Care of Mother & Child at-risk or w/ Problems Acute& Chronic
The client is a 36 year old woman, gravida 6, and para 6 who deliveres a baby girl at 38 weeks AOG after 8 hours of labor. The baby weighed 7 lbs and 14 ounces. The clients VS are stable and her lochia is heavy and contains various clots. The nurse would consider the client to be at risk for uterine atony because of which of the following? 1/1 a.Client's age b.Grandmultiparity c.Length of labor d.Size of the baby
b.Grandmultiparity
Maria is a chemist and was exposed to poisonous substances. Her situation falls under what factor that categorizes pregnancy as high risk? 0/1 a.Psychological factors b.Social factors c.It is not included in any factor d.Physical factors
b.Social factors
Carla Hernandez came in for consultation, upon assessment, you found out that she is having premature labor contractions. The obstetrician ordered to give her Terbutaline sulfate 25 mg SC to relax her uterus. Which of the following would you consider to refer as a side effect of that medicine? 1/1 a) Refer for maternal heart rate over 110 BPM b) Refer for maternal respiratory over 14 bpm c) Refer for maternal clear breath sounds d) Refer for maternal hyperactive bowel sounds
a) Refer for maternal heart rate over 110 BPM
When a neonate is delivered with meconium staining in the amniotic fluid, which sequence of events will most effectively decrease the risk of meconium aspiration? a. Deliver the head and then suction the mouth and then the nose b. Clamp the umbilical cord, then suction the neonate's mouth c. Deliver the thorax, then suction the mouth d. Deliver the thorax, then suction the nose then the mouth
a. Deliver the head and then suction the mouth and then the nose
What is the chronic irreversible complication of hyperbilirubinemia? a. Kernicterus b. Hypobilirebunemia c. Abnormal Gaze d. Sensorineural deafness
a. Kernicterus
The nurse is assigned to care for a newly delivered primiparous client and her term neonate 1 hour after a vaginal delivery. The nurse observes that the neonate's APGAR score at 5 minutes was 9. The nurse interprets this as which of the following about the neonate? 1/1 a. The neonate is in stable condition. b. Vigorous resuscitation is needed. c. The neonate was cyanotic at birth. d. Oxygen administration was necessary at birth
a. The neonate is in stable condition.
Which of the following techniques during labor and delivery can lead to uterine inversion? 1/1 a.Massaging the fundus to encourage the uterus to contract. b.Tugging strongly on the umbilical cord to deliver the placenta and hastening placental separation. c.Applying of fundal pressure to assist the mother in bearing down during delivery of the fetal head. d.Applying light traction when delivering the placenta that has already detached from the uterine wall.
b.Tugging strongly on the umbilical cord to deliver the placenta and hastening placental separation.
The doctor ordered infrared, how many minutes should the infrared be administered if plugged to 220 volts? 1/1 a) 10 minutes b) 20 minutes c) 15 minutes d) 30 minutes
c) 15 minutes
An infant was seen in the clinic for a follow-up visit and was found to have yellow fluids in scrotum that is visible on illumination, this disorder is called: 1/1 a) Hematocele b) Spermatocele c) Hydrocele d) Varicocle
c) Hydrocele
This condition is commonly experienced as one-sided, lower abdominal pain associated with ovulation, depending on which side release of the egg occurs, sometimes accompanied by slight vaginal bleeding or discharge. 0/1 a) Polycystic Ovarian Syndrome (PCOS) - b) Unicomuate c) Mittelschmerz d) Post castration syndrome
c) Mittelschmerz
You are assisting a mother who happened to have shoulder dystocia. The following are the maneuvers you would expect EXCEPT: 1/1 a) Mc Robert's maneuver b) Wood's screw maneuver c) Ritgen's maneuver d) Supra pubic maneuver
c) Ritgen's maneuver
A nurse complete a health history of a client from a couple with history of infertility. What are the two assessment possibilities? 1/1 a) Testicular biopsy and culdoscopy b) Hysteroscopy and sperm penetration assay c) Semen analysis and cervical mucus observation d) Laparoscopy and hormonal studies
c) Semen analysis and cervical mucus observation
The following are the causes of inversion of the uterus, EXCEPT; a) Straining or coughing while the uterus is relaxed b) Forceful pulling of the umbilical cord to hasten delivery c) Spontaneous rupture of the bag of water d) Fundal pressure on uncontracted uterus
c) Spontaneous rupture of the bag of water
Which of the following positions is recommended for placing an infant to sleep? 0/1 a) Side-lying position b) Prone position c) Supine position d) With head elevated 30 degrees
c) Supine position
Which of the following is NOT a general danger sign? a. Lethargy/difficult to awaken b. Convulsion c. Difficulty of breathing d. Inability to drink or breastfeed
c. Difficulty of breathing
While walking around Puting Kahoy a man approach Bea and suddenly exposed his genitals, what type of sexual alteration is this? a. Necrophilia b. Zoophilia c. Exhibitionist d. Voyeurism
c. Exhibitionist
What disorder is caused by forceful bending of the penis during vaginal intercourse or by a sharp blow to the erect penis during a fall, car accident, or other mishap and may also be caused by a traumatic masturbation? a. Chordee b.Epispadias c. Penile fracture d. Phimosis
c. Penile fracture
Ms. S delivers a 6 lb 5 oz (2863 g) boy. Because his serum bilirubin level is elevated, the baby is receiving phototherapy. To meet the safety needs of the baby while he is undergoing phototherapy, the nurse would: a. Keep the baby clothed b. Limit fluid intake c. Provide eye and genital shields d. Make sure the light is not closer than 24 inches
c. Provide eye and genital shields
A client was admitted due to premature rupture of the membrane. Which of the following is a possible complication of PROM? 1/1 a. Placenta Previa b. Gestational diabetes c. Umbilical cord prolapse d. Preeclampsia
c. Umbilical cord prolapse
Sandra is a 14-year-old girl who wears brace for structural scoliosis; which of the following statements indicate effective use of brace? 1/1 a) "I wonder if I can take the brace off when I go to the homecoming dance" b) "I'm really glad that I can take this thing off whenever I get tired" c) "I sure am glad that I only have to wert hi awful thing at night" d) "I'll look forward to taking thing off to take my bath everyday"
d) "I'll look forward to taking thing off to take my bath everyday"
Marinara admits that she is using cocaine almost daily. She asked the nurse, what will be the effect of cocaine to her pregnancy? What will be the best response of the nurse to explain the harmful effects of cocaine to fetal growth? 0/1 a) Cocaine use can cause extreme fetal lung damage b) Cocaine use can cause extreme vasodilation to the mother c) Cocaine use can cause extreme illusion to the mother d) Cocaine use can cause extreme vasoconstriction to the mother
d) Cocaine use can cause extreme vasoconstriction to the mother
For a female client with anorexia nervosa, Nurse Lei aware that which goal takes the highest priority? The client will: 1/1 a) Make a contract with the nurse that sets a target weight b) Identify self-perceptions about body size as unrealistic c) Verbalize possible physiological consequences of self-starvation d) Establish adequate daily nutritional intake
d) Establish adequate daily nutritional intake
A mother brought her 4 years old son in the health center. Upon assessment the nurse observed that the child has pus draining from his eye and has mouth ulcers. The following are the management for this child EXCEPT: 0/1 a) Treat mouth ulcers with gentian violet b) Treat eye infection with tetracycline eye ointment c) Give Vitamin A treatment d) Follow up should be done after 1 week
d) Follow up should be done after 1 week
In uterine atony, which of the following independent nursing actions should be done immediately to help contract the uterus, thus, preventing hemorrhage? 1/1 a) Bimanual compression and massage b) Take the vital signs of the client c) Let the client void to prevent bladder distention that hinders involutionprocess d) Massage the fundus to stimulate uterine contractions
d) Massage the fundus to stimulate uterine contractions
What abnormal placental implantation is described as, "chorionic villi that penetrates beyond the myometrium into the entire uterine wall and possibly to other adjacent organs such as the bladder"? 0/1 a) Placenta circumvallate b) Placenta Increta c) Placenta Accreta d) Placenta Percreta
d) Placenta Percreta
Among the abnormal placenta, what is described as the "placenta that has one or more accessory lobes connected to the main placenta by blood vessels"? 0/1 a) Vasa previa b) Velamentous insertion of the cord c) Battledore placenta d) Placenta succenturiate
d) Placenta succenturiate
May, 4 years old, was brought to the health center because of ear pain. When the community nurse further assessed the patient, he observed that pus is draining from the ear. The mother verbalized that she noticed the discharge for 3 weeks already. How will the nurse classify her condition? a. Acute ear infection b. No ear infection c. Mastoiditis d. Chronic ear infection
d. Chronic ear infection
Which of the following characteristics is most commonly associated with a large for gestational age newborn? a. Dysmorphic features b. Hypothermia c. Weight under 2000g d. Risk for birth injury
d. Risk for birth injury
At 2AM you have monitored a G5P4 parturient, 4AM she delivered to a live term baby girl. You would consider this as precipitate labor which is describe as labor process that last less than: 1/1 a.4 hours of labor b.2 hours of labor c.5 hours of labor d.3 hours of labor
d.3 hours of labor
The nurse conducts a physical assessment of the neonate as the initial bath is given several hours after birth. In assessing the baby's skin, which of the following observations most likely require special attention? a.Jaundice b.Harlequin Sign c.Vernix Caseosa d.Cyanosis of the hands and feet
d.Cyanosis of the hands and feet
A 35-year-old client is diagnosed of Gestational Trophoblastic Disease (Hydatidiform Mole). Which of the following procedure is likely to be done for the client that would remove the products of conception? a.Radiation Therapy b.Chemotherapy c.Ultrasonography d.Dilation and Curettage
d.Dilation and Curettage
You also assessed another parturient who is 35 weeks AOG. During Leopold's maneuver, you palpated the head of the fetus on the right side of the abdomen. You would expect that the fetal presentation is which of the following? 0/1 a.Shoulder Presentation b.Footling Presentation c.Cephalic Presentation d.Transverse Presentation
d.Transverse Presentation
You admitted a primigravid patient who is 28 weeks AOG and is complaining of mild to moderate uterine contractions. Upon assessment, you observed that she is having premature labor contractions. Your client asked you what is Preterm labor? Your best response is which of the following? a.All choices are correct b."Uterine contractions that may precede to premature delivery of an infant if uncontrolled." c."Uterine contractions that occur as a result of infections before 37 weeks of AOG." d."Uterine contractions that occur after 20th week and before 37 weeks of gestation that may result in cervical changes."
a.All choices are correct
A woman comes to the clinic for prenatal check-up. Which of the following assessment is an indicative of Hydatidiform Mole? a.Complaints of nausea and vomiting b.An enlarged uterus than expected c.Dizziness d.Pale conjunctiva
a.Complaints of nausea and vomiting
Which of the following is NOT true about asymptomatic Urinary tract Infection (UTI)? 1/1 a) It's signs and symptoms are obvious and can be dangerous to both mother and baby b) It is caused by urine stasis c) It's signs and symptoms are not obvious and can be dangerous to both mother and baby d) It is caused even by minimal presence of glucose in the urine
a) It's signs and symptoms are obvious and can be dangerous to both mother and baby
As the student nurse you learned that sexual dysfunction in man and woman can be prevented through the following management: 1.Treating health conditions 2. Talk to a counselor or mental health professionals 3. Practice healthy life style 4. Do not use recreational drugs such as opioids a) 1,2 and 3 only b) 1,2,3 and 4 c) 2,3 and 4 only d) 3 and 4 only
b) 1,2,3 and 4
Which of the following is the third stage of Human Immunodeficiency virus (HIV)? 0/1 a) Symptomatic period b) Asymptomatic period c) Initial invasion of the virus d) Seroconversion
b) Asymptomatic period
You are in charge of a client who is just diagnosed of pre-eclampsia. The attending physician ordered: Hydralizine (Apresoline) 5 mg IV now. Which of the following is a priority nursing action before medication. a) Instruct the patient to stay still b) Check blood pressure c) Instruct the patient to void d) Stay with the client, she might have seizure anytime
b) Check blood pressure
Which of the following is the BEST intervention for a client experiencing premature cervical dilatation? 1/1 a) Isolate the client b) Complete bed rest c) Restrain the client so she cannot leave the hospital d) Walk slowly every morning
b) Complete bed rest
Which of the following type of anemia has enlarged, yet immature red blood cell? 0/1 a) Sickle- cell anemia b) Folic-Acid deficiency anemia c) All of the choices are correct d) Iron deficiency anemia
b) Folic-Acid deficiency anemia
Which of the following is the priority nursing intervention of a child victim of abuse? 1/1 a) Analyze family dynamics b) Implement measures to ensure the victims safety c) Assess the scope of the abuse problem d) Teach appropriate coping skills
b) Implement measures to ensure the victims safety
The World Health Organization (WHO) recommend the use of this tool to monitor the progress of labor, identify and intervene in cases of abnormal labor. Which of the following has been established universally as the "gold standard" labor monitoring tool for maternal and fetal well-being? 1/1 a) Partograph b) Gantt chart c) Labor curve d) Growth chart
a) Partograph
Retained placental fragments have been associated with pregnancy complications, this is the most common cause of bleeding in which of the following types of postpartum hemorrhage? 1/1 a) Class IV hemorrhage b) Late postpartum hemorrhage c) Class III hemorrhage d) Early postpartum hemorrhage
b) Late postpartum hemorrhage
If pneumonia is present with major signs and symptoms, which of the following treatment is needed? a. ORS 240cc/loose stool b. Amoxicyllin P.O. BID c. Procaine Penicillin IM OD d. Cotrimoxazole P.O. BID
b. Amoxicyllin P.O. BID
A nurse is performing an assessment on a postmature neonate. Which physical characteristic would the nurse expect to observe? 1/1 a. Smooth soles without creases b. Desquamation over the body c. Lanugo covering the entire body d. Vernix that covers the body in a thick layer
b. Desquamation over the body
Which of the following is an inflammation of the male reproductive system where there is inguinal and scrotal pain, fever, and tenderness of the affected part? Urinalysis result of patient with this condition shows bacteria and WBCs. Treatments for this includes antibiotics and symptomatic relief. a. Phimosis b. Epididymitis c. Balanophostitis d. Paraphimosis
b. Epididymitis
What type of infertility is described as inability to conceive despite management done? a. Sub infertility b. Sterility c. Secondary infertility d. Primary infertility
b. Sterility
Which of the following client/s are at risk for developing placenta previa? 1. A 37-year-old woman who is pregnant with her 7th child. 2. A 28-year-old pregnant female with chronic hypertension.3. A 25-year-old female who is 36 weeks pregnant that has experienced trauma to abdomen.4. A 20-year-old pregnant female who is a cocaine user. 1/1 a.1 and 2 b.1 and 4 c.2 and 3 d.2 and 4
b.1 and 4
The following are conditions that leave the uterus unable to contract readily posing at risk for postpartal hemorrhage EXCEPT: 0/1 a.Multiparity b.A rapid birth c.Deep anesthesia or analgesia d.Prolonged use of tocolytic drugs
b.A rapid birth
Short umbilical cord can cause which of the following? 0/1 a.Placenta previa b.Abruption placenta c.Umbilical cord prolapse d.Nuchal cord
b.Abruption placenta