Maternity Nursing Test II- Www.Rnpedia.Com

13 Questions | Total Attempts: 4581

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Maternity Nursing Test II- Www.Rnpedia.Com

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Questions and Answers
  • 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