TEST II - Community Health Nursing and following nursing actions is the
Care of the Mother and Child priority?
a. Monitoring weight
1. May arrives at the health care clinic b. Assessing for edema
and tells the nurse that her last c. Monitoring apical pulse
menstrual period was 9 weeks ago. d. Monitoring temperature
She also tells the nurse that a home
pregnancy test was positive but she 4. Nurse Oliver is teaching a diabetic
began to have mild cramps and is now pregnant client about nutrition and
having moderate vaginal bleeding. insulin needs during pregnancy.
During the physical examination of The nurse determines that the
the client, the nurse notes that May client understands dietary and
has a dilated cervix. The nurse insulin needs if the client states
determines that May is experiencing that the second half of pregnancy
which type of abortion? requires:
a. Inevitable a. Decreased caloric intake
b. Incomplete b. Increased caloric intake
c. Threatened c. Decreased Insulin
d. Septic d. Increase Insulin
2. Nurse Reese is reviewing the record 5. Nurse Michelle is assessing a 24
of a pregnant client for her first year old client with a diagnosis of
prenatal visit. Which of the following hydatidiform mole. She is aware
data, if noted on the client’s record, that one of the following is
would alert the nurse that the client unassociated with this condition?
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
74
, a. Excessive fetal activity. Pitocin is:
b. Larger than normal a. Contractions every 1 ½
uterus for gestational minutes lasting 70-80 seconds.
age. b. Maternal temperature 101.2
c. Vaginal bleeding c. Early decelerations in the
d. Elevated levels of human fetal heart rate.
chorionic gonadotropin. d. Fetal heart rate baseline 140-160
bpm.
6. A pregnant client is receiving
magnesium sulfate for severe 9. Calcium gluconate is being
pregnancy induced hypertension (PIH). administered to a client with
The clinical findings that would warrant pregnancy induced hypertension
use of the antidote , calcium gluconate (PIH). A nursing action that must be
is: initiated as the plan of care
a. Urinary output 90 cc in 2 hours. throughout injection of the drug is:
b. Absent patellar reflexes. a. Ventilator assistance
c. Rapid respiratory rate above b. CVP readings
40/min. c. EKG tracings
d. Rapid rise in blood pressure. d. Continuous CPR
7. During vaginal examination of Janah 10. A trial for vaginal delivery after an
who is in labor, the presenting part is earlier caesarean, would likely to be
at station plus two. Nurse, correctly given to a gravida, who had:
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
,
, 75
a. First low transverse cesarean position.
was for active herpes type 2 c. Give the baby a pacifier.
infections; vaginal culture at d. Place the infant’s arms in soft
39 weeks pregnancy was elbow
positive. restraints.
b. First and second caesareans
were for cephalopelvic 13. Which action should nurse Marian
disproportion. include in the care plan for a 2 month
c. First caesarean through a old with heart failure?
classic incision as a result of a. Feed the infant when he cries.
severe fetal distress. b. Allow the infant to rest before
d. First low transverse caesarean feeding.
was for breech position. Fetus c. Bathe the infant and
in this pregnancy is in a vertex administer medications
presentation. before feeding.
d. Weigh and bathe the infant
11. Nurse Ryan is aware that the best before feeding.
initial
approach when trying to take a crying 14. Nurse Hazel is teaching a mother who
toddler’s plans to discontinue breast feeding
temperature is: after 5 months. The nurse should
a. Talk to the mother first and advise her to include which foods in
then to the toddler. her infant’s diet?
b. Bring extra help so it can a. Skim milk and baby food.
be done quickly. b. Whole milk and baby food.
c. Encourage the mother to hold c. Iron-rich formula only.
the child. d. Iron-rich formula and baby food.
d. Ignore the crying and
screaming. 15. Mommy Linda is playing with her
infant, who is sitting securely alone on
12. Baby Tina a 3 month old infant just the floor of the clinic. The mother
had a cleft lip and palate repair. What hides a toy behind her back and the
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
Care of the Mother and Child priority?
a. Monitoring weight
1. May arrives at the health care clinic b. Assessing for edema
and tells the nurse that her last c. Monitoring apical pulse
menstrual period was 9 weeks ago. d. Monitoring temperature
She also tells the nurse that a home
pregnancy test was positive but she 4. Nurse Oliver is teaching a diabetic
began to have mild cramps and is now pregnant client about nutrition and
having moderate vaginal bleeding. insulin needs during pregnancy.
During the physical examination of The nurse determines that the
the client, the nurse notes that May client understands dietary and
has a dilated cervix. The nurse insulin needs if the client states
determines that May is experiencing that the second half of pregnancy
which type of abortion? requires:
a. Inevitable a. Decreased caloric intake
b. Incomplete b. Increased caloric intake
c. Threatened c. Decreased Insulin
d. Septic d. Increase Insulin
2. Nurse Reese is reviewing the record 5. Nurse Michelle is assessing a 24
of a pregnant client for her first year old client with a diagnosis of
prenatal visit. Which of the following hydatidiform mole. She is aware
data, if noted on the client’s record, that one of the following is
would alert the nurse that the client unassociated with this condition?
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
74
, a. Excessive fetal activity. Pitocin is:
b. Larger than normal a. Contractions every 1 ½
uterus for gestational minutes lasting 70-80 seconds.
age. b. Maternal temperature 101.2
c. Vaginal bleeding c. Early decelerations in the
d. Elevated levels of human fetal heart rate.
chorionic gonadotropin. d. Fetal heart rate baseline 140-160
bpm.
6. A pregnant client is receiving
magnesium sulfate for severe 9. Calcium gluconate is being
pregnancy induced hypertension (PIH). administered to a client with
The clinical findings that would warrant pregnancy induced hypertension
use of the antidote , calcium gluconate (PIH). A nursing action that must be
is: initiated as the plan of care
a. Urinary output 90 cc in 2 hours. throughout injection of the drug is:
b. Absent patellar reflexes. a. Ventilator assistance
c. Rapid respiratory rate above b. CVP readings
40/min. c. EKG tracings
d. Rapid rise in blood pressure. d. Continuous CPR
7. During vaginal examination of Janah 10. A trial for vaginal delivery after an
who is in labor, the presenting part is earlier caesarean, would likely to be
at station plus two. Nurse, correctly given to a gravida, who had:
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
,
, 75
a. First low transverse cesarean position.
was for active herpes type 2 c. Give the baby a pacifier.
infections; vaginal culture at d. Place the infant’s arms in soft
39 weeks pregnancy was elbow
positive. restraints.
b. First and second caesareans
were for cephalopelvic 13. Which action should nurse Marian
disproportion. include in the care plan for a 2 month
c. First caesarean through a old with heart failure?
classic incision as a result of a. Feed the infant when he cries.
severe fetal distress. b. Allow the infant to rest before
d. First low transverse caesarean feeding.
was for breech position. Fetus c. Bathe the infant and
in this pregnancy is in a vertex administer medications
presentation. before feeding.
d. Weigh and bathe the infant
11. Nurse Ryan is aware that the best before feeding.
initial
approach when trying to take a crying 14. Nurse Hazel is teaching a mother who
toddler’s plans to discontinue breast feeding
temperature is: after 5 months. The nurse should
a. Talk to the mother first and advise her to include which foods in
then to the toddler. her infant’s diet?
b. Bring extra help so it can a. Skim milk and baby food.
be done quickly. b. Whole milk and baby food.
c. Encourage the mother to hold c. Iron-rich formula only.
the child. d. Iron-rich formula and baby food.
d. Ignore the crying and
screaming. 15. Mommy Linda is playing with her
infant, who is sitting securely alone on
12. Baby Tina a 3 month old infant just the floor of the clinic. The mother
had a cleft lip and palate repair. What hides a toy behind her back and the
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
