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