Maternity & Child Practice Exam 6

Maternity & Child Practice Exam 6 Postpartum blues is said to be normal provided that the following characteristics are present. These are Within 3-10 days only; Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor appetite; Maybe more severe symptoms in primpara A 1 and 2 B All of the above C 2 and 3 D 2 only Rationale: All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this could be a sign of abnormality like postpartum depression and needs treatment. To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be done is A Postcoital test B None of the above C Rubin's test D Huhner's test Rationale: Rubin's test is a test to determine patency of fallopian tubes. Huhner's test is also known as post-coital test to determine compatibility of the cervical mucus with sperms of the sexual partner. Right after birth, when the skin of the baby's trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called: A Syndactyly B Cephalo-caudal cyanosis C Peripheral cyanosis D Acrocyanosis Rationale: Acrocyanosis is the term used to describe the baby's skin color at birth when the soles and palms are bluish but the trunk is pinkish. When the uterus is firm and contracted after delivery but there is vaginal bleeding, the nurse should suspect A Laceration of soft tissues of the cervix and vagina B Uterine hypercontractility C Uterine inversion D Uterine atony Rationale: When uterus is firm and contracted it means that the bleeding is not in the uterus but other parts of the passageway such as the cervix or the vagina. The ideal site for vitamin K injection in the newborn is: A Either right or left buttocks B Middle third of the thigh C Right upper arm D Left upper arm Rationale: Neonates do not have well developed muscles of the arm. Since Vitamin K is given intramuscular, the site must have sufficient muscles like the middle third of the thigh. Infertility can be attributed to male causes such as the following EXCEPT: A Sperm count of about 20 million per milliliter B Orchitis C Premature ejaculation D Cryptorchidism Rationale: Sperm count must be within normal in order for a male to successfully sire a child. The normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate. The procedure done to prevent ophthalmia neonatorum is: A Marmet's technique B Ophthalmic wash C Crede's method D Ritgen's method Rationale: Crede's method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually, an ophthalmic ointment is used. To enhance milk production, a lactating mother must do the following interventions EXCEPT: A Increase fluid intake including milk B Eat foods that increases lactation which are called galactagues C Have adequate nutrition and rest D Exercise adequately like aerobics Rationale: All the above nursing measures are needed to ensure that the mother is in a healthy state. However, aerobics does not necessarily enhance lactation. The following methods of artificial birth control works as a barrier device EXCEPT: A Intrauterine device (IUD) B Cervical Diaphragm C Cervical cap D Condom Rationale: Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube. The neonatal circulation differs from the fetal circulation because A The blood in left side of the fetal heart contains oxygenated blood while the blood in the right side contains unoxygenated blood. B The blood at the left atrium of the fetal heart is shunted to the right atrium to facilitate its passage to the lungs C None of the above D The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blood. Rationale: The fetal lungs is fluid-filled while in utero and is still not functioning. It only begins to function in extra uterine life. Except for the blood as it enters the fetus immediately from the placenta, most of the fetal blood is mixed blood. The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is A Apply cold compress on the engorged breast B Massage the breast C Apply warm compress on the engorged breast D Apply analgesic ointment Rationale: Warm compress is applied if the purpose is to relieve pain but ensure lactation to continue. If the purpose is to relieve pain as well as suppress lactation, the compress applied is cold. To ensure adequate lactation the nurse should teach the mother to: A Feed primarily during the day and allow the baby to sleep through the night B Breast feed the baby on self-demand day and night C Breastfeed when the breast are engorged to ensure adequate supply D Feed the baby every 3-4 hours following a strict schedule Rationale: Feeding on self-demand means the mother feeds the baby according to baby's need. Therefore, this means there will be regular emptying of the breasts, which is essential to maintain adequate lactation. ..........