Maternal And Child Health Nursing NCLEX Quiz 13

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Quizzes Created: 468 | Total Attempts: 2,466,971

Questions: 10 | Attempts: 7,058 | Updated: May 1, 2023

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Maternal And Child Health Nursing NCLEX Quiz 13 - Quiz

Hello and welcome to this short but knowledgeable 'Maternal and child health nursing NCLEX' quiz that we've created below. In this quiz, we'll be asking you questions based on the concepts of maternal and child health conditions. If you give correct answers to all the questions here, you'll hit the 100% score. So, are you ready to try this quiz? Let's start then. Wishing you the best of luck! Have fun as you play it.

Questions and Answers

1.

Choose the option that provides evidence of the nurse’s understanding of the client’s immediate needs when PROM occurs.
- A.
  
  The chorion and amnion rupture 4 hours before the onset of labor.
- B.
  
  PROM removes the fetus most effective defense against infection
- C.
  
  Nursing care is based on fetal viability and gestational age.
- D.
  
  PROM is associated with malpresentation and possibly incompetent cervix
Correct Answer
B. PROM removes the fetus most effective defense against infection

Explanation
The correct answer suggests that the nurse understands that when premature rupture of membranes (PROM) occurs, the fetus loses its most effective defense against infection. This indicates that the nurse recognizes the immediate need to prevent infection in the client and the fetus.

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2.

Choose the option that can be an underlying cause of dystocia.
- A.
  
  Nutritional
- B.
  
  Mechanical
- C.
  
  Environmental
- D.
  
  Medical
Correct Answer
B. Mechanical

Explanation
Mechanical factors can be an underlying cause of dystocia. Dystocia refers to difficult or prolonged labor, and mechanical causes can include issues such as abnormal fetal position, large fetal size, or pelvic abnormalities in the mother. These mechanical factors can obstruct the normal progression of labor and result in complications. Nutritional, environmental, and medical factors may also contribute to dystocia, but the mechanical factors specifically relate to physical obstructions during labor.

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1
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3.

Which of the following options would be considered the priority when uterine rupture occurs?
- A.
  
  Limiting hypovolemic shock
- B.
  
  Obtaining blood specimens
- C.
  
  Instituting complete bed rest
- D.
  
  Inserting a urinary catheter
Correct Answer
A. Limiting hypovolemic shock

Explanation
When uterine rupture occurs, the priority would be to limit hypovolemic shock. Uterine rupture can lead to severe bleeding, which can result in hypovolemic shock. This is a life-threatening condition where the body loses a significant amount of blood and is unable to circulate enough oxygen to vital organs. By prioritizing the limitation of hypovolemic shock, healthcare providers can focus on stabilizing the patient's condition and preventing further complications.

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4.

What should be the nurse’s initial action when umbilical cord prolapse occurs?
- A.
  
  Begin monitoring maternal vital signs and FHR
- B.
  
  Place the client in a knee-chest position in bed
- C.
  
  Notify the physician and prepare the client for delivery
- D.
  
  Apply a sterile warm saline dressing to the exposed cord
Correct Answer
B. Place the client in a knee-chest position in bed

Explanation
When umbilical cord prolapse occurs, the nurse's initial action should be to place the client in a knee-chest position in bed. This position helps to relieve pressure on the umbilical cord and prevent further compression, which can lead to fetal distress. It allows gravity to assist in keeping the fetal head off the cord and improves blood flow to the fetus. This action should be taken immediately to ensure the safety and well-being of both the mother and the baby.

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5.

Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
- A.
  
  More than 200 ml
- B.
  
  More than 300 ml
- C.
  
  More than 400 ml
- D.
  
  More than 500 ml
Correct Answer
D. More than 500 ml

Explanation
.

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6.

The primary predisposing factor related to mastitis is __________.
- A.
  
  Epidemic infection from nosocomial sources localizing in the lactiferous glands and ducts
- B.
  
  Endemic infection occurring randomly and localizing in the peri glandular connective tissue
- C.
  
  Temporary urinary retention due to decreased perception of the urge to avoid
- D.
  
  Breast injury caused by overdistention. stasis. and cracking of the nipples
Correct Answer
D. Breast injury caused by overdistention. stasis. and cracking of the nipples

Explanation
The primary predisposing factor related to mastitis is breast injury caused by overdistention, stasis, and cracking of the nipples. This is because these conditions can lead to the entry of bacteria into the breast tissue through the cracked nipples, resulting in infection and inflammation. Overdistention and stasis can also impair the normal flow of milk, increasing the risk of infection.

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7.

Choose the option that best describes thrombophlebitis.
- A.
  
  Inflammation and clot formation that result when blood components combine to form an aggregate body
- B.
  
  Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels
- C.
  
  Inflammation and blood clots that eventually become lodged within the femoral vein
- D.
  
  Inflammation of the vascular endothelium with clot formation on the vessel wall
Correct Answer
D. Inflammation of the vascular endothelium with clot formation on the vessel wall

Explanation
Thrombophlebitis refers to inflammation of the vascular endothelium, which is the inner lining of blood vessels, along with the formation of a blood clot on the vessel wall. This condition typically occurs when there is damage to the blood vessel, causing inflammation and the formation of a clot. The clot may partially or completely block the blood flow in the affected vessel. Therefore, the given answer accurately describes thrombophlebitis as inflammation of the vascular endothelium with clot formation on the vessel wall.

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8.

Which of the following assessment findings would the nurse expect if the client develops DVT?
- A.
  
  Midcalf pain. tenderness and redness along the vein
- B.
  
  Chills. fever. malaise. occurring 2 weeks after delivery
- C.
  
  Muscle pain the presence of Homans sign. and swelling in the affected limb
- D.
  
  Chills. fever. stiffness. and pain occurring 10 to 14 days after delivery
Correct Answer
C. Muscle pain the presence of Homans sign. and swelling in the affected limb

Explanation
The nurse would expect to find muscle pain, the presence of Homans sign, and swelling in the affected limb if the client develops DVT. Homans sign refers to pain in the calf or popliteal region when the foot is dorsiflexed, which is a classic sign of DVT. Swelling in the affected limb is also a common manifestation of DVT.

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9.

Which of the following are the most commonly assessed findings in cystitis?
- A.
  
  Frequency. urgency. dehydration. nausea. chills. and flank pain
- B.
  
  Nocturia. frequency. urgency dysuria. hematuria. fever and suprapubic pain
- C.
  
  Dehydration. Hypertension. dysuria. suprapubic pain. chills. and fever
- D.
  
  High fever. chills. flank pain nausea. vomiting. dysuria. and frequency
Correct Answer
B. Nocturia. frequency. urgency dysuria. hematuria. fever and suprapubic pain

Explanation
The most commonly assessed findings in cystitis include nocturia (frequent urination at night), frequency (frequent urination during the day), urgency (sudden and strong need to urinate), dysuria (painful urination), hematuria (blood in the urine), fever, and suprapubic pain (pain in the lower abdomen). These symptoms are typically seen in patients with cystitis.

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10.

Choose an option that best reflects the frequency of reported postpartum “blues”.
- A.
  
  Between 10% and 40% of all new mothers report some form of postpartum blues
- B.
  
  Between 30% and 50% of all new mothers report some form of postpartum blues
- C.
  
  Between 50% and 80% of all new mothers report some form of postpartum blues
- D.
  
  Between 25% and 70% of all new mothers report some form of postpartum blues
Correct Answer
C. Between 50% and 80% of all new mothers report some form of postpartum blues

Explanation
Between 50% and 80% of all new mothers report some form of postpartum blues. This means that a significant majority of new mothers experience postpartum blues. The range of 50% to 80% suggests that the exact percentage may vary, but it is clear that a substantial number of new mothers go through this condition.

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Current Version
May 01, 2023

Quiz Edited by
ProProfs Editorial Team
Sep 04, 2017

Quiz Created by
Santepro

Maternal And Child Health Nursing NCLEX Quiz 13

Choose the option that provides evidence of the nurse’s understanding of the client’s immediate needs when PROM occurs.

Choose the option that can be an underlying cause of dystocia.

Which of the following options would be considered the priority when uterine rupture occurs?

What should be the nurse’s initial action when umbilical cord prolapse occurs?

Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?

The primary predisposing factor related to mastitis is __________.

Choose the option that best describes thrombophlebitis.

Which of the following assessment findings would the nurse expect if the client develops DVT?

Which of the following are the most commonly assessed findings in cystitis?

Choose an option that best reflects the frequency of reported postpartum “blues”.