SUMMATIVE ASSESSMENT 1 (MATERNAL CONCEPT) Due Oct 12 at 11:59pm Points 100 Questions 100 Available until Oct 12 at 11:59pm Time Limit 100 Minutes
... [Show More] Instructions This quiz was locked Oct 12 at 11:59pm. Attempt History Attempt Time Score LATEST Attempt 1 99 minutes 47.43 out of 100 Score for this quiz: 47.43 out of 100 Submitted Oct 12 at 11:19pm This attempt took 99 minutes. CHOOSE THE BEST ANSWER! Question 1 0 / 1 pts On her second visit, the woman eight weeks pregnant is surprise that her blood pressure is lower than it was before she became pregnant. The nurse explains blood pressure drops slightly during the first trimester because: The body is in the resting state contact: [email protected] Peripheral vessels constrict You Answered Peripheral vessels dilate Correct Answer The heart becomes enlarged Question 2 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P1 (1001), gave birth vaginally 2 hours ago and has a third-degree laceration. There is ice in place on her perineum. However, her perineum is slightly edematous, and Mrs. Narciso is having pain rated 6 on a scale of 1 to 10. Which nursing intervention would be the most appropriate at this time? Initiate anesthetic sprays to the perineum Administer pain medication as ordered Begin sitz bath Replace ice packs to the perineum Correct! Question 3 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G3 P3 woman who is 1 day postpartum following a vaginal birth is being cared by Nurse Marina. Which of the following findings by Nurse Marina indicates a need for further assessment? Temperature of 100.8 ˚F (38.2˚C) Correct! Pulse of 60 WBC count of 10,000 Hemoglobin 12.1 g/dl Question 4 1 / 1 pts Mrs. Vanessa Narciso, a G1P1 (1001) postpartum patient states that she would like to take a nap but allows the Nurse Marina to take vital signs and perform an assessment. According to Reva Rubin, Nurse Marina recognizes that Mrs. Vanessa is experiencing what phase? Taking-in phase Correct! Letting-go phase Taking-hold phase Postpartum phase Question 5 0 / 1 pts The nurse discusses BTL (Bilateral Tubal Ligation), which of the following pre-operative instructions is paramount to the couple. (Select all that apply) She and her husband must be certain that this procedure is permanent. You Answered Bring a companion Correct! NPO after midnight until after the procedure. Take a bath before the procedure. Question 6 0 / 1 pts Mrs. Vanessa Narciso is a Gravida 1 Para 0 in labor and is monitored by Nurse Marina whose fetus has a frank breech presentation. Vaginal examination revealed fetus is in left sacrum anterior position and station -1. Nurse Marina would be safe to interpret this as: The fetal face is toward the maternal symphysis pubis The fetal sacrum is toward the maternal sacrum You Answered The fetal sacrum is toward the maternal symphysis pubis Correct Answer The fetal face is toward the maternal sacrum Question 7 0 / 1 pts Nurse Marina attends to a pregnant client who has two children. Her history reveals that her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter, at 35 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the GP TPALM format, Nurse Marina would record the woman’s current obstetrical history as: G3P3 (T1 P2 A0 L1 M0) G4P4 (T2 P1 A0 L1 M0) G3P3 (T1 P1 A1 L3 M0) You Answered G4P3 (T1 P2 L2 M0) Correct Answer Question 8 1 / 1 pts Follicles attempt maturation. One follicle succeeds to do so, while others degenerate along the course of their growth and become replaced by fibrous tissue and atretic follicles. The one that succeeds to mature enlarges further in size and pushes over the tunica albuginea and accumulates more fluid. This is now called which of the following? Primary follicles None of the above Secondary follicles Mature Graafian follicles Correct! Question 9 0.33 / 1 pts Nurse Marina is providing follow-up to Vanessa Narciso, a 30 year old G1P1, 1 week after the birth of her neonate. Nurse Marina would anticipate what outcomes from this new mother? (Select all that apply) The client feeds the baby every 6 to 8 hours without difficulty The client has positive comments about her new infant Correct Answer Lochia is changing from red to pink and smaller in amount. You Answered Correct! The family has adequate support from one another and others. The client feels tired but is able to care for herself and her new infant. Correct! Question 10 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate= 13.5cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10 cm. Immediately following administration of an epidural anesthesia, the nurse must monitor Mrs. Vanessa for which of the following? Fetal heart acceleration Paresthesia in her feet and legs Drop in blood pressure Correct! Increased central venous pressure Question 11 1 / 1 pts Mrs. Vanessa Narciso had her blood chemistry done, and the results revealed that her hemoglobin level has dropped to 10mg/dL from her pre-pregnancy hemoglobin level of 12.6mg/dL. You correctly teach Mrs. Narciso to increase intake of which of the following? Liver, cereals fortified with iron, clams, and green leafy vegetables Correct! Vegetable oils, as well as milk and milk products Bread products, eggs, orange and other citrus fruits Potatoes, coffee, tea, chicken and sea foods Question 12 0 / 1 pts A 39-year-old woman in her first pregnancy delivered twin sons 2 hours ago. There were no significant antenatal complications. She had been prescribed ferrous sulphate and folic acid during the pregnancy as anemia prophylaxis, and her last hemoglobin was 10.9 g/dL at 38 weeks. Which of the following nursing interventions would the nurse perform during this stage of labor? Coach for effective client pushing Promote parent-newborn interaction. Correct Answer Assess uterine contractions every 30 minutes. Obtain a urine specimen and other laboratory tests. You Answered Question 13 1 / 1 pts Which of the following statements, if identified by the nursing student, would specify that teaching about cervical mucus changes as an sign for ovulation has been understood? “The thin, clear mucus will block the sperm from getting into my cervix.” “If my cervical mucus is thin and watery, I am probably fertile.” Correct! “If my cervical mucus is thick and white, I will need to avoid intercourse or use back-up method of contraception.” “If my cervical mucus is yellowish and thick, I am probably fertile.” Question 14 1 / 1 pts Mrs. Vanessa Narcsio in her 36 weeks AOG was seen for prenatal follow-up. While performing Leopold’s Maneuver, which of the following finding will tell you that the fetus occupies cephalic presentation? During first maneuver when you feel a rounded mass, hard in consistency During the second maneuver when you feel the back of the fetus on the right side of the mother’s abdomen and the extremities on the left side During the third maneuver when you cannot move the mass occupying the pelvic inlet During first maneuver when you feel a slightly broad mass, somewhat soft and somewhat hard and moves with the fetal body Correct! Question 15 0 / 1 pts In a vasectomy, a small incision or puncture wound is made on each side of the scrotum. The vas deferens at that point is then located, cut and tied, cauterized, or plugged, blocking the passage of spermatozoa. Mr. Lucas Narciso is thinking about undergoing a vasectomy. Nurse Marina plans to give further teaching if Mr. Narciso says: “I won’t be able to impregnate my wife after I’ve undergone vasectomy.” Correct Answer “Vasectomy will not affect my sexual performance.” “My wife and I might need to use an additional family planning method after vasectomy.” You Answered “I can still produce ejaculate after I have undergone vasectomy.” Question 16 0 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, is in active labor and Nurse Marina notes that the she is having contractions every 3 minutes that last 45 seconds. Nurse Marina notes that the fetal heart rate between contractions is 100 beats per minute. Labor monitoring was done. The nurse caring for the client in labor monitors the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following actions is most appropriate to be done by the nurse? Take the mother’s vital signs and instruct the mother that bed rest is required to conserve oxygen Notify the physician of the findings You Answered Reposition the mother and check the monitor for changes in the fetal tracing Document the findings and tell the mother that the monitor indicates fetal well being Correct Answer Question 17 0 / 1 pts Mrs. Vanessa Narciso, G1P1 (1001), 25 years old wishes to use the calendar method for contraception. Mrs. Narciso reports that her last 6 menstrual cycles were 28, 32, 36, 27, 29, and 30 days long, respectively. In the future, if used correctly, Mrs. Narciso should abstain from intercourse on which of the following days of her cycle? Days 11-20 Days 10-15 Days 9-25 Correct Answer Days 12-17 You Answered Question 18 1 / 1 pts A 38 year old, G1P0, was admitted due to decrease fetal movement associated with mild uterine contractions. Cervix is 6 – 7 cm dilated, 80% effaced, station -1, intact Bag of water. Uterine contractions every 2 to 3 minutes, strong, 60 seconds duration. Which of the following may happen if the uterus becomes overstimulated by oxytocin during the augmentation of labor? Increased pain with bright red vaginal bleeding Increased restlessness and anxiety Weak contraction prolonged to more than 70 seconds Tetanic contractions prolonged to more than 90 seconds Correct! Question 19 0 / 1 pts Mrs. Vanessa Narciso appears in the health center for her first prenatal visit at 26 weeks’ gestation. She states, “I didn’t see any point in coming sooner since I felt fine.” The nurse uses which of the following statements to explain why prenatal care in the first trimester is important? “We need to monitor fetal lung maturity and fetal movement in case you go in labor early.” “The most important thing is to see if you are pregnant. Many women mistake a missed period for pregnancy.” “We want to get to know our clients better. This gives us time to collect an accurate history and look for potential problems.” You Answered “Important cellular growth happens in the first trimester. Early assessment and education promote a healthy pregnancy during this time.” Correct Answer Question 20 1 / 1 pts Mrs. Vanessa Narciso, 22 year old Gravida 1 Para 1 delivered spontaneously to a live baby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following interventions are done, except, which of the following? Monitor her VS (every 10-15 minutes). Cover her with blanket to avoid chilling. Soiled linen under her buttocks are replaced with a sterile perineal pad. Lower her legs from the stirrups one after the other. Correct! Question 21 0.5 / 1 pts A client is now in her second trimester. As the nurse is performing an abdominal examination, she perceives a heartbeat at the pace of 136 in the right upper quadrant and also at the midline below the umbilicus. The sources of these sounds are which of the following? (Select all that apply) Fetal heart rate Correct! Funic soufflé Correct Answer Maternal heart rate Uterine souffle Heart rates of two fetuses Question 22 0 / 1 pts Mrs. Vanessa Narciso is a 33-year-old primigravida at 35 weeks gestation who has come to the hospital because she experienced bright red vaginal bleeding. Her clinic chart indicates that she was diagnosed with placenta previa 3 weeks earlier. Immediately after delivery Nurse Marina would expect to assess Mrs. Vanessa’s fundus to be: Firm and contracted at the umbilicus Correct Answer Four fingerbreadths above the umbilicus and slightly deviated to the left One fingerbreadth above the level of the umbilicus You Answered Deviated to the right Question 23 0 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 4 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Nurse Marina is teaching the husband how to time the frequency of his wife’s contractions who is in labor. Which of the following statements would the nurse use in her teaching? Duration is measured by timing the interval between the end of one contraction and the beginning of the next contraction Duration is timed from the beginning of a contraction to the end of the same contraction Correct Answer Duration can be determined only with an internal pressure catheter, which will be inserted after the membranes are ruptured Duration is timed from the beginning of one contraction to the beginning of the next contraction You Answered Question 24 0 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P1 (1001), is in the first hour of her recovery after a vaginal birth. During an assessment, the lochia is moderate to heavy, bright red, and is trickling from the vagina. Nurse Marina located the fundus at the umbilicus: it is firm and midline, with no palpable bladder. Mrs. Vanessa’s vital signs remain at their baseline. Based on the information, Nurse Marina would implement which of the following actions? Increase the IV rate. Document the findings as normal. You Answered Report the findings to the health care provider. Correct Answer Recheck the admission hematocrit and hemoglobin levels. Question 25 1 / 1 pts Signs of true labor involve uterine and cervical changes. The more a woman knows about these labor signs, the better she will be able to recognize them. Mrs. Vanessa Narciso, a 31 year old term client recently admitted to the ward, reported that she felt some bloody mucus expelled from her vagina about an hour from admission, quickly followed by contractions as frequent as every 5 minutes of 40-60 second duration. She states that the contractions are getting more intense You would like to assess the frequency, duration, and intensity of the contractions. In order to do these, which of the following will you do? Place hand over the uterine fundus and press with your fingertips in order to assess duration and intensity of the contractions Monitor the client’s contractions every 30 minutes until the frequency of contractions increase, then monitor every 10 minutes after Correct! Palpate the uterus with your fingertips by placing your hand over the abdomen, below the level of the umbilicus Noting the duration of the contractions by timing from the end of one contraction to the end of the next contraction Question 26 1 / 1 pts Mrs. Vanessa Narciso, 29 year old G5P4 (4004) client who has had an uneventful healthy pregnancy is admitted to the hospital. The admitting doctor informs her that she is in the active phase of labor. The record also shows that the full term baby is in the left occiput posterior position. Nurse Marina correctly says that the following are signs indicating that the labor is progressing, EXCEPT one: The duration becomes longer lasting for 10 to 20 minutes Correct! The interval becomes shorter The frequency is every 2 to 3 minutes The intensity of uterine contraction becomes strong and board like in consistency Question 27 0 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. She tells the nurse that she thinks her membranes have ruptured. Nurse Marina performs a nitrazine test and confirms that the membranes have ruptured with the color blue. The physician orders internal electronic fetal monitoring. Mrs. Vanessa asks Nurse Marina about any dangers the procedure causing harm to her baby. Nurse Marina’s best response would be: “The procedure requires attachment of a small spiral electrode to the fetal scalp and poses a slight risk of soft-tissue injury and infection.” Correct Answer “The procedure requires placement of an ultrasound transducer over your abdomen and poses no risk to you or your baby.” You Answered “The procedure requires application of a suction cup to the fetal scalp and poses a slight risk for the development of a hematoma.” “The procedure requires insertion of a soft, water-filled catheter into the uterus and poses no risk to you or your baby.” Question 28 0 / 1 pts Magdalena is a 26-year-old who consulted for prenatal check-up. LMP was January 28, 2020. Magdalena provides a maternal history, including the following data; one healthy female delivered at term; one miscarriage at 8 weeks; one stillborn male delivered at term; one therapeutic abortion at 6 weeks; one premature male delivered at 32 weeks. During this pregnancy, Magdalena would be considered as: Gravida 5 Para 3 Gravida 6 Para 3 Gravida 5 Para 2 You Answered Gravida 6 Para 2 Correct Answer Question 29 1 / 1 pts Aling Glory, a 36-year-old G5P5 laundry woman seeks consultation at the Family Planning Clinic. She has 5 children and her youngest is 6 months old. She wants to undergo bilateral tubal ligation (BTL). She asks about the possibility for getting pregnant after BTL. Which of the following is the appropriate response of the nurse? “The probability is rare.” Correct! “Yes, you can be pregnant so you can choose another method.” “Why don’t you ask your obstetrician?” “Your doctor is an expert in BTL so you don’t need to worry.” Question 30 1 / 1 pts Mrs. Vanessa Narciso, a 22 year old Gravida 1 who vaginally delivered her first infant. The vaginal delivery was uncomplicated. One hour after delivery, which of the following findings would the Nurse Marina expect in a patient who didn’t have complications? boggy uterus; moderate amount if lochia serosa boggy uterus; heavy amount of lochia rubra with small clots firm uterus; heavy amount of lochia rubra with small clots Correct! firm uterus; scant amount of lochia serosa Question 31 0 / 1 pts In conducting a health education class among Grade 5 students, Nurse Magdalena created a diagram of the reproductive system. This includes the following EXCEPT: The uterus is the site of implantation You Answered The endometrium sloughs off during menstruation The normal flora of the vagina is Lactobacillus Shirota Strain Correct Answer The Bartholin’s gland and Skene’s gland lubricates the vulva during sexual intercourse Question 32 1 / 1 pts There are four phases of maternal and child health care, which phase includes helping a patient with residual effects to achieve an optimal state of wellness and independence? Health maintenance Health rehabilitation Correct! Health promotion Health restoration Question 33 0 / 1 pts A client G1P0 attending the prenatal clinic for the first time tells the nurse that her last menstrual cycle began on January 11, 2021. The client also states that she had 1 day of light spotting on February 7, 2021. The client’s expected day of delivery is calculated to be: October 18, 2021 Correct Answer November 14, 2021 November 18, 2021 You Answered October 14, 2021 Question 34 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 8 cm dilated, 80% effaced, and the presenting part is at zero station, membranes intact. During a vaginal examination of Mrs. Vanessa, Nurse Marina feels the fetal head and a large diamond-shaped fontanel. Nurse Marina correctly interprets this as which type of fetal presentation? Vertex presentation Transverse lie Brow presentation Correct! Face presentation Question 35 1 / 1 pts Mrs. Vanessa Narciso, gravida 1 para 1001, delivered vaginally to a full-term infant without complications. After the first postpartum day, she tells Nurse Marina, on duty that she’s afraid that something is wrong because she’s perspiring and urinating more than normal. Her temperature is 100.0OF (37.8OC). Nurse Marina should appropriately reply: “You’re probably responding to an infection in your body; I’ll call the doctor and report your symptoms.” Correct! “It’s common to perspire and urinate a lot after childbirth; your body is getting rid of the excess fluid that was used in pregnancy.” “I’m surprised you’re urinating a lot because you don’t have other signs of diabetes.” “You’re probably responding to an infection in your body; I’ll call the doctor and report your symptoms.” Question 36 0 / 1 pts Nurse Marina working in the health center evaluates four primigravida clients. Which of the client outcomes would the Nurse Marina highlight for the physician? 24 weeks’ gestation; fundal height at the umbilicus Correct Answer 27 weeks’ gestation; complains of constipation 17 weeks’ gestation; denies feeling fetal movement 34 weeks’ gestation; complains of back ache You Answered Question 37 0 / 1 pts A 39-year-old woman in her first pregnancy delivered twin sons 2 hours ago. There were no significant antenatal complications. She had been prescribed ferrous sulphate and folic acid during the pregnancy as anemia prophylaxis, and her last hemoglobin was 10.9 g/dL at 38 weeks. Which of the following nursing interventions would the nurse perform during this stage of labor? Coach for effective client pushing You Answered Promote parent-newborn interaction. Correct Answer Obtain a urine specimen and other laboratory tests. Assess uterine contractions every 30 minutes. Question 38 0 / 1 pts Mrs. Vanessa Narciso, Gravida 1 Para 1, is on her 3 day post normal spontaneous delivery. She complains of inability to defecate in spite of taking regular meals and frequent ambulation. The following are recommended to reestablish Mrs. Vanessa’s regular defecation. Which one is LEAST priority? rd Adequate fluid intake High roughage diet Milk of magnesium 45 ml You Answered Correct Answer Do manual extraction Question 39 0.8 / 1 pts The nurse is discussing reproductive health with female adolescents. She would explain which of the following as the chief function of the progesterone? (Select all that apply). Act as a thermoregulatory Correct! Prevents lactation during pregnancy Correct! Decreases uterine contractility Correct! Influences the increased supply of glycogen, arterial blood and amino acids in the endometrium Correct! Proliferation of vaginal epithelium Correct Answer Question 40 0 / 1 pts Magdalena attends a prenatal class asks Nurse Marina how her baby’s lungs get air now that she is pregnant? Nurse Marina’s correct response should be which of the following? Your baby gets air from the placenta You Answered Your lungs provide enough air for your baby to breath No one knows how babies get air in the uterus. This is a good question” Your baby’s lungs don’t need air at this time; the fetal lungs don’t function as lungs until birth Correct Answer Question 41 0 / 1 pts Kim is a 32 year old executive in a call center. She has been married for one year and is very serious to get pregnant. Her previous menstrual period was October 15 to 18 and her menstrual period started last November 13. How many days is her menstrual cycle? 29 Correct Answer 30 28 You Answered 31 Question 42 0 / 1 pts Mrs. Vanessa Narciso has a prenatal weight of 105 lb and weighs 108 lb at her 12-week visit. Which of the following comments by Nurse Marina is appropriate at this time? “Your weight gain is exactly what we would expect it to be at this time.” Correct Answer “Most women gain no weight during the first trimester, so I would suggest you to eat fewer desserts for the next few weeks.” “You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need.” You Answered “We expect you to gain 1lb per week, so your weight is a little low at this time.” Question 43 0 / 1 pts Reproductive life planning includes all the decisions an individual or couple make about whether and when to have children, how many children to have, and how they are spaced. Mrs. Vanessa Narciso, 25 years old, is newly married and needs counselling regarding natural family planning methods. You proceed with reproductive health assessment prior to conducting health teaching about contraception methods. Ovulation is the process wherein the ovum is set free from the surface of the ovary. Vanessa reports that her menstrual cycle usually lasts for 44 days and she starts ovulating on the 22nd day. You should tell Vanessa that: “Yes, that is correct. Well done, Mrs. Vanessa.” “No, the day of your ovulation is on the 28th day.” “The day of your ovulation is on the 30th day.” Correct Answer “No, where did you get that information? You ovulate on the 14th day of your cycle.” You Answered Question 44 1 / 1 pts Nurse Marina is explaining to a married couple about development of the fetus. Which statement by the nurse is accurate about the morula stage of development? “The lung fields are finally completely formed.” “The eyelids are unfused and begin to open and close.” “The sex of the fetus can be clearly identified.” “The fertilized egg has yet to implant into the uterus.” Correct! Question 45 0.8 / 1 pts Nurse Marina is discussing reproductive health with female adolescents. She would explain which of the following as the chief function of the progesterone? (Select all that apply). Influences the increased supply of glycogen, arterial blood and amino acids in the endometrium Correct Answer Prevents lactation during pregnancy Correct! Decreases uterine contractility Correct! Proliferation of vaginal epithelium Correct! Decreases uterine contractility Correct! Question 46 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate= 13.5cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10 cm. Which statement by Mrs. Narciso indicates a need for further teaching about breathing techniques during labor and delivery? “I’ll take in a deep breath and hold it to the count of 10 when I’m pushing.” “I’ll request an epidural anesthetic when my contractions begin and won’t need to use breathing techniques.” Correct! “I’ll use blowing techniques if I have an urge to push and I’m not completely dilated.” “I’ll continue to use slow, deep breathing throughout the labor.” Question 47 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate= 13.5cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10 cm. Mrs. Vanessa asks the nurse what station – 1 means. Which of the following statement of the nurse is correct? “The buttock of the baby is at the level of the ischial spines.” “The presentation part of the fetus is 1 cm below the ischial spines.” “The head of the baby of near the outlet.” “The presentation part of the fetus is 1 cm above the ischial spines.” Correct! Question 48 1 / 1 pts Mrs. Vanessa Narciso informs Nurse Marina that her last normal menstrual period was on September 20, 2021. Using Naegele’s rule, Nurse Marina calculates the client’s estimated date of delivery as: July 3, 2022 May 30, 2022 June 27, 2022 Correct! June 20, 2022 Question 49 0 / 1 pts Mrs. Vanessa Narciso, 36 year old woman Gravida 4 Para 4 delivered a baby girl at 38 weeks gestation after 8 hours of labor. Mrs. Vanessa’s vital signs are stable, uterus is firm and her lochia is scanty bright red and is ready to be discharged. Nurse Marina palpates the uterus of Mrs. Vanessa 24 hours after delivery. Where does Nurse Marina expect to feel the fundus? Two centimeters above the umbilicus Midline of the abdomen halfway between the symphysis pubis and umbilicus One fingerbreadth below the umbilicus Correct Answer At the level of the umbilicus You Answered Question 50 0 / 1 pts Mrs. Vanessa Narciso is 2 months pregnant and is worried because she has some nasal congestion with accompanying elevation in temperature. She asks whether she could take OTC medications to prevent her sickness from worsening. Your most appropriate response would be: “Let us talk to your doctor to see which medication would be alright for you to take” You Answered “Viral infections are self-limiting so you don’t need to take medications.” “You shouldn’t take medications during pregnancy. You should get some rest and drink plenty of water for your cold.” “These are just effects of the hormonal changes occurring due to your pregnancy.” Correct Answer Question 51 0 / 1 pts To change her center of gravity and make ambulation easier, a pregnant woman tends to stand straighter and taller than usual. This stance is sometimes referred to as the “pride of pregnancy.” Standing this way, with the shoulders back and the abdomen forward, creates a lordosis, which may lead to backache. In her 8th month of pregnancy, Mrs. Vanessa Narciso returns to the clinic and you notice that she rubs her back frequently. She asks you how she can keep her backache from getting worse. You will instruct the patient to: Stand with the neck and shoulders straight and the back flattened Correct Answer Stand with the shoulders slumping and the abdomen jutting forward You Answered Stand with head tilted slightly forward and pelvis straight Stand with the neck jutting forward, shoulders straight and the pelvis tucked under and slightly upward Question 52 0 / 1 pts Mr. Lucas Narciso receives instructions from the Nurse Marina about the proper use of condoms for pregnancy prevention. Which of the following statements would indicate that Mr. Narciso understands the instructions for use of condoms? “I should hold the rim of the condom while withdrawing my penis from vagina to avoid leakage Correct Answer “I should begin sexual intercourse without the condom.” “I should lubricate the condom with oil-based product to avoid friction that could rupture the condom.” “I should unroll the condom and check it for holes before applying it.” You Answered Question 53 0 / 1 pts Combined oral contraceptives are composed of synthetic estrogen combined with small amounts of synthetic progesterone. Your client, Mrs. Vanessa Narciso, has been using COCs as her primary contraception method. She comes to the clinic complaining “Bakit hindi pa din ako mabuntis? Tumigil na naman ako ng paginom ng pills.”. Your most appropriate response will be: “You should have been able to conceive by now. Would your husband be willing to undergo fertility tests?” “You should talk to your doctor immediately. You might have developed complications from prolonged use of the pill” You Answered “It is best not to try to get pregnant at this time since your intake of COCs may cause birth defects.” “Your body just needs time to recover from the effects of the pill. It may be difficult to get pregnant during the first 3 to 12 months after discontinuation.” Correct Answer Question 54 0 / 1 pts Marianna tells the nurse that she usually takes herbal medicine her mother gives her every time she feels dizzy. The nurse recognizes which statement as the most culturally respectful response? “Let’s check first to be certain the herbs won’t cause an interaction.” Correct Answer “I wouldn’t bother with that. Drugs are much more likely to be more effective.” “Good. I understand you people often use home cures for many things.” You Answered “Wonderful, I’m sure herbs will compliment what your doctor prescribed” Question 55 1 / 1 pts The nurse is reviewing the progress of labor of a pregnant woman. The nurse notes that the physician documented that the woman has circular shaped, moderate depth, wide pubic arch, moderately curved sacrum on internal examination. An internal examination was done and the nurse was instructed to chart his findings of the patient’s diagonal conjugate 12.5 cms and the height of the symphysis pubis is normal. The nurse estimates the obstetric conjugate as 12.5 10.5 Correct! 11.5 13.5 Question 56 0 / 1 pts Labor may begin with rupture of the membranes, experienced either as a sudden gush or as scanty, slow seeping of clear fluid from the vagina. Mrs. Vanessa Narciso, your 30 week pregnant client, was rushed to the emergency room, complaining that she expelled blood tinged mucus 24 hours ago. She also reports that some twenty minutes ago, a heavy gush of warm liquid suddenly flowed. This was followed by regular, more intense and more painful uterine contractions. Mrs. Narciso informs you that her BOW has ruptured. Your priority question would be: “How much fluid did you lose from the rupture of your BOW?” “How frequent are your contractions now?” “What did the fluid look like?” Correct Answer “Was it also accompanied by a bloody show?” You Answered Question 57 0 / 1 pts On performing Leopold’s maneuver to Mrs. Vanessa Narciso, a multiparous client in early labor, Nurse Marina finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. Nurse Marina notifies the obstetrician. Which of the following is safe to assume? Transverse lie Correct Answer Compound presentation Occiput presentation Footling breech You Answered Question 58 0 / 1 pts Mrs. Vanessa Narciso, a 35 weeks pregnant client approaches the hospital and verbalizes "Nurse Marina, pumutok na ata yung panubigan ko." Which of the following findings would Nurse Marina expect? Contractions occurring every 3 minutes You Answered Nitrogen paper indicated acidic pH of fluid Cervical dilatation of 8 cm Fernlike pattern when vaginal fluid dries on a glass slide Correct Answer Question 59 0 / 1 pts During a home visit, Magdalena who is multigravida at 32 weeks’ gestation, tells the Nurse Marina that she craves and often eats laundry starch for lunch and usually has a bowl of soup for supper. Total weight gain to date has been 12 lb (5kg). A priority nursing diagnosis for the patent is: Altered parenting related to single status Ineffective individual coping, related to pregnancy You Answered Noncompliance, related to insufficient resources Altered nutrition, less than body requirements, related to pica Correct Answer Question 60 0 / 1 pts A client G2P1 (1001) at 38 weeks AOG is having a contraction stress test or CST. When assessing the fetal monitor strip, the nurse notices that with most of the contractions, the fetal heart rate uniformly slows at mid contraction and then returns to baseline about 20 seconds after the contraction is over. The nurse would interpret the test result to be: Negative: normal You Answered Unsatisfactory Reactive: negative Positive: abnormal Correct Answer Question 61 1 / 1 pts An internal examination of a 20 year old client revealed the following: cephalic presentation, cervix 3 cms dilated, 75% effaced, station is -1, frequency is 2-3 minutes, duration 45 seconds, moderate intensity. When asked to perform the partograph, which of the following indicates that the nurse needs further teaching? There should be 2 contractions or more in 10 minutes Duration of contractions is 20 seconds or more Active phase of labor Latent phase of labor Correct! Question 62 0 / 1 pts Mrs. Vanessa Narciso, a 30 year old gave birth vaginally 2 hours ago with no complications. As Nurse Marina plans care for Mrs. Narciso, which postpartum goal would have the highest priority? By the end of the shift, the client will describe a safe home environment By discharge, the family will bond with the neonate. The client will demonstrate self-care and infant care by the end of the shift. Correct Answer The client will state instructions for discharge during the first postpartum day You Answered Question 63 1 / 1 pts The client visited La Loma Health Center to consider the use of contraceptives. To expedite a productive discussion, the nurse should: Only discuss contraceptive options with married client if her partner is present. Inform the client about use, side effects, and effectiveness of different contraceptive options so that the client can select one that meets her needs. Correct! Avoid discussion of side effects as this might frighten the client and result in her not using contraceptives. Instruct the client in which contraceptive option she should use Question 64 1 / 1 pts A multigravida at 37 weeks’ gestation tells the nurse that she has frequent heartburn. After providing the patient with suggestions for obtaining relief from the heartburn, the nurse determines that the patient has understood the instructions when the patient says: “I should eat only three large meals and drink plenty of fluids.” “It’s all right for me to have a fried hamburger and fries.” “I can take a teaspoon of baking soda in water occasionally.” “I should eat smaller, more frequent meals with fluids.” Correct! Question 65 1 / 1 pts Aling Violeta is confirmed to be 12 weeks pregnant. You then decide to conduct a health teaching regarding pregnancy. You know that the right order of the occurrence of pregnancy events is: Determined viability, positive urine pregnancy test, audible fetal heart tones heard via Doppler, presence of fetal movement felt by the client Positive urine pregnancy test, determined viability, presence of fetal movement felt by the client, audible fetal heart tones heard via Doppler Presence of fetal movement felt by the client, audible fetal heart tones heard via Doppler, positive home/urine pregnancy test, determined viability Positive urine pregnancy test, audible fetal heart tones heard via Doppler, presence of fetal movement felt by the client Correct! Question 66 0 / 1 pts The characteristics of uterine contraction can help determine if the client is experiencing preliminary signs of labor or if she is already experiencing true labor. Mrs. Vanessa Narciso inquires about the difference of true from false labor, and your response is: “True contractions are relieved by ambulation while false contractions continue despite the level of activity.” “True contractions sweep to the abdomen and groin while false contractions radiate to the lower back.” “False contractions are regular and do not achieve cervical dilatation while true contractions begin irregularly but become regular and they achieve cervical dilatation.” You Answered “False contractions are felt first abdominally while true contractions are felt first in the lowerback.” Correct Answer Question 67 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G2P2 (1102), who delivered her baby 8 hours ago, now has temperature of 100.2˚F. Which of the following is the appropriate nursing intervention at this time? Notify the doctor to get an order for acetaminophen Encourage intake of water and other fluids Correct! Provide the woman with cool compress Request an infectious disease consult from the doctor Question 68 0 / 1 pts Nurse Marina is assessing Mrs. Vanessa Narciso at her postpartum check-up 6 weeks after a vaginal birth. Narciso is bottle feeding her baby. Which client finding indicates a problem at this time? Soft breasts without milk You Answered White, thick vaginal discharge Firm, fundus at the symphysis Correct Answer Striae that are silver in color Question 69 1 / 1 pts Mrs. Vanessa Narciso, 32 year old G1P0 seeks consult for initial obstetric visit. Diagnostic procedures are requested and medications are given by the Obstetrician-Gynecologist. Nurse Marina is conducting health teaching. At 20 weeks age of gestation, all of the following developments in the fetus has already occurred? (Select all that apply) Urine production has began Correct! Downy lanugo hair surrounds the skin Correct! Physiologic herniation of the gut has occurred Correct! Start of production of lung surfactants Gender can be determined by UTZ Correct! Question 70 1 / 1 pts The nurse clarifies to a couple that the diaphragm is an excellent method of contraception. In creating a teaching plan, the nurse considers which of the following? (Select all that apply) Does not use any cream or jelly with it Spermicide added protection Correct! Inserts it at least 5 hours prior to having intercourse Leaves it in place for 6 hours following intercourse Correct! Douches promptly after its removal Question 71 1 / 1 pts Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 8 cm dilated, 80% effaced, cephalic, station +1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate= 13.5cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10 cm. She is in the transition phase of labor. Which of the following comments should the Nurse Marina expect to hear? “I am so excited to be in labor.” “I need ice chips because I’m so hot.” “I have to push the baby out right now.” “I can’t stand this pain any longer.” Correct! Question 72 1 / 1 pts A store saleslady, who has been receiving birth control pill for 2 months, visits the clinic with the following condition: “I have had a bad pain in my head for the past couple of days and I now have pain in my right leg.” Which of the following responses should the nurse make? “Stop taking the pill, and start using a condom for contraception.” “Those are common side effects that should disappear in a month or so.” “Come to the clinic this afternoon so that we can see what is going on.” Correct! “Continue the pill, but take one aspirin tablet with it each day from now on.” Question 73 0 / 1 pts Baby Lucas Narciso, newborn male has 4 mm breast nodules, fuzzy scalp hair, some cartilage in his ear lobes, and some sole creases in addition to partially descended testis with a small scrotal sac. Nurse Marina correctly assigned his gestational age as: 37 weeks Correct Answer 33 weeks 41 weeks You Answered 27 weeks Question 74 1 / 1 pts Marianna, FEU nursing student has her last menstrual period (LMP) on November 23, 2020. Past menstrual period (PMP) is October 24, 2020. Her menstrual cycle is 30 days interval. If you are asked to explain her menstrual cycle, in which of the following phases of the menstrual cycle does ovulation occur? Menstrual phase Secretory phase Proliferative phase Correct! None of the choices is correct Question 75 0 / 1 pts Nurse Marina is conducting health promotion lecture at BGC Health Center with College of Nursing students. “Maternal and child health nursing is family centered; hence, assessment must be done in individual assessment data”. How does the student nurse address this statement? The statement is neither true nor false. This is a true statement This is false. The community is the focus of maternal child health nursing since the individual comprises the community. You Answered This is false. The family is the center of care therefore assessment should be made to the individual and family. Correct Answer Question 76 1 / 1 pts Nurse Marina is conducting Maternal and Child Lecture series to College of Nursing students. Which of the following organs secretes mucus that lubricates the urethra and some lubrication during sexual intercourse? Seminal vesicles Bulbourethral glands Correct! Prostate glands All of the choices are correct Question 77 1 / 1 pts Nurse Marina is conducting Maternal and Child Lecture series to College of Nursing students. Which of the following contains the ductus deferens, spermatic artery and vein and testicular nerve? Ejaculatory duct Ductus deferens Urethra Spermatic cord Correct! Question 78 1 / 1 pts Unlike male gonadotropins, female gonadotropins are able to promote the development of a single optimal dominant follicle during most cycles with the release of a single gamete from an LH surge and then optimization of the uterine environment for implantation. To understand pathologies in this complex system, one must understand the ideal steps within the normal menstrual cycle. Which of the following statements best describes the role of FSH in menstruation? FSH induces theca cell aromatase. FSH stimulates follicular growth only in the early preantral stage. (E) FSH stimulates granulosa cell androgen production. FSH increases its own receptor numbers on theca cells. FSH induces granulosa cell LH receptors within the dominant follicle. Correct! Question 79 1 / 1 pts Nurse Marina is conducting health promotion lecture at BGC Health Center. The infant mortality rate which is the death of children between birth and exactly 1 year of age is an important indicator for child health. The denominator for such rate is which of the following? Number of mothers who gave birth in the same year Total population in the same year Number of live births in the same year Correct! Number of deaths in the given year Question 80 1 / 1 pts Unlike male gonadotropins, female gonadotropins are able to promote the development of a single optimal dominant follicle during most cycles with the release of a single gamete from an LH surge and then optimization of the uterine environment for implantation. To understand pathologies in this complex system, one must understand the ideal steps within the normal menstrual cycle. Which statement best describes estrogen-positive feedback on LH release? It is unaffected by progesterone. It is unaffected by the duration of estrogen stimulation. It is enhanced by testosterone. It is affected by the level of circulating estrogen. Correct! Question 81 0 / 1 pts Unlike male gonadotropins, female gonadotropins are able to promote the development of a single optimal dominant follicle during most cycles with the release of a single gamete from an LH surge and then optimization of the uterine environment for implantation. To understand pathologies in this complex system, one must understand the ideal steps within the normal menstrual cycle. Which of the following gametes is released from the Graafian follicle during ovulation? primary oocyte and first polar body secondary oocyte and second polar body secondary oocyte You Answered secondary oocyte and first polar body Correct Answer primary oocyte Question 82 1 / 1 pts Mrs. Vanessa Narciso, 30 year old G2P1 (1001) seeks consult at the Obstetric Unit. A non-stress test is requested by her ObGynecologist. While performing the non-stress test, Nurse Marina told the test showed the following: Baseline FHT- 140’s, good variability, with more than 2 accelerations of 20 bpm lasting for 20 secs. Mrs. Narciso asked what this means. The tracing is interpreted by Nurse Marina as which of the following? Non-reactive Negative Positive Reactive Correct! Inconclusive Question 83 0 / 1 pts Mrs. Vanessa Narciso, 35-year-old wearing an intrauterine contraceptive device complains of amenorrhea of 5 weeks’ duration. Serum pregnancy test is positive and with the presence of this device, Mrs. Vaness [Show Less]