Maternity Nursing Test III (Practice Mode)

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

Explanation

Neonates do not have well developed muscles of the arm. Since Vitamin K is given intramuscular, the site must have sufficient muscles like the middle third of the thigh.

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About This Quiz
Maternity Nursing Test III (Practice Mode) - Quiz

Mark the letter of the letter of choice then click on the next button. No time Limit. Correct answer will be revealed after each question. Good luck !

2. 17. The following are nursing measures to stimulate lactation EXCEPT

Explanation

To stimulate lactation, warm compress is applied on the breast. Cold application will cause vasoconstriction thus reducing the blood supply consequently the production of milk.

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3.
47. Breast self examination is best done by the woman on herself every month during



Explanation

The best time to do self breast examination is right after the menstrual period is over so that the hormonal level is low thus the breasts are not tender.

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

Explanation

In Rh incompatibility, an Rh(-) mother will produce antibodies against the fetal Rh (+) antigen which she may have gotten because of the mixing of maternal and fetal blood during labor and delivery. Giving her RhoGam right after birth will prevent her immune system from being permanently sensitized to Rh antigen.

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

Explanation

Right after delivery, the vaginal discharge called lochia will be reddish because there is some blood, endometrial tissue and mucus. Since it is not pure blood it is non-clotting.

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6. 1. Postpartum Period: The fundus of the uterus is expected to go down normally postpartally about __ cm per day.

Explanation

The uterus will begin involution right after delivery. It is expected to regress/go down by 1 cm. per day and becomes no longer palpable about 1 week after delivery.

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7. 26. At what APGAR score at 5 minutes after birth should resuscitation be initiated?

Explanation

An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.

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

Explanation

All the above nursing measures are needed to ensure that the mother is in a healthy state. However, aerobics does not necessarily enhance lactation.

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9. 33. Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if

Explanation

A mother who breastfeeds exclusively and regularly during the first 6 months benefits from lactation amenorrhea. There is evidence to support the observation that the benefits of lactation amenorrhea lasts for 6 months provided the woman has not had her first menstruation since delivery of the baby.

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10. 46. Vasectomy is a procedure done on a male for sterilization. The organ involved in this procedure is

Explanation

Vasectomy is a procedure wherein the vas deferens of the male is ligated and cut to prevent the passage of the sperms from the testes to the penis during ejaculation.

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11. 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:


Explanation

Rubin’s theory states that the 3 stages that a mother goes through for maternal adaptation are: taking-in, taking-hold and letting-go. In the taking-in stage, the mother is more passive and dependent on others for care. In taking-hold, the mother begins to assume a more active role in the care of the child and in letting-go, the mother has become adapted to her maternal role.

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12.
27. Right after birth, when the skin of the baby’s trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:

Explanation

Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.

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

Explanation

Warm compress is applied if the purpose is to relieve pain but ensure lactation to continue. If the purpose is to relieve pain as well as suppress lactation, the compress applied is cold.

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

Explanation

When the mother does not breastfeed, the normal menstruation resumes about 6-8 weeks after delivery. This is due to the fact that after delivery, the hormones estrogen and progesterone gradually decrease thus triggering negative feedback to the anterior pituitary to release the Folicle-Stimulating Hormone (FSH) which in turn stimulates the ovary to again mature a graafian follicle and the menstrual cycle post pregnancy resumes.

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15.
12. The neonate of a mother with diabetes mellitus is prone to developing hypoglycemia because:



Explanation

If the mother is diabetic, the fetus while in utero has a high supply of glucose. When the baby is born and is now separate from the mother, it no longer receives a high dose of glucose from the mother. In the first few hours after delivery, the neonate usually does not feed yet thus this can lead to hypoglycemia.

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16. 30. Which of the following characteristics will distinguish a postmature neonate at birth?

Explanation

A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.

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17. 40. If a couple would like to enhance their fertility, the following means can be done:
1. Monitor the basal body temperature of the woman everyday to determine peak period of fertility;
2. Have adequate rest and nutrition;
3. Have sexual contact only during the dry period of the woman;
4. Undergo a complete medical check-up to rule out any debilitating disease

Explanation

All of the above are essential for enhanced fertility except no. 3 because during the dry period the woman is in her infertile period thus even when sexual contact is done, there will be no ovulation, thus fertilization is not possible.

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18. 3. Lochia normally disappears after how many days postpartum?

Explanation

Normally, lochia disappears after 10 days postpartum. What’s important to remember is that the color of lochia gets to be lighter (from reddish to whitish) and scantier everyday.

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

Explanation

When uterus is firm and contracted it means that the bleeding is not in the uterus but other parts of the passageway such as the cervix or the vagina.

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20. 41. In sympto-thermal method, the parameters being monitored to determine if the woman is fertile or infertile are:

Explanation

The 3 parameters measured/monitored which will indicate that the woman has ovulated are- temperature increase of about 0.2-0.4 degrees centigrade, softness of the cervix and cervical mucus that looks like the white of an egg which makes the woman feel “wet”.

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

Explanation

According to the DOH protocol postpartum check-up is done 6-8 weeks after delivery to make sure complete involution of the reproductive organs has be achieved.

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22. 28. The minimum birth weight for full term babies to be considered normal is:

Explanation

According to the WHO standard, the minimum normal birth weight of a full term baby is 2,500 gms or 2.5 Kg.

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

Explanation

Feeding on self-demand means the mother feeds the baby according to baby’s need. Therefore, this means there will be regular emptying of the breasts, which is essential to maintain adequate lactation.

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

Explanation

Immediately after the delivery of the placenta, the fundus of the uterus is expected to be at the level of the umbilicus because the contents of the pregnancy have already been expelled. The fundus is expected to recede by 1 fingerbreadths (1cm) everyday until it becomes no longer palpable above the symphysis pubis.

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

Explanation

All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this could be a sign of abnormality like postpartum depression and needs treatment.

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26. 45. Spinnabarkeit is an indicator of ovulation which is characterized as:

Explanation

At the midpoint of the cycle when the estrogen level is high, the cervical mucus becomes thin and watery to allow the sperm to easily penetrate and get to the fallopian tubes to fertilize an ovum. This is called spinnabarkeit. And the woman feels “wet”. When progesterone is secreted by the ovary, the mucus becomes thick and the woman will feel “dry”.

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27. 48. A woman is considered to be menopause if she has experienced cessation of her menses for a period of

Explanation

If a woman has not had her menstrual period for 12 consecutive months, she is considered to be in her menopausal stage.

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

Explanation

A newly born baby still is adjusting to xtra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea, 30-60 breaths per minute. The apneic periods should be brief lasting not more than 15 seconds otherwise it will be considered abnormal.

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

Explanation

If the mother already has thrombophlebitis, the nursing intervention is bedrest to prevent the possible dislodging of the thrombus and keeping the affected leg elevated to help reduce the inflammation.

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30. 38. The following methods of artificial birth control works as a barrier device EXCEPT:

Explanation

Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.

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

Explanation

A woman who has had normal delivery is expected to void within 6-8 hrs. If she is unable to do so after 8 hours, the nurse should stimulate the woman to void. If nursing interventions to stimulate spontaneous voiding don’t work, the nurse may decide to catheterize the woman.

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32.
49. Which of the following is the correct practice of self breast examination in a menopausal woman?

Explanation

Menopausal women still need to do self examination of the breast regularly. Any day of the month is alright provided that she practices it monthly on the same day that she has chosen. The hormones estrogen and progesterone are already diminished during menopause so there is no need to consider the time to do it in relation to the menstrual cycle.

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

Explanation

All the vital signs given in the choices are within normal range except an increase of 15mm Hg in the diastolic which is a possible sign of hypertension in pregnancy.

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34. 39. Which of the following is a TRUE statement about normal ovulation?


Explanation

Not all menstrual cycles are ovulatory. Normal ovulation in a woman occurs between the 14th to the 16th day before the NEXT menstruation. A common misconception is that ovulation occurs on the 14th day of the cycle. This is a misconception because ovulation is determined NOT from the first day of the cycle but rather 14-16 days BEFORE the next menstruation.

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35.
31. According to the Philippine Nursing Law, a registered nurse is allowed to handle mothers in labor and delivery with the following considerations:
1. The pregnancy is normal.;
2. The labor and delivery is uncomplicated;
3. Suturing of perineal laceration is allowed provided the nurse had special training;
4. As a delivery room nurse she is not allowed to insert intravenous fluid unless she had special training for it.


Explanation

To be allowed to handle deliveries, the pregnancy must be normal and uncomplicated. And in RA9172, the nurse is now allowed to suture perineal lacerations provided s/he has had the special training. Also, in this law, there is no longer an explicit provision stating that the nurse still needs special training for IV insertion.

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36. 35. Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?


Explanation

If mother is breastfeeding, the progesterone only type is the best because estrogen can affect lactation.

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

Explanation

Excessive analgesia can lead to uterine relaxation thus lead to hemorrhage postpartally. Both B and D are normal and C is at the vaginal introitus thus will not affect the uterus.

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38. 22. The neonatal circulation differs from the fetal circulation because

Explanation

The fetal lungs is fluid-filled while in utero and is still not functioning. It only begins to function in extra uterine life. Except for the blood as it enters the fetus immediately from the placenta, most of the fetal blood is mixed blood.

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39.
24. The anterior fontanelle is characterized as:

Explanation

The anterior fontanelle is diamond shape with the antero-posterior diameter being longer than the transverse diameter. The posterior fontanelle is triangular shape.

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40.
37. Which of the following are signs of ovulation?
1. Mittelschmerz;
2. Spinnabarkeit;
3. Thin watery cervical mucus;
4. Elevated body temperature of 4.0 degrees centigrade


Explanation

Mittelschmerz, spinnabarkeit and thin watery cervical mucus are signs of ovulation. When ovulation occurs, the hormone progesterone is released which can cause a slight elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees centigrade.

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

Explanation

Massaging the fundus of the uterus should not be vigorous and should only be done until the uterus feel firm and contracted. If massaging is vigorous and prolonged, the uterus will relax due to over stimulation.

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42. 42. The following are important considerations to teach the woman who is on low dose (mini-pill) oral contraceptive EXCEPT:

Explanation

If the woman fails to take her usual pill for the day, taking a double dose does not give additional protection. What she needs to do is to continue taking the pills until the pack is consumed and use at the time another temporary method to ensure that no pregnancy will occur. When a new pack is started, she can already discontinue using the second temporary method she employed.

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43.
29. The procedure done to prevent ophthalmia neonatorum is:

Explanation

Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually, an ophthalmic ointment is used.

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44. 32. Birth Control Methods and Infertility:
In basal body temperature (BBT) technique, the sign that ovulation has occurred is an elevation of body temperature by

Explanation

The release of the hormone progesterone in the body following ovulation causes a slight elevation of basal body temperature of about 0.2 – 0.4 degrees centigrade

Submit
45.
50. In assisted reproductive technology (ART), there is a need to stimulate the ovaries to produce more than one mature ova. The drug commonly used for this purpose is:

Explanation

Clomiphene or Clomid acts as an ovarian stimulant to promote ovulation. The mature ova are retrieved and fertilized outside the fallopian tube (in-vitro fertilization) and after 48 hours the fertilized ovum is inserted into the uterus for implantation.

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46. 44. Infertility can be attributed to male causes such as the following EXCEPT:

Explanation

Sperm count must be within normal in order for a male to successfully sire a child. The normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.

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

Explanation

Perineal care is primarily done for personal hygiene regardless of whether there is pain or not; episiotomy wound or not.

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48.
43. To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be done is

Explanation

Rubin’s test is a test to determine patency of fallopian tubes. Huhner’s test is also known as post-coital test to determine compatibility of the cervical mucus with sperms of the sexual partner.

Submit
49. 34. Intra-uterine device prevents pregnancy by the ff. mechanism EXCEPT


Explanation

An intrauterine device is a foreign body so that if it is inserted into the uterine cavity the initial reaction is to produce inflammatory process and the uterus will contract in order to try to expel the foreign body. Usually IUDs are coated with copper to serve as spermicide killing the sperms deposited into the female reproductive tract. But the IUD does not completely fill up the uterine cavity thus sperms which are microscopic is size can still pass through.

Submit
50. 36. The natural family planning method called Standard Days (SDM), is the latest type and easy to use method. However, it is a method applicable only to women with regular menstrual cycles between ___ to ___ days.

Explanation

Standard Days Method (SDM) requires that the menstrual cycles are regular between 26-32 days. There is no need to monitor temperature or mucus secretion. This natural method of family planning is very simple since all that the woman pays attention to is her cycle. With the aid of CycleBeads, the woman can easily monitor her cycles.

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25. The ideal site for vitamin K injection in the newborn is:
17. The following are nursing measures to stimulate lactation EXCEPT
47. Breast self examination is best done by the woman on herself every...
4. After an Rh(-) mother has delivered her Rh (+) baby, the mother is...
2. The lochia on the first few days after delivery is characterized as
1. Postpartum Period: ...
26. At what APGAR score at 5 minutes after birth should resuscitation...
5. To enhance milk production, a lactating mother must do the...
33. Lactation Amenorrhea Method(LAM) can be an effective method of...
46. Vasectomy is a procedure done on a male for sterilization. The...
11. According to Rubin’s theory of maternal role adaptation, the...
27. Right after birth, when the skin of the baby’s trunk is ...
6. The nursing intervention to relieve pain in breast engorgement...
16. In a woman who is not breastfeeding, menstruation usually occurs...
12. The neonate of a mother with diabetes mellitus is prone to...
30. Which of the following characteristics will distinguish a...
40. If a couple would like to enhance their fertility, the following...
3. Lochia normally disappears after how many days postpartum?
18. When the uterus is firm and contracted after delivery but there is...
41. In sympto-thermal method, the parameters being monitored to...
15. After how many weeks after delivery should a woman have her...
28. The minimum birth weight for full term babies to be considered...
8. To ensure adequate lactation the nurse should teach the mother to:
14. The uterine fundus right after delivery of placenta is palpable at
21. Postpartum blues is said to be normal provided that the following...
45. Spinnabarkeit is an indicator of ovulation which is characterized...
48. A woman is considered to be menopause if she has experienced...
23. The normal respiration of a newborn immediately after birth is...
9. An appropriate nursing intervention when caring for a postpartum...
38. The following methods of artificial birth control works as a...
7. A woman who delivered normally per vagina is expected to void...
49. Which of the following is the correct practice of self breast...
13. Which of the following is an abnormal vital sign in postpartum?
39. Which of the following is a TRUE statement about normal ovulation?
31. According to the Philippine Nursing Law, a registered nurse is ...
35. Oral contraceptive pills are of different types. Which type is...
10. The nurse should anticipate that hemorrhage related to uterine ...
22. The neonatal circulation differs from the fetal circulation...
24. The anterior fontanelle is characterized as:
37. Which of the following are signs of ovulation? 1. Mittelschmerz;...
19. The following are interventions to make the fundus contract...
42. The following are important considerations to teach the woman who...
29. The procedure done to prevent ophthalmia neonatorum is:
32. Birth Control Methods and Infertility: In basal body temperature...
50. In assisted reproductive technology (ART), there is a need to ...
44. Infertility can be attributed to male causes such as the following...
20. The following are nursing interventions to relieve episiotomy...
43. To determine if the cause of infertility is a blockage of the...
34. Intra-uterine device prevents pregnancy by the ff. mechanism...
36. The natural family planning method called Standard Days (SDM), is ...
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