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Nursing Practice II - Community Health Nursing and
Care of the Mother and Child

Nursing Care Plan Nurse Home Care Urgent Care Hours Pediatric Nursing


1. May arrives at the health care clinic and tells the nurse that her last menstrual period was 9 weeks
ago. She also tells the nurse that a home pregnancy test was positive but she began to have mild
cramps and is now having moderate vaginal bleeding. During the physical examination of the client, the
nurse notes that May has a dilated cervix. The nurse determines that May is experiencing which type of
abortion?

a. Inevitable
b. Incomplete
c. Threatened
d. Septic

2. Nurse Reese is reviewing the record of a pregnant client for her first prenatal visit. Which of the
following data, if noted on the clients record, would alert the nurse that the client is at risk for a
spontaneous abortion?

a. Age 36 years
b. History of syphilis
c. History of genital herpes
d. History of diabetes mellitus

3. Nurse Hazel is preparing to care for a client who is newly admitted to the hospital with a possible
diagnosis of ectopic pregnancy. Nurse Hazel develops a plan of care for the client and determines that
which of the following nursing actions is the priority?

a. Monitoring weight
b. Assessing for edema
c. Monitoring apical pulse
d. Monitoring temperature

4. Nurse Oliver is teaching a diabetic pregnant client about nutrition and insulin needs during
pregnancy. The nurse determines that the client understands dietary and insulin needs if the client
states that the second half of pregnancy require:

a. Decreased caloric intake
b. Increased caloric intake
c. Decreased Insulin
d. Increase Insulin

5. Nurse Michelle is assessing a 24 year old client with a diagnosis of hydatidiform mole. She is aware
that one of the following is unassociated with this condition?

a. Excessive fetal activity.
b. Larger than normal uterus for gestational age.
c. Vaginal bleeding
d. Elevated levels of human chorionic gonadotropin.

6. A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension (PIH).
The clinical findings that would warrant use of the antidote , calcium gluconate is:

a. Urinary output 90 cc in 2 hours.

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Nursing Practice II- Community Health Nursing and Care of the Mother and Child - RNpedia.com
b. Absent patellar reflexes.
c. Rapid respiratory rate above 40/min.
d. Rapid rise in blood pressure.

7. During vaginal examination of Janah who is in labor, the presenting part is at station plus two.
Nurse, correctly interprets it as:

a. Presenting part is 2 cm above the plane of the ischial spines.
b. Biparietal diameter is at the level of the ischial spines.
c. Presenting part in 2 cm below the plane of the ischial spines.
d. Biparietal diameter is 2 cm above the ischial spines.

8. A pregnant client is receiving oxytocin (Pitocin) for induction of labor. A condition that warrant
the nurse in-charge to discontinue I.V. infusion of Pitocin is:

a. Contractions every 1 minutes lasting 70-80 seconds.
b. Maternal temperature 101.2
c. Early decelerations in the fetal heart rate.
d. Fetal heart rate baseline 140-160 bpm.

9. Calcium gluconate is being administered to a client with pregnancy induced hypertension (PIH). A
nursing action that must be initiated as the plan of care throughout injection of the drug is:

a. Ventilator assistance
b. CVP readings
c. EKG tracings
d. Continuous CPR

10. A trial for vaginal delivery after an earlier caesareans, would likely to be given to a gravida, who
had:

a. First low transverse cesarean was for active herpes type 2 infections; vaginal culture at 39
weeks pregnancy was positive.
b. First and second caesareans were for cephalopelvic disproportion.
c. First caesarean through a classic incision as a result of severe fetal distress.
d. First low transverse caesarean was for breech position. Fetus in this pregnancy is in a vertex
presentation.

11.Nurse Ryan is aware that the best initial approach when trying to take a crying
toddlers temperature is:

a. Talk to the mother first and then to the toddler.
b. Bring extra help so it can be done quickly.
c. Encourage the mother to hold the child.
d. Ignore the crying and screaming.

12.Baby Tina a 3 month old infant just had a cleft lip and palate repair. What should the nurse do
to prevent trauma to operative site?

a. Avoid touching the suture line, even when cleaning.
b. Place the baby in prone position.
c. Give the baby a pacifier.
d. Place the infants arms in soft elbow restraints.

13. Which action should nurse Marian include in the care plan for a 2 month old with heart failure?

a. Feed the infant when he cries.
b. Allow the infant to rest before feeding.
c. Bathe the infant and administer medications before feeding.
d. Weigh and bathe the infant before feeding.

14.Nurse Hazel is teaching a mother who plans to discontinue breast feeding after 5 months. The
nurse should advise her to include which foods in her infants diet?

a. Skim milk and baby food.
b. Whole milk and baby food.
c. Iron-rich formula only.
d. Iron-rich formula and baby food.

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15.Mommy Linda is playing with her infant, who is sitting securely alone on the floor of the clinic. The
mother hides a toy behind her back and the infant looks for it. The nurse is aware that estimated age
of the infant
would be:

a. 6 months
b. 4 months
c. 8 months
d. 10 months

16.Which of the following is the most prominent feature of public health nursing?

a. It involves providing home care to sick people who are not confined in the hospital.
b. Services are provided free of charge to people within the catchments area.
c. The public health nurse functions as part of a team providing a public health nursing services.
d. Public health nursing focuses on preventive, not curative, services.

17.When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she
is evaluating

a. Effectiveness
b. Efficiency
c. Adequacy
d. Appropriateness

18.Vangie is a new B.S.N. graduate. She wants to become a Public Health Nurse. Where should she
apply?

a. Department of Health
b. Provincial Health Office
c. Regional Health Office
d. Rural Health Unit

19.Tony is aware the Chairman of the Municipal Health Board is:

a. Mayor
b. Municipal Health Officer
c. Public Health Nurse
d. Any qualified physician

20.Myra is the public health nurse in a municipality with a total population of about 20,000. There are
3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need?

a. 1
b. 2
c. 3
d. The RHU does not need any more midwife item.

21.According to Freeman and Heinrich, community health nursing is a developmental service. Which of
the following best illustrates this statement?

a. The community health nurse continuously develops himself personally and professionally.
b. Health education and community organizing are necessary in providing community health
services.
c. Community health nursing is intended primarily for health promotion and prevention
and treatment of disease.
d. The goal of community health nursing is to provide nursing services to people in their own
places of residence.

22.Nurse Tina is aware that the disease declared through Presidential Proclamation No. 4 as a target for
eradication in the Philippines is?

a. Poliomyelitis
b. Measles
c. Rabies
d. Neonatal tetanus

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23.May knows that the step in community organizing that involves training of potential leaders in the
community is:

a. Integration
b. Community organization
c. Community study
d. Core group formation

24.Beth a public health nurse takes an active role in community participation. What is the primary
goal of community organizing?

a. To educate the people regarding community health problems
b. To mobilize the people to resolve community health problems
c. To maximize the communitys resources in dealing with health problems.
d. To maximize the communitys resources in dealing with health problems.

25.Tertiary prevention is needed in which stage of the natural history of disease?

a. Pre-pathogenesis
b. Pathogenesis
c. Prodromal
d. Terminal

26.The nurse is caring for a primigravid client in the labor and delivery area. Which condition would
place the client at risk for disseminated
intravascular coagulation (DIC)?

a. Intrauterine fetal death.
b. Placenta accreta.
c. Dysfunctional labor.
d. Premature rupture of the membranes.

27.A fullterm client is in labor. Nurse Betty is aware that the fetal heart rate would be:

a. 80 to 100 beats/minute
b. 100 to 120 beats/minute
c. 120 to 160 beats/minute
d. 160 to 180 beats/minute

28.The skin in the diaper area of a 7 month old infant is excoriated and red. Nurse Hazel should instruct
the mother to:

a. Change the diaper more often.
b. Apply talc powder with diaper changes.
c. Wash the area vigorously with each diaper change.
d. Decrease the infants fluid intake to decrease saturating diapers.

29.Nurse Carla knows that the common cardiac anomalies in children with Down Syndrome (tri-somy
21) is:

a. Atrial septal defect
b. Pulmonic stenosis
c. Ventricular septal defect
d. Endocardial cushion defect

30.Malou was diagnosed with severe preeclampsia is now receiving I.V. magnesium sulfate. The
adverse effects associated with magnesium sulfate is:

a. Anemia
b. Decreased urine output
c. Hyperreflexia
d. Increased respiratory rate

31.A 23 year old client is having her menstrual period every 2 weeks that last for 1 week. This type of
menstrual pattern is bets defined by:

a. Menorrhagia

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b. Metrorrhagia
c. Dyspareunia
d. Amenorrhea

32.Jannah is admitted to the labor and delivery unit. The critical laboratory result for this client would
be:

a. Oxygen saturation
b. Iron binding capacity
c. Blood typing
d. Serum Calcium

33.Nurse Gina is aware that the most common condition found during the second-trimester of
pregnancy is:

a. Metabolic alkalosis
b. Respiratory acidosis
c. Mastitis
d. Physiologic anemia

34.Nurse Lynette is working in the triage area of an emergency department. She sees that
several pediatric clients arrive simultaneously. The client who needs to be treated first is:

a. A crying 5 year old child with a laceration on his scalp.
b. A 4 year old child with a barking coughs and flushed appearance.
c. A 3 year old child with Down syndrome who is pale and asleep
in his mothers arms.
d. A 2 year old infant with stridorous breath sounds, sitting up in
his mothers arms and drooling.

35.Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding.
Which of the following conditions is suspected?

a. Placenta previa
b. Abruptio placentae
c. Premature labor
d. Sexually transmitted disease

36.A young child named Richard is suspected of having pinworms. The community nurse collects a
stool specimen to confirm the diagnosis. The nurse should schedule the collection of this specimen for:

a. Just before bedtime
b. After the child has been bathe
c. Any time during the day
d. Early in the morning

37.In doing a childs admission assessment, Nurse Betty should be alert to note which signs or
symptoms of chronic lead poisoning?

a. Irritability and seizures
b. Dehydration and diarrhea
c. Bradycardia and hypotension
d. Petechiae and hematuria

38.To evaluate a womans understanding about the use of diaphragm for family planning, Nurse Trish
asks her to explain how she will use the appliance. Which response indicates a need for further
health teaching?

a. I should check the diaphragm carefully for holes every time I use it
b. I may need a different size of diaphragm if I gain or lose weight more than 20 pounds
c. The diaphragm must be left in place for atleast 6 hours after intercourse
d. I really need to use the diaphragm and jelly most during the middle of my menstrual cycle.

39.Hypoxia is a common complication of laryngotracheobronchitis. Nurse Oliver should frequently
assess a child with laryngotracheobronchitis for:

a. Drooling
b. Muffled voice

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c. Restlessness
d. Low-grade fever

40.How should Nurse Michelle guide a child who is blind to walk to the playroom?

a. Without touching the child, talk continuously as the child walks down the hall.
b. Walk one step ahead, with the childs hand on the nurses elbow.
c. Walk slightly behind, gently guiding the child forward.
d. Walk next to the child, holding the childs hand.

41.When assessing a newborn diagnosed with ductus arteriosus, Nurse Olivia should expect that the
child most likely would have an:

a. Loud, machinery-like murmur.
b. Bluish color to the lips.
c. Decreased BP reading in the upper extremities
d. Increased BP reading in the upper extremities.

42.The reason nurse May keeps the neonate in a neutral thermal environment is that when a newborn
becomes too cool, the neonate requires:

a. Less oxygen, and the newborns metabolic rate increases.
b. More oxygen, and the newborns metabolic rate decreases.
c. More oxygen, and the newborns metabolic rate increases.
d. Less oxygen, and the newborns metabolic rate decreases.

43.Before adding potassium to an infants I.V. line, Nurse Ron must be sure to assess whether
this infant has:

a. Stable blood pressure
b. Patant fontanelles
c. Moros reflex
d. Voided

44.Nurse Carla should know that the most common causative factor of dermatitis in infants and
younger children is:

a. Baby oil
b. Baby lotion
c. Laundry detergent
d. Powder with cornstarch

45.During tube feeding, how far above an infants stomach should the nurse hold the syringe with
formula?

a. 6 inches
b. 12 inches
c. 18 inches
d. 24 inches

46. In a mothers class, Nurse Lhynnete discussed childhood diseases such as chicken pox. Which of the
following statements about chicken pox is correct?

a. The older one gets, the more susceptible he becomes to the complications of chicken pox.
b. A single attack of chicken pox will prevent future episodes, including conditions such as
shingles.
c. To prevent an outbreak in the community, quarantine may be imposed by health authorities.
d. Chicken pox vaccine is best given when there is an impending outbreak in the community.

47.Barangay Pinoy had an outbreak of German measles. To prevent congenital rubella, what is the BEST
advice that you can give to women in the first trimester of pregnancy in the barangay Pinoy?

a. Advice them on the signs of German measles.
b. Avoid crowded places, such as markets and movie houses.
c. Consult at the health center where rubella vaccine may be given.
d. Consult a physician who may give them rubella immunoglobulin.


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48.Myrna a public health nurse knows that to determine possible sources of sexually transmitted
infections, the BEST method that may be undertaken is:

a. Contact tracing
b. Community survey
c. Mass screening tests
d. Interview of suspects

49.A 33-year old female client came for consultation at the health center with the chief complaint of
fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start
of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood
waters about 2 weeks before the onset of symptoms. Based on her history, which disease condition will
you suspect?

a. Hepatitis A
b. Hepatitis B
c. Tetanus
d. Leptospirosis

50.Mickey a 3-year old client was brought to the health center with the chief complaint of
severe diarrhea and the passage of rice water stools. The client is most probably suffering
from which condition?

a. Giardiasis
b. Cholera
c. Amebiasis
d. Dysentery

51.The most prevalent form of meningitis among children aged 2 months to 3 years is caused by which
microorganism?

a. Hemophilus influenzae
b. Morbillivirus
c. Steptococcus pneumoniae
d. Neisseria meningitidis

52.The student nurse is aware that the pathognomonic sign of measles is Kopliks spot and you
may see Kopliks spot by inspecting the:

a. Nasal mucosa
b. Buccal mucosa
c. Skin on the abdomen
d. Skin on neck

53.Angel was diagnosed as having Dengue fever. You will say that there is slow capillary refill when
the color of the nailbed that you pressed does not return within how many seconds?

a. 3 seconds
b. 6 seconds
c. 9 seconds
d. 10 seconds

54.In Integrated Management of Childhood Illness, the nurse is aware that the severe conditions
generally require urgent referral to a hospital. Which of the following severe conditions DOES
NOT always require urgent referral to a hospital?

a. Mastoiditis
b. Severe dehydration
c. Severe pneumonia
d. Severe febrile disease

55.Myrna a public health nurse will conduct outreach immunization in a barangay Masay with
a population of about 1500. The estimated number of infants in the barangay would be:

a. 45 infants
b. 50 infants
c. 55 infants
d. 65 infants

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56.The community nurse is aware that the biological used in Expanded Program on Immunization (EPI)
should NOT be stored in the freezer?

a. DPT
b. Oral polio vaccine
c. Measles vaccine
d. MMR

57.It is the most effective way of controlling schistosomiasis in an endemic area?

a. Use of molluscicides
b. Building of foot bridges
c. Proper use of sanitary toilets
d. Use of protective footwear, such as rubber boots

58.Several clients is newly admitted and diagnosed with leprosy. Which of the following clients
should be classified as a case of multibacillary leprosy?

a. 3 skin lesions, negative slit skin smear
b. 3 skin lesions, positive slit skin smear
c. 5 skin lesions, negative slit skin smear
d. 5 skin lesions, positive slit skin smear

59.Nurses are aware that diagnosis of leprosy is highly dependent on recognition of symptoms.
Which of the following is an early sign of
leprosy?

a. Macular lesions
b. Inability to close eyelids
c. Thickened painful nerves
d. Sinking of the nosebridge

60.Marie brought her 10 month old infant for consultation because of fever, started 4 days prior to
consultation. In determining malaria risk, what will you do?

a. Perform a tourniquet test.
b. Ask where the family resides.
c. Get a specimen for blood smear.
d. Ask if the fever is present everyday.

61.Susie brought her 4 years old daughter to the RHU because of cough and colds. Following the IMCI
assessment guide, which of the following is a danger sign that indicates the need for urgent referral to
a hospital?

a. Inability to drink
b. High grade fever
c. Signs of severe dehydration
d. Cough for more than 30 days

62.Jimmy a 2-year old child revealed baggy pants. As a nurse, using the IMCI guidelines, how will
you manage Jimmy?

a. Refer the child urgently to a hospital for confinement.
b. Coordinate with the social worker to enroll the child in a feeding program.
c. Make a teaching plan for the mother, focusing on menu planning for her child.
d. Assess and treat the child for health problems like infections and intestinal parasitism.

63.Gina is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to
do if her child vomits. As a nurse you will tell her to:

a. Bring the child to the nearest hospital for further assessment.
b. Bring the child to the health center for intravenous fluid therapy.
c. Bring the child to the health center for assessment by the physician.
d. Let the child rest for 10 minutes then continue giving Oresol more slowly.

64.Nikki a 5 -month old infant was brought by his mother to the health center because of diarrhea for 4 to 5
times a day. Her skin goes back slowly after a skin pinch and her eyes are sunken. Using the IMCI

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classify this infant in which category?

a. No signs of dehydration
b. Some dehydration
c. Severe dehydration
d. The data is insufficient.

65.Chris a 4-month old infant was brought by her mother to the health center because of cough.
His respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI)
guidelines of assessment, his breathing is considered as:

a. Fast
b. Slow
c. Normal
d. Insignificant

66.Maylene had just received her 4th dose of tetanus toxoid. She is aware that her baby will
have protection against tetanus for

a. 1 year
b. 3 years
c. 5 years
d. Lifetime

67.Nurse Ron is aware that unused BCG should be discarded after how many hours of reconstitution?

a. 2 hours
b. 4 hours
c. 8 hours
d. At the end of the day

68.The nurse explains to a breastfeeding mother that breast milk is sufficient for all of the babys
nutrient needs only up to:

a. 5 months
b. 6 months
c. 1 year
d. 2 years

69.Nurse Ron is aware that the gestational age of a conceptus that is considered viable (able to
live outside the womb) is:

a. 8 weeks
b. 12 weeks
c. 24 weeks
d. 32 weeks

70.When teaching parents of a neonate the proper position for the neonates sleep, the nurse Patricia
stresses the importance of placing the neonate on his back to reduce the risk of which of the following?

a. Aspiration
b. Sudden infant death syndrome (SIDS)
c. Suffocation
d. Gastroesophageal reflux (GER)

71.Which finding might be seen in baby James a neonate suspected of having an infection?

a. Flushed cheeks
b. Increased temperature
c. Decreased temperature
d. Increased activity level

72.Baby Jenny who is small-for-gestation is at increased risk during the transitional period for which
complication?

a. Anemia probably due to chronic fetal hyposia
b. Hyperthermia due to decreased glycogen stores
c. Hyperglycemia due to decreased glycogen stores

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probably due to chronic fetal hypoxia

73.Marjorie has just given birth at 42 weeks gestation. When the nurse assessing the neonate,
which physical finding is expected?

a. A sleepy, lethargic baby
b. Lanugo covering the body
c. Desquamation of the epidermis
d. Vernix caseosa covering the body

74.After reviewing the Myrnas maternal history of magnesium sulfate during labor, which
condition would nurse Richard anticipate as a potential problem in the neonate?

a. Hypoglycemia
b. Jitteriness
c. Respiratory depression
d. Tachycardia

75.Which symptom would indicate the Baby Alexandra was adapting appropriately to extra-uterine life
without difficulty?

a. Nasal flaring
b. Light audible grunting
c. Respiratory rate 40 to 60 breaths/minute
d. Respiratory rate 60 to 80 breaths/minute

76. When teaching umbilical cord care for Jennifer a new mother, the nurse Jenny would include which
information?

a. Apply peroxide to the cord with each diaper change
b. Cover the cord with petroleum jelly after bathing
c. Keep the cord dry and open to air
d. Wash the cord with soap and water each day during a tub bath.

77.Nurse John is performing an assessment on a neonate. Which of the following findings is considered
common in the healthy neonate?

a. Simian crease
b. Conjunctival hemorrhage
c. Cystic hygroma
d. Bulging fontanelle

78.Dr. Esteves decides to artificially rupture the membranes of a mother who is on labor. Following
this procedure, the nurse Hazel checks the fetal heart tones for which the following reasons?

a. To determine fetal well-being.
b. To assess for prolapsed cord
c. To assess fetal position
d. To prepare for an imminent delivery.

79.Which of the following would be least likely to indicate anticipated bonding behaviors by
new parents?

a. The parents willingness to touch and hold the new born.
b. The parents expression of interest about the size of the new born.
c. The parents indication that they want to see the newborn.
d. The parents interactions with each other.

80.Following a precipitous delivery, examination of the client's vagina reveals

a fourth-degree laceration. Which of the following would be contraindicated when caring for
this client?
a. Applying cold to limit edema during the first 12 to 24 hours.
b. Instructing the client to use two or more peripads to cushion the area.
c. Instructing the client on the use of sitz baths if ordered.
d. Instructing the client about the importance of perineal (kegel) exercises.


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81. A pregnant woman accompanied by her husband, seeks admission to the labor and delivery area.
She states that she's in labor and says she attended the facility clinic for prenatal care. Which question
should the nurse Oliver ask her first?

a. Do you have any chronic illnesses?
b. Do you have any allergies?
c. What is your expected due date?
d. Who will be with you during labor?

82.A neonate begins to gag and turns a dusky color. What should the nurse do first?

a. Calm the neonate.
b. Notify the physician.
c. Provide oxygen via face mask as ordered
d. Aspirate the neonates nose and mouth with a bulb syringe.

83. When a client states that her "water broke," which of the following actions would be
inappropriate for the nurse to do?

a. Observing the pooling of straw-colored fluid.
b. Checking vaginal discharge with nitrazine paper.
c. Conducting a bedside ultrasound for an amniotic fluid index.
d. Observing for flakes of vernix in the vaginal discharge.

84. A baby girl is born 8 weeks premature. At birth, she has no spontaneous respirations but is successfully
resuscitated. Within several hours she develops respiratory grunting, cyanosis, tachypnea, nasal flaring, and
retractions. She's diagnosed with respiratory distress syndrome, intubated, and placed on a ventilator. Which
nursing action should be included in the baby's plan of care to
prevent retinopathy of prematurity?

a. Cover his eyes while receiving oxygen.
b. Keep her body temperature low.
c. Monitor partial pressure of oxygen (Pao2) levels.
d. Humidify the oxygen.

85. Which of the following is normal newborn calorie intake?

a. 110 to 130 calories per kg.
b. 30 to 40 calories per lb of body weight.
c. At least 2 ml per feeding
d. 90 to 100 calories per kg

86. Nurse John is knowledgeable that usually individual twins will grow appropriately and at the same
rate as singletons until how many weeks?

a. 16 to 18 weeks
b. 18 to 22 weeks
c. 30 to 32 weeks
d. 38 to 40 weeks

87. Which of the following classifications applies to monozygotic twins for whom the cleavage of
the fertilized ovum occurs more than 13 days after fertilization?

a. conjoined twins
b. diamniotic dichorionic twins
c. diamniotic monochorionic twin
d. monoamniotic monochorionic twins

88. Tyra experienced painless vaginal bleeding has just been diagnosed as having a placenta previa.
Which of the following procedures is usually performed to diagnose placenta previa?

a. Amniocentesis
b. Digital or speculum examination
c. External fetal monitoring
d. Ultrasound

89. Nurse Arnold knows that the following changes in respiratory functioning during pregnancy
is considered normal:

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a. Increased tidal volume
b. Increased expiratory volume
c. Decreased inspiratory capacity
d. Decreased oxygen consumption

90. Emily has gestational diabetes and it is usually managed by which of the following therapy?

a. Diet
b. Long-acting insulin
c. Oral hypoglycemic
d. Oral hypoglycemic drug and insulin

91. Magnesium sulfate is given to Jemma with preeclampsia to prevent which of the
following condition?

a. Hemorrhage
b. Hypertension
c. Hypomagnesemia
d. Seizure

92. Cammile with sickle cell anemia has an increased risk for having a sickle cell crisis during
pregnancy. Aggressive management of a sickle cell crisis includes which of the following measures?

a. Antihypertensive agents
b. Diuretic agents
c. I.V. fluids
d. Acetaminophen (Tylenol) for pain

93. Which of the following drugs is the antidote for magnesium toxicity?

a. Calcium gluconate (Kalcinate)
b. Hydralazine (Apresoline)
c. Naloxone (Narcan)
d. Rho (D) immune globulin (RhoGAM)

94. Marlyn is screened for tuberculosis during her first prenatal visit. An intradermal injection of purified
protein derivative (PPD) of the tuberculin bacilli is given. She is considered to have a positive test for
which of the following results?

a. An indurated wheal under 10 mm in diameter appears in 6 to 12 hours.
b. An indurated wheal over 10 mm in diameter appears in 48 to 72 hours.
c. A flat circumcised area under 10 mm in diameter appears in 6 to 12 hours.
d. A flat circumcised area over 10 mm in diameter appears in 48 to 72 hours.

95. Dianne, 24 year-old is 27 weeks pregnant arrives at her physicians office with complaints of fever,
nausea, vomiting, malaise, unilateral flank pain, and costovertebral angle tenderness. Which of the
following diagnoses is most likely?

a. Asymptomatic bacteriuria
b. Bacterial vaginosis
c. Pyelonephritis
d. Urinary tract infection (UTI)

96. Rh isoimmunization in a pregnant client develops during which of the following conditions?

a. Rh-positive maternal blood crosses into fetal blood, stimulating fetal
antibodies.
b. Rh-positive fetal blood crosses into maternal blood, stimulating
maternal antibodies.
c. Rh-negative fetal blood crosses into maternal blood, stimulating
maternal antibodies.
d. Rh-negative maternal blood crosses into fetal blood, stimulating fetal
antibodies.

97. To promote comfort during labor, the nurse John advises a client to assume certain positions and
avoid others. Which position may cause maternal hypotension and fetal hypoxia?

a. Lateral position

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b. Squatting position
c. Supine position
d. Standing position

98. Celeste who used heroin during her pregnancy delivers a neonate. When assessing the neonate, the
nurse Lhynnette expects to find:

a. Lethargy 2 days after birth.
b. Irritability and poor sucking.
c. A flattened nose, small eyes, and thin lips.
d. Congenital defects such as limb anomalies.

99. The uterus returns to the pelvic cavity in which of the following time frames?

a. 7th to 9th day postpartum.
b. 2 weeks postpartum.
c. End of 6th week postpartum.
d. When the lochia changes to alba.

100. Maureen, a primigravida client, age 20, has just completed a difficult, forceps-assisted delivery
of twins. Her labor was unusually long and required oxytocin (Pitocin) augmentation. The nurse who's
caring for her should stay alert for:

a. Uterine inversion
b. Uterine atony
c. Uterine involution
d. Uterine discomfort

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