DHA MCQs 4.1
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A. A soon as she requests analgesia
B. When labour is well established
C. When the women enters into transition phase
D. when the women progress from latent to active phase
2. A patient height is 183 cm and weight is 63.5 kg BMI 19. What is the patient weight classified is ?
A. Underweight
B. Normal
C. Overweight
D. Obese
3. Which of the following would the nurse included in her discharge education for a postpartum patient regarding signs and symptoms that should be reported immediately?
A. Lochia rubra persists
B. Nipples become red
C. Lochia decreases in amount
D. After pains increase with breast feeding
4. Every how many minutes to check fetal pulse with second stage of labor Every ?
A. 5min
B. 10min
C. 15min
D. 20min
5. When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm?
A. Assess vital signs
B. Increase V fluids
C. Evacuate the bladder
D. Ask the mother to rest
6. Mastitis caused by....... E.colia Streptococcus, & V aureus
7. A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching?
A. I need to take antibiotics. And I should begin to feel better in 24-48 hours.
B. I can use analgesics to assist in alleviating some of the discomfort.
C. I need to wear a supportive bra to relieve the discomfort.
D. “I need to stop breastfeeding until this condition resolves.”
A. It will not affect the newborn
B. It will be deactivated by salivation
C. It will not be expressed in breast milk
D. It will be killed by immunoglobulins in breast milk
9. 41- A nurse is giving health education for a mother who has mastitis. Which of the following if stated by the mother about what she needs to do, indicate that additional education is needed?
A. Take antibiotics
B. Use analgesics
C. Wear a supportive bra
D. Stop breast-feeding
10. A 23-year-old vaginal delivery primigravida mother was discomfort due to breast engorgement on the second post The mother complained of pain on the breast site and the able to suck the milk.
Which of the following will relief the mother's discomfort?
A. Breast binder
B. Well-fitting brassiere
C. Encourage breast feeding
D. Lactation suppressing medication
11. The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as Which of the following is the best education for the mother
A. Avoid wearing brassiere
B. Begin suckling on the right breast
C. Stop pumping milk from the left breast
D. Take antibiotics till the soreness subside
12. After 3 days of breast feeding a post partial patient reports nipple soreness. To relieve her discomfort the nurse should suggest that she:
A. lubricate her nipples with expressed milk before feeding.
B. dry her nipples with soft towel after feeding.
C. Apply warm compresses to her nipples just before feeding.
D. Apply soap directly to her nipples, and then rinse.
13. The nurse is teaching a newly delivered mother about breast feeding which of the following statements indicates that the mother need further teaching?
A. I will empty my breast and use an alternate breast at
B. I will take a daily shower and clean the nipples with
C. I will let my nipples dry after feeding to prevent nipple tenderness
D. I will always wear a supportive wireless bra
14. Mastitis is an infection of the breast that occurs most often 2-4 days after childbirth. Which of the following is considered first line treatment of mastitis?
A. Drainage of breast abscess
B. Antibiotic therapy and cessation of breast feeding
C. Antibiotic therapy and continuation of breast feeding
D. Advice mother to stop breastfeeding until infection is clean
15. A 30-year-oldarimigravida postnatal mother come to the clinic on the She complained of feeling shivering, redness, swelling and pain in her right Blood pressure 90/62 mmHg Hea 84/min Respiratory rate Temperature
38.8 °C Which is the most common organism that causes mastitis?
A. Pseudomonas
B. Escherichia coli
C. Group B streptococcus
D. Staphylococcus aurous
16. The nurse is teaching a 32-week pregnant women how to distinguish between pre-labor (false) contractions and true labor contractions. Which statement about pre-labor contraction is accurate?
A. They are regular and increase gradually
B. They are felt in the abdomen
C. They start at the back and radiate to the abdomen
D. They become more intense during walking
17. Azithromycin is prescribed for an adolescent female who has pneumonia and recurrent chlamydia . What information is most important for the nurse to provide the
A. Use two forms of contraception while taking this drug
B. Have partners screened for human immunodeficiency
C. Decrease intake of high-fat foods, caffeine, and alcohol
D. Report a sudden onset arthralgia to the healthcare provider
18. A mother, who is planned for the labour induction, is started on intravenous medication. She is in the first stage of her labour and is having regular and increasingly stronger uterine contractions. Her cervix is 1 cm dilated for the past few hours; both the mother and the baby are being monitored.
Which of the following signs should alert the midwife?
A. Baby's head not engaged
B. Decreasing heart rate of the baby
C. Mother's blood pressure 110/60 mmHg
D. Mother's perspiration and increased thirst
19. A nurse is teaching a 26-year-old primigravida who are 33 weeks pregnant on the how to use a kick chart. Which of the following statements will indicate that she understand the nurse's teaching?
A. Fetal movements must be counted three times per day
B. Fetal movements are felt best when the women is on her right side
C. Fetal movements is a reassuring sign which indicates that the fetushealthy
D. The kick chart is used to record fetal movement for the first time during pregnancy
20. Which test should be performed to screen for cervical neoplasia during antenatal assessment?
A. Papanicolau (PAP)
B. Vaginal rectal culture
C. Rapid plasma regain test (PPR)
D. Venereal disease research laboratory test (VDRL)
21. A woman was diagnosed with gestational trophoblastic disease. What is the lab investigation was done to diagnose the disease condition?
A. cervical pap smear
B. serum HCG levels
C. serum estrogen levels
D. plasma thyroxine levels
22. While the nurse is performing postpartum assessment for a primiparous mother delivered 2 hours ago, she found the following:
Fundus
level: Midway between symphysis pubis and umbilicus Position: At the mid line
Consistency: Contracted Lochia: Constantly
Which of the following is the most likely diagnosis?
A. full bladder
B. Perineal hematoma
C. Birth canal laceration
D. Retained placental part
23. A multipara mother complained of small vulva with swelling following vaginal delivery of a baby weight 3.8 Kg What is the initial nursing action should the nurse advise the mother to perform?
A. Apply ice pack
B. Maintain bed rest
C. Administer analgesics
D. Encourage fluid intake
24. A primigravida mother is assisted out of the bed a few normal vaginal delivery. She is taken to the bathroom cleaning herself and to pass urine. She has difficulty in commode seat and is having no urge to urinate. Which of the following intervention is the most desired?
A. Teach kegel's exercises
B. Give warm sits bath first
C. Pour warm water over vulva
D. Identify possible perineal tears
25. A 20-year-old primigravida, who is pregnant at 40 weeks admitted to labor and delivery unit in active labor. Vaginal revealed that, the fetal occiput is close to the maternal Which of the following ould the nurse expect to be increase this fetal position?
A. Leg cramps
B. Back discomfort
C. Vaginal bleeding
D. Nausea and vomiting
26. A mother, who is planned for the labor induction, is started on intravenous medication. She is in the first stage of her labor and is having regular and increasingly stronger uterine contractions Her cervix is1cm dilated for the past few hours; both the mother and the baby are being monitored. Which of the following signs should alert the midwife?
A. Baby's head not engaged
B. Decreasing heart rate of the baby
C. Mother's blood pressure 110/60 mmHg
D. Mother's perspiration and increased thirst
27. A nurse in the postnatal ward is assigned for a multiparous patient has just delivered a healthy newborn. When should the nurse plan to take the patient vital signs?
A. Every hour for the first 2 hours
B. Every 30 minutes during the first hour
C. Every 15 minutes during the first hour
D. Every 5 minutes for the first 30 minutes
28. which valuable information can be obtained from perform abdominal palpation ( lepoids maneuvers ) during the later pregnancy?
A. Weight of the fetus
B. Gestational age of the fetus
C. Number of fetus in current pregnancy
D. Location and presentation of the fetus
29. A nurse who is caring for a woman in labor, prepares to auscultate fetal heart rate by using Doppler ultrasound device. How does the nurse determine that the fatel heart sounds are correctly?
A. Notify if the heart rate is greater than 140 BPM
B. Placing the diaphragm of the Doppler on the woman abdomen
C. Palpating the maternal radial pulse while listening to the rate
D. Performing Leopold's manoeuvres first to determine the fetal heart
30. Molar pregnancy: is an abnormal form of pregnancy in which a non-viable fertilized egg implants in the uterus and will fail to come to term.
31. Molar pregnancy sings......... Rapid increase of uterine growth
32. A 28-year-old pregnant woman at 9 weeks presents to the o with vaginal bleeding. During assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis?
A. Placenta previa
B. Abruptio placenta
C. Ectopic pregnancy
D. Hydatidiform mole
33. A 25 years old patient with history of amenorrhea for two month was admitted for hydatiform mole investigation. Which signs and symptoms would the nurse observe ?
A. Hypotension
B. Hyperglycemia
C. Rapid uterine growth
D. Painful uterine contraction
34. A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy) Which of the following is the best advice to give her?
A. Never to fall pregnant again
B. To request the doctor to sterilize her
C. To consider having her uterus removed
D. to avoid falling pregnant for at least one year
35. postpartum mother is to be discharged on the second day of her forceps delivery. She had sutures on her vaginal and perineum tears. She is breastfeeding her baby and eating the special food provided by her family. what discharge teaching needs more emphasis?
A. Diet management and exercise plan
B. Newborn care and vaccination records
C. Hygiene practices and alert signs to report
D. Family planning and child growth monitoring
36. When performing a postpartum assessment on a women the presence of clots in the lochia. The nurse examines the that they are larger than 1 cm, Which of the following nursing actions is most appropriate?
A. Document the findings
B. Notify the physician
C. Reassess the client in 2 hours
D. Encourage increased intake of fluids
37. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
38. A pregnant woman of 15 week gestation age and Rh –ve has an abortion admitted in the ward what should the nurse do for this woman ?
A. Administer Rheum within 72hour
B. Do not give Rheum since it is not used with abortion
C. Do not give Rheum since the pregnancy is more than 12
D. Make certain she received Rheum on her first clinic visit.
39. Lochia red fleshy odor mean :
A. Normal
B. Infection
C. Bleeding
40. The nurse was educating a postpartum woman during discharge about importance of breast feeding. Which of the following if said by the women, indicates the need for further education?
A. Breast milk is nutritionally balanced
B. Breast milk reduces the risk of infection
C. Breast feeding promotes mother-child bonding
D. Breast feeding prevents pregnancy
41. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
42. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother:
A. Regulate breast feeding every 3 hours
B. That’s normal feeding problem
C. Shift to bottle feeding
D. Start weaning your baby
43. A 17-years-old mother presented to the primary health after delivery. She is suffering from fatigue, anemia, fever vaginal discharge (see lab results)
81/50 mmHg Blood pressure 98 /min Heart rate
26 /min Respiratory rate
39.6C Temperature Result Test
4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values 4.2-5.4 ×1012 /L (Female)
88 Hb 130-170 g/L (Male) 120-160 g/L (Female)
2.50 Calcium 2.15-2.62 mmol/L
Which of the following is considered as the main maternal postpartum haemorrhage complication ?
A. Death
B. Candidacies
C. Cervical cancer
D. Uterine prolapsed
44. A pregnant woman she come to gynocolical word she have vaginal bleeding and no FHS and cervex not dialted they diagnosis invetable abortion the treatment for this ledy :
A. surgical treatment
B. induction of labor(syntocinon)
C. dialitation and curtage
45. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of the following is a possible complication?
A. Postpartum depression
B. Maternal hypoglycemia
C. Postpartum hemorrhage
D. Pregnancy-induced hypertension
46. Puerperal sepsis symptoms is ?
A. Temperature of 38c or higher 2 – 10days postpartum
Blood pressure | 80/50 mmHg | |
Heart rate | 112 /min | |
Respiratory rate | 35 /min | |
Temperature | 39.6 C | |
Test | Result | Normal Values |
RBC | 4 | 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) |
Hb | 90 | 130-170 g/L 120-160 g/L (female) |
HCT | 0.29 | 0.42-0.52 (male) 0.37-0.48 (female) |
WBC | 12.8 | 4.5-10.5 × 109/L |
A. Severe urinary track infiction
B. Vesico-vaginal fistula
C. Puerperal sepsis
D. Post-partum haemorrhage
48. What does the relationship of the site of the presenting part to the location on maternal pelvis refer to ?
A. Fetal lie
B. Fetal position
C. Fetal presentation
D. Fetal attitude
A. Plan for the fetal genetic screening
B. Educate mother that her disease is inactive
C. Discuss the chances of genetic disease in the fetus
D. Gather data about the other family members having the disease
50. woman who is 32 weeks gestation. Her weight was 66 kg last month and today it is 78 kg. Which of the following is the best nursing action?
A. Assess the size of her fetus
B. Give health education good nutrition.
C. Advise her to exercise and lose some weight.
D. Check her blood pressure and test her urine for protein.
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