Maternal And Child Health Nursing NCLEX Quiz 26

1. Which of the following signs will require a mother to seek immediate medical attention?

When the first fetal movement is felt

No fetal movement is felt on the 6th month

Mild uterine contraction

Slight dyspnea on the last month of gestation

Fetal movement is usually felt by the mother during 4.5 – 5 months. If the pregnancy is already in its 6th month and no fetal movement is felt. the pregnancy is not normal either the fetus is already dead intra-uterine or it is an H-mole.

Explanation

Fetal movement is usually felt by the mother during 4.5 – 5 months. If the pregnancy is already in its 6th month and no fetal movement is felt. the pregnancy is not normal either the fetus is already dead intra-uterine or it is an H-mole.

2. The nursing intervention to relieve "morning sickness" in a pregnant woman is by giving

Dry carbohydrate food like crackers

Low sodium diet

Intravenous infusion

Antacid

Morning sickness maybe caused by hypoglycemia early in the morning thus giving carbohydrate food will help.

Explanation

Morning sickness maybe caused by hypoglycemia early in the morning thus giving carbohydrate food will help.

3. The diet that is appropriate in normal pregnancy should be high in

Protein. minerals. and vitamins

Carbohydrates and vitamins

Proteins. carbohydrates. and fats

Fats and minerals

In normal pregnancy there is a higher demand for protein (body building foods). vitamins (esp. vitamin A. B. C. folic acid) and minerals (esp. iron. calcium. phosphorous. zinc. iodine. magnesium) because of the need of the growing fetus.

Explanation

In normal pregnancy there is a higher demand for protein (body building foods). vitamins (esp. vitamin A. B. C. folic acid) and minerals (esp. iron. calcium. phosphorous. zinc. iodine. magnesium) because of the need of the growing fetus.

4. You want to perform a pelvic examination on one of your pregnant clients. You prepare your client for the procedure by:

Asking her to void

Taking her vital signs and recording the readings

Giving the client a perineal care

Doing a vaginal prep

A pelvic examination includes abdominal palpation. If the pregnant woman has a full bladder. the manipulation may cause discomfort and accidental urination because of the pressure applied during the abdominal palpation. Also. a full bladder can impede the accuracy of the examination because the bladder (which is located in front of the uterus) can block the uterus.

Explanation

A pelvic examination includes abdominal palpation. If the pregnant woman has a full bladder. the manipulation may cause discomfort and accidental urination because of the pressure applied during the abdominal palpation. Also. a full bladder can impede the accuracy of the examination because the bladder (which is located in front of the uterus) can block the uterus.

5. The following are skin changes in pregnancy EXCEPT:

Chloasma

Striae gravidarum

Linea negra

Chadwick’s sign

Chadwick’s sign is bluish discoloration of the vaginal mucosa as a result of the increased vascularization in the area.

Explanation

Chadwick’s sign is bluish discoloration of the vaginal mucosa as a result of the increased vascularization in the area.

6. When preparing the mother who is in her 4th month of pregnancy for an abdominal ultrasound. the nurse should instruct her to:

Observe NPO from midnight to avoid vomiting

Do perineal flushing properly before the procedure

Drink at least 2 liters of fluid 2 hours before the procedure and not void until the procedure is done

Void immediately before the procedure for better visualization

Drinking at least 2 liters of water 2 hours before the procedure will result to a distended bladder. A full bladder is needed when doing an abdominal ultrasound to serve as a “window” for the ultrasonic sound waves to pass through and allow visualization of the uterus (located behind the urinary bladder).

Explanation

Drinking at least 2 liters of water 2 hours before the procedure will result to a distended bladder. A full bladder is needed when doing an abdominal ultrasound to serve as a “window” for the ultrasonic sound waves to pass through and allow visualization of the uterus (located behind the urinary bladder).

7. Which of the following are the functions of amniotic fluid?(1. Cushions the fetus from abdominal trauma.|| 2. Serves as the fluid for the fetus.|| 3. Maintains the internal temperature. || 4. Facilitates fetal movement.

1 & 3

1. 3. 4

1. 2. 3

All of the above

All the four functions enumerated are true of amniotic fluid.

Explanation

All the four functions enumerated are true of amniotic fluid.

8. The common normal site of nidation/implantation in the uterus is

Upper uterine portion

Mid-uterine area

Lower uterine segment

Lower cervical segment

The embryo’s normal nidation site is the upper portion of the uterus. If the implantation is in the lower segment. this is an abnormal condition called placenta previa.

Explanation

The embryo’s normal nidation site is the upper portion of the uterus. If the implantation is in the lower segment. this is an abnormal condition called placenta previa.

9. Mrs. Santos is on her 5th pregnancy and has a history of abortion in the 4th pregnancy. and the first pregnancy was a twin. She is considered to be

G 4 P 3

G 5 P 3

G 5 P 4

G 4 P 4

Gravida refers to the total number of pregnancies including the current one. Para refers to the number of pregnancies that have reached viability. Thus. if the woman has had one abortion. she would be considered Para 3. Twin pregnancy is counted only as 1.

Explanation

Gravida refers to the total number of pregnancies including the current one. Para refers to the number of pregnancies that have reached viability. Thus. if the woman has had one abortion. she would be considered Para 3. Twin pregnancy is counted only as 1.

10. Which of the following statements is TRUE of conception?

Within 2-4 hours after intercourse. conception is possible in a fertile woman

Generally. fertilization is possible 4 days after ovulation

Conception is possible during menstruation in a long menstrual cycle

To avoid conception. intercourse must be avoided 5 days before and 3 days after menstruation

The sperms when deposited near the cervical os will be able to reach the fallopian tubes within 4 hours. If the woman has just ovulated (within 24hours after the rupture of the graafian follicle). fertilization is possible.

Explanation

The sperms when deposited near the cervical os will be able to reach the fallopian tubes within 4 hours. If the woman has just ovulated (within 24hours after the rupture of the graafian follicle). fertilization is possible.