Maternal And Child Health Nursing NCLEX Quiz 29

10 Questions | By Santepro | Last updated: Mar 21, 2022 | 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