detached from the uterine wall
- 9.The fetal heart rate is checked following rupture of the bag of waters in order to:
- A.
Check if the fetus is suffering from head compression
- B.
Determine if cord compression followed the rupture
- C.
Determine if there is utero-placental insufficiency
- D.
Check if fetal presenting part has adequately descended following the rupture
- 10.Upon assessment, the nurse got the following findings: 2 perineal pads highly saturated with blood within 2 hours post partum, PR= 80 bpm, fundus soft and boundaries not well defined. The appropriate nursing diagnosis is:
- A.
Normal blood loss
- B.
Blood volume deficiency
- C.
Inadequate tissue perfusion related to hemorrhage
- D.
Hemorrhage secondary to uterine atony
- 11.The following are signs and symptoms of fetal distress EXCEPT:
- A.
Fetal heart rate (FHR) decreased during a contraction and persists even after the uterine contraction ends
- B.
The FHR is less than 120 bpm or over 160 bpm
- C.
The pre-contraction FHR is 130 bpm, FHR during contraction is 118 bpm and FHR after uterine contraction is 126 bpm
- D.
FHR is 160 bpm, weak and irregular
- 12.If the labor period lasts only for 3 hours, the nurse should suspect that the following conditions may occur:1.Laceration of cervix 2.Laceration of perineum 3.Cranial hematoma in the fetus 4.Fetal anoxia
- A.
1 & 2
- B.
2 & 4
- C.
2,3,4
- D.
1,2,3,4
- 13.The primary power involved in labor and delivery is
- A.
Bearing down ability of mother
- B.
Cervical effacement and dilatation
- C.
Uterine contraction
- D.
Valsalva technique
- 14.The proper technique to monitor the intensity of a uterine contraction is
- A.
Place the palm of the hands on the abdomen and time the contraction
- B.
Place the finger tips lightly on the suprapubic area and time the contraction
- C.
Put the tip of the fingers lightly on the fundal area and try to indent the abdominal wall at the height of the contraction
- D.
Put the palm of the hands on the fundal area and feel the contraction at the fundal area
- 15.To monitor the frequency of the uterine contraction during labor, the right technique is to time the contraction
- A.
From the beginning of one contraction to the end of the same contraction
- B.
From the beginning of one contraction to the beginning of the next contraction
- C.
From the end of one contraction to the beginning of the next contraction
- D.
From the deceleration of one contraction to the acme of the next contraction
- 16.The peak point of a uterine contraction is called the
- A.
Acceleration
- B.
Acme
- C.
Deceleration
- D.
Axiom
- 17.When determining the duration of a uterine contraction the right technique is to time it from
- A.
The beginning of one contraction to the end of the same contraction
- B.
The end of one contraction to the beginning of another contraction
- C.
The acme point of one contraction to the acme point of another contraction
- D.
The beginning of one contraction to the end of another contraction
- 18.When the bag of waters ruptures, the nurse should check the characteristic of the amniotic fluid. The normal color of amniotic fluid is
- A.
Clear as water
- B.
Bluish
- C.
Greenish
- D.
Yellowish
- 19.When the bag of waters ruptures spontaneously, the nurse should inspect the vaginal introitus for possible cord prolapse. If there is part of the cord that has prolapsed into the vaginal opening the correct nursing intervention is:
- A.
Push back the prolapse cord into the vaginal canal
- B.
Place the mother on semifowler’s position to improve circulation
- C.
Cover the prolapse cord with sterile gauze wet with sterile NSS and place the woman on trendellenberg position
- D.
Push back the cord into the vagina and place the woman on sims position
- 20.The fetal heart beat should be monitored every 15 minutes during the 2nd stage of labor. The characteristic of a normal fetal heart rate is
- A.
The heart rate will decelerate during a contraction and then go back to its pre-contraction rate after the contraction
- B.
The heart rate will accelerate during a contraction and remain slightly above the pre-contraction rate at the end of the contraction
- C.
The rate should not be affected by the uterine contraction.
- D.
The heart rate will decelerate at the middle of a contraction and remain so for about a minute after the contraction
- 21.The mechanisms involved in fetal delivery is
- A.
Descent, extension, flexion, external rotation
- B.
Descent, flexion, internal rotation, extension, external rotation
- C.
Flexion, internal rotation, external rotation, extension
- D.
Internal rotation, extension, external rotation, flexion
- 22.The first thing that a nurse must ensure when the baby’s head comes out is
- A.
The cord is intact
- B.
No part of the cord is encircling the baby’s neck
- C.
The cord is still attached to the placenta
- D.
The cord is still pulsating
- 23.To ensure that the baby will breath as soon as the head is delivered, the nurse’s priority action is to
- A.
Suction the nose and mouth to remove mucous secretions
- B.
Slap the baby’s buttocks to make the baby cry
- C.
Clamp the cord about 6 inches from the base
- D.
Check the baby’s color to make sure it is not cyanotic
- 24.When doing perineal care in preparation for delivery, the nurse should observe the following EXCEPT
- A.
Use up-down technique with one stroke
- B.
Clean from the mons veneris to the anus
- C.
Use mild soap and warm water
- D.
Paint the inner thighs going towards the perineal area
- 25.What are the important considerations that the nurse must remember after the placenta is delivered? 1.Check if the placenta is complete including the membranes 2.Check if the cord is long enough for the baby 3.Check if the umbilical cord has 3 blood vessels 4.Check if the cord has a meaty portion and a shiny portion
- A.
1 and 3
- B.
2 and 4
- C.
1, 3, and 4
- D.
2 and 3
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