Maternal And Child Health Nursing NCLEX Quiz 10

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

Constipation

Breast tenderness

Nasal stuffiness

Leaking amniotic fluid

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.

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.

2. 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

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.

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.

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

Introversion. egocentrism. narcissism

Awkwardness. clumsiness. and unattractiveness

Anxiety. passivity. extroversion

Ambivalence. fear. fantasies

During the first trimester. common emotional reactions include ambivalence. fear. fantasies. or anxiety.Option A: The second trimester is a period of well-being accompanied by the increased need to learn about fetal growth and development. Common emotional reactions during this trimester include narcissism. passivity. or introversion. At times the woman may seem egocentric and self-centered.Option B: During the third trimester. the woman typically feels awkward. clumsy. and unattractive. often becoming more introverted or reflective of her own childhood.

Explanation

During the first trimester. common emotional reactions include ambivalence. fear. fantasies. or anxiety.Option A: The second trimester is a period of well-being accompanied by the increased need to learn about fetal growth and development. Common emotional reactions during this trimester include narcissism. passivity. or introversion. At times the woman may seem egocentric and self-centered.Option B: During the third trimester. the woman typically feels awkward. clumsy. and unattractive. often becoming more introverted or reflective of her own childhood.

4. 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

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.

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.

5. 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

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.

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.

6. 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

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.

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.

7. 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

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.

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.

8. 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

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.

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.

9. 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

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.

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.

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

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.

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.