MATERNITY NURSING exam.docx

MATERNITY NURSING 1. You performed the leopold’s maneuver and found the following: breech presentation, fetal back at the right side of the mother. Based on these findings, you can hear the fetal heart beat (PMI) BEST in which location? A.Left lower quadrant B.Right lower quadrant C.Left upper quadrant D.Right upper quadrant Answer: (B) Right lower quadrant Right lower quadrant. The landmark to look for when looking for PMI is the location of the fetal back in relation to the right or left side of the mother and the presentation, whether cephalic or breech. The best site is the fetal back nearest the head. 2. In Leopold’s maneuver step #1, you palpated a soft broad mass that moves with the rest of the mass. The correct interpretation of this finding is: A.The mass palpated at the fundal part is the head part. B.The presentation is breech. C.The mass palpated is the back D.The mass palpated is the buttocks Answer: (D) The mass palpated is the buttocks. The palpated mass is the fetal buttocks since it is broad and soft and moves with the rest of the mass. 3. In Leopold’s maneuver step # 3 you palpated a hard round movable mass at the supra pubic area. The correct interpretation is that the mass palpated is: A.The buttocks because the presentation is breech. B.The mass palpated is the head. C.The mass is the fetal back. D.The mass palpated is the fetal small part Answer: (B) The mass palpated is the head. When the mass palpated is hard round and movable, it is the fetal head. 4. The hormone responsible for a positive pregnancy test is: A.Estrogen B.Progesterone C.Human Chorionic Gonadotropin D.Follicle Stimulating hormone Answer: (C) Human Chorionic Gonadotropin Human chorionic gonadotropin (HCG) is the hormone secreted by the chorionic villi which is the precursor of the placenta. In the early stage of pregnancy, while the placenta is not yet fully developed, the major hormone that sustains the pregnancy is HCG. 5. The hormone responsible for the maturation of the graafian follicle is: A.Follicle stimulating hormone B.Progesterone C.Estrogen D.Luteinizing hormone Answer: (A) Follicle stimulating hormone The hormone that stimulates the maturation if the of the graafian follicle is the Follicle Stimulating Hormone which is released by the anterior pituitary gland.