Maternal And Child Health Nursing NCLEX Quiz 3

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Questions: 10 | Attempts: 4,439 | Updated: Mar 22, 2023

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Maternal And Child Health Nursing NCLEX Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense:
- A.
  
  Around the pelvic girdle
- B.
  
  Around the pelvic girdle and in the upper arms
- C.
  
  Around the pelvic girdle and at the perineum
- D.
  
  At the perineum
Correct Answer
A. Around the pelvic girdle

Explanation
During most of the first stage of labor. pain centers around the pelvic girdle. During the late part of this stage and the early part of the second stage. pain spreads to the upper legs and perineum. During the late part of the second stage and childbirth. intense pain occurs at the perineum. Upper arm pain is not common during any stage of labor.

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2.

A female adult patient is taking a progestin-only oral contraceptive or mini pill. Progestin use may increase the patient’s risk for:
- A.
  
  Endometriosis
- B.
  
  Female hypogonadism
- C.
  
  Premenstrual syndrome
- D.
  
  Tubal or ectopic pregnancy
Correct Answer
D. Tubal or ectopic pregnancy

Explanation
Women taking the mini pill have a higher incidence of tubal and ectopic pregnancies. possibly because progestin slows ovum transport through the fallopian tubes.Options A. B. and C: Endometriosis. female hypogonadism. and premenstrual syndrome are not associated with progestin-only oral contraceptives.

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3.

A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms?
- A.
  
  Proteinuria. headaches. vaginal bleeding
- B.
  
  Headaches. double vision. vaginal bleeding
- C.
  
  Proteinuria. headaches. double vision
- D.
  
  Proteinuria. double vision. uterine contractions
Correct Answer
C. Proteinuria. headaches. double vision

Explanation
A patient with pregnancy-induced hypertension complains of a headache. double vision. and sudden weight gain. A urine specimen reveals proteinuria.Options A. B. and D: Vaginal bleeding and uterine contractions are not associated with pregnancy-induced hypertension.

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4.

Because cervical effacement and dilation are not progressing in a patient in labor. the doctor orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration?
- A.
  
  Oxytocin causes water intoxication
- B.
  
  Oxytocin causes excessive thirst
- C.
  
  Oxytocin is toxic to the kidneys
- D.
  
  Oxytocin has a diuretic effect
Correct Answer
A. Oxytocin causes water intoxication

Explanation
The nurse should monitor fluid intake and output because prolonged oxytocin infusion may cause severe water intoxication. leading to seizures. coma. and death.Option B: Excessive thirst results from the work of labor and limited oral fluid intake—not oxytocin.Options C and D: Oxytocin has no nephrotoxic or diuretic effects. In fact. it produces an antidiuretic effect.

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5.

Five hours after birth. a neonate is transferred to the nursery. where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss?
- A.
  
  Low room humidity
- B.
  
  Cold weight scale
- C.
  
  Cool incubator walls
- D.
  
  Cool room temperature
Correct Answer
C. Cool incubator walls

Explanation
A common source of radiant heat loss includes cool incubator walls and windows.Option A: Low room humidity promotes evaporative heat loss.Option B: When the skin directly contacts a cooler object. such as a cold weight scale. conductive heat loss may occur.Option D: A cool room temperature may lead to convective heat loss.

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6.

After administering bethanechol to a patient with urine retention. the nurse in charge monitors the patient for adverse effects. Which is most likely to occur?
- A.
  
  Decreased peristalsis
- B.
  
  Increase heart rate
- C.
  
  Dry mucous membranes
- D.
  
  Nausea and Vomiting
Correct Answer
D. Nausea and Vomiting

Explanation
Bethanechol will increase GI motility. which may cause nausea. belching. vomiting. intestinal cramps. and diarrhea.Option A: Peristalsis is increased rather than decreased.Option B: With high doses of bethanechol. cardiovascular responses may include vasodilation. decreased cardiac rate. and decreased the force of cardiac contraction. which may cause hypotension.Option C: Salivation or sweating may gently increase.

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7.

The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?
- A.
  
  Active phase
- B.
  
  Complete phase
- C.
  
  Latent phase
- D.
  
  Transitional phase
Correct Answer
D. Transitional phase

Explanation
The transitional phase. which lasts 1 to 3 hours. is the shortest but most difficult part of the first stage of labor. This phase is characterized by intense uterine contractions that occur every 1 ½ to 2 minutes and last 45 to 90 seconds.Option A: The active phase lasts 4 ½ to 6 hours; it is characterized by contractions that start out moderately intense. grow stronger. and last about 60 seconds.Option B: The complete phase occurs during the second. not first. stage of labor.Option C: The latent phase lasts 5 to 8 hours and is marked by mild. short. irregular contractions.

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8.

After 3 days of breastfeeding. a postpartal patient reports nipple soreness. To relieve her discomfort. the nurse should suggest that she:
- A.
  
  Apply warm compresses to her nipples just before feedings
- B.
  
  Lubricate her nipples with expressed milk before feeding
- C.
  
  Dry her nipples with a soft towel after feedings
- D.
  
  Apply soap directly to her nipples. and then rinse
Correct Answer
B. Lubricate her nipples with expressed milk before feeding

Explanation
Measures that help relieve nipple soreness in a breastfeeding patient include lubrication the nipples with a few drops of expressed milk before feedings. applying ice compresses just before feeding. letting the nipples air dry after feedings. and avoiding the use of soap on the nipples.

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9.

The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time?
- A.
  
  Between 10 and 12 weeks’ gestation
- B.
  
  Between 16 and 20 weeks’ gestation
- C.
  
  Between 21 and 23 weeks’ gestation
- D.
  
  Between 24 and 26 weeks’ gestation
Correct Answer
B. Between 16 and 20 weeks’ gestation

Explanation
A pregnant woman usually can detect fetal movement (quickening) between 16 and 20 weeks’ gestation. Before 16 weeks. the fetus is not developed enough for the woman to detect movement. After 20 weeks. the fetus continues to gain weight steadily. the lungs start to produce surfactant. the brain is grossly formed. and myelination of the spinal cord begins.

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10.

Normal lochial findings in the first 24 hours post-delivery include:
- A.
  
  Bright red blood
- B.
  
  Large clots or tissue fragments
- C.
  
  A foul odor
- D.
  
  The complete absence of lochia
Correct Answer
A. Bright red blood

Explanation
Lochia should never contain large clots. tissue fragments. or membranes. A foul odor may signal infection. as may absence of lochia.

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Maternal And Child Health Nursing NCLEX Quiz 3

A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense:

A female adult patient is taking a progestin-only oral contraceptive or mini pill. Progestin use may increase the patient’s risk for:

A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms?

Because cervical effacement and dilation are not progressing in a patient in labor. the doctor orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration?

Five hours after birth. a neonate is transferred to the nursery. where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss?

After administering bethanechol to a patient with urine retention. the nurse in charge monitors the patient for adverse effects. Which is most likely to occur?

The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?

After 3 days of breastfeeding. a postpartal patient reports nipple soreness. To relieve her discomfort. the nurse should suggest that she:

The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time?

Normal lochial findings in the first 24 hours post-delivery include: