Maternal & Child Practice Exam 4|Q’s
and A’s
What event occurring in the second trimester helps the expectant mother to
accept the pregnancy?
A Quickening
B Lightening
C Pseudocyesis
D Ballotment - -Quickening
Rationale:
Quickening is the first fetal movement felt by the mother makes the woman
realize that she is truly pregnant. In early pregnancy, the fetus is moving but
too weak to be felt by the mother. In the 18th-20th week of gestation, the
fetal movements become stronger thus the mother already feels the
movements.
- The nursing intervention to relieve "morning sickness" in a pregnant
woman is by giving
A Low sodium diet
B Intravenous infusion
C Antacid
D Dry carbohydrate food like crackers - -Dry carbohydrate food like crackers
Rationale:
Morning sickness maybe caused by hypoglycemia early in the morning thus
giving carbohydrate food will help.
- In the Batholonew's rule of 4, when the level of the fundus is midway
between the umbilicus and xyphoid process the estimated age of gestation
(AOG) is:
A 6th month
B 5th month
C 8th month
D 7th month - -7th month
Rationale:
In Bartholomew's Rule of 4, the landmarks used are the symphysis pubis,
umbilicus and xyphoid process. At the level of the umbilicus, the AOG is
approximately 5 months and at the level of the xyphoid process 9 months.
Thus, midway between these two landmarks would be considered as 7
months AOG.
, - Which of the following findings in a woman would be consistent with a
pregnancy of two months duration?
A Increased respiratory rate and ballottement
B Weight gain of 6-10 lbs. and presence of striae gravidarum
C Fullness of the breast and urinary frequency
D Braxton Hicks contractions and quickening - -Fullness of the breast and
urinary frequency
Rationale:
Fullness of the breast is due to the increased amount of progesterone in
pregnancy. The urinary frequency is caused by the compression of the
urinary bladder by the gravid uterus which is still within the pelvic cavity
during the first trimester.
- If the LMP is Jan. 30, the expected date of delivery (EDD) is
A Nov. 8
B Nov. 7
C Oct. 7
D Oct. 24 - -Nov. 7
Rationale:
Based on the last menstrual period, the expected date of delivery is Nov. 7.
The formula for the Naegele's Rule is subtract 3 from the month and add 7 to
the day.
- 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 is the fetal back.
C The mass palpated is the head.
D The mass palpated is the fetal small part - -The mass palpated is the head
Rationale:
When the mass palpated is hard round and movable, it is the fetal head.
- A pregnant mother is admitted to the hospital with the chief complaint of
profuse vaginal bleeding, AOG 36 wks, not in labor. The nurse must always
consider which of the following precautions:
A Internal exam must be done following routine procedure
B An emergency delivery set for vaginal delivery must be made ready before
examining the patient
C The preferred manner of delivering the baby is vaginal
and A’s
What event occurring in the second trimester helps the expectant mother to
accept the pregnancy?
A Quickening
B Lightening
C Pseudocyesis
D Ballotment - -Quickening
Rationale:
Quickening is the first fetal movement felt by the mother makes the woman
realize that she is truly pregnant. In early pregnancy, the fetus is moving but
too weak to be felt by the mother. In the 18th-20th week of gestation, the
fetal movements become stronger thus the mother already feels the
movements.
- The nursing intervention to relieve "morning sickness" in a pregnant
woman is by giving
A Low sodium diet
B Intravenous infusion
C Antacid
D Dry carbohydrate food like crackers - -Dry carbohydrate food like crackers
Rationale:
Morning sickness maybe caused by hypoglycemia early in the morning thus
giving carbohydrate food will help.
- In the Batholonew's rule of 4, when the level of the fundus is midway
between the umbilicus and xyphoid process the estimated age of gestation
(AOG) is:
A 6th month
B 5th month
C 8th month
D 7th month - -7th month
Rationale:
In Bartholomew's Rule of 4, the landmarks used are the symphysis pubis,
umbilicus and xyphoid process. At the level of the umbilicus, the AOG is
approximately 5 months and at the level of the xyphoid process 9 months.
Thus, midway between these two landmarks would be considered as 7
months AOG.
, - Which of the following findings in a woman would be consistent with a
pregnancy of two months duration?
A Increased respiratory rate and ballottement
B Weight gain of 6-10 lbs. and presence of striae gravidarum
C Fullness of the breast and urinary frequency
D Braxton Hicks contractions and quickening - -Fullness of the breast and
urinary frequency
Rationale:
Fullness of the breast is due to the increased amount of progesterone in
pregnancy. The urinary frequency is caused by the compression of the
urinary bladder by the gravid uterus which is still within the pelvic cavity
during the first trimester.
- If the LMP is Jan. 30, the expected date of delivery (EDD) is
A Nov. 8
B Nov. 7
C Oct. 7
D Oct. 24 - -Nov. 7
Rationale:
Based on the last menstrual period, the expected date of delivery is Nov. 7.
The formula for the Naegele's Rule is subtract 3 from the month and add 7 to
the day.
- 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 is the fetal back.
C The mass palpated is the head.
D The mass palpated is the fetal small part - -The mass palpated is the head
Rationale:
When the mass palpated is hard round and movable, it is the fetal head.
- A pregnant mother is admitted to the hospital with the chief complaint of
profuse vaginal bleeding, AOG 36 wks, not in labor. The nurse must always
consider which of the following precautions:
A Internal exam must be done following routine procedure
B An emergency delivery set for vaginal delivery must be made ready before
examining the patient
C The preferred manner of delivering the baby is vaginal
