MATERniTy And PEdiATRic nuRSing in cAnAdA, 2nd
EdiTion by LiSA KEEnAn-LindSAy & gLoRiA LEiFER
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Question 1:
Which of the following is the most critical factor in determining the success of
breastfeeding?
A) Maternal education
B) Maternal support
C) Infant's age
D) Duration of pregnancy
Correct Answer: B) Maternal support
Rationale: Maternal support is crucial for successful breastfeeding as it impacts the
mother's confidence and ability to breastfeed. Support from healthcare providers,
family, and community can help address challenges and promote continuation.
Question 2:
At what age should a child typically be able to say "mama" and "dada" specifically?
A) 6 months
B) 9 months
C) 12 months
D) 18 months
Correct Answer: C) 12 months
Rationale: By 12 months, most children can say "mama" and "dada" with meaning,
indicating they can associate words with their parents. This milestone is part of normal
speech development.
Question 3:
What is the most common cause of postpartum hemorrhage?
A) Uterine atony
B) Retained placental fragments
,C) Lacerations
D) Coagulation disorders
Correct Answer: A) Uterine atony
Rationale: Uterine atony, the failure of the uterus to contract effectively after delivery, is
the leading cause of postpartum hemorrhage. Effective uterine contraction is essential
to control bleeding.
Question 4:
Which of the following vaccines is recommended for infants at 2 months of age?
A) Varicella
B) DTaP
C) Influenza
D) MMR
Correct Answer: B) DTaP
Rationale: The DTaP vaccine, which protects against diphtheria, tetanus, and pertussis,
is recommended at 2, 4, and 6 months of age. Early vaccination is crucial for protecting
infants from these serious diseases.
Question 5:
What is the primary purpose of the Apgar score?
A) To assess fetal development
B) To evaluate the newborn's transition to extrauterine life
C) To determine gestational age
D) To measure maternal health
Correct Answer: B) To evaluate the newborn's transition to extrauterine life
Rationale: The Apgar score assesses a newborn's condition immediately after birth,
evaluating heart rate, respiratory effort, muscle tone, reflex response, and color. This
helps determine if immediate medical intervention is needed.
Question 6:
Which maternal condition is a contraindication for breastfeeding?
A) Hypertension
B) Diabetes
C) Active tuberculosis
D) Hypothyroidism
Correct Answer: C) Active tuberculosis
,Rationale: Active tuberculosis is a contraindication for breastfeeding because the
bacteria can be transmitted through breast milk. Mothers with this condition should be
treated before resuming breastfeeding.
Question 7:
What is the recommended position for a breastfeeding mother?
A) Lying flat
B) Sitting upright
C) Lying on her side
D) Reclining backward
Correct Answer: B) Sitting upright
Rationale: Sitting upright helps ensure proper latch and reduces the risk of aspiration
for the infant. It also allows the mother to be comfortable and support her baby
effectively.
Question 8:
What is the primary goal of prenatal care?
A) To monitor the health of the mother and fetus
B) To prepare a birth plan
C) To provide nutrition education
D) To offer emotional support
Correct Answer: A) To monitor the health of the mother and fetus
Rationale: The primary goal of prenatal care is to ensure both maternal and fetal health,
monitoring for potential complications and promoting healthy behaviors throughout
pregnancy.
Question 9:
At what age should a child receive their first influenza vaccine?
A) 6 months
B) 6 months to 1 year
C) 1 year
D) 2 years
Correct Answer: B) 6 months to 1 year
Rationale: The influenza vaccine is recommended starting at 6 months of age, with
annual vaccinations thereafter to provide protection against seasonal influenza.
, Question 10:
What is the primary purpose of the fetal heart rate monitoring?
A) To assess fetal well-being
B) To determine labor progress
C) To predict delivery time
D) To monitor maternal health
Correct Answer: A) To assess fetal well-being
Rationale: Fetal heart rate monitoring is essential to assess the baby's health, detect
any signs of distress, and make timely interventions if necessary.
Question 11:
Which of the following is a sign of respiratory distress in a newborn?
A) Grunting
B) Sneezing
C) Yawning
D) Coughing
Correct Answer: A) Grunting
Rationale: Grunting is a significant sign of respiratory distress in newborns, indicating
that the infant is experiencing difficulty breathing and may require immediate medical
attention.
Question 12:
What is the recommended daily intake of folic acid for women of childbearing age?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 800 mcg
Correct Answer: B) 400 mcg
Rationale: The recommended daily intake of folic acid for women of childbearing age is
400 mcg to help prevent neural tube defects in the developing fetus.
Question 13:
What is a common emotional response of a mother in the postpartum period?