Maternal And Child Health Nursing NCLEX Quiz 37

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Maternal And Child Health Nursing NCLEX Quiz 37 - 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. 

    What would be the appropriate first nursing action when caring for a 20-year old G1P0 woman at 39 weeks gestation who is in active labor and for whom an assessment reveals mild variable fetal heart rate decelerations?

    • A.

      Notify the physician

    • B.

      Prepare the client for immediate delivery

    • C.

      Readjust the fetal monitor

    • D.

      Change the maternal position

    Correct Answer
    D. Change the maternal position
    Explanation
    The cause of variable fetal heart decelerations is umbilical cord compression. which can usually be corrected by changing the maternal position.

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  • 2. 

    Birth Control Methods and Infertility: In basal body temperature (BBT) technique. the sign that ovulation has occurred is an elevation of body temperature by :

    • A.

      1.0-1.4 degrees centigrade

    • B.

      0.2-0.4 degrees centigrade

    • C.

      2.0-4.0 degrees centigrade

    • D.

      1.0-4.0 degrees centigrade

    Correct Answer
    B. 0.2-0.4 degrees centigrade
    Explanation
    The release of the hormone progesterone in the body following ovulation causes a slight elevation of basal body temperature of about 0.2 – 0.4 degrees centigrade

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  • 3. 

    Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if

    • A.

      The mother breastfeeds mainly at night time when ovulation could possibly occur

    • B.

      The mother breastfeeds exclusively and regularly during the first 6 months without giving supplemental feedings

    • C.

      The mother uses mixed feeding faithfully

    • D.

      The mother breastfeeds regularly until 1 year with no supplemental feedings

    Correct Answer
    B. The mother breastfeeds exclusively and regularly during the first 6 months without giving supplemental feedings
    Explanation
    A mother who breastfeeds exclusively and regularly during the first 6 months benefits from lactation amenorrhea. There is evidence to support the observation that the benefits of lactation amenorrhea last for 6 months provided the woman has not had her first menstruation since delivery of the baby.

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  • 4. 

    The intra-uterine device prevents pregnancy by the ffg mechanism EXCEPT

    • A.

      Endometrium inflames

    • B.

      Fundus contracts to expel uterine contents

    • C.

      Copper embedded in the IUD can kill the sperms

    • D.

      Sperms will be barred from entering the fallopian tubes

    Correct Answer
    D. Sperms will be barred from entering the fallopian tubes
    Explanation
    An intrauterine device is a foreign body so that if it is inserted into the uterine cavity. the initial reaction is to produce inflammatory process and the uterus will contract in order to try to expel the foreign body. Usually. IUDs are coated with copper to serve as spermicide killing the sperms deposited into the female reproductive tract. But the IUD does not completely fill up the uterine cavity thus sperms which are microscopic is size can still pass through.

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  • 5. 

    Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

    • A.

      Estrogen-only

    • B.

      Progesterone only

    • C.

      Mixed type- estrogen and progesterone

    • D.

      21-day pills mixed type

    Correct Answer
    B. Progesterone only
    Explanation
    If the mother is breastfeeding. the progesterone only type is the best because estrogen can affect lactation.

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  • 6. 

    The natural family planning method called Standard Days (SDM). is the latest type and easy to use methoD. However. it is a method applicable only to women with regular menstrual cycles between ___ to ___ days.

    • A.

      21-26 days

    • B.

      26-32 days

    • C.

      28-30 days

    • D.

      24- 36 days

    Correct Answer
    B. 26-32 days
    Explanation
    Standard Days Method (SDM) requires that the menstrual cycles are regular between 26-32 days. There is no need to monitor temperature or mucus secretion. This natural method of family planning is very simple since all that the woman pays attention to is her cycle. With the aid of CycleBeads. the woman can easily monitor her cycles.

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  • 7. 

    Which of the following are signs of ovulation? (Select all that apply)

    • A.

      Mittelschmerz;

    • B.

      Spinnbarkeit;

    • C.

      Thin watery cervical mucus;

    • D.

      Elevated body temperature of 4.0 degrees centigrade

    Correct Answer(s)
    A. Mittelschmerz;
    B. Spinnbarkeit;
    C. Thin watery cervical mucus;
    Explanation
    Mittelschmerz. spinnbarkeit and thin watery cervical mucus are signs of ovulation. When ovulation occurs. the hormone progesterone is released which can cause a slight elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees centigrade.

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  • 8. 

    The following methods of artificial birth control works as a barrier device EXCEPT:

    • A.

      Condom

    • B.

      Cervical cap

    • C.

      Cervical Diaphragm

    • D.

      Intrauterine device (IUD)

    Correct Answer
    D. Intrauterine device (IUD)
    Explanation
    Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.

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  • 9. 

    Which of the following is a TRUE statement about normal ovulation?

    • A.

      It occurs on the 14th day of every cycle

    • B.

      It may occur between 14-16 days before next menstruation

    • C.

      Every menstrual period is always preceded by ovulation

    • D.

      The most fertile period of a woman is 2 days after ovulation

    Correct Answer
    B. It may occur between 14-16 days before next menstruation
    Explanation
    Not all menstrual cycles are ovulatory. Normal ovulation in a woman occurs between the 14th to the 16th day before the NEXT menstruation. A common misconception is that ovulation occurs on the 14th day of the cycle. This is a misconception because ovulation is determined NOT from the first day of the cycle but rather 14-16 days BEFORE the next menstruation.

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  • 10. 

    If a couple would like to enhance their fertility. the following means can be done: (Select all that apply)

    • A.

      Monitor the basal body temperature of the woman every day to determine peak period of fertility;

    • B.

      Have adequate rest and nutrition;

    • C.

      Have sexual contact only during the dry period of the woman;

    • D.

      Undergo a complete medical check-up to rule out any debilitating disease

    Correct Answer(s)
    A. Monitor the basal body temperature of the woman every day to determine peak period of fertility;
    B. Have adequate rest and nutrition;
    D. Undergo a complete medical check-up to rule out any debilitating disease
    Explanation
    All of the above are essential for enhanced fertility except no. 3 because during the dry period the woman is in her infertile period thus even when sexual contact is done. there will be no ovulation. thus fertilization is not possible.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 08, 2017
    Quiz Created by
    Santepro
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