Maternal And Child Health Nursing NCLEX Quiz 25

1. Shoes with low. broad heels. plus a good posture will prevent which prenatal discomfort?

Backache

Vertigo

Leg cramps

Nausea

Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her third trimester usually assumes a lordotic posture to maintain balance causing an exaggeration of the lumbar curvature. Low broad heels provide the pregnant woman with a good support.

Explanation

Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her third trimester usually assumes a lordotic posture to maintain balance causing an exaggeration of the lumbar curvature. Low broad heels provide the pregnant woman with a good support.

2. The main reason for an expected increased need for iron in pregnancy is:

The mother may have physiologic anemia due to the increased need for red blood cell mass as well as the fetal requires about 350-400 mg of iron to grow

The mother may suffer anemia because of poor appetite

The fetus has an increased need for RBC which the mother must supply

The mother may have a problem of digestion because of pica

About 400 mgs of Iron is needed by the mother in order to produce more RBC mass to be able to provide the needed increase in blood supply for the fetus. Also. about 350-400 mgs of iron is need for the normal growth of the fetus. Thus. about 750-800 mgs iron supplementation is needed by the mother to meet this additional requirement.

Explanation

About 400 mgs of Iron is needed by the mother in order to produce more RBC mass to be able to provide the needed increase in blood supply for the fetus. Also. about 350-400 mgs of iron is need for the normal growth of the fetus. Thus. about 750-800 mgs iron supplementation is needed by the mother to meet this additional requirement.

3. Kegel's exercise is done in pregnancy in order to:

Strengthen perineal muscles

Relieve backache

Strengthen abdominal muscles

Prevent leg varicosities and edema

Kegel’s exercise is done by contracting and relaxing the muscles surrounding the vagina and anus in order to strengthen the perineal muscles

Explanation

Kegel’s exercise is done by contracting and relaxing the muscles surrounding the vagina and anus in order to strengthen the perineal muscles

4. When a pregnant woman experiences leg cramps. the correct nursing intervention to relieve the muscle cramps is:

Allow the woman to exercise

Let the woman walk for a while

Let the woman lie down and dorsiflex the foot towards the knees

Ask the woman to raise her legs

Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus. the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.

Explanation

Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus. the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.

5. From the 33rd week of gestation till full term. a healthy mother should have a prenatal check up every:

Week

2 weeks

3 weeks

4 weeks

In the 9th month of pregnancy the mother needs to have a weekly visit to the prenatal clinic to monitor fetal condition and to ensure that she is adequately prepared for the impending labor and delivery.

Explanation

In the 9th month of pregnancy the mother needs to have a weekly visit to the prenatal clinic to monitor fetal condition and to ensure that she is adequately prepared for the impending labor and delivery.

6. Pelvic rocking is an appropriate exercise in pregnancy to relieve which discomfort?

Leg cramps

Urinary frequency

Orthostatic hypotension

Backache

Backache is caused by the stretching of the muscles of the lower back because of the pregnancy. Pelvic rocking is good to relieve backache.

Explanation

Backache is caused by the stretching of the muscles of the lower back because of the pregnancy. Pelvic rocking is good to relieve backache.

7. The expected weight gain in a normal pregnancy during the 3rd trimester is

1 pound a week

2 pounds a week

10 lbs a month

10 lbs total weight gain in the 3rd trimester

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus. one pound a week is expected.

Explanation

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus. one pound a week is expected.

8. The following are ways of determining expected date of delivery (EDD) when the LMP is unknown EXCEPT:

Naegele’s rule

Quickening

McDonald’s rule

Batholomew’s rule of 4

Naegele’s Rule is determined based on the last menstrual period of the woman.

Explanation

Naegele’s Rule is determined based on the last menstrual period of the woman.

9. If the LMP is Jan. 30. the expected date of delivery (EDD) is

Oct. 7

Oct. 24

Nov. 7

Nov. 8

Based on the last menstrual period. the expected date of delivery is Nov. 7. The formula for the Naegele’s Rule is subtract 3 from the month and add 7 to the day.

Explanation

Based on the last menstrual period. the expected date of delivery is Nov. 7. The formula for the Naegele’s Rule is subtract 3 from the month and add 7 to the day.

10. In Bartholomew's rule of 4. when the level of the fundus is midway between the umbilicus and xiphoid process the estimated age of gestation (AOG) is:

5th month

6th month

7th month

8th month

In Bartholomew’s Rule of 4. the landmarks used are the symphysis pubis. umbilicus and xyphoid process. At the level of the umbilicus. the AOG is approximately 5 months and at the level of the xyphoid process 9 months. Thus. midway between these two landmarks would be considered as 7 months AOG.

Explanation

In Bartholomew’s Rule of 4. the landmarks used are the symphysis pubis. umbilicus and xyphoid process. At the level of the umbilicus. the AOG is approximately 5 months and at the level of the xyphoid process 9 months. Thus. midway between these two landmarks would be considered as 7 months AOG.