Maternity Nursing- Test III

50 Questions | Total Attempts: 13160

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Maternity Nursing- Test III - Quiz

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Questions and Answers
  • 1. 
    Postpartum Period:The fundus of the uterus is expected to go down normally postpartally about __ cm per day. 
    • A. 

      1.0 cm

    • B. 

      2.0 cm

    • C. 

      2.5 cm

    • D. 

      3.0 cm

  • 2. 
     The lochia on the first few days after delivery is characterized as
    • A. 

      Pinkish with some blood clots

    • B. 

      Whitish with some mucus

    • C. 

      Reddish with some mucus

    • D. 

      Serous with some brown tinged mucus

  • 3. 
    Lochia normally disappears after how many days postpartum? 
    • A. 

      .5 days

    • B. 

      .7-10 days

    • C. 

      .18-21 days

    • D. 

      .28-30 days

  • 4. 
    After an Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:
    • A. 

      Prevent the recurrence of Rh(+) baby in future pregnancies

    • B. 

      Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby

    • C. 

      Ensure that future pregnancies will not lead to maternal illness

    • D. 

      To prevent the newborn from having problems of incompatibility when it breastfeeds

  • 5. 
     To enhance milk production, a lactating mother must do the following interventions EXCEPT:
    • A. 

      Increase fluid intake including milk

    • B. 

      Eat foods that increases lactation which are called galactagues

    • C. 

      Exercise adequately like aerobics

    • D. 

      Have adequate nutrition and rest

  • 6. 
    The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is
    • A. 

      Apply cold compress on the engorged breast

    • B. 

      Apply warm compress on the engorged breast

    • C. 

      Massage the breast

    • D. 

      Apply analgesic ointment

  • 7. 
     A woman who delivered normally per vagina is expected to void within ___ hours after delivery.
    • A. 

      3 hrs

    • B. 

      4 hrs.

    • C. 

      6-8 hrs

    • D. 

      12-24 hours

  • 8. 
    To ensure adequate lactation the nurse should teach the mother to:
    • A. 

      Breast feed the baby on self-demand day and night

    • B. 

      Feed primarily during the day and allow the baby to sleep through the night

    • C. 

      Feed the baby every 3-4 hours following a strict schedule

    • D. 

      Breastfeed when the breast are engorged to ensure adequate supply

  • 9. 
    An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:
    • A. 

      Encourage the mother to ambulate to relieve the pain in the leg

    • B. 

      Instruct the mother to apply elastic bondage from the foot going towards the knee to improve venous return flow

    • C. 

      Apply warm compress on the affected leg to relieve the pain

    • D. 

      Elevate the affected leg and keep the patient on bedrest

  • 10. 
    The nurse should anticipate that hemorrhage related to uterine atony may occur postpartally if this condition was present during the delivery: 
    • A. 

      Excessive analgesia was given to the mother

    • B. 

      Placental delivery occurred within thirty minutes after the baby was born

    • C. 

      An episiotomy had to be done to facilitate delivery of the head

    • D. 

      The labor and delivery lasted for 12 hours

  • 11. 
    According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the post partum period. These stages are:  
    • A. 

      Going through, adjustment period, adaptation period

    • B. 

      Taking-in, taking-hold and letting-go

    • C. 

      Attachment phase, adjustment phase, adaptation phase

    • D. 

      Taking-hold, letting-go, attachment phase

  • 12. 
    The neonate of a mother with diabetes mellitus is prone to developing hypoglycemia because:  
    • A. 

      The pancreas is immature and unable to secrete the needed insulin

    • B. 

      There is rapid diminution of glucose level in the baby’s circulating blood and his pancreas is normally secreting insulin

    • C. 

      The baby is reacting to the insulin given to the mother

    • D. 

      His kidneys are immature leading to a high tolerance for glucose

  • 13. 
    Which of the following is an abnormal vital sign in postpartum?
    • A. 

      Pulse rate between 50-60/min

    • B. 

      BP diastolic increase from 80 to 95mm Hg

    • C. 

      BP systolic between 100-120mm Hg

    • D. 

      Respiratory rate of 16-20/min

  • 14. 
    The uterine fundus right after delivery of placenta is palpable at
    • A. 

      Level of Xyphoid process

    • B. 

      Level of umbilicus

    • C. 

      Level of symphysis pubis

    • D. 

      Midway between umbilicus and symphysis pubis

  • 15. 
    After how many weeks after delivery should a woman have her postpartal check-up based on the protocol followed by the DOH? 
    • A. 

      2 weeks

    • B. 

      3 weeks

    • C. 

      6 weeks

    • D. 

      12 weeks

  • 16. 
    In a woman who is not breastfeeding, menstruation usually occurs after how many weeks? 
    • A. 

      2-4 weeks

    • B. 

      6-8 weeks

    • C. 

      6 months

    • D. 

      12 months

  • 17. 
    The following are nursing measures to stimulate lactation EXCEPT 
    • A. 

      Frequent regular breast feeding

    • B. 

      Breast pumping

    • C. 

      Breast massage

    • D. 

      Application of cold compress on the breast

  • 18. 
    When the uterus is firm and contracted after delivery but there is vaginal bleeding, the nurse should suspect
    • A. 

      Laceration of soft tissues of the cervix and vagina

    • B. 

      Uterine atony

    • C. 

      Uterine inversion

    • D. 

      Uterine hypercontractility

  • 19. 
    The following are interventions to make the fundus contract postpartally EXCEPT
    • A. 

      Make the baby suck the breast regularly

    • B. 

      Apply ice cap on fundus

    • C. 

      Massage the fundus vigorously for 15 minutes until contracted

    • D. 

      Give oxytocin as ordered

  • 20. 
    The following are nursing interventions to relieve episiotomy wound pain EXCEPT
    • A. 

      Giving analgesic as ordered

    • B. 

      Sitz bath

    • C. 

      Perineal heat

    • D. 

      Perineal care

  • 21. 
     Postpartum blues is said to be normal provided that the following characteristics are present. These are1. Within 3-10 days only;2. Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor appetite;3. Maybe more severe symptoms in primpara
    • A. 

      All of the above

    • B. 

      1 and 2

    • C. 

      2 only

    • D. 

      2 and 3

  • 22. 
     The neonatal circulation differs from the fetal circulation because 
    • A. 

      The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blood.

    • B. 

      The blood at the left atrium of the fetal heart is shunted to the right atrium to facilitate its passage to the lungs

    • C. 

      The blood in left side of the fetal heart contains oxygenated blood while the blood in the right side contains unoxygenated blood.

    • D. 

      None of the above

  • 23. 
    The normal respiration of a newborn immediately after birth is characterized as:
    • A. 

      Shallow and irregular with short periods of apnea lasting not longer than 15 seconds, 30-60 breaths per minute

    • B. 

      20-40 breaths per minute, abdominal breathing with active use of intercostals muscles

    • C. 

      30-60 breaths per minute with apnea lasting more than 15 seconds, abdominal breathing

    • D. 

      30-50 breaths per minute, active use of abdominal and intercostal muscles

  • 24. 
    The anterior fontanelle is characterized as:
    • A. 

      3-4 cm antero-posterior diameter and 2-3 cm transverse diameter, diamond shape

    • B. 

      2-3 cm antero-posterior diameter and 3-4 cm transverse diameter and diamond shape

    • C. 

      2-3 cm in both antero-posterior and transverse diameter and diamond shape

    • D. 

      None of the above

  • 25. 
    The ideal site for vitamin K injection in the newborn is: 
    • A. 

      Right upper arm

    • B. 

      Left upper arm

    • C. 

      Either right or left buttocks

    • D. 

      Middle third of the thigh

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