Summary

This document contains a set of questions focused on maternal health. It includes a variety of practical and theoretical questions. The questions cover topics such as breastfeeding, postpartum care, mastitis, and other related health issues.

Full Transcript

‫أوليس ي ُجزىمحس ن اال باحسان‬ 326. A patient height is 183 cm and weight is 63.5 kg BMI 19. What is the patient weight classified is ? A. Underweight B. Normal C. Overweight D. Obese 327. Which of the followin...

‫أوليس ي ُجزىمحس ن اال باحسان‬ 326. A patient height is 183 cm and weight is 63.5 kg BMI 19. What is the patient weight classified is ? A. Underweight B. Normal C. Overweight D. Obese 327. Which of the following would the nurse included in her discharge education for a postpartum patient regarding signs and symptoms that should be reported immediately? A. Lochia rubra persists B. Nipples become red C. Lochia decreases in amount D. After pains increase with breast feeding 328. Every how many minutes to check fetal pulse with second stage of labor Every ? A. 5min B. 10min C. 15min D. 20min 329. When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm? A. Assess vital signs B. Increase V fluids C. Evacuate the bladder D. Ask the mother to res 330. A 32 years old multigravida woman presents to the outpatient clinic complaining of dysmenorrhea and menorrhagia. She had been diagnosed with uterine fibroids and blood studies has been ordered for her. Which of the following results should the nurse report? A. hematocrit, 37% B. hemoglobin, 9 g/dl C. white blood cell count, 10,000 cells/mm3 D. platelets count, 300,000 platelets/ microliter Mastitis question 56 ‫أوليس ي ُجزىمحس ن اال باحسان‬ 331. Mastitis caused by...... Streptococcus Aurous 332. A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching? A. I need to take antibiotics. And I should begin to feel better in 24-48 hours. 57 ‫أوليس ي ُجزىمحس ن اال باحسان‬ B. I can use analgesics to assist in alleviating some of the discomfort. C. I need to wear a supportive bra to relieve the discomfort. D. “I need to stop breastfeeding until this condition resolves.” 333. A primiparous mother who has mastitis is asking the nurse Feeding Which of the following would be the proper nursing responthe organism of mastitis? A. It will not affect the newborn B. It will be deactivated by salivation C. It will not be expressed in breast milk D. It will be killed by immunoglobulins in breast milk 334. 41- A nurse is giving health education for a mother who has mastitis. Which of the following if stated by the mother about what she needs to do, indicate that additional education is needed? A. Take antibiotics B. Use analgesics C. Wear a supportive bra D. Stop breast-feeding 335. A 23-year-old vaginal delivery primigravida mother was discomfort due to breast engorgement on the second post The mother complained of pain on the breast site and the able to suck the milk. Which of the following will relief the mother's discomfort? A. Breast binder B. Well-fitting brassiere C. Encourage breast feeding D. Lactation suppressing medication 336. The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as Which of the following is the best education for the mother A. Avoid wearing brassiere B. Begin suckling on the right breast C. Stop pumping milk from the left breast D. Take antibiotics till the soreness subside 337. After 3 days of breast feeding a post partial patient reports nipple soreness. To relieve her discomfort the nurse should suggest that she: A. lubricate her nipples with expressed milk before feeding. B. dry her nipples with soft towel after feeding. C. Apply warm compresses to her nipples just before feeding. D. Apply soap directly to her nipples, and then rinse. 58 ‫أوليس ي ُجزىمحس ن اال باحسان‬ 338. The nurse is teaching a newly delivered mother about breast feeding which of the following statements indicates that the mother need further teaching? A. I will empty my breast and use an alternate breast at B. I will take a daily shower and clean the nipples with C. I will let my nipples dry after feeding to prevent nipple tenderness D. I will always wear a supportive wireless bra 339. Mastitis is an infection of the breast that occurs most often 2-4 days after childbirth. Which of the following is considered first line treatment of mastitis? A. Drainage of breast abscess B. Antibiotic therapy and cessation of breast feeding C. Antibiotic therapy and continuation of breast feeding D. Advice mother to stop breastfeeding until infection is clean 340. A 30-year-oldarimigravida postnatal mother come to the clinic on the She complained of feeling shivering, redness, swelling and pain in her right Blood pressure 90/62 mmHg Hea 84/min Respiratory rate Temperature 38.8 °C Which is the most common organism that causes mastitis? A. Pseudomonas B. Escherichia coli C. Group B streptococcus D. Staphylococcus aurous 341. Immediately after delivery of the placenta the mother starts bleeding profusely from ?the birth canal. Which of the following is the nurse's immediate action A. Administers oxygen by face mask B. Monitors vital signs continuously C. Increase the rate of intravenous infusion D. Rubs the fundus to stimulate contraction 342. postpartum psychological phases sequences?. A. Taking in , taking hold ,letting go B. Taking in , taking hold , letting hold C. Taking hold, taking in , letting hold D. Letting go, taking hold , taking in 343. Which of the following statement indicate nursing action during the first hour after delivery of the placenta? A. Monitor of mothers hemoglobin B. Assess maternal vital signs every 15 minutes C. Ensure that the mother mobilize and empty her bladder D. Administer 10 units of oxytocin via IV line to ensure uterus is well contracted. 344. The nurse is teaching a 32-week pregnant women how to distinguish between pre-labor (false) contractions and true labor contractions. Which statement about pre-labor contraction is accurate? A. They are regular and increase gradually B. They are felt in the abdomen C. They start at the back and radiate to the abdomen D. They become more intense during walking 59 ‫أوليس ي ُجزىمحس ن اال باحسان‬ 345. Azithromycin is prescribed for an adolescent female who has pneumonia and recurrent chlamydia. What information is most important for the nurse to provide the A. Use two forms of contraception while taking this drug B. Have partners screened for human immunodeficiency C. Decrease intake of high-fat foods, caffeine, and alcohol D. Report a sudden onset arthralgia to the healthcare provider 346. A mother, who is planned for the labour induction, is started on intravenous medication. She is in the first stage of her labour and is having regular and increasingly stronger uterine contractions. Her cervix is 1 cm dilated for the past few hours; both the mother and the baby are being monitored. Which of the following signs should alert the midwife? A. Baby's head not engaged B. Decreasing heart rate of the baby C. Mother's blood pressure 110/60 mmHg D. Mother's perspiration and increased thirst 347. A nurse is teaching a 26-year-old primigravida who are 33 weeks pregnant on the how to use a kick chart. Which of the following statements will indicate that she understand the nurse's teaching? A. Fetal movements must be counted three times per day B. Fetal movements are felt best when the women is on her right side C. Fetal movements is a reassuring sign which indicates that the fetushealthy D. The kick chart is used to record fetal movement for the first time during pregnancy 348. Which test should be performed to screen for cervical neoplasia during antenatal assessment? A. Papanicolau (PAP) B. Vaginal rectal culture C. Rapid plasma regain test (PPR) D. Venereal disease research laboratory test (VDRL) 349. A postpartum women who was admitted for 24 hours, community nurse visited her after 2 days of discharge. Which of these are abnormal findings? A. Frequent urination B. Lochia serosa C. Uterus below symphysis pupis D. Breast full of milk. 350. Second day post delivery which blood color will be the lochia A. Locia rubra B. Lochia serosa C. Lochia alpa 351. A 30 year old married woman has dilatation and curettage as a therapeutic abortion. A nurse was preparing for discharge instruction. Which of the following should the nurse include in discharge instruction? A. Taking high protein diet B. Use tampons during swimming C. Avoid sexual intercourse for two weeks D. Continue on bedrest for two weeks at home 352. While the nurse is performing postpartum assessment for a primiparous mother delivered 2 hours ago, she found the following: 60 ‫أوليس ي ُجزىمحس ن اال باحسان‬ Fundus level: Midway between symphysis pubis and umbilicus Position: At the mid line Consistency: Contracted Lochia: Constantly Which of the following is the most likely diagnosis? A. full bladder B. Perineal hematoma C. Birth canal laceration D. Retained placental part 353. What the purpose of a late vaginal_rectal culture during ante natal screening ? A. To screen for group B streptococci B. To detect a Chlamydia infection C. To screen for gonorrhea D. To screen for syphilis 354. Which of the following hormones are responsible for implantation of ovum inside Uterine wall?? A. Progesterone and estrogen B. LH and. FSH Hormones C. Oxytocin 355. Which hormone is responsible for uterine wall and breast enlargement during pregnancy?? A. Progestron B. Estrogen C. HCG 356. woman was diagnosed gestational trophoblastic disease what is the lab investigation was done to diagnose condition? A. Cervical pap smear B. Serum HCG levels C. Serum estrogen level D. Plasma thyroxin level 357. Side effect of HCG during pregnancy A. Aneroxia B. Osteoarthritis C. Menopause D. Depression 358. The pregnant woman is asking the nurse about the function of placenta. The nurse explains to her that placenta provide your baby with food and Oxygen. Which another additional function for placenta?? A. Cushion and protect baby. B. Produce HCG C. Produce contraction 359. A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta: A. Cushions and protects the baby. B. Maintains the temp of the baby. C. the way the baby gets food and oxygen D. Prevents all antibodies and viruses from passing to the baby 360. A woman at 24 weeks gestational age has fever body ache and has coughing last 5 days she is sent to hospital with admission prescriptions for H1N1influenza. which prescription has the highest priority ? 61

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