12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT)
... [Show More] https://feuph.instructure.com/courses/3081/quizzes/26886 1/70 SUMMATIVE ASSESSMENT 2 (Maternal Concept) Due Dec 10 at 11:59pm Points 100 Questions 100 Available until Dec 10 at 11:59pm Time Limit 100 Minutes Instructions This quiz was locked Dec 10 at 11:59pm. Attempt History Attempt Time Score LATEST Attempt 1 100 minutes 44.72 out of 100 Score for this quiz: 44.72 out of 100 Submitted Dec 10 at 4:23pm This attempt took 100 minutes. CHOOSE THE BEST ANSWER! Note: CANVAS Cheating - Student Monitoring is Activated FEU - IN MCN FACULTY 2021 Q 1 / 1 pts uestion 1 contact: [email protected] 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 2/70 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?” “It is best not to try to get pregnant at this time since your intake of COCs may cause birth defects.” “You should talk to your doctor immediately. You might have developed complications from prolonged use of the pill” “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! Ques 0.33 / 1 pts tion 2 Nurse Marina is providing follow-up to Vanessa Narciso, a 30 year old G1P1, 1 week after the birth of her neonate. Nurse 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 3/70 Marina would anticipate what outcomes from this new mother? (Select all that apply) Lochia is changing from red to pink and smaller in amount. u Answered The client feels tired but is able to care for herself and her new infant. Correct! The family has adequate support from one another and others. Correct! The client feeds the baby every 6 to 8 hours without difficulty The client has positive comments about her new infant rrect Answer Ques 0 / 1 pts tion 3 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 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 4/70 contractions. Mrs. Narciso informs you that her BOW has ruptured. Your priority question would be: “How frequent are your contractions now?” u Answered “How much fluid did you lose from the rupture of your BOW?” “Was it also accompanied by a bloody show?” “What did the fluid look like?” rrect Answer Ques 0 / 1 pts tion 4 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 placement of an ultrasound transducer over your abdomen and poses no risk to you or your baby.” u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 5/70 “The procedure requires attachment of a small spiral electrode to the fetal scalp and poses a slight risk of softtissue injury and infection.” rrect Answer “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.” Ques 1 / 1 pts tion 5 A client G3P2(1102), about 8 weeks pregnant, ask the nurse when she will be able to hear the fetal heartbeat. The nurse would respond by feeling the client that the fetal heartbeat can be heard with a Doppler ultrasound device when the gestation is as early as: 18 weeks 4 weeks 11 weeks Correct! 11 weeks 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 6/70 Ques 0 / 1 pts tion 6 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 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 gets air from the placenta u Answered Your baby’s lungs don’t need air at this time; the fetal lungs don’t function as lungs until birth rrect Answer Ques 0 / 1 pts tion 7 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 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 7/70 Adequate fluid intake Do manual extraction rrect Answer High roughage diet u Answered Milk of magnesium 45 ml Ques 1 / 1 pts tion 8 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? Bread products, eggs, orange and other citrus fruits Liver, cereals fortified with iron, clams, and green leafy vegetables Correct! Potatoes, coffee, tea, chicken and sea foods Vegetable oils, as well as milk and milk products Ques 0 / 1 pts tion 9 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 8/70 Nurse Marina working in the health center evaluates four primigravida clients. Which of the client outcomes would the Nurse Marina highlight for the physician? 17 weeks’ gestation; denies feeling fetal movement u Answered 27 weeks’ gestation; complains of constipation 24 weeks’ gestation; fundal height at the umbilicus rrect Answer 34 weeks’ gestation; complains of back ache Ques 1 / 1 pts tion 10 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 head tilted slightly forward and pelvis straight Stand with the neck and shoulders straight and the back flattened Correct! 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 9/70 Stand with the neck jutting forward, shoulders straight and the pelvis tucked under and slightly upward Stand with the shoulders slumping and the abdomen jutting forward Ques 1 / 1 pts tion 11 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? Face presentation Transverse lie Vertex presentation Brow presentation Correct! Ques 1 / 1 pts tion 12 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 10/70 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 sacrum is toward the maternal symphysis pubis Correct! The fetal sacrum is toward the maternal sacrum The fetal face is toward the maternal symphysis pubis The fetal face is toward the maternal sacrum Ques 0 / 1 pts tion 13 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? Duration of contractions is 20 seconds or more Active phase of labor Latent phase of labor rrect Answer There should be 2 contractions or more in 10 minutes u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 11/70 Ques 0 / 1 pts tion 14 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 rrect Answer Four fingerbreadths above the umbilicus and slightly deviated to the left u Answered One fingerbreadth above the level of the umbilicus Deviated to the right Ques 0 / 1 pts tion 15 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 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 12/70 pain rated 6 on a scale of 1 to 10. Which nursing intervention would be the most appropriate at this time? Administer pain medication as ordered u Answered Begin sitz bath Replace ice packs to the perineum rrect Answer Initiate anesthetic sprays to the perineum Ques 1 / 1 pts tion 16 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 fertilized egg has yet to implant into the uterus.” Correct! “The sex of the fetus can be clearly identified.” Ques 1 / 1 pts tion 17 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 13/70 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 discharge, the family will bond with the neonate. By the end of the shift, the client will describe a safe home environment The client will state instructions for discharge during the first postpartum day The client will demonstrate self-care and infant care by the end of the shift. Correct! Ques 0 / 1 pts tion 18 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? 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 14/70 Promote parent-newborn interaction. rrect Answer Assess uterine contractions every 30 minutes. Obtain a urine specimen and other laboratory tests. u Answered Coach for effective client pushing Ques 0 / 1 pts tion 19 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: “False contractions are regular and do not achieve cervical dilatation while true contractions begin irregularly but become regular and they achieve cervical dilatation.” “True contractions sweep to the abdomen and groin while false contractions radiate to the lower back.” “False contractions are felt first abdominally while true contractions are felt first in the lowerback.” rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 15/70 “True contractions are relieved by ambulation while false contractions continue despite the level of activity.” u Answered Ques 1 / 1 pts tion 20 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 lubricate the condom with oil-based product to avoid friction that could rupture the condom.” “I should begin sexual intercourse without the condom.” “I should unroll the condom and check it for holes before applying it.” “I should hold the rim of the condom while withdrawing my penis from vagina to avoid leakage Correct! 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 16/70 Ques 1 / 1 pts tion 21 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: Positive urine pregnancy test, audible fetal heart tones heard via Doppler, presence of fetal movement felt by the client Correct! 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 Ques 0 / 1 pts tion 22 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 17/70 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: G4P3 (T1 P2 L2 M0) rrect Answer G4P4 (T2 P1 A0 L1 M0) G3P3 (T1 P2 A0 L1 M0) G3P3 (T1 P1 A1 L3 M0) u Answered Ques 1 / 1 pts tion 23 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! October 14, 2021 November 18, 2021 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 18/70 November 14, 2021 Ques 0 / 1 pts tion 24 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 the third maneuver when you cannot move the mass occupying the pelvic inlet 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 u Answered During first maneuver when you feel a slightly broad mass, somewhat soft and somewhat hard and moves with the fetal body rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 19/70 Ques 1 / 1 pts tion 25 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? Pulse of 60 Hemoglobin 12.1 g/dl WBC count of 10,000 Temperature of 100.8 ˚F (38.2˚C) Correct! Ques 0 / 1 pts tion 26 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 u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 20/70 Drop in blood pressure rrect Answer Increased central venous pressure Ques 1 / 1 pts tion 27 As the nurse manning the clinic, you advised Sabina about tubal ligation after the birth of her third child. Which of the following statements by Sabina indicates understanding of the procedure? “It will be wonderful not having a menstrual period.” “I’ve been told that hormonal replacement therapy works well after the procedure.” “I plan to have another baby in 3 years.” “Hopefully, I’ll never have to worry about getting pregnant again.” Correct! Ques 1 / 1 pts tion 28 Mrs. Vanessa Narciso, a 30 year old G2P2 (1102), who delivered her baby 8 hours ago, now has temperature of 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 21/70 100.2˚F. Which of the following is the appropriate nursing intervention at this time? Notify the doctor to get an order for acetaminophen Provide the woman with cool compress Encourage intake of water and other fluids Correct! Request an infectious disease consult from the doctor Ques 0 / 1 pts tion 29 The nurse discusses BTL (Bilateral Tubal Ligation), which of the following pre-operative instructions is paramount to the couple. (Select all that apply) Bring a companion Correct! She and her husband must be certain that this procedure is permanent. u Answered Take a bath before the procedure. u Answered NPO after midnight until after the procedure. 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 22/70 Ques 1 / 1 pts tion 30 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? Postpartum phase Letting-go phase Taking-in phase Correct! Taking-hold phase Ques 0.8 / 1 pts tion 31 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). Decreases uterine contractility Correct! Influences the increased supply of glycogen, arterial blood and amino acids in the endometrium Correct! Prevents lactation during pregnancy rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 23/70 Proliferation of vaginal epithelium Correct! Act as a thermoregulatory Correct! Ques 0 / 1 pts tion 32 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 timed from the beginning of a contraction to the end of the same contraction rrect Answer 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 one contraction to the beginning of the next contraction u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 24/70 Duration can be determined only with an internal pressure catheter, which will be inserted after the membranes are ruptured Ques 0 / 1 pts tion 33 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.” rrect Answer “Good. I understand you people often use home cures for many things.” u Answered “I wouldn’t bother with that. Drugs are much more likely to be more effective.” “Wonderful, I’m sure herbs will compliment what your doctor prescribed” 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 25/70 Ques 1 / 1 pts tion 34 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: Ineffective individual coping, related to pregnancy Noncompliance, related to insufficient resources Altered nutrition, less than body requirements, related to pica Correct! Altered parenting related to single status Ques 0 / 1 pts tion 35 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 u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 26/70 Secondary follicles Mature Graafian follicles rrect Answer None of the above Ques 1 / 1 pts tion 36 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 Obtain a urine specimen and other laboratory tests. Promote parent-newborn interaction. Correct! Assess uterine contractions every 30 minutes. Ques 1 / 1 pts tion 37 A client G2P1 (1001) at 38 weeks AOG is having a contraction stress test or CST. When assessing the fetal 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 27/70 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: Positive: abnormal Correct! Unsatisfactory Negative: normal Reactive: negative Ques 0 / 1 pts tion 38 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.” 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 28/70 “The day of your ovulation is on the 30th day.” rrect Answer “No, the day of your ovulation is on the 28th day.” “No, where did you get that information? You ovulate on the 14th day of your cycle.” u Answered Ques 0 / 1 pts tion 39 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: Peripheral vessels constrict u Answered The heart becomes enlarged Peripheral vessels dilate rrect Answer The body is in the resting state Ques 1 / 1 pts tion 40 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 29/70 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: “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! “I should eat only three large meals and drink plenty of fluids.” Ques 0 / 1 pts tion 41 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? 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 30/70 “The presentation part of the fetus is 1 cm below the ischial spines.” u Answered “The buttock of the baby is at the level of 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.” rrect Answer Ques 0 / 1 pts tion 42 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 promotion u Answered Health restoration Health rehabilitation rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 31/70 Ques 0 / 1 pts tion 43 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 endometrium sloughs off during menstruation The Bartholin’s gland and Skene’s gland lubricates the vulva during sexual intercourse u Answered The normal flora of the vagina is Lactobacillus Shirota Strain rrect Answer The uterus is the site of implantation Ques 1 / 1 pts tion 44 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 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 32/70 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 Noting the duration of the contractions by timing from the end of one contraction to the end of the next contraction 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 Ques 0 / 1 pts tion 45 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? Striae that are silver in color 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 33/70 White, thick vaginal discharge Soft breasts without milk u Answered Firm, fundus at the symphysis rrect Answer Ques 0 / 1 pts tion 46 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: 27 weeks 37 weeks rrect Answer 33 weeks u Answered 41 weeks Ques 1 / 1 pts tion 47 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 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 34/70 the passage of spermatozoa. Mr. Lucas Narciso is thinking about undergoing a vasectomy. Nurse Marina plans to give further teaching if Mr. Narciso says: “My wife and I might need to use an additional family planning method after vasectomy.” “I can still produce ejaculate after I have undergone vasectomy.” “I won’t be able to impregnate my wife after I’ve undergone vasectomy.” Correct! “Vasectomy will not affect my sexual performance.” Ques 1 / 1 pts tion 48 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? 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 35/70 “We want to get to know our clients better. This gives us time to collect an accurate history and look for potential problems.” “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.” “Important cellular growth happens in the first trimester. Early assessment and education promote a healthy pregnancy during this time.” Correct! Ques 0 / 1 pts tion 49 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? 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 36/70 Soiled linen under her buttocks are replaced with a sterile perineal pad. Cover her with blanket to avoid chilling. Monitor her VS (every 10-15 minutes). u Answered Lower her legs from the stirrups one after the other. rrect Answer Ques 0 / 1 pts tion 50 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 u Answered boggy uterus; heavy amount of lochia rubra with small clots firm uterus; scant amount of lochia serosa firm uterus; heavy amount of lochia rubra with small clots rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 37/70 Ques 0 / 1 pts tion 51 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 10-15 Days 9-25 rrect Answer Days 11-20 u Answered Days 12-17 Ques 0 / 1 pts tion 52 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 can’t stand this pain any longer.” rrect Answer 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 38/70 “I need ice chips because I’m so hot.” “I am so excited to be in labor.” “I have to push the baby out right now.” u Answered Ques 0 / 1 pts tion 53 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) Leaves it in place for 6 hours following intercourse rrect Answer Douches promptly after its removal Spermicide added protection Correct! Inserts it at least 5 hours prior to having intercourse u Answered Does not use any cream or jelly with it Ques 0 / 1 pts tion 54 Mrs. Vanessa Narciso has a prenatal weight of 105 lb and weighs 108 lb at her 12-week visit. Which of the following 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 39/70 comments by Nurse Marina is appropriate at this time? “Most women gain no weight during the first trimester, so I would suggest you to eat fewer desserts for the next few weeks.” “Your weight gain is exactly what we would expect it to be at this time.” rrect Answer “You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need.” “We expect you to gain 1lb per week, so your weight is a little low at this time.” u Answered Ques 0 / 1 pts tion 55 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? 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 40/70 “I’ll use blowing techniques if I have an urge to push and I’m not completely dilated.” u Answered “I’ll request an epidural anesthetic when my contractions begin and won’t need to use breathing techniques.” rrect Answer “I’ll take in a deep breath and hold it to the count of 10 when I’m pushing.” “I’ll continue to use slow, deep breathing throughout the labor.” Ques 0 / 1 pts tion 56 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) Maternal heart rate Uterine souffle u Answered 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 41/70 Fetal heart rate Correct! Funic soufflé rrect Answer Heart rates of two fetuses Ques 0.75 / 1 pts tion 57 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 rrect Answer Start of production of lung surfactants Downy lanugo hair surrounds the skin Correct! Physiologic herniation of the gut has occurred Correct! Gender can be determined by UTZ Correct! Ques 1 / 1 pts tion 58 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 42/70 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 Ques 1 / 1 pts tion 59 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: May 30, 2022 June 20, 2022 June 27, 2022 Correct! July 3, 2022 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 43/70 Ques 1 / 1 pts tion 60 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: “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.” Correct! “You’re probably responding to an infection in your body; I’ll call the doctor and report your symptoms.” “You’re probably responding to an infection in your body; I’ll call the doctor and report your symptoms.” “I’m surprised you’re urinating a lot because you don’t have other signs of diabetes.” 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 44/70 Ques 1 / 1 pts tion 61 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.” “Your doctor is an expert in BTL so you don’t need to worry.” “Why don’t you ask your obstetrician?” Ques 1 / 1 pts tion 62 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: 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT) https://feuph.instructure.com/courses/3081/quizzes/26886 45/70 Gravida 5 Para 3 Gravida 5 Para 2 Gravida 6 Para 3 Gravida 6 Para 2 Correct! Ques 0 / 1 pts tion 63 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 restlessness and anxiety Weak contraction prolonged to more than 70 seconds u Answered Tetanic contractions prolonged to more than 90 seconds rrect Answer Increased pain with bright red vaginal bleeding Ques 0 / 1 pts tion 64 12/13/21, 10:23 AM SUMMATIVE [Show Less]