Maternal And Child Health Nursing NCLEX Quiz 17

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Questions: 10 | Attempts: 5,757 | Updated: Mar 21, 2023

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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.

When preparing to administer the vitamin K injection to a neonate. the nurse would select which of the following sites as appropriate for the injection?
- A.
  
  Deltoid muscle
- B.
  
  Anterior femoris muscle
- C.
  
  Vastus lateralis muscle
- D.
  
  Gluteus maximus muscle
Correct Answer
C. Vastus lateralis muscle

Explanation
The middle third of the vastus lateralis is the preferred injection site for vitamin K administration because it is free of blood vessels and nerves and is large enough to absorb the medication.Option A: The deltoid muscle of a newborn is not large enough for a newborn IM injection. Injections into this muscle in a small child might cause damage to the radial nerve.Option B: The anterior femoris muscle is the next safest muscle to use in a newborn but is not the safest.Option D: Because of the proximity of the sciatic nerve. the gluteus maximus muscle should not be until the child has been walking 2 years.

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2.

When performing a pelvic examination. the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?
- A.
  
  Clitoris
- B.
  
  Parotid gland
- C.
  
  Skene’s gland
- D.
  
  Bartholin’s gland
Correct Answer
D. Bartholin’s gland

Explanation
Bartholin’s glands are the glands on either side of the vaginal orifice.Option A: The clitoris is female erectile tissue found in the perineal area above the urethra.Option B: The parotid glands are open into the mouth.Option C: Skene’s glands open into the posterior wall of the female urinary meatus.

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3.

To differentiate as a female. the hormonal stimulation of the embryo that must occur involves which of the following?
- A.
  
  Increase in maternal estrogen secretion
- B.
  
  Decrease in maternal androgen secretion
- C.
  
  Secretion of androgen by the fetal gonad
- D.
  
  Secretion of estrogen by the fetal gonad
Correct Answer
D. Secretion of estrogen by the fetal gonad

Explanation
The fetal gonad must secrete estrogen for the embryo to differentiate as a female.Option A: An increase in maternal estrogen secretion does not effect differentiation of the embryo. and maternal estrogen secretion occurs in every pregnancy.Option B: Maternal androgen secretion remains the same as before pregnancy and does not affect differentiation.Option C: Secretion of androgen by the fetal gonad would produce a male fetus.

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4.

A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?
- A.
  
  Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water
- B.
  
  Eating a few low-sodium crackers before getting out of bed
- C.
  
  Avoiding the intake of liquids in the morning hours
- D.
  
  Eating six small meals a day instead of three large meals
Correct Answer
A. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water

Explanation
Using bicarbonate would increase the amount of sodium ingested. which can cause complications.Option B: Eating low-sodium crackers would be appropriate.Option C: Since liquids can increase nausea avoiding them in the morning hours when nausea is usually the strongest is appropriate.Option D: Eating six small meals a day would keep the stomach full. which often decrease nausea.

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5.

The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?
- A.
  
  Palpable contractions on the abdomen
- B.
  
  Passive movement of the unengaged fetus
- C.
  
  Fetal kicking felt by the client
- D.
  
  Enlargement and softening of the uterus
Correct Answer
B. Passive movement of the unengaged fetus

Explanation
Ballottement indicates passive movement of the unengaged fetus.Option A: Ballottement is not a contraction.Option C: Fetal kicking felt by the client represents quickening.Option D: Enlargement and softening of the uterus is known as Piskacek’s sign.

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1
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6.

During a pelvic exam. the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?
- A.
  
  Braxton-Hicks sign
- B.
  
  Chadwick’s sign
- C.
  
  Goodell’s sign
- D.
  
  McDonald’s sign
Correct Answer
B. Chadwick’s sign

Explanation
Chadwick’s sign refers to the purple-blue tinge of the cervix.Option A: Braxton Hicks contractions are painless contractions beginning around the 4th month.Option C: Goodell’s sign indicates softening of the cervix.Option D: Flexibility of the uterus against the cervix is known as McDonald’s sign.

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1
0
7.

During a prenatal class. the nurse explains the rationale for breathing techniques during preparation for labor based on the understanding that breathing techniques are most important in achieving which of the following?
- A.
  
  Eliminate pain and give the expectant parents something to do
- B.
  
  Reduce the risk of fetal distress by increasing uteroplacental perfusion
- C.
  
  Facilitate relaxation. possibly reducing the perception of pain
- D.
  
  Eliminate pain so that less analgesia and anesthesia are needed
Correct Answer
C. Facilitate relaxation. possibly reducing the perception of pain

Explanation
Breathing techniques can raise the pain threshold and reduce the perception of pain. They also promote relaxation.Options A. B. and D: Breathing techniques do not eliminate pain. but they can reduce it. Positioning. not breathing. increases uteroplacental perfusion.

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8.

After 4 hours of active labor. the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?
- A.
  
  Obtaining an order to begin IV oxytocin infusion
- B.
  
  Administering a light sedative to allow the patient to rest for several hours
- C.
  
  Preparing for a cesarean section for failure to progress
- D.
  
  Increasing the encouragement to the patient when pushing begins
Correct Answer
A. Obtaining an order to begin IV oxytocin infusion

Explanation
The client’s labor is hypotonic. The nurse should call the physical and obtain an order for an infusion of oxytocin. which will assist the uterus to contract more forcefully in an attempt to dilate the cervix.Option B: Administering light sedative would be done for hypertonic uterine contractions.Option C: Preparing for cesarean section is unnecessary at this time.Option D: Oxytocin would increase the uterine contractions and hopefully progress labor before a cesarean would be necessary. It is too early to anticipate client pushing with contractions.

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9.

A multigravida at 38 weeks’ gestation is admitted with painless. bright red bleeding and mild contractions every 7 to 10 minutes. Which of the following assessments should be avoided?
- A.
  
  Maternal vital sign
- B.
  
  Fetal heart rate
- C.
  
  Contraction monitoring
- D.
  
  Cervical dilation
Correct Answer
D. Cervical dilation

Explanation
The signs indicate placenta previa and vaginal exam to determine cervical dilation would not be done because it could cause hemorrhage.Option A: Assessing maternal vital signs can help determine maternal physiologic status.Option B: Fetal heart rate is important to assess fetal well-being and should be done.Option C: Monitoring the contractions will help evaluate the progress of labor.

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10.

Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa?
- A.
  
  “You will have to ask your physician when he returns.”
- B.
  
  “You need a cesarean to prevent hemorrhage.”
- C.
  
  “The placenta is covering most of your cervix.”
- D.
  
  “The placenta is covering the opening of the uterus and blocking your baby.”
Correct Answer
D. “The placenta is covering the opening of the uterus and blocking your baby.”

Explanation
A complete placenta previa occurs when the placenta covers the opening of the uterus. thus blocking the passageway for the baby. This response explains what a complete previa is and the reason the baby cannot come out except by cesarean delivery.Option A: Telling the client to ask the physician is a poor response and would increase the patient’s anxiety.Option B: Although a cesarean would help to prevent hemorrhage. the statement does not explain why the hemorrhage could occur.Option C: With a complete previa. the placenta is covering all the cervix. not just most of it.

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Current Version
Mar 21, 2023

Quiz Edited by
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Sep 04, 2017

Quiz Created by
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Maternal And Child Health Nursing NCLEX Quiz 17

When preparing to administer the vitamin K injection to a neonate. the nurse would select which of the following sites as appropriate for the injection?

When performing a pelvic examination. the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?

To differentiate as a female. the hormonal stimulation of the embryo that must occur involves which of the following?

A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?

The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?

During a pelvic exam. the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?

During a prenatal class. the nurse explains the rationale for breathing techniques during preparation for labor based on the understanding that breathing techniques are most important in achieving which of the following?

After 4 hours of active labor. the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?

A multigravida at 38 weeks’ gestation is admitted with painless. bright red bleeding and mild contractions every 7 to 10 minutes. Which of the following assessments should be avoided?

Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa?