Ultimate Obstetrics Nursing Quiz

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Ultimate Obstetrics Nursing Quiz - Quiz

Obstetrical nursing deals with patients who are trying to conceive, are pregnant or have just given birth. Play this informative quiz that contains questions and answers ranging from easy, medium, to hard level. The quiz will clear all your basic and conceptual understanding of the topic and enhance your knowledge. It will also benefit those who want to do a quick revision before the exam. Share the quiz with your friends and family if you find it informative. All the best!


Questions and Answers
  • 1. 

    Which of the following observations would suggest that placental separation is occurring?

    • A.

      Uterus stop contracting altogether

    • B.

      Umbilical cord pulsations stop

    • C.

      Uterine shape changes from discoid to globula

    • D.

      Maternal blood presuure stops

    Correct Answer
    B. Umbilical cord pulsations stop
    Explanation
    The observation that would suggest that placental separation is occurring is: umbilical cord pulsations stop.
    When the umbilical cord pulsations stop, it indicates that the blood flow between the placenta and the baby has ceased, which typically occurs after the placenta has separated from the uterine wall. This is a key sign that placental separation has taken place.

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  • 2. 

    A client in labor has been pushing effectively for 1 hour.  a nurse determines that the client's primary physiologic need at this time is to:

    • A.

      Ambulate

    • B.

      Rest between contractions

    • C.

      Change position frequently

    • D.

      Consume oral food

    Correct Answer
    B. Rest between contractions
    Explanation
    During labor, rest between contractions is crucial for the client's well-being. Pushing effectively for an hour can be physically exhausting, and resting between contractions allows the client to regain energy and prevent fatigue. It also helps in conserving energy for the next contraction, ensuring that the client can continue pushing effectively. Therefore, the primary physiologic need for the client at this time is to rest between contractions.

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  • 3. 

    Which type of contractions signal true labor?

    • A.

      Contractions that achieve cervical dilatation

    • B.

      Contractions that are felt abdominally

    • C.

      Contractions that may be irregular

    • D.

      Contractions that may disappear with ambulation

    Correct Answer
    A. Contractions that achieve cervical dilatation
    Explanation
    Contractions that achieve cervical dilatation are the type of contractions that signal true labor. This means that these contractions are responsible for opening the cervix, which is a clear indication that labor has begun. Contractions that are felt abdominally or may be irregular can also occur during labor, but they alone do not necessarily indicate true labor. Similarly, contractions that may disappear with ambulation may be a sign of false labor rather than true labor. Therefore, the most reliable indicator of true labor is the presence of contractions that achieve cervical dilatation.

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  • 4. 

    Nurse naomi prepares ton assist Dr.  brown who will perform a mediolateral episiotomy on her client.  This procedure is necessary to:

    • A.

      Shorten labor

    • B.

      Allow fetal hea to extend

    • C.

      Prevent perineal laceration

    • D.

      Decrease trauma to the baby's head as it extends

    Correct Answer
    C. Prevent perineal laceration
    Explanation
    A mediolateral episiotomy is a surgical incision made in the perineum (the area between the vagina and anus) during childbirth. It is performed to prevent perineal laceration, which is a tear in the perineum that can occur during delivery. By making a controlled incision, the healthcare provider can prevent unpredictable and potentially more severe tearing, leading to better healing and reduced complications for the mother. Therefore, preventing perineal laceration is the necessary reason for performing a mediolateral episiotomy.

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  • 5. 

    On a second day of postpartum day you elicited HOMAN's sign.  A positive finding means:

    • A.

      Thrombophlebitis

    • B.

      Puerperal sepsis

    • C.

      Mastitis

    • D.

      Pelvic cellulitis

    Correct Answer
    A. ThrombopHlebitis
    Explanation
    A positive finding of HOMAN's sign on the second day of postpartum indicates thrombophlebitis. Thrombophlebitis refers to the inflammation of a vein along with the formation of a blood clot. In this case, it suggests that there may be a blood clot in the leg veins, which can be a serious condition requiring medical attention.

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  • 6. 

    Postpartum client exhibited positive homan's sign: indicating thrombophlebitis.  This sign is elicited by:

    • A.

      Plantar extension

    • B.

      Plantar flexion

    • C.

      Pointing the toes

    • D.

      Extending the knees

    Correct Answer
    B. Plantar flexion
    Explanation
    Homan's sign is a test used to assess for deep vein thrombosis (DVT) in the lower extremities. It involves dorsiflexing the foot while the knee is extended. If the client experiences pain in the calf or behind the knee during this maneuver, it may indicate the presence of thrombophlebitis. Plantar flexion, on the other hand, involves pointing the toes downward, and is not associated with Homan's sign or thrombophlebitis. Therefore, the correct answer is plantar flexion.

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  • 7. 

    Which of the following is the main focus of family-centered nursing care for new mothers and their babies?

    • A.

      Carrying out nursing research to assess clinical abilities

    • B.

      Helping individuals, families, and communities achieve optimal health

    • C.

      Recognizing issues and treating them quickly

    • D.

      None of the above

    Correct Answer
    B. Helping individuals, families, and communities achieve optimal health
    Explanation
    The main focus of family-centered nursing care for new mothers and their babies is to help individuals, families, and communities achieve optimal health. This means that the nursing care provided is centered around promoting the health and well-being of both the mother and the baby, as well as supporting the family unit as a whole. This may involve providing education and support on topics such as breastfeeding, newborn care, and postpartum recovery, as well as addressing any physical, emotional, or social needs that may arise during this critical period.

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  • 8. 

    The vaginal pH is acidic due to?

    • A.

      Due to Doderlein bacillus

    • B.

      Cervical mucus changes

    • C.

      Both 1 and 2

    • D.

      Neither 1 nor 2

    Correct Answer
    A. Due to Doderlein bacillus
    Explanation
    The correct answer is "Due to Doderlein bacillus." The vaginal pH is acidic due to the presence of Doderlein bacillus, also known as Lactobacillus acidophilus. These bacteria produce lactic acid, which helps maintain the acidic pH of the vagina. This acidic environment is important for maintaining the balance of the vaginal microbiota and preventing the overgrowth of harmful bacteria or yeast. Cervical mucus changes can also affect vaginal pH, but it is primarily the Doderlein bacillus that contributes to the acidity.

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  • 9. 

    Which hormone induces ovum development during menstrual cycle?

    • A.

      Estrogen

    • B.

      Progestron

    • C.

      Follicle Stimulating hormone (FSH)

    • D.

      None of the above

    Correct Answer
    C. Follicle Stimulating hormone (FSH)
    Explanation
    During the menstrual cycle, the hormone responsible for inducing ovum development is the Follicle Stimulating hormone (FSH). FSH is produced by the pituitary gland and it stimulates the growth and development of ovarian follicles, which contain the eggs. As the follicles mature, they release estrogen, which further stimulates the uterus lining to thicken in preparation for possible pregnancy. Progesterone, on the other hand, is responsible for maintaining the thickened lining and preparing the uterus for implantation of a fertilized egg. Therefore, the correct answer is Follicle Stimulating hormone (FSH).

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  • 10. 

    How are frenulum and clitoris are formed?

    • A.

       Fossa Navicularis

    • B.

      Mons veneris

    • C.

      Labia majora

    • D.

      Labia minora

    Correct Answer
    D. Labia minora
    Explanation
    The labia minora are formed during fetal development when the genital tubercle, a precursor to the clitoris, elongates and divides into two separate structures. These structures eventually develop into the labia minora, which are folds of skin located on either side of the vaginal opening. The frenulum, on the other hand, is a small band of tissue that connects the clitoral hood to the clitoral shaft. It is not directly involved in the formation of the labia minora or the clitoris.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 01, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 10, 2010
    Quiz Created by
    Pillow08022007
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