Maternal and Child Nursing

• Uterine cramps that may begin at 8th to 12th weeks of pregnancy 


  Braxton Hicks
• An appointment to a Obstetrician's office was scheduled by a client because a home pregnancy test was performed and the results were positive. The nurse determines that home pregnancy test identified the presence of what in the urine.


  Human Chorionic Gonadotropin
• A 30 year old G2P1 (1001) seeks consult at the Obstetric Unit. A non-stress test is requested by her Ob-Gynecologist. While performing non-stress test, the nurse told the mother the test showed: Baseline FHT-140s, good variability, with more than 2 accelerations of 20 bpm lasting for 20 secs. The mother asked what this means. The tracing is interpreted by the nurse as _____.

  Reactive
• Maja Rotszky, a 19-year old primigravida consulted on your clinic for her first prenatal check up. The fundic height was measured to be at the level of umbilicus. Assuming that this is not a multifetal pregnancy and there is NO structural or medical abnormality, approximately how many weeks of AOG is this pregnancy.

  20-22
• Formation of lanugo, liver and pancreas are functioning, fetus demonstrates swallowing reflex is what correct gestational age of fetal life

  16 weeks
• The diagram depicts which position of the fetus in the female pelvis

  COT

  
• Annaliza, 18-year old, Gravida 1 Para 0, 39-40 weeks AOG, was brought to the Delivery Suite due to labor pains. Internal examination shows: Cervis 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds duration; mild to moderate contractions. Annaliza in this case is already in what face of labor?

  Latent Phase
• During the interview, the client verbalized she has undergone ultrasound only 4 weeks ago. Based on the result, the inlet is well rounded forward and backward and the pubic arch is wide indicating pelvis is ideal for childbearing. This type of pelvis is called as

  Gynecoid
• The nurse informed a client that the smallest head diameter of the fetus must be presented to the birth canal in order to best traverse/travel to the birth canal. What is the smallest anteroposterior cranial diameter of a fetus?

  Suboccipital Bregmatic
• Mrs. Vilma Narciso at delivery was assessed with a perineal laceration tore through the skin of the fourchette, vaginal mucous membrane, and the fascia and perineal muscles of the perineal body but not the anal sphnicter or mucosa. This should be recorded in the medical record as what type of laceration?

  2nd degree
• Annaliza, a 25-year-old Gravida 1 at 37 weeks exhibits with gross rupture of membrane. On cervical examination she is observed to be 4 cm dilated, 90% effaced with the presenting part at -3 station. The presenting part is soft and felt to be at the fetal buttock. Immediate bedside ultrasound reveals a presentation with both hips flexed and knees extended. What type of breech presentation is described?

  Frank Breech
• Startles, arches back, throws head back, flings out arms and legs rapidly closes them to center of the body

  Moro Reflex
• Transfer of heat when flow of cool air passes over infant's skin.

  Convection
• A 23 year old G2P2 has just given birth a live health term 2.8kg baby girl via spontaneous vaginal delivery. She is stable with adequate response to post-delivery care and heading to an unremarkable puerperal stage. At what time is her uterus expected to descend into the true pelvis

  2 weeks
• Nurse Joseph is organizing a prenatal class to Mrs. Vanessa Narciso and friends about fluctuations that occur during pregnancy and the essential of routine health care supervision throughout pregnancy. Which cardiovascular compensatory mechanism should Nurse Joseph elucidate will occur? Select all that apply.

  1. Systematic vasodilation
  2. Increased blood volume
  3. Elevated blood pressure
  4. Increased cardiac output
  5. Enlargement of the heart


  Increased blood volume

  Increased cardiac output

  Enlargement of the heart
• A 25 year old G1P0 seeks consult at a Maternity Clinic. A non-stress test was requested by the attending physician. During the procedure, the tracing displays a relatively flat line for fetal movement, making it difficult to evaluate fetal heart rate. To mark the strip, the nurse in charge should instruct the client to push control button at which time?

  At the beginning of each fetal movement
• A young couple in eager anticipation for their child's birth asks, "when does the rudimentary foundation of the baby such as brain and a heartbeat are formed?" the nurse answers:

  First month
• When developing a series of parent classes on fetal development, which of the following would the nurse include as being developed by the end of the third month (9-12 weeks)?


  External genitalia
• Annaliza, a 24y/o G2P1 (1001) was admitted due to passage of watery discharge and beginning of regular abdominal cramps. Initial IE was 4 cm station -2. 4 hours later patient was 7 cm dilated station -2, contractions came in regularly every 3-5 minutes lasting 50-60 seconds, which of the following actions are appropriate?

  1. Augment labor with oxytocin
  2. Observe progress of labor
  3. Prepare patient for emergency CS
  4. Give patient epidural anesthesia
  5. Hydrate and place patient on left lateral decubitus

  Observe progress of labor
• Annaliza, a 23 year old nullipara is admitted at the labor room at 10 o'clock A.M. In the clinical pelvimetry of Susan during labor, which of the following can be measured clinically?

  1. Transverse diameter of the inlet
  2. Obstetric conjugate
  3. Interspinous diameter
  4. Posterior sagittal diameter of the outlet
  5. None of the above

  Interspinous Diameter
• Annaliza is transported to the delivery room for the second stage of labor. During this stage the fetus is moved along the birth canal by mechanisms of labor. What is the sequence of position changes illustrates the chronological order of the mechanism of labor?

  Descent

  Flexion

  Internal Rotation

  Extension

  External Rotation

  Expulsion
• Annaliza, 18 year old, Gravida 1 Para 0, 40 weeks AOG is in labor. She finally entered active phase of Stage 1. Average durations of active labor without epidural anelgesia are best expressed by which of the following?

  Stage 1: 750 minutes; Stage 2: 80 minutes; Stage 3: 5 minutes
• Annaliza, 25 year old, G1 P0, 39 3/7 weeks AOG, was being monitored in the Obstetrical Unit. Which of the following is the least priority intervention of Nurse Joseph during the transition phase? Select all that apply.

  1. Decrease IV fluid intake
  2. Help the client to maintain control
  3. Reduce the client's discomfort with medications
  4. Institute simple breathing patterns during contractions

  Decrease IV fluid intake

  Reduce the client's discomfort with medications
• It's now 24 hours since Sarah Anne's delivery. In accordance with the normal involution process, the nurse should locate Sarah Anne's fundus in what position?

  Midline, 1 cm below the umbilicus
• On the fifth day postpartum, the fundus is palpated at the level of the umbilicus. This indicates that?

  The uterus has not undergone the normal involution process
• Before assessing the position of Sarah Anne's fundus, the nurse should

  Ask Sarah Anne to empty her bladder
• Nurse Joseph is conducting health teaching to Annaliza in the postpartum unit. Neonates have difficulty maintaining their body temperature. However, they have several mechanisms to help them maintain it. Which ones should a nurse consider when caring for a newborn? Select all that apply.

  1. Flexed fetal position
  2. Hepatic insulin stores
  3. Brown fat metabolism
  4. Peripheral vasoconstriction
  5. Parasympathetic vasoconstriction

  Flexed fetal position

  Brown fat metabolism

  Peripheral vasoconstriction
• The nurse understands which breast assessment findings is considered normal for the client who gave birth less than 24 hours ago?

  1. Firm, hard to palpate
  2. Cracks are noted in the nipple
  3. Red streaks around the areola
  4. Thin yellow drainage is noted from the nipple

  Thin yellow drainage is noted from the nipple
• Maternal and child nursing is a challenging role for nurses and a major factor in keeping families well and optimally functioning.

  True
• It is the controlled investigation of problems that have implications for practice and justification for implementing activities for outcome achievement, ultimately resulting in improved cost-effective patient care.

  Nursing research
• It is the number of deaths that occur as a direct result of the reproductive process per 100,000 live births

  Maternal mortality
• Preventing further complications from an illness, bringing client back to an optimal state of wellness, helping client accept inevitable death

  Health rehabilitation
• The infant mortality rate which is the death of children between birth and exactly 1 year of age is an important indicator for child health. The denominator for such rate is

  no. of live births
• What structure sheds during menstruation? What is the name of the tissue that creates menses

  Endometrium
• This is secreted by the ovary (follicle and corpus luteum), causes proliferation of the endometrium. It is also responsible in developing and maintaining the female reproductive organs and the secondary sexual characteristics associated with the adult female

  estrogen
• Mrs. Marianne Cruz, a 23 year old and her husband desires to use natural planning method. Her menstrual cycle length is variable, ranging from 26-32 days. She does not plan to measure her basal body temperature. The time of her fertility, with the first day of menses defined as day would be between what cycle days?

  8-21
• What is the muscle that is an extension of the abdominal muscles which can raise or lower the testes depending on the environmental temperature?

  Cremaster
• Wilma plans to use the rhythm method for contraception. She has a regular menstruation cycle of 28 days each month. What days during her menstrual cycle would be her fertile period?

  10-17
• A woman, who wishes to use the calendar method for contraception, reports that her last 6 menstrual cycles were 28, 32, 26, 33, 30 and 35 days long, respectively. In the future if used correctly, she should abstain from intercourse on what days of her cycle?


  8-24
• It is important in evaluating the health of a nation because it reflects the overall quality of maternal and prenatal care


  Infant mortality rate