Maternal And Child Health Nursing Test I - Set A
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This test contains 25 items Questions about Maternal and Child Health Nursing For Answer Key visit: Maternal and Child Health Nursing Test I - Set A: Answers with Rationales For more Nursing Review Test visit: www. NurseTopic. Com
- 1.Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
- A.
Introversion, egocentrism, narcissism
- B.
Awkwardness, clumsiness, and unattractiveness
- C.
Anxiety, passivity, extroversion
- D.
Ambivalence, fear, fantasies
- 2.Which of the following nursing interventions would the nurse perform during the third stage of labor?
- A.
Obtain a urine specimen and other laboratory tests.
- B.
Assess uterine contractions every 30 minutes.
- C.
Coach for effective client pushing
- D.
Promote parent-newborn interaction.
- 3.Which of the following describes the Babinski reflex?
- A.
The newborn’s toes will hyperextend and fan apart from dorsiflexion of the big toe when one side of foot is stroked upward from the ball of the heel and across the ball of the foot.
- B.
The newborn abducts and flexes all extremities and may begin to cry when exposed to sudden movement or loud noise.
- C.
The newborn turns the head in the direction of stimulus, opens the mouth, and begins to suck when cheek, lip, or corner of mouth is touched.
- D.
The newborn will attempt to crawl forward with both arms and legs when he is placed on his abdomen on a flat surface
- 4.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.
Thrombophlebitis
- B.
Pregnancy-induced hypertension
- C.
Pressure on blood vessels from the enlarging uterus
- D.
The force of gravity pulling down on the uterus
- 5.FHR can be auscultated with a fetoscope as early as which of the following?
- A.
5 weeks gestation
- B.
10 weeks gestation
- C.
15 weeks gestation
- D.
20 weeks gestation
- 6.Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?
- A.
Begin monitoring maternal vital signs and FHR
- B.
Place the client in a knee-chest position in bed
- C.
Notify the physician and prepare the client for delivery
- D.
Apply a sterile warm saline dressing to the exposed cord
- 7.Which of the following danger signs should be reported promptly during the antepartum period?
- A.
Constipation
- B.
Breast tenderness
- C.
Nasal stuffiness
- D.
Leaking amniotic fluid
- 8.Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?
- A.
Blink, cough, rooting, and gag
- B.
Blink, cough, sneeze, gag
- C.
Rooting, sneeze, swallowing, and cough
- D.
Stepping, blink, cough, and sneeze
- 9.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.
Fear related to the unknown
- B.
Pain related to numerous procedures.
- C.
Ineffective family coping related to infertility.
- D.
Self-esteem disturbance related to infertility.
- 10.Which of the following best describes thrombophlebitis?
- A.
Inflammation and clot formation that result when blood components combine to form an aggregate body
- B.
Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels
- C.
Inflammation and blood clots that eventually become lodged within the femoral vein
- D.
Inflammation of the vascular endothelium with clot formation on the vessel wall
- 11.Which of the following best reflects the frequency of reported postpartum “blues”?
- A.
Between 10% and 40% of all new mothers report some form of postpartum blues
- B.
Between 30% and 50% of all new mothers report some form of postpartum blues
- C.
Between 50% and 80% of all new mothers report some form of postpartum blues
- D.
Between 25% and 70% of all new mothers report some form of postpartum blues
- 12.When uterine rupture occurs, which of the following would be the priority?
- A.
Limiting hypovolemic shock
- B.
Obtaining blood specimens
- C.
Instituting complete bed rest
- D.
Inserting a urinary catheter
- 13.When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?
- A.
Instruct the mother’s support person to remain in the family lounge until after the delivery
- B.
Arrange for a staff member of the anesthesia department to explain what to expect postoperatively
- C.
Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth
- D.
Explain the surgery, expected outcome, and kind of anesthetics
- 14.Which of the following is the primary predisposing factor related to mastitis?
- A.
Epidemic infection from nosocomial sources localizing in the lactiferous glands and ducts
- B.
Endemic infection occurring randomly and localizing in the periglandular connective tissue
- C.
Temporary urinary retention due to decreased perception of the urge to avoid
- D.
Breast injury caused by overdistention, stasis, and cracking of the nipples
- 15.Which of the following would cause a false-positive result on a pregnancy test?
- A.
The test was performed less than 10 days after an abortion
- B.
The test was performed too early or too late in the pregnancy
- C.
The urine sample was stored too long at room temperature
- D.
A spontaneous abortion or a missed abortion is impending
- 16.Barbiturates are usually not given for pain relief during active labor for which of the following reasons?
- A.
The neonatal effects include hypotonia, hypothermia, generalized drowsiness, and reluctance to feed for the first few days.
- B.
These drugs readily cross the placental barrier, causing depressive effects in the newborn 2 to 3 hours after intramuscular injection.
- C.
They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate during labor.
- D.
Adverse reactions may include maternal hypotension, allergic or toxic reaction or partial or total respiratory failure
- 17.Which of the following would the nurse identify as a classic sign of PIH?
- A.
Edema of the feet and ankles
- B.
Edema of the hands and face
- C.
Weight gain of 1 lb/week
- D.
Early morning headache
- 18.Which of the following best describes preterm labor?
- A.
Labor that begins after 20 weeks gestation and before 37 weeks gestation
- B.
Labor that begins after 15 weeks gestation and before 37 weeks gestation
- C.
Labor that begins after 24 weeks gestation and before 28 weeks gestation
- D.
Labor that begins after 28 weeks gestation and before 40 weeks gestation
- 19.Which of the following factors is the underlying cause of dystocia?
- A.
Nurtional
- B.
Mechanical
- C.
Environmental
- D.
Medical
- 20.Which of the following are the most commonly assessed findings in cystitis?
- A.
Frequency, urgency, dehydration, nausea, chills, and flank pain
- B.
Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain
- C.
Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever
- D.
High fever, chills, flank pain nausea, vomiting, dysuria, and frequency
- 21.Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?
- A.
Weak contraction prolonged to more than 70 seconds
- B.
Tetanic contractions prolonged to more than 90 seconds
- C.
Increased pain with bright red vaginal bleeding
- D.
Increased restlessness and anxiety
- 22.Which of the following factors would the nurse suspect as predisposing a client to placenta previa?
- A.
Multiple gestation
- B.
Uterine anomalies
- C.
Abdominal trauma
- D.
Renal or vascular disease
- 23.When assessing the newborn’s heart rate, which of the following ranges would be considered normal if the newborn were sleeping?
- A.
80 beats per minute
- B.
100 beats per minute
- C.
120 beats per minute
- D.
140 beats per minute
- 24.Before birth, which of the following structures connects the right and left auricles of the heart?
- A.
Umbilical vein
- B.
Foramen ovale
- C.
Ductus arteriosus
- D.
Ductus venosus
- 25.Cervical softening and uterine souffle are classified as which of the following?
- A.
Diagnostic signs
- B.
Presumptive signs
- C.
Probable signs
- D.
Positive signs
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