Maternal And Child Health Nursing NCLEX Quiz 10

2.

During which of the following would the focus of classes be mainly on physiologic changes. fetal development. sexuality. during pregnancy. and nutrition?

Prepregnant period
First trimester
Second trimester
Third trimester

Correct Answer

A. First trimester

Explanation

First-trimester classes commonly focus on such issues as early physiologic changes. fetal development. sexuality during pregnancy. and nutrition. Some early classes may include pregnant couples.Options C and D: Second and third-trimester classes may focus on preparation for birth. parenting. and newborn care.

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3.

Which of the following would be a disadvantage of breastfeeding?

Involution occurs more rapidly
The incidence of allergies increases due to maternal antibodies
The father may resent the infant’s demands on the mother’s body
There is a greater chance for error during preparation

Correct Answer

A. The father may resent the infant’s demands on the mother’s body

Explanation

With breastfeeding. the father’s body is not capable of providing the milk for the newborn. which may interfere with feeding the newborn. providing fewer chances for bonding. or he may be jealous of the infant’s demands on his wife’s time and body.Option A: Breastfeeding is advantageous because uterine involution occurs more rapidly. thus minimizing blood loss.Option B: The presence of maternal antibodies in breast milk helps decrease the incidence of allergies in the newborn.Option D: A greater chance for error is associated with bottle feeding. No preparation is required for breastfeeding.

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4.

Which of the following would cause a false-positive result on a pregnancy test?

The test was performed less than 10 days after an abortion
The test was performed too early or too late in the pregnancy
The urine sample was stored too long at room temperature
A spontaneous abortion or a missed abortion is impending

Correct Answer

A. The test was performed less than 10 days after an abortion

Explanation

A false-positive reaction can occur if the pregnancy test is performed less than 10 days after an abortion.Options B. C. and D: Performing the tests too early or too late in the pregnancy. storing the urine sample too long at room temperature. or having a spontaneous or missed abortion impending can all produce false-negative results.

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5.

FHR can be auscultated with a fetoscope as early as which of the following?

5 weeks gestation
10 weeks gestation
15 weeks gestation
20 weeks gestation

Correct Answer

A. 20 weeks gestation

Explanation

The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is auscultated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR. cannot be heard any earlier than 10 weeks’ gestation.

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6.

A client LMP began July 5. Her EDD should be which of the following?

02/01/2017
28/03/2017
12/04/2017
12/10/2017

Correct Answer

A. 12/04/2017

Explanation

The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is auscultated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR. cannot be heard any earlier than 10 weeks’ gestation.

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7.

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

Uterus in the pelvis
Uterus at the xiphoid
Uterus in the abdomen
Uterus at the umbilicus

Correct Answer

A. Uterus in the pelvis

Explanation

When the LMP is unknown. the gestational age of the fetus is estimated by uterine size or position (fundal height). The presence of the uterus in the pelvis indicates less than 12 weeks’ gestation. At approximately 12 to 14 weeks. the fundus is out of the pelvis above the symphysis pubis. The fundus is at the level of the umbilicus at approximately 20 weeks’ gestation and reaches the xiphoid at term or 40 weeks.

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8.

Which of the following danger signs should be reported promptly during the antepartum period?

Constipation
Breast tenderness
Nasal stuffiness
Leaking amniotic fluid

Correct Answer

A. Leaking amniotic fluid

Explanation

Danger signs that require prompt reporting leaking of amniotic fluid. vaginal bleeding. blurred vision. rapid weight gain. and elevated blood pressure.Options A. B. and C: Constipation. breast tenderness. and nasal stuffiness are common discomforts associated with pregnancy.

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9.

Which of the following prenatal laboratory test values would the nurse consider as significant?

Hematocrit 33.5%
Rubella titer less than 1:8
White blood cells 8.000/mm3
One hour glucose challenge test 110 g/dL

Correct Answer

A. Rubella titer less than 1:8

Explanation

A rubella titer should be 1:8 or greater. Thurs. a finding of a titer less than 1:8 is significant. indicating that the client may not possess immunity to rubella.Options A and D: A hematocrit of 33.5% a white blood cell count of 8.000/mm3. and a 1-hour glucose challenge test of 110 g/dl are with normal parameters.

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1

10.

Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

Occurring at irregular intervals
Starting mainly in the abdomen
Gradually increasing intervals
Increasing intensity with walking

Correct Answer

A. Increasing intensity with walking

Explanation

With true labor. contractions increase in intensity with walking. In addition. true labor contractions occur at regular intervals. usually starting in the back and sweeping around to the abdomen. The interval of true labor contractions gradually shortens.

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1

Maternal And Child Health Nursing NCLEX Quiz 10

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

Quiz Preview

During which of the following would the focus of classes be mainly on physiologic changes. fetal development. sexuality. during pregnancy. and nutrition?

Which of the following would be a disadvantage of breastfeeding?

Which of the following would cause a false-positive result on a pregnancy test?

FHR can be auscultated with a fetoscope as early as which of the following?

A client LMP began July 5. Her EDD should be which of the following?

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

Which of the following danger signs should be reported promptly during the antepartum period?

Which of the following prenatal laboratory test values would the nurse consider as significant?

Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?