Maternal AND CHILD HEALTH NURSING LECTURE

1. A client decides to use the cervical mucus method as 12. Down syndrome may occur because of a
her contraceptive method. When describing this translocation defect. This means. AN ADDITIONAL
method, the nurse explains that the client can CHROMOSOME WAS INHERITED BECAUSE IT
determine ovulation based on which characteristic of WAS ATTACHED TO A NORMAL
the mucus? THIN AND SLIPPERY CHROMOSOME
2. A condition wherein there is low production of FSH 13. Infant mortality rate is defined as? A PROBABILITY
and LH that causes irregular and unpredictable OF DYING BETWEEN BIRTH AND EXACTLY AT
menstrual cycle. PCOS THE AGE OF ONE YEAR PER 1000 LIVE BIRTHS
3. After assessing a client, a nurse determines that an 14. The baby’s actual gene composition is called?
IUD as a method of contraceptive would be GENOTYPE
contraindicated based on a history of which finding? 15. The estrogen content in the contraceptive pill
ABNORMAL UTERINE SHAPE performs which action? SUPPRESSES FSH
4. All of the following is not a characteristic of a normal 16. The ethics of genetic screening encourage you TO
sperm count? 36-46 MILLION/L NOTIFY ALL FAMILY MEMBERS OF THE
5. A male patient is considering a vasectomy. Which FINDING AS SOON AS POSSIBLE
information should the nurse give to the patient about 17. these are hormonal contraceptive pills that contains
this procedure. USE A BIRTH CONTROL METHOD only progestin and will not allow endometrium to
UNTIL A NEGATIVE SPERM REPORTS OCCUR develop and fertilization and implantation to take
6. A number of inherited diseases can be detected in place. MINI PILL
utero by amniocentesis. Which of the following 18. When an infant is born with genetic disorder, it is
diseases can be detected by this method? appropriate to advise the parents that. THE
TURNERS SYNDROME DISORDER HAS PROBABLY OCCURRED IN THE
7. A couple is infertile if PREGNANCY THAT DID NOT FAMILY BEFORE
OCCUR AT LEAST ONE YEAR WITHOUT THE 19. When assessing newborns for chromosomal
USE OF ANY CONTRACEPTIVES disorders, which assessment would be most
8. A patient comes into the family planning clinic and suggestive of a problem? SHORT NECK/ LOW SET
requests a prescription for birth control pills. Which EARS
assessment finding indicates that an ovulation 20. When caring for the couple planning to have tubal
suppressant would not be the best contraceptive ligation because there are two people mental
method for the patient? HISTORY OF retardation in her husband’s family, a primary nursing
THROMBOEMBOLISM AND HYPERTENSION intervention would be. INCREASE THE COUPLE’S
9. A type of assisted reproductive technique in which KNOWLEDGE ABOUT GENETIC INHERITANCE
one or more mature oocytes are removed from the 21. When nursing transdermal patches, the client should
ovary and fertilized by the sperm in the laboratory. understand that they are applied at the: UPPER
IVF ARM, TORSO, ABDOMEN OR BUTTOCK
10. A young married woman tells you that she is going to 22. Which information is important for a woman to
have a tubal ligation because there are two people understand before undergoing a scheduled tubal
with mental retardation in her husband’s family, and ligation? SHE MUST THINK OF THE PROCEDURE
she is afraid this problem will surface in her children. AS IRREVERSIBLE
Which of the following nursing diagnoses would best 23. Which of the following health history would reveal a
apply to this couple? SEXUAL DYSFUNCTION possibility of infertility? PRESENCE OR HISTORY
RELATED TO THE POSSIBILITY OF HAVING A OF STD’S
COGNITIVELY IMPAIRED CHILD 24. Which of the following is the drug of choice of
11. Considered as the most effective way to prevent premature ejaculation? DAPOXETINE
conception and STD. ABSTINENCE 25. Which of the following is the most common cause of
subfertility in women? ANOVULATION

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26. Which of the following is not the aim of maternal PERSON, DELAY HAVING SEXUAL RELATIONS
newborn child health and nutrition? ADDRESS THE AS LONG AS POSSIBLE, DON’T HAVE
RISK OF MATERNAL AND NEWBORN HEALTH MULTIPLE SEX PARTNERS)
THROUGH HEALTH EDUCATION ONLY 38. The most critical time for pregnant women who have
27. Which of the following is true about Down syndrome? cardiac disease is during the? FIRST FEW
THE FREQUENCY INCREASES WITH MATERNAL MINUTES AFTER DELIVERY
AGE OVER 35 39. Which of the following women is apt to be at the
28. You prepare a couple to have a karyotype performed. greatest risk for nutritional deficiency during
Which of the following describes a karyotype? A pregnancy? A WOMAN WITH SHORT PERIOD
VISUAL PRESENTATION OF THE BETWEEN PREGNANCIES
CHROMOSOME PATTERN OF AN INDIVIDUAL 40. Which of the following is the most common type of
29. Which of the following symptoms of fetal alcohol anemia during pregnancy? IRON DEFICIENCY
syndrome is found in almost all patients? ALL OF ANEMIA
THE ABOVE (ABNORMAL FACIAL FEATURES, 41. The nurse instructs a pregnant patient with sickle cell
LACK OF MUSCLE COORDINATION, MENTAL anemia on ways to prevent a crisis. Which patient
DELAYS) statement indicates that teaching has been effective?
30. Which of the following organism crosses the placenta I SHOULD TAKE AN IRON SUPPLEMENT
which causes still birth? HERPES SIMPLE VIRUS EVERYDAY
31. The nurse is caring for patient who desires to 42. Which of the following STD causes blindness in
become pregnant within few months. Which vitamins newborn? GONORRHEA
would be appropriate to give to the client to prevent 43. A woman is pregnant and had asthma. Her primary
neural tube defects. FOLIC ACID care provider had told her to continue taking
32. The nurse explains to a pregnant client that she will prednisone during pregnancy, but she is concerned
need to take iron during her pregnancy after being the drug may be teratogenic. What advice would be
diagnoses with iron deficiency anemia. The nurse best to give her regarding this? PREDNISONE IS
suggests that absorption of he supplemental iron can CONSIDERED SAFE IN THE DOSES
be increased by taking it with which substance? PRESCRIBED BY HER CARE PROVIDER
ORANGE JUICE 44. A woman with an artificial mitral valve develops heart
33. Why do opportunistic diseases develop in an failure at the 20th week of pregnancy. Which
individual with AIDS? THESE INFECTION OR measure would the nurse stress with her during the
TUMORS OCCUR IN A PERSON WITH AN remainder of the pregnancy? OBTAINING ENOUGH
INCOMPETENT IMMUNE SYSTEM REST
34. Which of the following signs and symptoms indicate 45. Which of the following are true of mother fetus RH
right sides heart failure? EDEMA, ASCITES, LIVER incompatibility problems? ALL OF THE ABOVE
ENLARGEMENT (THEY CAN BE PREVENTED BY INJECTING
35. Which of these is a health problem that can be PHOGAM INTO THE MOTHER’S BLOOD SYSTEM,
caused by STIs in women? ALL OF THE ABOVE THEY ARE MUCH LESS LIKELY TO OCCUR
(ECTOPIC PREGNANCY, PID, HIGHER RISK OF DURING THE FIRST PREGNANCY COMPAPRED
CERVICAL CANCER) TO LATER PREGNANCIES, MEDICAL
36. A woman who has sickle cell anemia asks the nurse TREATMENT CAN BE NEARLY 100% EFFECTIVE
of her infant will develop sickle cell disease. The IN PREVENTING SUCH PROBLEMS)
nurse would base the answer on which information? 46. A 22-year old patient has presented to her primary
SICKLE CELL ANEMIA IS RECESSIVELY care provider for her scheduled pap smear.
INHERITED DISEASE Abnormal result of this diagnostic test may imply
37. To lower your risk of getting an STI: ALL OF THE infection with: HPV
ABOVE (USE A MALE CONDOM, AS A YOUNG

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47. All of the following are symptoms exhibited by a 12. Which of the following best describes pre-term labor?
newborn with a mother exposed to substance abuse LABOR THAT BEGINS AFTER 20 WEEKS
except: DEPRESS MORO REFLEX GESTATTION AND BEFORE 37 WEEKS
GESTATION
1. Oligohydramnios is considered when there is less 13. Which of the following is true about Placenta Previa?
than 500 ml of amniotic fluid. TRUE THE MOST COMMON CAUSE OF BLEEDING
2. Post term pregnancy might result into the following DURING THE THIRD TRIMESTER
except? POLYHYDRAMNIOS 14. The nurse is reviewing plan of care to a pregnant
3. Mrs. Cruz in her first trimester of pregnancy arrives at client experiencing threatened miscarriage. Which
a health care clinic and reports that she has been outcome would be appropriate for this client?
experiencing vaginal bleeding. A threatened abortion BLEEDING SPONTANEOUSLY STOPS WITHIN
is suspected, and the nurse instructs the patient of the 24-48 HOURS
management of care. Which statement, if made by 15. What possible symptoms may tell you are carrying
Mrs. Cruz, indicates she needs further education? I more than one pregnancy? ALL OF THE ABOVE
WILL AVOID SEXUAL INTERCOURSE UNTIL THE 16. A woman is admitted with a diagnosis of ruptured
BLEEDING HAS STOPPED, AND FOR 2 WEEKS ectopic pregnancy. For which of the following would
FOLLOWING THE LAST EVIDENCE OF BLEEDING you anticipate beginning preparation? IMMEDIATE
4. Some of the products are expelled, but the placenta SURGERY
remains attached. Heavy bleeding and cramping 17. A woman is being admitted to your hospital unit for
doesn’t subside until entire placenta is removed. severe preeclampsia. When deciding on where to
INCOMPLETE place her, which of the following areas would be most
5. The identical type of multiple pregnancy has? 1 appropriate? IN THE BACK HALLWAY WHERE
PLACENTA, 2 UMBILICAL CORD, 1 CHORION, 2 THERE IS A QUIET, PRIVATE ROOM
AMNIONS 18. All of the products of conception are expelled.
6. Which of the following statements best describes COMPLETE
hyperemesis gravidarum? SEVERE NAUSEA AND 19. Any of the 5 spontaneous abortions occurring with 3
VOMITING LEADING TO ELECTROLYTE, consecutive pregnancies. This condition is a result of
METABOLIC, AND NUTRITIONAL IMBALANCES weakened cervix that dilates in the 2nd trimester, and
IN THE ABSENCE OF OTHER MEDICAL expels fetus. HABITUAL
PROBLEMS 20. A client diagnosed with multiple pregnancy,
7. Which of the following would be the Nurse’s most underwent ultrasonography. Which of the following
appropriate response to a client who asks why she findings would you expect to find for a monozygotic
must have Cesarean Delivery if she has a complete twins? 1 PLACENTA, 2 UMBILICAL CORD, 2
placenta previa? THE PLACENTA IS COVERING AMNIONS, ALWAYS OF THE SAME SEX
THE OPENING OF THE UTERUS AND BLOCKING 21. A client is being admitted to the antepartum unit for
YOUR BABY hypovolemia secondary to hyperemesis gravidarum.
8. Which of the following are symptoms of HELLP Which of the following factors predisposes a client to
syndrome? HIGH BLOOD PRESSURE the development of this? TROPHOBLASTIC
9. In case of magnesium toxicity, what medication DISEASE
whould be readily available at the bedside? 22. Embryo or fetus dies but isn’t expelled. It’s often
CALCIUM GLUCONATE discovered by the physician when no FHT is present.
10. In H mole, one does not expect to find which of the Fetus must be expelled within 6 weeks or DIC and/or
following? FHT infections can occur. MISSED
11. Which of the following is true about the Mc Donald 23. If the center of the placenta separates first, blood can
Procedure? A TYPE OF CERVICAL CERCLAGE pool under the placenta and be hidden from view.
THAT IS TEMPORARY Blood may infiltrate the uterine musculature, forming

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a hard board like uterus called? COUVELARE 6. Gregor Johann Mendel is the father of GENETICS
UTERUS 7. Health promotion for menstruating woman would
24. A pregnant woman with preeclampsia is to receive include the following except: EXERCISES LIKE
magnesium sulfate IV. Which of the following TRACK AND FIELD, ACROBATICS, AND HEAVY
assessments would be most important prior to WEIGHT LIFTING
administering a new dose? PATELLAR REFLEX 8. In males, testicular descent from pelvic cavity
25. A woman develops HELLP syndrome. During labor, happens between 34-38 WEEKS AOG
which of the following orders would you question? 9. It is a diagnostic test wherein the chromosomes are
PREPARE HER FOR EPIDURAL ANESTHESIA separated from cells, stained and arranged in order
26. In case of abruptio placenta, the nurse should do the from largest to smallest so they can be studied under
following except? KEEP WOMAN IN SUPINE a microscope KARYOTYPING
POSITION 10. Nursing responsibilities during genetic counseling
27. Bleeding and cramping occur with the cervix closed would include the following except one? PAY FOR
and membranes intact. THREATENED THE EXPENSES OF THE GENETIC SCREENING
28. During the episodes of nausea and vomiting in TEST
hyperemesis gravidarum, which of the following is 11. Nursing responsibilities during genetic counseling
NOT advised? INCREASE LIQUID INTAKE DURING would include the following except one? PAY FOR
MEALTIME THE EXPENSES OF THE GENETIC SCREENING
29. A woman has been diagnosed as having TEST
pregnancy-induced hypertension. Which of the 12. The ability of individuals and couples to anticipate and
following is the typical symptom of this? PROTEIN IN attain their desired number of children and the
URINE spacing and timing of their births. FAMILY
30. A client was admitted in the ward due to severe PLANNING
preeclampsia. Which of the following should be 13. The average iron loss during menstruation is 10-11
immediately referred since this is an aura of an MG
impending convulsion? EPIGRASTIC PAIN 14. The Punnet Square is ALL OF THE ABOVE
15. This is menstrual disorder described as prolonged or
QUIZ NCM 109 LEC (2A) excessive bleeding and at irregular intervals.
1. An organism is homozygous for that gene if both MENOMETRORRHAGIA
alleles inherited are identical, whereas that organism 16. What is the important nursing consideration when a
is ______ for that gene if the alleles are ____ __. woman will undergo amniocentesis? EMPTY
HETEROZYGOUS, DIFFERENT BLADDER
2. Basic unit of heredity that determine both the physical 17. Who among the following are subjected to genetic
and cognitive characteristics of people. GENES counseling? A COUPLE WHO HAS A CHILD WHO
3. Cytogenetics is the branch of genetics that studies TURNED POSITIVE OF SICKLE CELL DISEASE
the chromosomes by _________ and the method by 18. Who among the following are subjected to genetic
which chromosomal aberrations are identified. counseling? A COUPLE WHO HAS A CHILD WHO
MICROSCOPY TURNED POSITIVE OF SICKLE CELL DISEASE
4. Disorders that can be passed from one generation to 19. With the following mother and father combination:
the next because they result from some anomalies in Mother hh and Father is hD, using the Punnet square,
the gene or chromosome structure. GENETIC what is the probability of the offspring to get the
DISORDERS disease? 50%
5. During menstruation, it is responsible for the cyclic 20. Fetoscopy is the insertion of fiberoptic fetoscope
secretion of gonadotropin releasing hormone (GnRH) through small incision in the mothers’ abdomen into
which then acts on the pituitary gland. the uterus and membranes to visually inspect the
HYPOTHALAMUS fetus for gross abnormalities. TRUE

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21. Genetics is the study of genes and the way genetic

disorders occur. TRUE
22. In the menstrual cycle, the phase wherein the corpus
luteum will regress, progesterone and estrogen levels
will decrease, leading to the degeneration of
endometrial lining is called Menstrual phase. FALSE
23. One purpose of genetic counseling is to encourage
couples to resort to abortion if found out that the fetus
has features of down's syndrome. FALSE
24. The factors to consider when choosing contraceptives
are personal values, ability to use a method correctly,
effect on sexual enjoyment, finances, couple's
relationship, previous experience and plans. TRUE
25. Genes are the basic units of heredity that determine
both the physical and cognitive characteristics of
people. TRUE

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