GAITH Maternity and Child

Question 1

222. Ovulation occurs 14 days before the onset of the next menstrual cycle

Question 2

223. A woman informed a nurse that she was never vaccinated against rubella. Which of the following is the best
     nursing advice?
     A. No need for her to be distress, rubella is not harmful to the fetus
     B. The vaccine can be administered any time during her pregnancy
     C. She can get pregnancy any time after receiving the vaccine
     D. She should be vaccinated after delivery of the baby she get discharge

Answer 2

D

Question 3

224. A 29 year old woman had been diagnosed with a 3 cm ovarian cyst. Which of the following is the appropriate
     step in management?
     A. Cyst aspiration
     B. Hormonal therapy
     C. Cyst removal by laparoscopy
     D. Examination after next menstruation

Answer 3

D

Question 4

225. A diabetic mother delivered a full term neonate by Caesarean section infant is admitted to the neonatal
     intensive care unit for observation. This infant is at risk of which of the following complication?
     A. Pneumothorax atelectasis
     B. Hyperglycemia
     C. Atelectasis
     D. Hypoglycemia

Answer 4

D

Question 5

226. The midwife was assessing a 36 year old gravis 4 para 2mother. The patient was in labour for 10 hour and
     had extraction. Two saturated pads were fully soaked with blood with hours been admitted in the post natal
     ward. Which of the following is the appropriate nursing diagnosis?
     A. Anxiety related to blood loss
     B. Fatigue related to lack of oral intake
     C. Activity intolerance due to discomfort
     D. Fluid volume deficit due to uterine atony

Answer 5

D

Question 6

227. Which dietary intake should be initiated in pregnant woman?
     A. Yogurt
     B. Soft cheese
     C. Processed cheese
     D. Pasteurized milk

Answer 6

C

Question 7

228. A 33 old woman presented to the ER with general weakness. The laboratory investigation indicated VIT D
     deficiency. Which of the following nutrient should be recommended as a good source of vitamin?
     A. Rice
     B. Green tea
     C. Orange juice
     D. Fish liver oils

Answer 7

D

Question 8

229. The midwife was caring for a 30 year old gravida 3 para 3 postpartum normal delivery mother. After three
     hours, the patient was restless, her skin was cool, clammy and feeling thirsty. What will be midwife’s initial
     action?
     A. Notify the doctor
     B. Check the vital sign
     C. Give patient a drink
     D. Start fundal massage

Answer 8

B

Question 9

230. Which of the following nursing responsibilities should be done immediately following administration of
     lumbar epidural anesthesia to a woman in labor?
     A. Reposition from side to side
     B. Administer oxygen
     C. Assess for maternal hypotension

Answer 9

C

Question 10

231. A nurse is assessing the uterus of a G5P4 patient immediately after delivery. The nurse notes the fundus is
     not contracted. Which of the following is the most appropriate immediate action should be taken?
     A. Massage the fundus
     B. Assess the bladder
     C. Elevated the mother’s legs
     D. Encourage the mother to void

Answer 10

A

Question 11

232. A nurse is assisting during a normal vaginal delivery on a 22 year diabetic patient. The head was delivered
     without any complication head suddenly retracts against the perineum prompting the physician to immediately
     ask for the nurse assistance with this dystocia. Which of the following will be the nurse appropriate action to
     impacted shoulders of the infant?
     A. Fracture the infants clavicle.
     B. Prepare patient for immediate cesarean section
     C. Apply fundal pressure to displace anterior shoulder
     D. Perform supra public pressure to release anterior shoulder

Answer 11

D

Question 12

233. At labor room, a nurse assessed the condition of the patient and gathered the following data. Cervical
     dilatation 2-5minutes lasting 40-60seconds increasing bloody show leg discomfort with heaviness what is the
     significance of the data?
     A. Patient on the first stage of labor
     B. Patient on the third stage of labor
     C. Patient on the second stage of labor
     D. Patient is experience a prolonged labor

Answer 12

A

Question 13

234. A primigravida mother is having her baby through normal vaginal delivery. The baby is completely delivered
     but the mother is still experiencing the uterine contractions.
     A. Beginning of the third stage of labour
     B. Indication of increase in vaginal bleeding
     C. Need for reducing the rate of intravenous oxytocin
     D. Uterine contraction will gradually reduce then stop.

Answer 13

A

Question 14

235. A mother is the outpatient Clinic for her first post natal visit on the 15th day her normal vaginal delivery. Her
     physical examination reveals a stable condition, breasts are soft and her sanitary napkin has bright coloured
     rubra. Which of the following needs further evaluation?
     A. Amount and frequency of breast feeding
     B. Hydration level and bleeding breast feeding
     C. Activity, exercise and resting periods
     D. Uterine size and position

Answer 14

D

Question 15

236. A midwife is discussing the birth spacing measures with a mother whose first baby boy is a 1 year old and
     was born with spina bifida. The midwife has explained the possible causes of condition of the baby and the
     measures is necessary if the mother is planned for a next pregnancy?
     A. Increase iron and calcium supplements
     B. Multivitamin and folic acid intake
     C. Genetic screening
     D. Immunization before and during pregnancy

Answer 15

B

Question 16

237. A 32 weeks pregnant patient present for her follow up appointment in the antenatal clinic. She complains of
     experiencing frequent heartburn. Which of the following is the most appropriate advice to the patient?
     A. Drink plain water between meals
     B. Raise head of the bed
     C. Eat favorite foods
     D. Lie down for one hour after taking food

Answer 16

B

Question 17

238. A midwife visits a mother four weeks after delivery. The mother is breastfeeding her baby but she requests
     the midwife to suggest alternative formula milk as she has to return back to her job and her baby will stay in a
     day care center. Which of the following teaching plans is suitable for the mother?
     A. Supplementary medications with bottle feeding
     B. Combined schedule of the breastfeed and top feed
     C. Hygiene practices with bottle feeding
     D. How to express and save milk

Answer 17

D

Question 18

239. A women in labor is progressing well. She has been diagnosed with a large fibroid in the fundus. What should
     the nurse observe her for after delivery?
     A. Thrombophlebitis
     B. Postpartum depression
     C. Postpartum hemorrhage
     D. Loss of bladder tone during puerperium

Answer 18

C

Question 19

240. Which of the following assessment is contraindicated while providing intrapartum nursing care for a patient
     with HELLP syndrome?
     A. Heart sounds
     B. Blood studies
     C. Leopold’s maneuvers
     D. Deep tendon reflexes

Answer 19

C

Question 20

241. For which of the following issues should the nurse observe the movie closely during the 4TH stage of labor?
     A. Uterine irritability
     B. Signs of infection
     C. Signs of bleeding
     D. Unwillingness to breastfeed

Answer 20

C

Question 21

242. A 32year old woman has just been told that she is pregnant she states ‘ As mush as I love my children , I had
     had hoped we would not have any more “ this statement reflect of which of the following related to pregnancy
     A. Anger
     B. Denial
     C. Guilt
     D. Ambivalence

Answer 21

D

Question 22

243. After nurse assessed a newborn she reported that the baby has syndactyly the student nurse ask the nurse in
     charge what is the syndactyly ?
     Which of the following is the best nursing response
     A. Fistula.
     B. Abnormal big head
     C. Extra finger or toes
     D. Finger or toes wholly of partly united

Answer 22

D

Question 23

244. A newborn is diagnosed with Ventricular Septal Defect (VSD) Which of the following information should the
     nurse give to the newborn’s mother?
     A. Cyanosis will occur most of the time during sleeping
     B. Breast feeding is not recommended for your child
     C. The defect might close spontaneously after 6 months
     D. Blood pressure is different on the child’s arm and the leg

Answer 23

C

Question 24

245. A couple asked the nurse which of the first investigation they should do for infertility?
     Which of the following should be the proper a nurse answer?
     A. Hysterosalpingogram
     B. Serum progesterone
     C. Semen analysis
     D. Endometrial biopsy

Answer 24

C

Question 25

246. A nurse is assessing a 5 month old infant who has admitted to the pediatric ward with coarcotation of aorta Which of the following is the most common assessment findings ? A. Cyanosis and clubbing hands B. Bounding pulse and hypotonicity C. Cyanosis occur frequently during and after feeding D. Blood pressure is different on the arm the leg

Answer 25

D

Question 26

247. A 36 years old woman is in her 18 weeks pregnancy came to antenatal clinic and assessed by the nurse. She has three previous abortion during the first trimesters prior to pregnancy. How the nurse will document the status of the mother? A. Parity B. Nullipara C. Multipara D. Primipar

Answer 26

B

Question 27

248. During vaginal examination the nurse palpated the posterior fontanel to be at the right side and upper quadrant of the maternal pelvis ? A. ROP B. LOP. C. ROA D. LOA

Answer 27

C

Question 28

249. A 38 years old gravida 5 para 3 post natal mother delivered via caesarean section. On the fourth post operative day the mid wife noted human's sign was positive . human's sign is result by pain which of the following leg site? A. Calf B. Foot C. Heel D. Thigh

Answer 28

A

Question 29

250. Which of the following vaccines are safe to administer to pregnant women? A. Measles B. Tetanus C. Rubella D. Varicella

Answer 29

B

Question 30

251. Which of the following is independent function of primary health care nurse? A. Complete history and nursing assessment B. Referral for diagnostic evolution C. Medical examination D. Psychotherapy referral

Answer 30

A

Question 31

252. Which of the following statement by the nurse describes the effect of clomid an ovulation inducing drug? A. Given for the first 15 days in each cycle B. Maximum dose is 50mg daily for a month C. Increase the risk of birth defects D. It increases the risk of multiple pregnancy

Answer 31

D

Question 32

253. A 50 year old woman is attending the outpatient clinic for annual check up. Which of following should be reported if inspected during breast examination? A. Everted nipples B. Symmetrical visible C. Dimple in the left breast D. Right breast is slightly larger than left breast

Answer 32

C

Question 33

254. A pregnant woman is 36 weeks pregnant was admitted to antenatal ward for observation after being involved in a car accident the refuses when the nurse tried to touch her abdomen to perform examination saying it is painful. She also present mild vaginal bleeding . Which of the following is the most appropriate diagnosis A. Placenta previa B. Tubal pregnancy C. Abruptio placenta D. Inevitable abortion

Answer 33

C

Question 34

255. Mother of nine children, three of them with congenital anomalies and one down syndrome, she is a primary school graduate, with low financial status, she is not using any method of family planning . according, the primary health are nurse has referred her for counseling. Which of the following is a model concerned with disability as from of social injustice due to stigma, or discrimination A. Health belief B. Biomedical C. Sociopolitical D. Economic

Answer 34

C

Question 35

256. A primiparous mother is calling the clinic to report that her baby often regurgitates small amount of breast milk which of the following is appropriate nursing advice the mother? A. Elevate the head of the bed B. Feed the baby when he is too hungry C. Attend to the clinic with the baby D. Put the baby in prone position after feeding

Answer 35

A

Question 36

257. A 10 month old infant is admitted to the surgical ward with hydrocephalus. Which of the following .indicate increased intracranial pressure? A. Bulging B. Decrease blood pressure C. Rapid, shallow breathing D. Increase body temperature

Answer 36

A

Question 37

258. A multigravida and 37 weeks pregnant mother presents t the antenatal Clinical. Her condition of the stable and her baby position and heart rate are normal. Which of the following discussion is more appropriate with thr mother? A. Observer until the 40weeks complete B. Family planning and birth spacing C. Arrange for caesarean section D. Possible of induced labor.

Answer 37

A

Question 38

259. A 26 years old patient in the gynecological ward complained of pain and swelling in her episiotomy stitches on her second post-natal day. On examination the localized swelling redness foul smell and pussy discharge were identified at the stitches site after examination the nurse checked vital sings BP 116/28 HR 132 RR 28 TEM 39.8. which of the following should the nurse do prior to the patient examination by the gynecologist? A. Arrange dressing instrument B. Maintain patient privacy C. Arrange stitch removal kit D. Collect detailed history

Answer 38

B

Question 39

260. A 28-year-old primigravida who is pregnant at 16 weeks of attended at the emergency department because of dark brow discharge. investigation showed a decline in pregnancy test for which of the following is the most likely type of the spontaneous abortion? A. Missed B. Threatened C. Incomplete D. Inevitable

Answer 39

A

Question 40

261. A nurse is educating a primigravida woman who is pregnant at 30weeks on breast feeding. Which of the following statement by the woman indicates that she needs additional teaching? A. Breast milk can stored at room temperature B. Breast feeding should be based on baby demand C. Baby can beheld in different ways during feeding D. Breast feeding helps the uterus to return to pregnancy size

Answer 40

D

Question 41

262. Which of the following vaccines should be given to a 9 months old ? A. Hepatitis B. Varicella & measles C. Oral polio and bacillus cellmate Guerin D. Measles and meningo conjugate quadrivalent ( MCV4)

Answer 41

D

Question 42

263. nurse is instructing a female client how to do breast self-exam. Which of the followings is the best time to perform this exam? A. After ovulation B. After the period C. Two weeks after period D. Three days before period

Answer 42

B

Question 43

264. A nurse is explaining pudendal block anesthesia to primigravida women who is inactive labor. Which of the following relief areas identified by the woman would indicate that teaching was effective? A. Back B. Perineum C. Fundus D. Abdomen

Answer 43

B

Question 44

265. Which of the following classifications of placenta previa is applicable when the placental edge is 5 cm away from the internal cervical OS? A. Total B. Partial C. Marginal D. Complete

Answer 44

C

Question 45

66. A postdate pregnant woman is admitted for the induction of labour. Her fetal heart rate and vital signs are within normal range her intravenous line is maintained and she is to be started on low doses of labour inducing medication. Which of the following medication the mother is likely to receive intravenously ? A. Oxytocin B. Cervidil C. Cytotec D. Cytoxin

Answer 45

A

Question 46

267. Which of the following patients are at risk for cord prolapse? A. Fetus that remains at high station B. Mother with oligohydramnios C. Presenting part at station + D. Intact membranes

Answer 46

A

Question 47

268. While taking care of the a patient with a spinal cord injury, the patient suddenly complains of pounding headache upon assessment the patient was found to have diaphoresis , drop in heart and elevated blood pressure , autonomic dysreflexia is suspected and the head on the bed is elevate . which of the of the following is the most appropriate to important immediately? A. Notify the physician B. Assess bladder for distension C. Continue to monitor for next hour

Answer 47

B

Question 48

269. vital statistics and control of communicable disease serve many function. Which of the following is the basic function for health? A. Public B. Mental C. Education D. Maternal & child

Answer 48

A

Question 49

270. A 6 months old infant mother decided to wean her child. Which of the following is the best principle of weaning process? A. Start the weaning process by 8 month of life B. Gradually replace one breast session at a time C. Discontinues the nighttime feeding first D. Allow the child to take a bottle of milk or juice bed

Answer 49

B

Question 50

271. A midwife is conducting a health a health education session to the primigravid mothers. The session is about antepartum care to ensure the health of the mother their babies. Which of the following statement made by mother suggest their appropriate understandings of anti-partum periods ? A. Beginning of labor till the baby birth B. Diagnosis of pregnancy till the baby birth C. Last three months of pregnancy D. Forty days after the child is born

Answer 50

C

Question 51

272. A 41 weeks pregnant was admitted to labor and delivery unit for induction with oxytocin infusion 3 hour later her contraction are 5 to 6 in 10 minutes and strong which of the following is he best nursing action? A. Gives an analgesic B. Stop the oxytocin & inform the doctor C. Gives psychological support D. Change position to left lateral

Answer 51

B

Question 52

273. A 26 year old patient in the gynecology ward complained of pain and swelling in episiotomy stitches on her second post natal day. On examination, the localized swelling, redness, foul smell and pussy discharge were identified at the stitches site after examination, the nurse checked her vital signs BP 116/58 RR 28 HR 132 TEM 39.8 Which of the following should the nurse do prior patient examination by the gynecologist? A. Arrange dressing instruments B. Maintain patient privacy C. Arrange stitch removal kit D. Collect detailed history

Answer 52

B

Question 53

274. A woman delivered her baby boy 3 hours ago with caput succedaneum. Which of the following the nurse expects to find when she examines the newborn baby caput? A. Soft, fluctuant mass filed with fluid B. Bilateral mass on both biparietal boons C. A mass with clear edges that end at the suture lines D. A hard mass that is filled with blood

Answer 53

A

Question 54

275. A 25 year woman was admitted to medical ward for anorexia chemotherapy the nursing diagnosis was imbalanced nutrition less than body requirements related to dysfunctional eating pattern which of the following is the best way to evaluate the outcome of nursing care of this patient? A. Record daily weight B. Monitor vital signs accurately C. Schedule meals with family members D. Offer small portions of favorites

Answer 54

A

Question 55

276. Total ante natal visits ? 10 -12 visit ( every 4 weeks in the first 28 weeks , every 2 weeks in 32-36 weeks , every week from 36weeks 40weeks )

Question 56

277. What is the antenatal assessment schedule for women the period of conception and 28 weeks of gestation? A. Once a week B. Every 2 week C. Every 3 weeks D. Every 4 weeks

Answer 56

D

Question 57

278. A nurse is instructing a 20years old nulligravida woman about side effect of oral contraceptive. Which of the following if stated by the woman indicates for further education? A. Nausea B. Headache C. Weight gain D. Ovarian cancer

Answer 57

D

Question 58

279. A 33 week pregnant mother is on her routine medications that include iron supplement , folic acid , multivitamins and calcium supplement , despite all medication her hemoglobin has not been increase since last two month, she is experiencing more fatigue and lethargy since past few weeks HB 80 ….. HCT 0.22 Which of the following intervention is the most desired? A. Add vitamin c to increase drug absorption B. Start injectable multivitamins as per regimen C. Advise increase intake of organ meat and fortified food D. Advise increased food intake by frequent small meals and snacks

Answer 58

A

Question 60

280. A primigravida attend the antenatal clinic for her routine visit the nurse performed an abdominal palpitation and found the fundus to be midway between the symphysis pubis and the umbilicus what are the weeks of gestation according to this findings ? A. 8 Weeks B. 16 weeks C. 24 weeks D. 28 weeks

Answer 60

B

Question 61

281. What is the meaning of the acronym A of REEDA which is used to assess the perineum after birth? A. The status of edges of the perineal wound it should be closed B. Presence of discharge from the perineal wound C. The presence of bruising of the perineal area D. Excessive swelling of the perineal area

Answer 61

A

Question 62

282. A pregnant woman has visited the antenatal clinic her last menstrual date was on 10th August this year. Her menstrual cycle was regular at 28 day. What is the expected date of delivery? A. 17th may next year B. 20st may next year C. 23rd may next year D. 25th may next year

Answer 62

A

Question 63

283. A 30 years old woman , gravid 3 para 2 in her20 weeks pregnancy was complaining of increase leucorrheoa during past weeks the nurse reassured the mother and explained the reason of this secretions ? A. Vaginal infection B. Expansion of uterus C. Stimulation of cervix D. Production of estrogen

Answer 63

D

Question 64

284. Lochia red sometimes happens during postpartum to bleed heavily with Foul smell for the first three to ten postpartum days, the nurse should expect that may to A. Lochia pink B. Sign of abnormal hemoglobin C. Infection D. Bleeding

Answer 64

D

Question 65

285. Which of the following assessment findings indicates laceration of the canal in the fourth stage of labor? A. Red-brown lochia B. Firm contracted uterus C. Fundus is palpated at the level of the umbilicus D. More than 1 saturated perineal pad per hour

Answer 65

D

Question 66

286. Which of the following must be checked during the third day of post-partum period by the nurse? A. The flow of milk B. Uterine prolapse C. Exclusive breast feeding D. Complete involution of uterus

Answer 66

C

Question 67

287. A child with sever bronchial asthma is started on prednisone. Which of the following is a side effect of prednisone that might be exhibited by the child? A. Anorexia B. Weight loss C. Anemia and fever D. Neurologic symptoms

Answer 67

A

Question 68

288. A woman was rushed to the emergency room because if vaginal bleeding mild cramps, tenderness over the uterus, and closed cervix. After the assessment, it was suspected that the patient may be lead to inevitable abortion. What is the possible management of this patient? A. bed rest B. surgical management C. induction of oxytocin D. dilatation and curettage

Answer 68

D

Question 69

289. A 28 weeks pregnant mother is in the antenatal clinic with the complaint of vaginal irritation itching and thick white secretion . she is diagnosed as having vaginal candidiasis she had been having the same infection before the pregnancy for which she was prescribed the vaginal cream she is using the same cream for the past few days but her symptoms are not relieved what need to be emphasized to mother A. change clothes daily use sanitary napkins B. Avoid self treatment and seek doctor advise C. Use medicated bubble baths and reduce activates D. Was with warm water every two hours

Answer 69

B

Question 70

290. Which of the following nursing responsibilities should be done immediately following administration of lumbar epidural anesthesia to a woman in labour? A. reposition from side to side B. administer oxygen C. increase IV fluid as indicated D. assess for maternal hypotension

Answer 70

D

Question 71

291. the antenatal clinic, a 9-month pregnant woman notifies the nurse that e is concerned that she gained 15Kg during this pregnancy and she is and needs to start a diet program. which of the following is the best nursing response? A. This weight gain is normal during pregnancy B. You can reduce the carbohydrates in your diet C. Wait till you have the baby and start a diet program D. This weight is lower than you should gain during pregnancy

Answer 71

A

Question 72

292. Intrauterine growth curves were used to classify a 32-week-old preterm new-born. Birth weight and gestational age shows the infant's growth rate falls below the 10th percentile. What is the priority nursing diagnosis for a new-born with small for gestational age? A. Risk for injury related to impaired gluconeogenesis B. Risk for impaired gas exchange related to meconium aspiration C. Risk for ineffective thermoregulation related to lack of subcutaneous fat D. Risk for altered nutrition less than body requirement related to increased metabolic needs

Answer 72

C

Question 73

293. A nurse is leading an educational session on the correct use of oral contraceptives. One of the attendees ask the nurse what to do if she missed taking an oral contraceptive for one day? Which of the following should be the nurse advice to her? A. Continue as usual with no back up contraception B. Take an active pill immediately and take the next pill at the usual time C. Take two pills as soon as possible and then one pill daily at the usual time D. Use back up contraception such as a condom for the next 7 days

Answer 73

B

Question 74

294. Which of the following represents secondary infertility? A. Male infertility B. A couple that does not conceive C. Infertility that occurs after previous pregnancy D. Infertility lasts for more than 3 years

Answer 74

C

Question 75

295. A women patient with a body mass index of 35 is admitted to ward. Which of the following nursing diagnosis, related to Imbalance the most appropriate : A. Activity intolerance B. Less than body requirement C. More than body requirement D. Deficient knowledge on normal nutrition

Answer 75

C

Question 76

296. A nurse is providing health education for a primigravida patient who has gestational diabetes mellitus. Which of the following statements made by the patient indicates the need for additional education? A. “I should not do exercises” B. “I should follow the prescribed diet” C. “+I should monitor my blood glucose” D. “I should report any sign of infection”

Answer 76

A

Question 77

297. Gestational diabetes is high blood sugar (diabetes) that starts or is found during pregnancy. The best time for glucose screening tests during pregnancy is: A. 7 – 12 weeks B. 17 – 18 weeks C. 24 – 28 weeks D. 20 – 35 weeks

Answer 77

C

Question 78

298. laboring women desires to participate in her cesarean and have pain control. Which of the following methods would satisfy the women's needs A. Epidural block B. Pudendal block C. Meperidine injection

Answer 78

A

Question 79

299. which of the following statement described the latent phase? A. First 3 cm of cervical dilatation B. From onset of labour to full dilatation C. When the cervix is 100% effaced D. Time of progress from 4 cm to 7 cm

Answer 79

A

Question 80

300. A nurse is performing an assessment of a women who is delivery Which assessment finding would indicates a need to physician? A. Hemoglobin of 11.0 g/dl B. White blood cell count of 12,000 C. Fetal heart rate of 180 beats per minute D. Maternal pulse rate of 85 beats per minute

Answer 80

C

Question 81

301. Amniotic fluid importance . surrounds ,cushion ,protect baby . allow the fetus to move freely , maintain body temperature to the fetus , and contain urine from the fetus cushion

Question 82

302. A 34-weeks-pregnant mother experiences a sudden gush o from her vagina and mild uterine contractions. She informs about her condition and requests if she could wait until the delivery. Which of the following is the best desired response for report to the hospital? A. Intravenous fluids and medicines need to be administer B. Observation is necessary to identify premature labor C. Pain and fluid flow both need to be controlled D. Fetal heart sound monitoring is necessary

Answer 82

D

Question 83

303. During A Vaginal Delivery of Woman 38 Years Old the Nurse Should Consider the Risk of Which of The Following A. Acute bleeding and coma B. Low potassium C. Brain Injury D. Fetal heart rate

Answer 83

D

Question 84

305. A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area? A. +1 B. +2 C. +3 D. +4

Answer 84

C

Question 85

306. 38weeks-pregnant woman complains that she has been craving to eat non food substance What is the term that describes this pregnant mother’s condition? A. Pica B. Bulimia C. Anorexia D. Binge eating

Answer 85

C

Question 86

307. pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks. a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format the nurse should identify that the client is: A. G4 T3 P2 A1 L4 B. G5 T2 P2 A1 L4 C. G5 T2 P1 A1 L4 D. G4 T3 P1 A1 L4

Answer 86

C

Question 87

308. multiparous woman is admitted to postpartum ward after vaginal delivery. Assessment showed, lochia: steady trickle of bright red blood and ndus: firm. Blood pressure 110/70 mmHg Heart rate 80 /min Respiratory rate 20 /min Temperature 37.5 Which of the following is the most likely diagnosis? A. Endometritis B. Uterine atony C. Vulvar hematoma D. laceration of the genital tract

Answer 87

D

Question 88

309. A 7-year-old insulin dependent diabetic mother has delivered normally in 38 gestational weeks. The nurse was assessing the insulin requirement this mother after delivery. What is the insulin requirement for this patient? A. Higher than before pregnancy B. No changes in insulin requirement C. Lower than when she was pregnant D. Slightly increased than before deliver

Answer 88

C

Question 89

310. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is a primary school graduate, with low financial status. She is not using any method of family planning. Accordingly, the primary health care nurse has referred her for counseling. Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals? A. Sensory limitations B. Rigid rules C. Developmental disabilities D. Deafness & hearing limitations

Answer 89

C

Question 90

311. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used? A. community organization B. individual counseling C. group discussion D. health class

Answer 90

B

Question 91

312. multiparous patient on day 1 postpartum is asking the nurse to send her baby to the nursery so she can sleep. What is the most likely phase of psychological adaptation? A. Taking-in B. Letting-go C. Taking-go D. Letting-in

Answer 91

A

Question 92

313. A 65-year-old women visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she cough embarrassing for her? Which of the following can be considered as risk factors pelvic floor muscles? A. Chronic coughing B. Diabetes mellitus C. Excessive spot D. Sedentary life style

Answer 92

A

Question 93

314. At is the recommended weight gain during pregnancy of a woman with MI of < 18.5? A. 12.5 -18 Kg B. 11.5 -16 Kg C. 7 -11.5 Kg D. 5- 9 Kg

Answer 93

A

Question 94

315. A 25-year-old mother gravid 2 para q came for a routine check Antenatal Clinic. The nurse assessed fetal heart rate for the 38 pregnant mother. What is the expected normal fetal heart rate per minute? A. 90 B. 100 C. 140 D. 170

Answer 94

C

Question 95

316. A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do? A. A repeat the ultrasound after menstruation B. Remove it by laparoscopy. C. Give the medication D. None

Answer 95

A

Question 96

317. Nancy, a primipara who is due to deliver next week, calls and tells the nurse she has been having contractions every four minutes for an hour. Before asking any further questions, the nurse confirms that Nancy knows how to correctly time contractions, which is A. from the end of one contraction to the beginning of the next. B. from the beginning of one contraction to the end of the next. C. from the end of one contraction to the end of the next. D. from the beginning of one contraction to the beginning of the next

Answer 96

D

Question 97

318. A 22-year-old gravida 2 para 1 with gestational age 38 week admitted to the hospital. The chief complaint is decreased the fetal non-stress test revealed decreased variability and fetal movement. The next morning as part of the antenatal the nurse checks the fetal heart rate by Doppler Sonicaid decreased the fetal heart rate to less than 100 /min. which of the following action the nurse should do first? A. Reassure the mother that the FHR is Ok B. Notify immediately the physician or midwife C. Reposition the patient to left lateral position D. Ask the mother about the pattern of fetal movement

Answer 97

B

Question 98

319. Pregnant patient admission to triage with abdominal pain on assessment the FHR found 70 p/m. what is the first action for the nurse? A. Call the doctor B. Report the finding C. Put the patient in left lateral position

Answer 98

A

Question 99

320. 25 weeks-pregnant, primary gravid woman is on her first antenatal visit, completing physical examination and history, the midwife found out her husband has sickle cell anemia minor. What should be the most appropriate plan of care? A. Genetic counselling B. Identify severity of disease C. Discuss the chances of transferring D. Amniocentesis to identify genetic abnormality

Answer 99

A

Question 100

321. Which of the following statements describe puerperal infection ? A. presence of fever of 38 or higher from 2 days to 10 days B. presence of fever of 40

Answer 100

A

Question 101

322. When would the nurse schedule a woman for a glucose tolerance test? A. 6th -10th week of pregnancy B. 12th -16th week of pregnancy C. 24th -28th week of pregnancy D. 32th -36th week of pregnancy

Answer 101

A

Question 102

324. The relative of a 25-year-old post-partum patient stopped her from taking bath until the 40 days provided with the food by the family that was of saturated fat and a liter of reduced full asking, she said the diet was good for the milk Which of the following should be the prioritized patient's understanding about? A. A healthy and balanced diet is beneficial B. Breast feed is not affected by mother's diet C. Maintaining personal hygiene is most D. Rest and relaxation is necessary to regain

Answer 102

C

Question 103

325. When is the ideal time to administer analgesia to a women in labour? A. A soon as she requests analgesia B. When labour is well established C. When the women enters into transition phase D. when the women progress from latent to active phase

Answer 103

D

Question 104

326. A patient height is 183 cm and weight is 63.5 kg BMI 19. What is the patient weight classified is ? A. Underweight B. Normal C. Overweight D. Obese

Answer 104

A

Question 105

327. Which of the following would the nurse included in her discharge education for a postpartum patient regarding signs and symptoms that should be reported immediately? A. Lochia rubra persists B. Nipples become red C. Lochia decreases in amount D. After pains increase with breast feeding

Answer 105

A

Question 106

328. Every how many minutes to check fetal pulse with second stage of labor Every ? A. 5min B. 10min C. 15min D. 20min

Answer 106

A

Question 107

329. When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm? A. Assess vital signs B. Increase V fluids C. Evacuate the bladder D. Ask the mother to res

Answer 107

C

Question 108

330. A 32 years old multigravida woman presents to the outpatient clinic complaining of dysmenorrhea and menorrhagia. She had been diagnosed with uterine fibroids and blood studies has been ordered for her. Which of the following results should the nurse report? A. hematocrit, 37% B. hemoglobin, 9 g/dl C. white blood cell count, 10,000 cells/mm3 D. platelets count, 300,000 platelets/ microliter

Answer 108

B

Question 109

350. Second day post delivery which blood color will be the lochia A. Locia rubra B. Lochia serosa C. Lochia alpa

Answer 109

A

Question 110

351. A 30 year old married woman has dilatation and curettage as a therapeutic abortion. A nurse was preparing for discharge instruction. Which of the following should the nurse include in discharge instruction? A. Taking high protein diet B. Use tampons during swimming C. Avoid sexual intercourse for two weeks D. Continue on bedrest for two weeks at home

Answer 110

C

Question 111

352. While the nurse is performing postpartum assessment for a primiparous mother delivered 2 hours ago, she found the following: Fundus level: Midway between symphysis pubis and umbilicus Position: At the mid line Consistency: Contracted Lochia: Constantly Which of the following is the most likely diagnosis? A. full bladder B. Perineal hematoma C. Birth canal laceration D. Retained placental part

Answer 111

C

Question 112

353. What the purpose of a late vaginal_rectal culture during ante natal screening ? A. To screen for group B streptococci B. To detect a Chlamydia infection C. To screen for gonorrhea D. To screen for syphilis

Answer 112

A

Question 113

354. Which of the following hormones are responsible for implantation of ovum inside Uterine wall?? A. Progesterone and estrogen B. LH and. FSH Hormones C. Oxytocin

Answer 113

A

Question 114

355. Which hormone is responsible for uterine wall and breast enlargement during pregnancy?? A. Progestron B. Estrogen C. HCG

Answer 114

B

Question 115

356. woman was diagnosed gestational trophoblastic disease what is the lab investigation was done to diagnose condition? A. Cervical pap smear B. Serum HCG levels C. Serum estrogen level D. Plasma thyroxin level

Answer 115

B

Question 116

357. Side effect of HCG during pregnancy A. Aneroxia B. Osteoarthritis C. Menopause D. Depression

Answer 116

D

Question 117

358. The pregnant woman is asking the nurse about the function of placenta. The nurse explains to her that placenta provide your baby with food and Oxygen. Which another additional function for placenta?? A. Cushion and protect baby. B. Produce HCG C. Produce contraction

Answer 117

B

Question 118

359. A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta: A. Cushions and protects the baby. B. Maintains the temp of the baby. C. the way the baby gets food and oxygen D. Prevents all antibodies and viruses from passing to the baby

Answer 118

C

Question 119

360. A woman at 24 weeks gestational age has fever body ache and has coughing last 5 days she is sent to hospital with admission prescriptions for H1N1influenza . which prescription has the highest priority ? A. Assign private room B. Vital signs every 4 hours C. Obtain specimens for culture D. Ringer lactate IV

Answer 119

A

Question 120

361. A community Nursing nurse is planning to conduct prenatal teaching and community assembly for pregnant adolescents. Which teaching strategy would be most effective? A. Offering open sessions for pregnant adolescents and anyone else who wants to attend B. Designing posters that girls can view individually in community Nursing centre C. Preparing group class sessions for teaching pregnant adolescents together D. Conducting one to one teaching sessions for both mothers and daughters

Answer 120

C

Question 121

362. Uterus size after delivery is ? A. 900 grams B. 1000 grams C. 1400grams D. 1600 grams

Answer 121

A

Question 122

363. A pregnant women G1 P0 vaginal delivery observed in the second postpartum day that the perineal pad saturated with bright red lochia rubra what is the priority nursing intervention? A. Massage fundus B. Obtain vital signs C. Inform physician D. Inquire about time of pervious saturated perineal pads

Answer 122

D

Question 123

364. A 32 weeks pregnant patient present for her follow up appointment in the antenatal clinic. She complains of experiencing frequent heartburn. Which of the following is the most appropriate advice to the patient? A. Drink plain water between meals B. Raise head of the bed C. Eat favorite foods D. Lie down for one hour after taking food

Answer 123

B

Question 124

365. A midwife visits a mother four weeks after delivery. The mother is breastfeeding her baby but she requests the midwife to suggest alternative formula milk as she has to return back to her job and her baby will stay in a day care center. Which of the following teaching plans is suitable for the mother? A. Supplementary medications with bottle feeding B. Combined schedule of the breastfeed and top feed C. Hygiene practices with bottle feeding D. How to express and save milk

Answer 124

D

Question 125

366. A multipara mother complained of small vulva with swelling following vaginal delivery of a baby weight 3.8 Kg What is the initial nursing action should the nurse advise the mother to perform? A. Apply ice pack B. Maintain bed rest C. Administer analgesics D. Encourage fluid intake

Answer 125

A

Question 126

367. intrauterine growth curves were used to classify a 32-week-old preterm new-born. Birth weight and gestational age shows the infant's growth rate falls below the 10th percentile. What is the priority nursing diagnosis for a new-born with small for gestational age? A. Risk for injury related to impaired gluconeogenesis B. Risk for impaired gas exchange related to meconium aspiration C. Risk for ineffective thermoregulation related to lack of subcutaneous fat D. Risk for altered nutrition less than body requirement related to increased metabolic needs

Answer 126

C

Question 127

368. A primigravida mother is assisted out of the bed a few normal vaginal delivery. She is taken to the bathroom cleaning herself and to pass urine. She has difficulty in commode seat and is having no urge to urinate. Which of the following intervention is the most desired? A. Teach kegel's exercises B. Give warm sits bath first C. Pour warm water over vulva D. Identify possible perineal tears

Answer 127

C

Question 128

369. The nurse is assessing a young-adult pregnant client with no allergies who has tested positive for gonorrhea. Which of the following medications should the nurse expect to be part of the treatment plan? A. Tetracycline B. Ciprofloxacin C. Azithromycin D. Ceftriaxone

Answer 128

D

Question 129

370. A pregnant mother at early pregnancy was admitted in Emergency Room with leakage of amniotic fluid, vaginal bleeding and lower dominal cramping pain. What is the possible ?diagnosis should the nurse suspect A. Missed B. Inevitable C. Incomplete D. Threatened

Answer 129

B

Question 130

371. A nurse in the postnatal ward is assigned for a multiparous patient has just delivered a healthy newborn. When should the nurse plan to take the patient vital signs? A. Every hour for the first 2 hours B. Every 30 minutes during the first hour C. Every 15 minutes during the first hour D. Every 5 minutes for the first 30 minutes

Answer 130

C

Question 131

372. which valuable information can be obtained from perform abdominal palpation ( lepoids maneuvers ) during the later pregnancy? A. Weight of the fetus B. Gestational age of the fetus C. Number of fetus in current pregnancy D. Location and presentation of the fetus

Answer 131

D

Question 132

373. A nurse who is caring for a woman in labor, prepares to auscultate fetal heart rate by using Doppler ultrasound device. How does the nurse determine that the fatel heart sounds are correctly? A. Notify if the heart rate is greater than 140 BPM B. Placing the diaphragm of the Doppler on the woman abdomen C. Palpating the maternal radial pulse while listening to the rate D. Performing Leopold's manoeuvres first to determine the fetal heart

Answer 132

C

Question 133

374. A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is: A. Not yet engaged B. Entering the pelvic inlet C. Below the ischial spines D. Visible at the vaginal opening

Answer 133

C

Question 134

375. Less than 24 hours after postpartum calls a nurse in the Mother/Infant Unit. She reports that she has very heavy bright-red bleeding. being discharged, a mother who is newly What would be the best advice to give her? A. "Don't worry about it; it is normal." B. "Call your doctor and ask what to do." C. "Lie down, massage lower abdomen. If it does not work then come to the hospital immediately." D. "Lie down for about an hour. Then check your bleeding, if it is still as heavy, call me back."

Answer 134

C

Question 135

376. A nurse was educating a group of woman on prevention of infection. The nurse asked each woman to state one preventive of vaginal infection. Which woman needs more education? A. First woman "keep vaginal area clean & dry" B. Second woman "wear cotton under wear" C. Third woman "wipe from front to back after urination or D. Fourth woman "Do vaginal douche twice a day "

Answer 135

D

Question 136

377. 30 years old women absent her menstruation for 5 months and her menstrual cycle come every 28 days, she controlled her diet and do heavy exercise this women condition? A. Pregnancy B. Primary amenorrhea C. Secondary amenorrhea

Answer 136

C

Question 137

378. Molar pregnancy: is an abnormal form of pregnancy in which a non-viable fertilized egg implants in the uterus and will fail to come to term.

Question 138

379. Molar pregnancy sings ………. Rapid increase of uterine growth

Question 139

380. A 28-year-old pregnant woman at 9 weeks presents to the o with vaginal bleeding. During assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis? A. Placenta previa B. Abruptio placenta C. Ectopic pregnancy D. Hydatidiform mole

Question 140

381. During a prenatal examination. The nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk for: A. acute hemolytic disease B. respiratory distress syndrome C. Protein metabolic deficiency. D. pathologic hyperbilirubinemia

Answer 140

A

Question 141

382. Which of the following statements will indicate that she understand the nurse's teaching? A nurse is teaching a 26-year-old primigravida who are 33 weeks pregnant on the how to use a kick chart. A. Fetal movements must be counted three times per day B. Fetal movements are felt best when the women is on her right side C. Fetal movements is a reassuring sign which indicates that the fetus healthy D. The kick chart is used to record fetal movement for the first time during pregnancy

Answer 141

C

Question 142

383. The antenatal clinic nurse was assessing a 32yaers old gravida 2, para1 pregnant mother on the fundal height at 36 weeks. What is the expected fundus position? A. Umbilicus B. Xiphoid process C. Symphysis pubis

Answer 142

B

Question 143

384. A woman is at 30 weeks gestational age admitted to antenatal with premature rupture of membrane . the nurse administered Dexamethasone to her according doctor prescription. She ask what is the Drug for. Which of the following the best answer ? A. To promote fetal lung maturation B. Prevention of chorioamnionitis C. To increase uteroplacental exchange D. Treatment of fetal respiratory distress

Answer 143

A

Question 144

385. A 25 years old patient with history of amenorrhea for two month was admitted for hydatiform mole investigation. Which signs and symptoms would the nurse observe ? A. Hypotension B. Hyperglycemia C. Rapid uterine growth D. Painful uterine contraction

Answer 144

C

Question 145

386. A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy) Which of the following is the best advice to give her? A. Never to fall pregnant again B. To request the doctor to sterilize her C. To consider having her uterus removed D. to avoid falling pregnant for at least one year

Answer 145

D

Question 146

387. Pregnant woman signs and symptoms of hypoglycemia A. Blurred vision B. Dry mouth C. Poly urea D. Flushing

Answer 146

A

Question 147

388. postpartum mother is to be discharged on the second day of her forceps delivery. She had sutures on her vaginal and perineum tears. She is breastfeeding her baby and eating the special food provided by her family. what discharge teaching needs more emphasis? A. Diet management and exercise plan B. Newborn care and vaccination records C. Hygiene practices and alert signs to report D. Family planning and child growth monitoring

Answer 147

C

Question 148

389. When performing a postpartum assessment on a women the presence of clots in the lochia. The nurse examines the that they are larger than 1 cm, Which of the following nursing actions is most appropriate? A. Document the findings B. Notify the physician C. Reassess the client in 2 hours D. Encourage increased intake of fluids

Answer 148

B

Question 149

390. A pregnant woman of 15 week gestation age and Rh –ve has an abortion admitted in the ward what should the nurse do for this woman ? A. Administer Rheum within 72hour B. Do not give Rheum since it is not used with abortion C. Do not give Rheum since the pregnancy is more than 12 D. Make certain she received Rheum on her first clinic visit

Answer 149

A

Question 150

391. Lochia red fleshy odor mean : A. Normal B. Infection C. Bleeding

Answer 150

A

Question 151

391. Lochia red fleshy odor mean : A. Normal B. Infection C. Bleeding

Answer 151

D

Question 152

393. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action? A. Document normal finding B. Massage the fundus to be firm C. Assess lochia amount and color D. Admit the mother to the hospital

Answer 152

A

Question 153

394. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother: A. Regulate breast feeding every 3 hours B. That’s normal feeding problem C. Shift to bottle feeding D. Start weaning your baby

Answer 153

A

Question 154

395. A 17-years-old mother presented to the primary health after delivery. She is suffering from fatigue, anemia, fever vaginal discharge (see lab results) 81/50 mmHg Blood pressure 98 /min Heart rate 26 /min Respiratory rate 39.6C Temperature Result Test 4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values 4.2-5.4 ×1012 /L (Female) 88 Hb 130-170 g/L (Male) 120-160 g/L (Female) 2.50 Calcium 2.15-2.62 mmol/L Which of the following is considered as the main maternal postpartum haemorrhage complication ? A. Death B. Candidacies C. Cervical cancer D. Uterine prolapsed

Answer 154

A

Question 155

396. A pregnant woman she come to gynocolical word she have vaginal bleeding and no FHS and cervex not dialted they diagnosis invetable abortion the treatment for this ledy : A. surgical treatment B. induction of labor(syntocinon) C. dialitation and curtage

Answer 155

C

Question 156

397. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of the following is a possible complication? A. Postpartum depression B. Maternal hypoglycemia C. Postpartum hemorrhage D. Pregnancy-induced hypertension

Answer 156

C

Question 157

398. A primigravida woman who is pregnant at 30 weeks gestation told the nurse that she is worried that anything happens to her baby. Which of the following should be the proper nurse's response? A. Ask the woman not to worry B. Ask the woman to express her concerns C. Attract the woman's attention to other issue D. Reassure the woman about the baby condition

Answer 157

B

Question 158

399. Which of the following should be included in the nursing care to a woman during 2nd stage of labor? A. Shave the perineum B. Administer enema to the woman C. Careful evaluation of prenatal history D. Watch breathing, bear down with each contortion

Answer 158

D

Question 159

400. Puerperal sepsis symptoms is ? A. Temperature of 38c or higher 2 – 10days postpartum

Question 160

401. A 17-year-old mother presented to the primary health center ten after delivery. She is suffering from fatigue, anemia, fever and vaginal discharge (see lab results) Blood pressure 80/50 mmHg Heart rate 112 /min Respiratory rate 35 /min Temperature 39.6C Test Result Normal Values RBC 4 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) Hb 90 130-170 g/L 120-160 g/L (female) HCT 0.29 0.42-0.52 (male) 0.37-0.48 (female) WBC 12.8 4.5-10.5 × 109/L Which of the following is the best diagnosis of health problem in this case? A. Severe urinary track infiction B. Vesico-vaginal fistula C. Puerperal sepsis D. Post-partum haemorrhage

Answer 160

C

Question 161

402. What does the relationship of the site of the presenting part to the location on maternal pelvis refer to ? A. Fetal lie B. Fetal position C. Fetal presentation D. Fetal attitude

Answer 161

B

Question 162

403. A 20 weeks pregnant , primary gravid woman visits the antenatal has sickle cell anemia trait and worried this disease transmitted to her baby which of the following should be initial intervention A. Plan for the fetal genetic screening B. Educate mother that her disease is inactive C. Discuss the chances of genetic disease in the fetus D. Gather data about the other family members having the disease

Answer 162

D

Question 163

404. woman who is 32 weeks gestation. Her weight was 66 kg last month and today it is 78 kg. Which of the following is the best nursing action? A. Assess the size of her fetus B. Give health education good nutrition. C. Advise her to exercise and lose some weight. D. Check her blood pressure and test her urine for protein.

Answer 163

D

Question 164

405. A nurse is caring is caring for a day 1 postpartum patient assessment revealed in addition to red lochia with fleshy odor Blood pressure 110/70 temperature 38 respiratory rate 20 heart rate 90 Which of the following would be the proper nursing interpretation of these findings ? A. Normal B. Infection C. Dehydration D. Hemorrhage

Answer 164

A

Question 165

406. A primigravid client who is at 14 weeks gestation has been diagnosed with hyperemesis gravidarum. The nurse explains to the client that the condition is related to high levels of ? A. Testosterone B. Estrogen C. Aldosterone D. Progesteron

Answer 165

B

Question 166

407. Upon reviewing the pregnant client’s blood test results, the nurse that traces of mercury are present even after the nurse had healthy dietary modifications. Which action of the client does the nurse discuss to reduce risk client? A. Client has five soake d walnuts every day B. Client consumes king mackerel very often C. Client eats one medium bowl of flax seeds daily D. client has cooked soybean seeds as an evening snack

Answer 166

B

Question 167

408. A nurse was assessing a newborn delivery by a mother infected with Neisseria gonorrhea. What is the complication that can occur to the newborn? A. Deafness B. Blindness C. Mental retardants D. Hyperbilirubinemia

Answer 167

B

Question 168

409. A full term mother presents in the antenatal clinic with mild lower abdominal contraction and show watery discharge for her vagina. She told the midwife that she may be starting her child birth. She is admitted in the labor and delivery unit, support well and is lying down on the bed. What knowledge guide is necessary as first intervention ? A. Assessment of cervix B. Medication and induction C. Reassurance and support D. Mode of delivery

Answer 168

A

Question 169

410. A pregnant woman visits the Outpatient clinic complaining of excessive vaginal secretion. Which of the following is the appropriate nursing assessment? A. Fetal heart rate B. Fundal height C. Signs of infection of labor D. Fetal presentations and position

Answer 169

C

Question 170

411. A pregnant mother with sickle cell anemia is in labor. What should the nurse to ensure the safety of the infant? A. Control pain B. Administer oxygen C. Monitor fetal heart rate D. Monitor maternal vital signs

Answer 170

B

Question 171

412. A nurse is preparing to administer RhoGam to Rh-negative women who has delivered a Rh-positive newborn . Which of the following is prevented by this intervention ? A. Maternal illness B. Neonatal illness C. Production of antibodies D. Re- occurrence of Rh positive baby in next mother

Answer 171

C

Question 172

413. A 34 years old woman was diagnosed with breast cancer and underwent surgery. She is currently receiving monthly chemotherapy she telephone the clinic and notifies the nurse that she developed a sore throat. Which of the following foods would be the most appropriate to recommended? A. Fresh fruits and vegetables B. Seafood C. Dried fruits nuts D. pasteurized cheese

Answer 172

A

Question 173

414. Both parent have sickle anemia disease ? A. 100%. B. 50%. C. 75%. D. 25%

Answer 173

A

Question 174

415. Both parent have sickle anemia trait the percentage for the child to have the disease ? A. 100%. B. 50%. C. 75%. D. 25%

Answer 174

D

Question 175

416. A 7 year old child is assessed with a urinary tract infection BP 95l55 Tem 36.4 . which of the following is the most appropriate nursing action? A. Notify the physician immediately B. Notify the nurse manager immediately C. Document the findings in the nursing note D. Put the physician

Answer 175

C

Question 176

417. A nurse is caring for child who is post tonsillectomy and adenoidectomy. The nurse should the nurse plan to assess which of the following complication? A. Pulmonary hypertension B. Hemorrhage C. Hearing loss D. Orthopnea

Answer 176

B

Question 177

418. In the pediatric ward, a newly registered nurse observed that most of the patients have respiratory problems. Which of the following condition needs priority of care? A. Pneumonia B. Epiglottitis

Answer 177

B

Question 178

419. An infant was admitted with patent Ductus arteriosus. Indomethacin 0.2mg/kg with prostaglandin inhibitor via intravenous route was prescribed for him. Which of the following is the function of indomethacin? A. Assist closure of ductus arteriosus B. Prevent infection C. Improve tissue perfusion D. Preserve hormone level

Answer 178

A

Question 179

420. A 10 year old child admitted to the pediatric ward with rheumatic fever. Which assessment data should the nurse consider when obtain child’s history to be most significant? A. Family history of congenital heart disease B. Recent episode of streptococcal tonsillitis C. Lack of interest in certain types of food D. Projectile vomiting and diarrhea for 2 days

Answer 179

B

Question 180

421. A nurse is planning to give a 5 year old child an intramuscular injection. Which of the following is the best nursing intervention to minimize fear? A. Show a cartoon video injection attention B. Allow child to give injection to a doll C. Observe another child receiving injection D. Get parents to reassure child

Answer 180

B

Question 181

422. A full-term newborn admitted to the neonatal intensive care unit with diagnosis of tracheoesophageal fistula. Which of the following nursing measure to prevent pulmonary complication and improve good prognosis of the newborn condition? A. encourage exclusive breast feeding B. insert nasogastric tube for gastric decompression C. intermittent suction by double-lumen catheter D. prepare for the insertion of tracheostomy

Answer 181

C

Question 182

423. A four year old boy is admitted with diabetes insipidus. The nurse is assessing him. Which of the following finding findings should the nurse anticipated.? A. Bradycardia B. Low urine output C. Excessive thirst D. High systolic blood pressure

Answer 182

C

Question 183

424. A midwife is discussing the birth spacing measures with a mother whose first baby boy is a 1 year old and was born with spina bifida. The midwife has explained the possible causes of condition of the baby and the measures is necessary if the mother is planned for a next pregnancy? A. Increase iron and calcium supplements B. Multivitamin and folic acid intake C. Genetic screening D. Immunization before and during pregnancy

Answer 183

B

Question 184

425. A newborn admitted to the NICU with tracheoesophageal fistula (TOF). which of the following nursing intervention should be included? A. Elevated the head for feedings B. Elevating the head but keep the child NPO C. Insert a nasogastric tube for feeding D. Encourage the mother to breast feed

Answer 184

B

Question 185

426. You have learned that in babies and children with developmental dysplasia of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH? A. acetabular dysplasia B. dislocation C. Preluxion D. Subluxion

Answer 185

D

Question 186

427. Childlern with cerebral palsy 30 -50% have cognitive impairment

Question 187

428. A 6 years old child diagnosed with Sickle cell anemia is admitted with sever pain in upper and lower extremities. Which of the following priority should the nurse concern? A. hydration and pain management B. nutrition and restricted hydration C. Nutrition and manage infection D. Manage pain and infection

Answer 187

A

Question 188

429. A 2 years old girl is hospitalized with a diagnosis of bronchiolitis. She is receiving oxygen therapy. Which of the following would be the best indicator the effectiveness of the of oxygen therapy? A. Oxygen saturation 84% B. Oxygen saturation 90% C. Respiration rate 12bpm D. Respiration rate 25bpm

Answer 188

B

Question 189

430. A nurse is caring a one year old child with congestive heart failure . which nursing goals appropriate? A. Relieving pain B. Improving myocardial efficiency C. Maintaining thermoregulation D. Promoting oral feeding

Answer 189

B

Question 190

431. A nurse was assessing a newborn undergone circumcision what is the immediate risk for this newborn the nurse need to observe ? A. Bleeding B. Fever C. Infection D. Pain

Answer 190

A

Question 191

432. A 30-year-old pregnant lady in her 33 weeks pregnancy. When the nurse assesses the health condition of the lady, she provides nursing care and health teaching. Which of the following types of home visiting is the best to be conducted? A. Selective B. Follow up C. Fieled trip D. systemtic

Answer 191

B

Question 192

433. Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage? A. endometriosis B. urine retention C. cervical and vaginal tears D. hypertension

Answer 192

B

Question 193

434. Mother of nine children, three of them with congenital anomales down syndrome; she is a primary school graduate, with low first status. She is not using any method of family planning. According primary health care nurse has refered her counselling. Which of the following phases of home visit accomplishes intervention? A. Initial B. Closing C. Action D. Terminal Rationale .. intervention phase

Answer 193

C

Question 194

435. Mother of nine children, three of them with congenital anomalies Down syndrome; she is a primary school graduate, with low status. She is not using any method of family planning. According primary health care nurse referred her for counseling Which of the following types of home visits that the community her nurse should conduct for t client? A. Systematic routine B. Selective C. Follow up D. Field trip

Answer 194

B Rationale Selective Home Visiting Programs. These programs focus on individuals or subgroups of the population whose risk of developing a disorder are higher than average, as evidenced by biological, psychological or social risk factors. These families need more sustained or intensive support.

Question 195

436. Mother of nine children, three of them with congenital anomalies and down syndrome: she is a primary school graduate, with low financial status. She is not using any method of family planning Accordingly, the primary health care nurse has referred her for counseling. Which of the following terms describe any restriction or lack of ability to perform an activity? A. Impairment B. Abnormality C. Handicapped D. Disability

Answer 195

D

Question 196

437. Mother of nine children, three of them with congenital anomalies Down syndrome; she is a primary school graduate, with low status. She is not using any method of family planning. So, the health care nurse has referred her for counseling. Which of the following application the counselor can help Mrs. regarding family planning? A. Prevention level B. Gather model C. Group teaching D. Rejection of Mrs. M expression

Answer 196

B Rationale When you counsel a new client in your village about family planning, you should follow a step-by-step process. GATHER is an acronym that will help you remember the 6 basic steps for family planning counselling:- G Greet the client respectfully. A Ask them about their family planning needs. T Tell them about different contraceptive options and methods. H Help them to make decisions about choices of methods. E Explain and demonstrate how to use the methods. R Return/refer; schedule and carry out a return visit and follow up.

Question 197

438. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is a primary school graduate, with low financial status. She is not using any method of family planning. Accordingly, the primary health care nurse has referred her for counseling. Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals? A. Sensory limitations B. Rigid rules C. Developmental disabilities D. Deafness & hearing limitations

Answer 197

C

Question 198

439. A 9- her of nine children, three of them with congenital anomalies and one n syndrome; she is a primary school graduate, with low financial us. She is not using any method of family planning. So the primary care nurse has referred her for counselling. Which of the following must be focused on by the community health care se to provide an effective health education? A. Educate regardless realistic objectives B. Use clear and concise language C. Use scientific terms during explanation D. Explain the negative consequences in the family

Answer 198

B

Question 199

440. Mother of nine children, three of them with congenital anomalies and one down syndrome, she is a primary school graduate, with low financial status, she is not using any method of family planning . according, the primary health are nurse has referred her for counseling. Which of the following is a model concerned with disability as from of social injustice due to stigma, or discrimination A. Health belief B. Biomedical C. Sociopolitical D. Economic

Answer 199

C

Question 200

441. A pregnant mother is in the active labour. Her cervix is fully effaced dilated with crowing of the fetal head. The mother is exhausted, perspiring, and is having increasingly painful and severe uterine contractions. Which of the following intervention is best ?desired by the assisting midwife A. exert pressure on abdomen to aid in child birth B. increase the rate of intravenous medication C. wipe face with wet towel and hold hands D. instruct mother to push h

Answer 200

D