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MaternalandChildHealthNursingTest

Maternal and Child Health Nursing Test- questions with

rationale
By RNspeak - May 31, 2012

ThisisacomprehensiveexaminationinordertoserveasareviewerfortheupcomingNursingBoardExaminationforNursesonJuly
2012.Readthequestionscarefullybeforeansweringit.Pleasechoosethebestanswer

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Thistestcoversthefollowingconceptsinvariousformsfromeasytodifficultquestions.
Menstruation
PhasesofMenstruation
DevelopmentofPregnancy
CareforPregnantWoman
Labor&Delivery
CommonProblemsinPregnancy

Maternal and Child Health Nursing Practice Test

CongratulationsyouhavecompletedMaternalandChildHealthNursingPracticeTest.Youscored24outof25.Yourperformancehas
beenratedasKeeptrying!
Youranswersarehighlightedbelow.

Question1

CORRECT

YouareschoolteacherinahighschooldepartmentDinaapproachedyou
complainingthatsheisbeingbotheredbyhermenstruation.Thesearethe
followingexpecteddiscomfortsofmenstruationexcept:

Fluidretention

Fatigue

Hyperactivity

BreastTenderness

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Question1Explanation:
Answer:C.HyperactivityDuringthemenstrualperiodofafemale,
changesonherbodywouldmostlikelytendtobemoreonthesideof
beingweak.Feelingofbeingtired,fluidretentionmakesherfeel
heavytoo.Hyperactivitycanbeasignofhormonaldysfunction.

Question2

CORRECT

Duringthisphaseofmenstrualcyclethecorpusluteumdegeneratesandthe
hormonesprogesteroneandestrogendeclinesmakingmoodchangesaspart
ofthediscomfortsofmenstruation.Asanurseyouknowthisisphaseis?

SecretoryPhase

ProliferativePhase

MenstrualPhase

PreMenstrualPhase

Question2Explanation:
Answer:C.MenstrualPhaseThisperiodlastsbetweenDay1toDay
14.Theendometriumdegeneratesasthehormonesmaintainingit
alsodeclines.Thecorpusluteumdegeneratesatthisstage.

Question3

PARTIALCREDIT

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Inthemenstrualcycle,thisphaseisthedeterminingtimeforconception.As
anurseyouknowthisas:

SecretoryPhase

ProliferativePhase

MenstrualPhase

PreMenstrualPhase

Question3Explanation:
Answer:D.PreMenstrualphaseThisphaseisthetimewhenthe
eggisonitswaytobeingfertilizedornot.Whentheeggisfertilized
bythesperm,conceptionbegins.However,whentheeggremainedto
beunfertilized,inthisstagethehormonessupportingitwould
decline.

Question4

CORRECT

ThephasewouldnormallystartbetweenDay6toDay14whereintheFollicle
StimulatingHormonewouldincreasewhiletheprogesteroneandestrogen
declines.Ovulationisbeinginitiatedinthisstage.

SecretoryPhase

ProliferativePhase
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MenstrualPhase

PreMenstrualPhase

Question4Explanation:
Answer:B.ProliferativephaseInthisperiod,theFollicle
StimulatingHormoneisreleasedbyanteriorpituitary.Theovulation
iscommencedwiththehelpofluteinizinghormone.

Question5

PARTIALCREDIT

Asanurseyouknowthenormalmenstrualcycleas:

PreMenstrual,Menstrual,SecretoryPhase,ProliferativePhase

Menstrual,Proliferative,Secretory,PreMenstrual

Proliferative,Menstrual,Secretory,PreMenstrual

Menstrual,Secretory,Proliferative,PreMenstrual

Question5Explanation:
Answer:B.Menstrual,Proliferative,Secretory,PreMenstrualThisis
thenormalmenstrualcycle.Thiscoversthe28daymenstrualcycle
respectively.

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Question6

CORRECT

YouareassignedinaReproductiveClinic,asanurseitisyourtasktogive
counseltoyoungcouples.Thesearethenaturalmethodsexcept:

Abstinence

CoitusInterruptus

CalendarGuidedPills

CalendarMethod

Question6Explanation:
Answer:C.CalendarGuidedPillsThisisanartificialmethodof
familyplanningwhereinthewomantakespillsinamonthwith
correspondingpillperdayinordertostoptheovulation.

Question7

PARTIALCREDIT

Duringtheinitialstagesofpregnancy,whathappensduringthe4thweek?

SexDifferentiation

Cardiovascularsystemfunctioning

Heartbeatisaudible

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FacialFeaturesbecomesdistinct

Question7Explanation:
Answer:B.CardiovascularsystemfunctioningOnthe4thweekof
pregnancy,theremaybenoclearlydefinedfeaturesbutthe
cardiovascularsystemnowstartstofunction.Bothsexdifferentiation
andfacialfeaturesbecomesdistinctby8thweek.

Question8

PARTIALCREDIT

Whenistheearliesttimeinpregnancythatheartbeatcanbeheardbya
Doppler?

10weeks

12weeks

14weeks

18weeks

Question8Explanation:
Answer:B.12weeksHeartbeatisaudiblebyaDoppler.Asthe
cardiovascularsystemstartstofunctionbythe4thweek,soasthe
structuresdevelopbythe12thweek,theheartbeatcanbedetected
withDoppler.

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Question9

PARTIALCREDIT

Asanurse,howcanyoudeterminethatthepregnancyisonits20thweek?

HeartbeatisaudiblebyDoppler

HeartbeatisaudiblebyStethoscope

Quickeningisfeltbythemother

BothA&B

Question9Explanation:
Answer:C.QuickeningisfeltbythemotherThisisthefocalpoint
ofreachingthe20thweekofpregnancy.Theskeletonsbeginto
hardenmakingitmoredistinctifthebabymoves.

Question10

WRONG

Whenistheearliesttimethebabycanbeborn?

30weeks

35weeks

26weeks
38weeks
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Question10Explanation:
Answer:C.26weeksThebabymaybeviabletobebornalthough
immature,thealveoliofthelungsarematuretofunctionalready.

Question11

PARTIALCREDIT

Whichofthefollowingtimeofpregnancydenotesoptimumtimeforsurvival
ofthechild?

32weeks

34weeks

36weeks

40weeks

Question11Explanation:
Answer:D.40weeksThisisalsocalledfulltermpregnancywherein
thesurvivalofthebabycanbeensured.

Question12

PARTIALCREDIT

A23yearoldladycameintothecliniconedayclaimingthatsheis
pregnant.Asanursewhichofthefollowingsignsandsymptomsof
pregnancydenotespresumptivesignsofpregnancy?
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Enlargementofabdomen

Ballottement

Amenorrhea

Positivepregnancytest

Question12Explanation:
Answer:C.AmenorrheaTherestofthesignswereprobablesignsof
pregnancy.

Question13

WRONG

Asanurse,youknowthattheseareprobablesignsofpregnancyexcept:

Quickening

HegarsSign

Ballottement

McDonaldsSign

Question13Explanation:

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Answer:A.QuickeningThisisasubjectivesignofpregnancysince
themotherwouldonlyclaimit.Whileprobablesignsareobjective
typesinceitisnotedbytheexaminer.

Question14

PARTIALCREDIT

Apregnantmothercomplainedofexcessivevaginaldischarge.Whichofthe
followingassessmentwouldsignalareferraltothedoctor?

Excessdischarge

Itchingsensation

Discomfort

wetfeeling

Question14Explanation:
Answer:B.itchingsensationThisitchingsensationmaysignal
irritationlocallyorsystematically.Thisneedsmoreattentionbythe
physician.

Question15

PARTIALCREDIT

Picaisoneofthecommonproblemsthatapregnantwomanexperience.Asa
nurse,youknowthatthisisassociatedwith?

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Increaseenergyneeds
Tiredness

Irondeficiencyanemia

Hyperacidity

Question15Explanation:
Answer:C.IrondeficiencyanemiaThisisanassociationwithPica
themostcommontypeofpicaiscravingforicecubes.Therestofthe
itemswerealsocommonproblemsinpregnancyduetogrowthofthe
fetusinsidethebody.

Question16

CORRECT

Asanurse,thesearethedangersignsofpregnancyexcept:

Vaginalbleeding

Chillsandfever

Ballottement

Persistentvomiting

Question16Explanation:
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Answer:C.ballottementThisisaprobablesignofpregnancy.
Vaginalbleedinganytimeontheperiodofpregnancyshouldbe
assessed.Chillsandfevermaysignalanongoinginfectionwhich
needsimmediateattention.Persistentvomitingcanleadto
dehydration.

Question17

PARTIALCREDIT

Inpregnancyinducedhypertension,whichsignwouldalarmthehealthcare
team?

Blurringofvision

Flashingoflightordots

Increaseinbloodpressure

BipedalEdema

Question17Explanation:
Answer:B.FlashingoflightordotsThisisanauraofanimpending
seizure.Thepregnantwomanshouldbeadmittedandmedications
mustbestartedinordertofurtherpreventtheincreaseofblood
pressureaswellasmedicationsforseizure.

Question18

CORRECT

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Rina,aprimigravidahasanexpecteddateofdeliveryonDecember26,2012.
Whenisherlastdateofmenstrualperiod?

March20,2011

March20,2012

March19,2012

March21,2012

Question18Explanation:
Answer:B.March20,2012Usingtheformula(3months+7days
+1year),reversingtheformulainordertogobackontheLMPisa
reliableoneinestimatingtheLMPofthepatient.

Question19

PARTIALCREDIT

AsanurseyouwereassignedtoapatientwithG5P3(2123),whatdoesthis
mean?
Twowerebornafter37weeks,onewasbornbetween20
37weeks,2pregnancieswereendedeitherwithabortion,
threewerenumberofchildrencurrentlyalive
Threewerebornafter37weeks,onewasbornbetween2037
weeks,2pregnancieswereendedeitherwithabortion,twowere
numberofchildrencurrentlyalive
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Twowerebornafter37weeks,onewasbornbetween2037
weeks,1pregnancywasendedeitherwithabortion,twowere
numberofchildrencurrentlyalive
Threewerebornafter37weeks,onewasbornbetween2037
weeks,2pregnancieswereendedeitherwithabortion,3number
ofchildrencurrentlyalive

Question19Explanation:
Answer:A.Thewomanhavebeenpregnant5times,with3
pregnanciesthatreachedthe20thweeksregardlesstheinfantwas
delivereddeadoralive.(2123)2pregnanciesreachedthe37th
weeks1pregnancyreachedbetween20thweekupto37thweek,2
pregnancieswereabortedbeforethe20thweek,3numberofchildren
thatwerealive.

Question20

PARTIALCREDIT

WhenwillbetheweeklyvisitifwithnocomplicationstotheOBGyne
indicated?

4thweek16thweek

20th30thweek

32nd36thweeks

36th40thweeks

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Question20Explanation:
Answer:D.36th40thweeksIfwithnocomplications,thecheck
upisdoneweeklybetweenthe36thupto40thweeksifthe
pregnancyisonitswaytodelivery.

Question21

CORRECT

Asanurse,whenapatienthasDiabetesonpregnancy,theseare
complicationsthatmustbepreventedexcept:

Polyhydramios

Stillbirth

Lowbirthweight

PregnancyInducedHypertension

Question21Explanation:
Answer:C.LowbirthweightDiabetesinpregnancycanmakethe
childlargeforgestationage.Amacrosomicbabycanresultwhenthe
diabetesisnotcontrolled.

Question22

PARTIALCREDIT

Asanurse,whichofthefollowinghappenswhentheplacentaisabnormally
implantedneartoorovertheinternalcervicalos?
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AbruptioPlacenta

PlacentaPrevia

PrematureRuptureofMembranes

Noneoftheabove

Question22Explanation:
Answer:B.PlacentaPreviaThisisthetermusedontheabove
description.Thecervixsoftensandbeginstoeffaceanddilate.

Question23

PARTIALCREDIT

AlingNita,hashadmultiplepregnancies.Shenowhas2twinsand5more
children.Withthispresentpregnancy,sheismostlikelytodevelop?

Seizure

DiabetesMellitus

Hyperemesisgravidarum

PlacentaPrevia

Question23Explanation:
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Answer:D.PlacentaPreviaThisincidencecanhappeninmultiple
gestationormultiparityduetoincreasepressureexperiencedbythe
cervix.

Question24

PARTIALCREDIT

Whenthepatienthasacompleteprevia,whatistherecommendationforthe
deliveryofthechild?

Waterbirth

NormalSpontaneousVaginalDelivery

CaesareanSection

Terminationofpregnancy

Question24Explanation:
Answer:C.CaesareanSectionWhenthereiscompleteplugof
cervicalostotheopening.Thedilatationwillbehalted.Inorderto
preventtheplacenta,caesareansectionmustbeindicated.

Question25

PARTIALCREDIT

Asanurse,inpregnancy,thisprocessinvolvesthephysiologicand
mechanicalprocessesinwhichthebabyplacentaandfetalmembranesare
propelledthroughthepelvis.Thisissimplycalled:
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PrematureruptureofMembranes

BirthofPlacenta

Labour

Delivery

Question25Explanation:
Answer:C.LabourBeforetheactualeventofbirth,themother
mustundergothismechanisminordertocompletetheprocessof
propellingthebabyonthebirthcanal.

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