Maternal And Child Health Nursing NCLEX Quiz 29

10 Questions | Total Attempts: 2440

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Maternal And Child Health Nursing NCLEX Quizzes & Trivia

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. 
    Which of the following conditions will lead to a small-for-gestational-age fetus due to less blood supply to the fetus?
    • A. 

      Diabetes in the mother

    • B. 

      Maternal cardiac condition

    • C. 

      Premature labor

    • D. 

      Abruptio placenta

  • 2. 
    The lower limit of viability for infants in terms of age of gestation is:
    • A. 

      21-24 weeks

    • B. 

      25-27 weeks

    • C. 

      28-30 weeks

    • D. 

      38-40 weeks

  • 3. 
    A nurse in the labor room is monitoring a client with dysfunctional labor for signs of maternal or fetal compromise. Which of the following assessment findings would alert the nurse to a compromise?
    • A. 

      Coordinated uterine contractions

    • B. 

      Meconium in the amniotic fluid

    • C. 

      Progressive changes in the cervix

    • D. 

      Maternal fatigue

  • 4. 
    While assessing a G2P2 client who had a normal spontaneous vaginal delivery 30 minutes ago. the nurse notes a large amount of red vaginal bleeding. What would be the initial priority nursing action?
    • A. 

      Notify the physician

    • B. 

      Encourage to breast-feed soon after birth

    • C. 

      Monitor vital signs

    • D. 

      Provide fundal massage

  • 5. 
    The preferred manner of delivering the baby in a gravido-cardiac is vaginal delivery assisted by forceps under epidural anesthesiA. The main rationale for this is:
    • A. 

      To allow atraumatic delivery of the baby

    • B. 

      To allow a gradual shifting of the blood into the maternal circulation

    • C. 

      To make the delivery effort free and the mother does not need to push with contractions

    • D. 

      To prevent perineal laceration with the expulsion of the fetal head

  • 6. 
    When giving narcotic analgesics to mother in labor. the special consideration to follow is:
    • A. 

      The progress of labor is well established reaching the transitional stage

    • B. 

      Uterine contraction is progressing well. and delivery of the baby is imminent

    • C. 

      Cervical dilatation has already reached at least 8 cm. and the station is at least (+)2

    • D. 

      Uterine contractions are strong and the baby will not be delivered yet within the next 3 hours.

  • 7. 
    The cervical dilatation taken at 8:00 AM in a G1P0 patient was 6 centimeters. A repeat I.E. done at 10 A. M. showed that cervical dilation was 7 cm. The correct interpretation of this result is:
    • A. 

      Labor is progressing as expected

    • B. 

      The latent phase of Stage 1 is prolonged

    • C. 

      The active phase of Stage 1 is protracted

    • D. 

      The duration of labor is normal

  • 8. 
    Which of the following techniques during labor and delivery can lead to uterine inversion?
    • A. 

      Fundal pressure applied to assist the mother in bearing down during delivery of the fetal head

    • B. 

      Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation

    • C. 

      Massaging the fundus to encourage the uterus to contract

    • D. 

      Applying light traction when delivering the placenta that has already detached from the uterine wall

  • 9. 
    The fetal heart rate is checked following rupture of the bag of waters in order to:
    • A. 

      Check if the fetus is suffering from head compression

    • B. 

      Determine if cord compression followed the rupture

    • C. 

      Determine if there is uteroplacental insufficiency

    • D. 

      Check if fetal presenting part has adequately descended following the rupture

  • 10. 
    Upon assessment. the nurse got the following findings: 2 perineal pads highly saturated with blood within 2 hours postpartum. PR= 80 bpm. fundus soft and boundaries not well defineD. The appropriate nursing diagnosis is:
    • A. 

      Normal blood loss

    • B. 

      Blood volume deficiency

    • C. 

      Inadequate tissue perfusion related to hemorrhage

    • D. 

      Hemorrhage secondary to uterine atony

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