QUESTIONS ON OBSTETRICS, GYNECOLOGY

1. a. b. c. d. 2. a. b. c. d. 3. a. b. c. d. 4. a. b. c. d. 5. a. b. c. d.

Estrogen, one of the hormones regulating cyclic activities in female reproductive system is responsible for which Increases the quantity and pH of cervical mucus, causing it to become thin and watery and can be stretched to a Inhibits the production of LH Increases endometrial tortuosity All of the above Jessa, 17 years old, is bleeding between periods of less than two weeks. This condition is an abnormality in the Metrorrhagia Menorrhagia Amenorrhea Dysmenorrheal One factor of having a normal delivery is the size of the pelvis. Pelvis serves as the passageway for the Android Anthropoid Platypelloid Gynecoid An important landmark of the pelvis that determines the distance of the descent of the head is known as: Linea terminalis Sacrum Ischial spines Ischial tuberosities The permanent cessation of menstruation is: Amenorrhea Menopause Oligomenorrhea Hypomenorrhea

effect? distance of 10-13 cm.

menstrual cycle known as:

passenger (fetus) during childbirth. The most ideal pelvis for childbirth is:

Situation: Mrs. Donna, pregnant for 16 weeks age of gestation (AOG), visits the health care facility for her prenatal check-up with her only son, Mark. During assessment the client told the nurse that previously she got pregnant twice. The first was with her only child, Mark, who was delivered at 35 weeks AOG and the other pregnancy was terminated at about 20 weeks AOG. 6. a. b. c. d. 7. a. b. c. d. Based on the data obtained, Mrs. Donnas GTPAL score is: 20111 21111 30111 31111 Discomforts during pregnancy are discussed by the nurse to the Mrs. Donna. Which of the following, when Easy fatigability Nausea and vomiting Edema of the lower extremities Heartburn

complained by the client would alert the nurse?

8.

Psychological and emotional responses of pregnant women differ. However, general emotional response has

been noted during pregnancy based on their gestational age. Mrs. Donna will most likely have which emotional response towards her pregnancy? a. b. c. d. 9. a. b. c. d. 10. a. b. c. d. Presents denial disbelief and sometimes repression. Has personal identification of the baby and realistic plans for future of the child. Fantasizes the appearance of the baby. Verbalizes fear of death during childbirth. The nurse assisted Mrs. Donna to a dorsal recumbent position and is about to assess the fetal heart rate (FHR). Doppler apparatus Fetoscope Ultrasound Stethoscope Mrs. Donna asked the nurse, when a fetal heart starts beating. The nurse correctly responded by stating: 3 weeks AOG 8 weeks AOG 12 weeks AOG 20 weeks AOG

Which of the following apparatus should the nurse use in auscultating for the FHR?

Situation: Mrs. Dela Cruz is in labor and is brought to the emergency room with a ruptured bag of water. 11. a. b. c. d. 12. a. b. c. d. 13. a. b. c. d. 14. a. b. c. d. 15. do? a. b. Observe for the clients facial expression to know that the contraction has started or stopped. Instruct the client take note of the duration of her contractions. The nurses initial action once the bag of water has ruptured is: Take the fetal heart tones Put the client to the bed immediately Perform an IE Take the womans temperature Mrs. Dela Cruzs has contractions growing stronger which lasts for 40-60 seconds and occur approximately 0-3 cm 4-7 cm 8-10 cm 11-13 cm The doctor informed the woman that she is on station -1. Mrs. Dela Cruz asked the nurse, what does a station It means that engagement has already occurred. The presenting part of your baby is at the entrance of the true pelvis or the largest diameter of the presenting Your baby is still floating or ballotable The presenting part of your baby is at the vulvar ring of your reproductive organ. The history of Mrs. Dela Cruz revealed that she is a multipara. When should the nurse transport the client from When the cervical dilatation is 8 cm. When the cervical dilatation is 10 cm. When the cervical dilatation is 9 cm. When the client feels the urge to push. Monitoring contractions is very important during labor. To monitor uterine contractions, what should the nurse

every 3-5 minutes. The doctor is about to perform an IE, the nurse expects that the clients cervical dilatation will be:

1 means, the most appropriate response of the nurse is:

part into the true pelvis.

the labor room to the delivery room?

c. d. 16. a. b. c. d. 17. a. b. c. d. 18. a. b. c. d. 19. a. b. c. d. 20. a. b. c. d.

Offer ice chips to the woman. Spread the fingers lightly over the fundus to monitor the contraction. Uterine contractions can occur because of the interplay of the contractile enzyme adenosine triphosphate and Oxytocin Estrogen Prolactin All of the above Dysfunctional labor may be caused by which of the following? Excessive or too early analgesia administration Exhausted mother Overdistention of the uterus All of the above The clients uterine contractions are hypotonic. The nurses top priority with hypotonic contractions during the Pain relief Psychological support Monitoring the lochia for possible bleeding Infection control For a woman experiencing hypotonic contractions, what should be done initially? Obtain an ultrasonic result Infusion of oxytocin Administration of analgesia Amniotomy The most important nursing consideration in a postpartal woman with a hypotonic contraction is: Assessment for infection Assessment for bleeding Assessment for FHR Assessment for womans coping mechanism

the influence some hormones. Which of the following least likely contributes to the occurrence of uterine contractions?

intrapartal period is:

Situation: Bleeding during pregnancy is a serious case and should be managed immediately. 21. a. b. c. d. 22. a. b. c. d. 23. a. b. c. d. Mrs. Diane is diagnosed with Placenta Previa. The main difference with the bleeding in placenta previa and Painful bleeding Rigid abdomen Bright-red blood Blood filled with clots In caring for a client diagnosed with placenta previa, the nurse should avoid which of the following? Inspecting the perineum Performing a Kleihauer-Betke test Performing a pelvic examination All of the above For the nurse to distinguish that the bleeding of the patient is placenta previa or abruption placenta what should Whether there was accompanying pain What she has done for bleeding Estimation of blood loss All of the above abruption placenta is that placenta previa has:

she ask the woman?

24. a. b. c. d. 25. a. b. c. d.

Continued bleeding may result to fetal distress. The nurse knows that the fetus is being compromised when she Fetal tachycardia Fetal bradycardia Fetal thrashing All of the above A woman in labor is diagnosed with abruption placenta. The nurse would expect which findings in the clients Age of 24 years old Cigarette smoking Sleeping 8 hours per night Sitting for long period

observed or note which of the following:

history that may contribute to the occurrence of the complication?