Maternal And Child Health Nursing NCLEX Quiz 31

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Maternal And Child Health Nursing NCLEX Quiz 31 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 

    The mechanisms involved in fetal delivery is

    • A.

      Descent. extension. flexion. external rotation

    • B.

      Descent. flexion. internal rotation. extension. external rotation

    • C.

      Flexion. internal rotation. external rotation. extension

    • D.

      Internal rotation. extension. external rotation. flexion

    Correct Answer
    B. Descent. flexion. internal rotation. extension. external rotation
    Explanation
    The mechanism of fetal delivery begins with descent into the pelvic inlet which may occur several days before true labor sets in the primigravida. Flexion. internal rotation. and extension are mechanisms that the fetus must perform as it accommodates through the passageway/birth canal. Eternal rotation is done after the head is delivered so that the shoulders will be easily delivered through the vaginal introitus.

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  • 2. 

    The first thing that a nurse must ensure when the baby’s head comes out is

    • A.

      The cord is intact

    • B.

      No part of the cord is encircling the baby’s neck

    • C.

      The cord is still attached to the placenta

    • D.

      The cord is still pulsating

    Correct Answer
    B. No part of the cord is encircling the baby’s neck
    Explanation
    The nurse should check right away for possible cord coil around the neck because if it is present. the baby can be strangulated by it and the fetal head will have difficulty being delivered.

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  • 3. 

    To ensure that the baby will breathe as soon as the head is delivered. the nurse’s priority action is to

    • A.

      Suction the nose and mouth to remove mucous secretions

    • B.

      Slap the baby’s buttocks to make the baby cry

    • C.

      Clamp the cord about 6 inches from the base

    • D.

      Check the baby’s color to make sure it is not cyanotic

    Correct Answer
    D. Check the baby’s color to make sure it is not cyanotic
    Explanation
    Suctioning the nose and mouth of the fetus as soon as the head is delivered will remove any obstruction that may be present allowing for better breathing. Also. if mucus is in the nose and mouth. aspiration of the mucus is possible which can lead to aspiration pneumonia. (Remember that only the baby’s head has come out as given in the situation.)

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  • 4. 

    When doing perineal care in preparation for delivery. the nurse should observe the following EXCEPT

    • A.

      Use up-down technique with one stroke

    • B.

      Clean from the mons veneris to the anus

    • C.

      Use mild soap and warm water

    • D.

      Paint the inner thighs going towards the perineal area

    Correct Answer
    D. Paint the inner thighs going towards the perineal area
    Explanation
    Painting of the perineal area in preparation for delivery of the baby must always be done but the stroke should be from the perineum going outwards to the thighs. The perineal area is the one being prepared for the delivery and must be kept clean

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  • 5. 

    What are the important considerations that the nurse must remember after the placenta is delivered? Select all that apply

    • A.

      Check if the placenta is complete including the membranes

    • B.

      Check if the cord is long enough for the baby

    • C.

      Check if the umbilical cord has 3 blood vessels

    • D.

      Check if the cord has a meaty portion and a shiny portion

    Correct Answer(s)
    A. Check if the placenta is complete including the membranes
    C. Check if the umbilical cord has 3 blood vessels
    Explanation
    The nurse after delivering the placenta must ensure that all the cotyledons and the membranes of the placenta are complete. Also. the nurse must check if the umbilical cord is normal which means it contains the 3 blood vessels: 1 vein and 2 arteries.

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  • 6. 

    The following are correct statements about false labor EXCEPT

    • A.

      The pain is irregular in intensity and frequency.

    • B.

      The duration of contraction progressively lengthens over time

    • C.

      There is no bloody vaginal discharge

    • D.

      The cervix is still closeD.

    Correct Answer
    B. The duration of contraction progressively lengthens over time
    Explanation
    In false labor. the contractions remain to be irregular in intensity and duration while in true labor. the contractions become stronger. longer and more frequent.

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  • 7. 

    The passageway in labor and delivery of the fetus include the following EXCEPT

    • A.

      Distensibility of lower uterine segment

    • B.

      Cervical dilatation and effacement

    • C.

      Distensibility of vaginal canal and introitus

    • D.

      Flexibility of the pelvis

    Correct Answer
    D. Flexibility of the pelvis
    Explanation
    The pelvis is a bony structure that is part of the passageway but is not flexible. The lower uterine segment including the cervix as well as the vaginal canal and introitus are all part of the passageway in the delivery of the fetus.

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  • 8. 

    The normal umbilical cord is composed of:

    • A.

      2 arteries and 1 vein

    • B.

      2 veins and 1 artery

    • C.

      2 arteries and 2 veins

    • D.

      None of the above

    Correct Answer
    A. 2 arteries and 1 vein
    Explanation
    The umbilical cord is composed of 2 arteries and 1 vein.

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  • 9. 

    At what stage of labor and delivery does a primigravida differ mainly from a multigravida?

    • A.

      Stage 1

    • B.

      Stage 2

    • C.

      Stage 3

    • D.

      Stage 4

    Correct Answer
    A. Stage 1
    Explanation
    In stage 1 during a normal vaginal delivery of a vertex presentation. the multigravida may have about 8 hours labor while the primigravida may have up to 12 hours labor.

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  • 10. 

    The second stage of labor begins with ___ and ends with __?

    • A.

      Begins with full dilatation of cervix and ends with delivery of placenta

    • B.

      Begins with true labor pains and ends with delivery of baby

    • C.

      Begins with complete dilatation and effacement of cervix and ends with delivery of baby

    • D.

      Begins with passage of show and ends with full dilatation and effacement of cervix

    Correct Answer
    C. Begins with complete dilatation and effacement of cervix and ends with delivery of baby
    Explanation
    Stage 2 of labor and delivery process begins with full dilatation of the cervix and ends with the delivery of the baby. Stage 1 begins with true labor pains and ends with full dilatation and effacement of the cervix.

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