Maternal And Child Health Nursing NCLEX Quiz 28

1. Papanicolaou smear is usually done to determine cancer of

Cervix

Ovaries

Fallopian tubes

Breast

Papanicolaou (Paps) smear is done to detect cervical cancer. It can’t detect cancer in ovaries and fallopian tubes because these organs are outside of the uterus and the abnormal cells from these organs will not be detected from a smear done on the cervix.

Explanation

Papanicolaou (Paps) smear is done to detect cervical cancer. It can’t detect cancer in ovaries and fallopian tubes because these organs are outside of the uterus and the abnormal cells from these organs will not be detected from a smear done on the cervix.

2. Which of the following can lead to infertility in adult males?

German measles

Orchitis

Chicken pox

Rubella

Orchitis is a complication that may accompany mumps in adult males. This condition is characterized by unilateral inflammation of one of the testes which can lead to atrophy of the affected testis. About 20-30% of males who gets mumps after puberty may develop this complication.

Explanation

Orchitis is a complication that may accompany mumps in adult males. This condition is characterized by unilateral inflammation of one of the testes which can lead to atrophy of the affected testis. About 20-30% of males who gets mumps after puberty may develop this complication.

3. In which of the following conditions can the causative agent pass through the placenta and affect the fetus in utero?

Gonorrhea

Rubella

Candidiasis

Moniliasis

Rubella is caused by a virus and viruses have low molecular weight thus can pass through the placental barrier.Options A. C. and D: Gonorrhea. candidiasis and moniliasis are conditions that can affect the fetus as it passes through the vaginal canal during the delivery process.

Explanation

Rubella is caused by a virus and viruses have low molecular weight thus can pass through the placental barrier.Options A. C. and D: Gonorrhea. candidiasis and moniliasis are conditions that can affect the fetus as it passes through the vaginal canal during the delivery process.

4. To prevent preterm labor from progressing. drugs are usually prescribed to halt the labor. The drugs commonly given are:

Magnesium sulfate and terbutaline

Prostaglandin and oxytocin

Progesterone and estrogen

Dexamethasone and prostaglandin

Magnesium sulfate acts as a CNS depressant as well as a smooth muscle relaxant. Terbutaline is a drug that inhibits the uterine smooth muscles from contracting. On the other hand. oxytocin and prostaglandin stimulates contraction of smooth muscles.

Explanation

Magnesium sulfate acts as a CNS depressant as well as a smooth muscle relaxant. Terbutaline is a drug that inhibits the uterine smooth muscles from contracting. On the other hand. oxytocin and prostaglandin stimulates contraction of smooth muscles.

5. In placenta praevia marginalis. the placenta is found at the:

Internal cervical os partly covering the opening

External cervical os slightly covering the opening

Lower segment of the uterus with the edges near the internal cervical os

Lower portion of the uterus completely covering the cervix

Placenta marginalis is a type of placenta previa wherein the placenta is implanted at the lower segment of the uterus thus the edges of the placenta are touching the internal cervical opening/os. The normal site of placental implantation is the upper portion of the uterus.

Explanation

Placenta marginalis is a type of placenta previa wherein the placenta is implanted at the lower segment of the uterus thus the edges of the placenta are touching the internal cervical opening/os. The normal site of placental implantation is the upper portion of the uterus.

6. Which of the following is TRUE in Rh incompatibility?

The condition can occur if the mother is Rh(+) and the fetus is Rh(-)

Every pregnancy of a Rh(-) mother will result to erythroblastosis fetalis

On the first pregnancy of the Rh(-) mother. the fetus will not be affected

RhoGam is given only during the first pregnancy to prevent incompatibility

On the first pregnancy. the mother still has no contact with Rh(+) blood thus it has not antibodies against Rh(+). After the first pregnancy. even if terminated into an abortion. there is already the possibility of mixing of maternal and fetal blood so this can trigger the maternal blood to produce antibodies against Rh(+) blood. The fetus takes it’s blood type usually form the father.

Explanation

On the first pregnancy. the mother still has no contact with Rh(+) blood thus it has not antibodies against Rh(+). After the first pregnancy. even if terminated into an abortion. there is already the possibility of mixing of maternal and fetal blood so this can trigger the maternal blood to produce antibodies against Rh(+) blood. The fetus takes it’s blood type usually form the father.

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

Frequency. urgency. dehydration. nausea. chills. and flank pain

Nocturia. frequency. urgency dysuria. hematuria. fever and suprapubic pain

Dehydration. hypertension. dysuria. suprapubic pain. chills. and fever

High fever. chills. flank pain nausea. vomiting. dysuria. and frequency

Dehydration. hypertension. and chills are not typically associated with cystitis. High fever chills. flank pain. nausea. vomiting. dysuria. and frequency are associated with pyelonephritis.

Explanation

Dehydration. hypertension. and chills are not typically associated with cystitis. High fever chills. flank pain. nausea. vomiting. dysuria. and frequency are associated with pyelonephritis.

8. Before giving a repeat dose of magnesium sulfate to a pre-eclamptic patient. the nurse should assess the patient's condition. Which of the following conditions will require the nurse to temporarily suspend a repeat dose of magnesium sulfate?

100 cc. urine output in 4 hours

Knee jerk reflex is (+)2

Serum magnesium level is 10mEg/L.

Respiratory rate of 16/min

The minimum urine output expected for a repeat dose of MgSO4 is 30 cc/hr. If in 4 hours the urine output is only 100 cc this is low and can lead to poor excretion of Magnesium with a possible cumulative effect. which can be dangerous to the mother.

Explanation

The minimum urine output expected for a repeat dose of MgSO4 is 30 cc/hr. If in 4 hours the urine output is only 100 cc this is low and can lead to poor excretion of Magnesium with a possible cumulative effect. which can be dangerous to the mother.

9. Which of the following causes of infertility in the female is primarily psychological in origin?

Vaginismus

Dyspareunia

Endometriosis

Impotence

Vaginismus is primarily psychological in origin.Option B: Dyspareunia is usually caused by infection. endometriosis or hormonal changes in menopause although may sometimes be psychological in origin.Option C: Endometriosis is a condition that is caused by organic abnormalities.

Explanation

Vaginismus is primarily psychological in origin.Option B: Dyspareunia is usually caused by infection. endometriosis or hormonal changes in menopause although may sometimes be psychological in origin.Option C: Endometriosis is a condition that is caused by organic abnormalities.

10. Which of the following best reflects the frequency of reported postpartum "blues"?