Professional Documents
Culture Documents
Maternal and Child Nursing Sample Exam
Maternal and Child Nursing Sample Exam
C. Gubemaculus testis
D. Corpus cavernosa
10.A clinic nurse is providing instructions to a pregnant client regarding measures that will
assist in alleviating heartburn. Which statement if made by the client indicates an
understanding of the measure to alleviate heartburns?
A. I should lie down for an hour after eating
B. I should avoid between-meals snacks
C. I should substitute spices for cooking rather than using salt
D. I should avoid eating gas-producing foods and fatty foods
11.A non-stress test is prescribed for a pregnant client and the client asks the nurse about the
procedure. The nurse tells the client that
A. The test is an invasive procedure and requires that an informed consent be signed
B. The test will take 2 hours and will require close monitoring for 2 hours after the procedure
is completed
C. An ultrasound transducer that records fetal heart activity is secure over the abdomen
where the fetal heart is heard most clearly
D. The fetus is challenged or stressed by uterine contractions to obtain necessary information
12.A nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis.
The nurse tells the client that
A. A fever is suspected following the procedure because of the trauma in the abdomen
B. Strict bed rest is required following the procedure
C. An informed consent will need to be signed prior to the procedure
D. Hospitalization is necessary for 24 hours following the procedure
13.A multigravida tells the nurse that her husband has been expecting nausea and vomiting and
backaches that are similar to the patients discomfort during the pregnancy. The nurse should
explain to the patient that this is termed:
A. Neurosis
C. Mimicry
B. Psychosis
D. Couvades
E.
F.
SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The
following questions pertains to the process of menstruation
14.Menarche occurs during the pubertal period, Which of the following occurs first in the
development of female sex characteristics?
A. Menarche
B. Accelerated Linear Growth
C. Breast development
D. Growth of pubic hair
20.The serum progesterone is lowest during what day of the menstrual cycle?
A. 3rd day
B. 13th day
C. 14th day
D. End of menstrual cycle
C. 3 ounces (90cc)
D. 1/3 cup (80cc)
23.If the menstrual cycle of a woman is 35 day cycle, she will approximately
A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day
cycle
B. Ovulate on the 21st day with fertile days beginning on the 16th day to the 21th day
cycle
C. Ovulate on the 22st day with fertile days beginning on the 16th day to the 26th day
cycle
D. Ovulate on the 22st day with fertile days beginning on the 14th day to the 30th day
cycle
24.
25.
SITUATION: Nurses should be aware of the different reproductive problems.
26.A factor in infertility maybe related to the PH of the vaginal canal. A medication that is
ordered to alter the vaginal PH is:
A. Estrogen therapy
B. Sulfur insufflations
of her
of her
of her
of her
27.A diagnostic test used to evaluate fertility is the postcoital test. It is best timed
A. 1 week after ovulation
B. Immediately after menses
C. Just before the next menstrual period
29.The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and
vomits and has heavier show. The membranes rupture. The nurse understands that this
indicates
C. Estrogen
D. Placental Lactogen
C. P3 G4
D. P0 G3
35. In explaining the development of her baby, you identified in chronological order of growth of
the fetus as it occurs in pregnancy as
A. Ovum, embryo, zygote, fetus, infant
B. Zygote, ovum, embryo, fetus, infant
36.When teaching Aling Julia about her pregnancy, you should include personal common
discomforts. Which of the following is an indication for prompt professional supervision?
A. Constipation and hemorrhoids
B. Backache
C. Facial edema
D. frequent urination
37.The best advise you can give to Aling Julia regarding prevention of varicosities is
A. Raise the legs while in upright position and put it against the wall several times a day
B. Lay flat for most hours of the day
C. Use garters with nylon stocking
D. Wear support hose
38.Placenta is the organ that provides exchange of nutrients and waste products between
mother and fetus. This develops by
A. First month
B. Third month
C. Fifth month
D. Seventh month
39.In evaluating the weight gain of Aling Julia, you know the minimum weight gain during
pregnancy is
A. 2 lbs/wk
B. 5 lbs/wk
C. 7 lbs/wk
D. 10 lbs/wk
40.This is use when rendering prenatal care in the rural health unit. It serves as a guide in
Identification of risk factors
E.
F.
SITUATION: Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a
gush of fluid passes through here vagina while doing her holiday shopping.
55. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following
actions should the nurse do first?
A. Monitor FHT ever 15 minutes
B. Administer oxygen inhalation
56.The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic
fluid would cause an alarm to the nurse?
A. Greenish
B. Scantly
C. Colorless
D. Blood tinged
57.Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this
position." Which of the following response of the nurse is most appropriate?
A. Keeping you on bed rest will prevent possible cord prolapse
B. Completed bed rest will prevent more amniotic fluid to escape
C. You need to save your energy so you will be strong enough to push later
D. Let us ask your obstetrician when she returns to check on you
58.Alpha wants to know how many fetal movements per hour is normal, the correct response is
A. Twice
B. Thrice
C. Four times
D. 10-12 times
59.Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor.
Which of the following is true in this state?
A. Self-focused
B. Effacement is 100%
E.
SITUATION: Pillar is admitted to the hospital with the following signs: Contractions coming
every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without
any bloody show. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated
with vertex presenting at minus 1 station.
60.On the basis of the data provided above, You can conclude the pillar is in the
A. In false labor
B. In the active phase of labor
61.Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the
following except
A. Diuresis
B. Hypertension
C. Water intoxication
D. Cerebral hemorrhage
C. Fetus is engaged
D. Fetus is at the ischial spine
A.
B.
C.
D.
67.
68.
SITUATION: Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR
Score. His mother had a prolonged second stage of labor
69.Which of the following is the most important concept associated with all high risk newborn?
A. Support the high-risk newborn's cardiopulmonary adaptation by maintaining adequate
airway
B. Identify complications with early intervention in the high risk newborn to reduce morbidity
and mortality
C. Assess the high risk newborn for any physical complications that will assist the parent with
bonding
D. Support mother and significant others in their request toward adaptation to the high risk
newborn
70.Which of the following would the nurse expect to find in a newborn with birth asphyxia?
A. Hyperoxemia
B. Acidosis
C. Hypocapnia
D. Ketosis
71.When planning and implementing care for the newborn that has been successfully
resuscitated, which of the following would be important to assess?
A. Muscle flaccidity
B. Hypoglycemia
E.
F.
SITUATION : Baby boy perez was delivered spontaneously following a term pregnancy.
Apgar scores are 8 and 9 respectively. Routine procedures are carried out.
72.When is the APGAR Score taken?
A. Immediately after birth and at 30 minutes after birth
B. At 5 minutes after birth and at 30 minutes after birth
C. At 1 minute after birth and at 5 minutes after birth
D. Immediately after birth and at 5 minutes after birth
73.The best way to position a newborn during the first week of life is to lay him
A. Prone with head slightly elevated
B. On his back, flat
C. On his side with his head flat on bed
74.Baby boy perez has large sebaceous glands on his nose, chin, and forehead. These are known
as
A. Milia
B. Lanugo
C. Hemangiomas
D. Mongolian spots
75.Baby boy perez must be carefully observed for the first 24 hours for
A. Respiratory distress
B. Duration of cry
C. Frequency of voiding
D. Range in body temperature
E.