Maternal And Child Health Nursing NCLEX Quiz 33

1. The following are common causes of dysfunctional labor. Which of these can a nurse. on her own manage?

Pelvic bone contraction

Full bladder

Extension rather than flexion of the head

Cervical rigidity

A full bladder can impede the descent of the fetal head. The nurse can readily manage this problem by doing a simple catheterization of the mother.

Explanation

A full bladder can impede the descent of the fetal head. The nurse can readily manage this problem by doing a simple catheterization of the mother.

2. When the fetal head is at the level of the ischial spine. it is said that the station of the head is

Station –1

Station “0”

Station +1

Station +2

determining is defined as the relationship of the fetal head and the level of the ischial spine. At the level of the ischial spine. the station is “0”. Above the ischial spine it is considered (-) station and below the ischial spine it is (+) station.

Explanation

determining is defined as the relationship of the fetal head and the level of the ischial spine. At the level of the ischial spine. the station is “0”. Above the ischial spine it is considered (-) station and below the ischial spine it is (+) station.

3. When the nurse palpates the suprapubic area of the mother and found that the presenting part is still movable. the right term for this observation that the fetus is

Engaged

Descended

Floating

Internal Rotation

The term floating means the fetal presenting part has not entered/descended into the pelvic inlet. If the fetal head has entered the pelvic inlet. it is said to be engaged.

Explanation

The term floating means the fetal presenting part has not entered/descended into the pelvic inlet. If the fetal head has entered the pelvic inlet. it is said to be engaged.

4. The placenta should be delivered normally within ___ minutes after the delivery of the baby.

5 minutes

30 minutes

45 minutes

60 minutes

The placenta is delivered within 30 minutes from the delivery of the baby. If it takes longer. probably the placenta is abnormally adherent and there is a need to refer already to the obstetrician.

Explanation

The placenta is delivered within 30 minutes from the delivery of the baby. If it takes longer. probably the placenta is abnormally adherent and there is a need to refer already to the obstetrician.

5. During an internal examination. the nurse palpated the posterior fontanel to be at the left side of the mother at the upper quadrant. The interpretation is that the position of the fetus is:

LOA

ROP

LOP

ROA

The landmark used in determine fetal position is the posterior fontanel because this is the nearest to the occiput. So if the nurse palpated the occiput (O) at the left (L) side of the mother and at the upper/anterior (A) quadrant then the fetal position is LOA.

Explanation

The landmark used in determine fetal position is the posterior fontanel because this is the nearest to the occiput. So if the nurse palpated the occiput (O) at the left (L) side of the mother and at the upper/anterior (A) quadrant then the fetal position is LOA.

6. The normal dilatation of the cervix during the first stage of labor in a nullipara is

1.2 cm./hr

1.5 cm./hr.

1.8 cm./hr

2.0 cm./hr

For nullipara. the normal cervical dilatation should be 1.2 cm/hr. If it is less than that. it is considered a protracted active phase of the first stage. For multipara. the normal cervical dilatation is 1.5 cm/hr.

Explanation

For nullipara. the normal cervical dilatation should be 1.2 cm/hr. If it is less than that. it is considered a protracted active phase of the first stage. For multipara. the normal cervical dilatation is 1.5 cm/hr.

7. The following are types of breech presentation EXCEPT:

Footling

Frank

Complete

Incomplete

Breech presentation means the buttocks of the fetus is the presenting part. If it is only the foot/feet. it is considered footling. If only the buttocks. it is frank breech. If both the feet and the buttocks are presenting it is called complete breech.

Explanation

Breech presentation means the buttocks of the fetus is the presenting part. If it is only the foot/feet. it is considered footling. If only the buttocks. it is frank breech. If both the feet and the buttocks are presenting it is called complete breech.

8. At what stage of labor is the mother is advised to bear down?

When the mother feels the pressure at the rectal area

During a uterine contraction

In between uterine contraction to prevent uterine rupture

Anytime the mother feels like bearing down

The primary power of labor and delivery is the uterine contraction. This should be augmented by the mother’s bearing down during a contraction.

Explanation

The primary power of labor and delivery is the uterine contraction. This should be augmented by the mother’s bearing down during a contraction.

9. The following are natural childbirth procedures EXCEPT:

Lamaze method

Dick-Read method

Ritgen’s maneuver

Psychoprophylactic method

Ritgen’s method is used to prevent perineal tear/laceration during the delivery of the fetal head. Lamaze method is also known as psychoprophylactic method and Dick-Read method are commonly known natural childbirth procedures which advocate the use of non-pharmacologic measures to relieve labor pain.

Explanation

Ritgen’s method is used to prevent perineal tear/laceration during the delivery of the fetal head. Lamaze method is also known as psychoprophylactic method and Dick-Read method are commonly known natural childbirth procedures which advocate the use of non-pharmacologic measures to relieve labor pain.

10. When shaving a woman in preparation for cesarean section. the area to be shaved should be from ___ to ___

Under breast to mid-thigh including the pubic area

The umbilicus to the mid-thigh

Xyphoid process to the pubic area

Above the umbilicus to the pubic area

Shaving is done to prevent infection and the area usually shaved should sufficiently cover the area for surgery. cesarean section. The pubic hair is definitely to be included in the shaving

Explanation

Shaving is done to prevent infection and the area usually shaved should sufficiently cover the area for surgery. cesarean section. The pubic hair is definitely to be included in the shaving