Maternal And Child Health
This contains 25 items Questions about Maternal and Child Health Nursing For Answer Key visit: Maternal and Child Health Nursing Test II - Set A: Answer with Rationale For Nursing Review test visit: www. NurseTopic. Com
- 1.When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?
- A.
Sperm count
- B.
Sperm motility
- C.
Sperm maturity
- D.
Semen volume
- 2.Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
- A.
Dysuria
- B.
Frequency
- C.
Incontinence
- D.
Burning
- 3.Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
- A.
Increased plasma HCG levels
- B.
Decreased intestinal motility
- C.
Decreased gastric acidity
- D.
Elevated estrogen levels
- 4.On which of the following areas would the nurse expect to observe chloasma?
- A.
Breast, areola, and nipples
- B.
Chest, neck, arms, and legs
- C.
Abdomen, breast, and thighs
- D.
Cheeks, forehead, and nose
- 5.A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
- A.
The large size of the newborn
- B.
Pressure on the pelvic muscles
- C.
Relaxation of the pelvic joints
- D.
Excessive weight gain
- 6.Which of the following represents the average amount of weight gained during pregnancy?
- A.
12 to 22 lb
- B.
15 to 25 lb
- C.
24 to 30 lb
- D.
25 to 40 lb
- 7.Which of the following would the nurse identify as a presumptive sign of pregnancy?
- A.
Hegar sign
- B.
Nausea and vomiting
- C.
Skin pigmentation changes
- D.
Positive serum pregnancy test
- 8.During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
- A.
Prepregnant period
- B.
First trimester
- C.
Second trimester
- D.
Third trimester
- 9.Which of the following would be disadvantage of breast feeding?
- A.
Involution occurs more rapidly
- B.
The incidence of allergies increases due to maternal antibodies
- C.
The father may resent the infant’s demands on the mother’s body
- D.
There is a greater chance for error during preparation
- 10.A client LMP began July 5. Her EDD should be which of the following?
- A.
January 2
- B.
March 28
- C.
April 12
- D.
October 12
- 11.Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
- A.
Uterus in the pelvis
- B.
Uterus at the xiphoid
- C.
Uterus in the abdomen
- D.
Uterus at the umbilicus
- 12.Which of the following prenatal laboratory test values would the nurse consider as significant?
- A.
Hematocrit 33.5%
- B.
Rubella titer less than 1:8
- C.
White blood cells 8,000/mm3
- D.
One hour glucose challenge test 110 g/dL
- 13.Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?
- A.
Occurring at irregular intervals
- B.
Starting mainly in the abdomen
- C.
Gradually increasing intervals
- D.
Increasing intensity with walking
- 14.During which of the following stages of labor would the nurse assess “crowning”?
- A.
First stage
- B.
Second stage
- C.
Third stage
- D.
Fourth stage
- 15.Which of the following actions demonstrates the nurse’s understanding about the newborn’s thermoregulatory ability?
- A.
Placing the newborn under a radiant warmer.
- B.
Suctioning with a bulb syringe
- C.
Obtaining an Apgar score
- D.
Inspecting the newborn’s umbilical cord
- 16.Immediately before expulsion, which of the following cardinal movements occur?
- A.
Descent
- B.
Flexion
- C.
Extension
- D.
External rotation
- 17.Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn?
- A.
Mucus
- B.
Uric acid crystals
- C.
Bilirubin
- D.
Excess iron
- 18.Which of the following is true regarding the fontanels of the newborn?
- A.
The anterior is triangular shaped; the posterior is diamond shaped.
- B.
The posterior closes at 18 months; the anterior closes at 8 to 12 weeks.
- C.
The anterior is large in size when compared to the posterior fontanel.
- D.
The anterior is bulging; the posterior appears sunken.
- 19.Which of the following statements best describes hyperemesis gravidarum?
- A.
Severe anemia leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems.
- B.
Severe nausea and vomiting leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems.
- C.
Loss of appetite and continuous vomiting that commonly results in dehydration and ultimately decreasing maternal nutrients
- D.
Severe nausea and diarrhea that can cause gastrointestinal irritation and possibly internal bleeding
- 20.In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy tests?
- A.
Threatened
- B.
Imminent
- C.
Missed
- D.
Incomplete
- 21.Which of the following would the nurse assess in a client experiencing abruptio placenta?
- A.
Bright red, painless vaginal bleeding
- B.
Concealed or external dark red bleeding
- C.
Palpable fetal outline
- D.
Soft and nontender abdomen
- 22.Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?
- A.
Placenta previa
- B.
Ectopic pregnancy
- C.
Incompetent cervix
- D.
Abruptio placentae
- 23.When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs?
- A.
The chorion and amnion rupture 4 hours before the onset of labor.
- B.
PROM removes the fetus most effective defense against infection
- C.
Nursing care is based on fetal viability and gestational age.
- D.
PROM is associated with malpresentation and possibly incompetent cervix
- 24.Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
- A.
More than 200 ml
- B.
More than 300 ml
- C.
More than 400 ml
- D.
More than 500 ml
- 25.Which of the following assessment findings would the nurse expect if the client develops DVT?
- A.
Midcalf pain, tenderness and redness along the vein
- B.
Chills, fever, malaise, occurring 2 weeks after delivery
- C.
Muscle pain the presence of Homans sign, and swelling in the affected limb
- D.
Chills, fever, stiffness, and pain occurring 10 to 14 days after delivery
Questions: 50 | Attempts: 479 | Last updated: Mar 21, 2022
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Sample QuestionWhich of the following conditions will lead to a small-for-gestational age fetus due to less blood supply to the fetus?
Questions: 14 | Attempts: 234749 | Last updated: Mar 22, 2022
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Sample QuestionIs your menstrual cycle usually on time, but a week late this month? The more delayed your periods are getting, the more are the chances of you getting pregnant.
Questions: 10 | Attempts: 196019 | Last updated: Mar 22, 2022
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Sample QuestionOkay, the very first thing: When do you want to get pregnant?
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