Maternal And Child Health Nursing NCLEX Quiz 36

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Maternal And Child Health 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. 

    Postpartum blues is said to be normal provided that the following characteristics are present. These are  : (Select all that apply)

    • A.

      Within 3-10 days only;

    • B.

      Woman exhibits the following symptoms- episodic tearfulness. fatigue. oversensitivity. poor appetite;

    • C.

      Maybe more severe symptoms in primipara

    Correct Answer(s)
    A. Within 3-10 days only;
    B. Woman exhibits the following symptoms- episodic tearfulness. fatigue. oversensitivity. poor appetite;
    C. Maybe more severe symptoms in primipara
    Explanation
    All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms last more than 2 weeks. this could be a sign of abnormality like postpartum depression and needs treatment.

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  • 2. 

    The neonatal circulation differs from the fetal circulation because

    • A.

      The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blooD.

    • B.

      The blood at the left atrium of the fetal heart is shunted to the right atrium to facilitate its passage to the lungs

    • C.

      The blood in the left side of the fetal heart contains oxygenated blood while the blood on the right side contains unoxygenated blooD.

    • D.

      None of the above

    Correct Answer
    A. The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blooD.
    Explanation
    The fetal lungs are fluid-filled while in utero and are still not functioning. It only begins to function in extrauterine life. Except for the blood as it enters the fetus immediately from the placenta. most of the fetal blood is mixed blood.

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  • 3. 

    The normal respiration of a newborn immediately after birth is characterized as:

    • A.

      Shallow and irregular with short periods of apnea lasting not longer than 15 seconds. 30-60 breaths per minute

    • B.

      20-40 breaths per minute. abdominal breathing with active use of intercostals muscles

    • C.

      30-60 breaths per minute with apnea lasting more than 15 seconds. abdominal breathing

    • D.

      30-50 breaths per minute. active use of abdominal and intercostal muscles

    Correct Answer
    A. Shallow and irregular with short periods of apnea lasting not longer than 15 seconds. 30-60 breaths per minute
    Explanation
    A newly born baby still is adjusting to extra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea. 30-60 breaths per minute. The apneic periods should be brief lasting. not more than 15 seconds otherwise it will be considered abnormal.

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  • 4. 

    The anterior fontanelle is characterized as:

    • A.

      3-4 cm anteroposterior diameter and 2-3 cm transverse diameter. diamond shape

    • B.

      2-3 cm anteroposterior diameter and 3-4 cm transverse diameter and diamond shape

    • C.

      2-3 cm in both anteroposterior and transverse diameter and diamond shape

    • D.

      None of the above

    Correct Answer
    A. 3-4 cm anteroposterior diameter and 2-3 cm transverse diameter. diamond shape
    Explanation
    The anterior fontanelle is a diamond shape with the anteroposterior diameter being longer than the transverse diameter. The posterior fontanelle is a triangular shape.

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  • 5. 

    The ideal site for vitamin K injection in the newborn is:

    • A.

      Right upper arm

    • B.

      Left upper arm

    • C.

      Either right or left buttocks

    • D.

      Middle third of the thigh

    Correct Answer
    D. Middle third of the thigh
    Explanation
    Neonates do not have well-developed muscles of the arm. Since Vitamin K is given intramuscular. the site must have sufficient muscles like the middle third of the thigh.

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  • 6. 

    At what APGAR score at 5 minutes after birth should resuscitation be initiated?

    • A.

      03/01/2017

    • B.

      08/07/2017

    • C.

      10/09/2017

    • D.

      07/06/2017

    Correct Answer
    A. 03/01/2017
    Explanation
    An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.

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  • 7. 

    Right after birth. when the skin of the baby’s trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:

    • A.

      Syndactyly

    • B.

      Acrocyanosis

    • C.

      Peripheral cyanosis

    • D.

      Cephalo-caudal cyanosis

    Correct Answer
    B. Acrocyanosis
    Explanation
    Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.

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  • 8. 

    The minimum birth weight for full-term babies to be considered normal is:

    • A.

      2.000gms

    • B.

      1.500gms

    • C.

      2.500gms

    • D.

      3.000gms

    Correct Answer
    C. 2.500gms
    Explanation
    According to the WHO standard. the minimum normal birth weight of a full-term baby is 2.500 gms or 2.5 Kg.

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  • 9. 

    This procedure is done to prevent ophthalmia neonatorum is:

    • A.

      Marmet’s technique

    • B.

      Crede’s method

    • C.

      Ritgen’s method

    • D.

      Ophthalmic wash

    Correct Answer
    B. Crede’s method
    Explanation
    Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually. an ophthalmic ointment is used.

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  • 10. 

    Which of the following characteristics will distinguish a postmature neonate at birth?

    • A.

      Plenty of lanugo and vernix caseosa

    • B.

      Lanugo mainly on the shoulders and vernix in the skin folds

    • C.

      Pinkish skin with good turgor

    • D.

      Almost leather-like. dry. cracked skin. negligible vernix caseosa

    Correct Answer
    D. Almost leather-like. dry. cracked skin. negligible vernix caseosa
    Explanation
    A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.

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