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Midwifery Nursing Test - 3
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Midwifery Nursing
Test - 3
1. During which of the following stages of labour would nurse assess crowning-
First stage
Third stage
Second stage
Fourth stage
2. A woman had just given birth at 42 weeks gestation when assessing the neonate which physical findings is expected-
Lanugo covering baby
A sleep,lethargic baby
Desquamation of the epidermis
Vernix caseosa covering the baby
3. FSH can be ausculated with a fetoscope scope as early of the following-
5weeks gestation
10weeks gestation
25weeks gestation
20weeks gestation
4. Vulva is composed of-
Vagina,uterus,and cervix
Clitoris,vestibule,and fourchette
Labia majora fallopian tubes and ovaries
Cervix, mammary gland and ovaries
5. What happens of GFR in case of preeclampsia-
GFR decrease
Remains same
GFR increase
None of them
6. A normal baby born to a mother having DM-
Is small
Is large
Is cyanosed
None of them
7. Which of the following is used to taking cervical smear-
Ayre's spatula
Vaginoscope
Colposcope
Forceps
8. Gonadotropin releasing hormone (GnRH)stimulates the release of-
ACTH
LH(luteinizing hormone)
Growth hormone
Thyroid stimulating hormone(TSH)
9. Placenta is a organs that provide exchange of nutrients and waste products between mother and fetus is developed by-
Third month
Fifth month
First month
Seventh month
10. The fetal blood vessels where is the oxygen content highest-
Umbilical artery
Ductus areteriosus
Ducts venosus
Pulmonary artery
11. A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?
Quickening
Consistent increase in fundal height
Fetal heart rate of 180 BPM
Braxton hicks contractions
12. After the first four months of pregnancy, the chief source of estrogen and progesterone is the:
Anterior hypophysis
Adrenal cortex
Placenta
Corpus luteum
13. A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client determines that the magnesium therapy is effective if:
Seizures do not occur
The blood pressure decreases
Ankle clonus in noted
Scotomas are present
14. A primigravida is receiving magnesium sulfate for the treatment of pregnancy induced hypertension (PIH). The nurse who is caring for the client is performing assessments every 30 minutes. Which assessment finding would be of most concern to the nurse?
Respiratory rate of 10 BPM
Deep tendon reflexes of 2+
Urinary output of 20 ml since the previous assessment
Fetal heart rate of 120 BPM
15. A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse’s first action is to:
Assess the blood pressure and fetal heart rate
Clean and maintain an open airway
Administer magnesium sulfate intravenously
Administer oxygen by face mask
16. A nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes. Which statement if made by the client indicates a need for further education?
“I need to be aware of any infections and report signs of infection immediately to my health care provider.”
“I need to avoid exercise because of the negative effects of insulin production.”
“I will perform glucose monitoring at home.”
“I need to stay on the diabetic diet.”
17. An expected cardiopulmonary adaptation experienced by most pregnant women is:
Progression of dependent edema
Shortness of breath on exertion
Dyspnea at rest
Tachycardia
18. A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?
“It is the soft blowing sound that can be heard when the uterus is auscultated.”
“It is the fetal movement that is felt by the mother.”
“It is the thinning of the lower uterine segment.”
“It is the irregular, painless contractions that occur throughout pregnancy.”
19. At a prenatal visit at 36 weeks’ gestation, a client complains of discomfort with irregularly occurring contractions. The nurse instructs the client to:
Lie down until they stop
Time contraction for 30 minutes
Walk around until they subside
Take 10 grains of aspirin for the discomfort
20. The nurse teaches a pregnant woman to avoid lying on her back. The nurse has based this statement on the knowledge that the supine position can:
Lead to transient episodes of hypotension
Interfere with free movement of the coccyx
Unduly prolong labor
Cause decreased placental perfusion
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