DHA MCQs 4.2
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Blood pressure 110/70 temperature 38 respiratory rate 20 heart rate 90 Which of the following would be the proper nursing interpretation of these findings ?
A. Normal
B. Infection
C. Dehydration
D. Hemorrhage
2. A primigravid client who is at 14 weeks gestation has been diagnosed with hyperemesis gravidarum. The nurse explains to the client that the condition is related to high levels of ?
A. Testosterone
B. Estrogen
C. Aldosterone
D. Progesterone
3. A nurse was assessing a newborn delivery by a mother infected with Neisseria gonorrhea. What is the complication that can occur to the newborn?
A. Deafness
B. Blindness
C. Mental retardants
D. Hyperbilirubinemia
4. A full term mother presents in the antenatal clinic with mild lower abdominal contraction and show watery discharge for her vagina. She told the midwife that she may be starting her child birth. She is admitted in the labor and delivery unit, support well and is lying down on the bed.
What knowledge guide is necessary as first intervention ?
A. Assessment of cervix
B. Medication and induction
C. Reassurance and support
D. Mode of delivery
5. A pregnant woman visits the Outpatient clinic complaining of excessive vaginal secretion. Which of the following is the appropriate nursing assessment?
A. Fetal heart rate
B. Fundal height
C. Signs of infection of labor
D. Fetal presentations and position
6. A pregnant mother with sickle cell anemia is in labor. What should the nurse to ensure the safety of the infant?
A. Control pain
B. Administer oxygen
C. Monitor fetal heart rate
D. Monitor maternal vital signs
7. A nurse is preparing to administer RhoGam to Rh-negative women who has delivered a Rh-positive newborn
Which of the following is prevented by this intervention ?
A. Maternal illness
B. Neonatal illness
C. Production of antibodies
D. Re- occurrence of Rh positive baby in next mother
8. A 34 years old woman was diagnosed with breast cancer and underwent surgery. She is currently receiving monthly chemotherapy she telephone the clinic and notifies the nurse that she developed a sore throat. Which of the following foods would be the most appropriate to recommended?
A. Fresh fruits and vegetables
B. Seafood
C. Dried fruits nuts
D. pasteurized cheese
9. Both parent have sickle anemia disease ?
A. 100%.
B. 50%.
C. 75%.
D. 25%
10. Both parent have sickle anemia trait the percentage for the child to have the disease ?
A. 100%.
B. 50%.
C. 75%.
D. 25%
11. Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage?
A. endometriosis
B. urine retention
C. cervical and vaginal tears
D. hypertension
12. A 28 yea- old woman attended gynaecology clinic for conception counselling, the midwife assessed her pelvic diameter . which type of pelvis is the most favourable for the normal delivery ?
A. Android
B. Gynaecoid
C. Anthropoid
D. Plathypelloid
13. A 15 month old child is admitted for hypospadias repair. After surgery, which of the following instruction should be given to the parents?
A. Limit activity for 2 weeks
B. Avoid apply ointment or powder
C. Give a child a diet that is high in protein
D. Isolate the child from other children with the infection
14. A two hour old newborn baby is given to the mother to start on breastfeeding. The mother is reluctant as the thinks is too early for the baby. The mother finally agrees to breast feed the baby after the midwife has discussed the advantages of early of breast feeding. Which of the following statement mad by the mother suggests her correct understanding?
A. Improve natural immunity
B. Strengthens sucking reflex
C. Stimulates gut movement
15. Establishes baby's hydrationA 111 month old boy with cleft lip & palate was discharged from the hospital after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents indicate appropriate understanding of the teaching instruction?
A. I should avoid that my infant's cry's as much as possible
B. I will use a spoon to feed my child after the surgery
C. I will put my child in his abdomen after feeding
D. I will use lotion to ease my child's lip irritation
16. A newborn born by elective caesarian section under general anesthesia ter 28 weeks of pregnancy. His weight is 850 gm, and he is in (20) th percentile in intrauterine growth chart. He is admitted to Neonatal tensive
Care Unit. Which of the following is the classification of this newborn according to stational age and birth weight using intrauterine growth chart?
A. He is appropriate for gestational age
B. He is extremely low birth weight
C. He is small for gestational age
D. He is very low birth weight.
17. A baby born at 38 weeks of gestation with birth weight 1800 ram. which of the following is the classification of this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Small for gestational age
18. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XY?
A. Normal male
B. Abnormal male
C. Normal female
D. Abnormal female
19. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XX?
A. Normal male
B. Abnormal male
C. Normal female
D. Abnormal female
20. To measure fatal heat rate fetus daily activity through ?
A. Doppler sound
B. Weighting measures
C. Non-stress test
D. Daily fetus kicks
21. Immediately following the birth of a full-term newborn, which of the following is the priority nursing diagnosis for this newborn?
A. airway clearance related to nasal & oral secretions
B. ineffective thermoregulation related to environmental factors
C. risk for imbalance fluid volume related t weak sucking reflex
D. risk for injury related to immature defense mechanisms
22. A full term newborn is admitted to NICU with a diagnosis of meningocele. Which of the following admission assessment is needed?
A. Specific gravity of urine
B. Head circumference
C. Weight and length
D. Palpation of the abdomen
23. A nurse is caring for a full term newborn who was delivered five minutes ago. The infant's Apgar score was 8 at one minutes and five minutes. Which of the following has the highest priority?
A. Assessing the infant's red reflex
B. Preventing heat loss from the infant
C. Maintaining the infant in the supine position
D. Administering humidified oxygen to the infant
24. A30week gestational preterm admitted to NICU 2hours ago the neonate starts to have grunting,nasal flaring which of the following the nurse recognize regarding signs and symptoms?
A. Neonate has RDS
B. It is normally in the first 24 hours of birth
C. This is not significant unless become cyanosis
D. Neonate has hypoglycaemia
25. A 30 weeks of gestational age preterm is admitted to the neonatal intensive care unit 2 hours. The neonate starts to have grunting tachypnea, and nasal flaring. Which of the following is responsible factors for diagnosis of the premature?
A. Bronchial spasm
B. Immature bronchioles
C. Lack of surfactant
D. Pulmonary over load
26. A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory Distress (RDS) and the doctor ordered administrating surfactant Surfactant should be given by which of the following routes?
A. Intravenous
B. Subcutaneous
C. Intramuscular
D. Endtracheal
27. A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this baby is risk to develop which of the following?
A. Sudden death
B. Pathological jaundice
C. Infected umbilical cord
D. Increased intracranial pressure
28. In an education session with pregnant mothers, the midwife explains the purpose of amniotic fluid sac or the water bag. After the completion, the midwife is revising the concepts by asking questions. Which of the following statement made by the mothers is most appropriate regarding the fluid bag.
A. It provides the baby with immunity against diseases
B. It provides important nutrition and fluid to the baby
C. It protects and maintains baby's temperature
D. It protects the baby from harmful chemicals in mother's blood
29. A23-year-old gravid 1 ,para 0 mother is presented to the Antenatal clinic. The health educator educates group of mothers in the waiting area. Which information regarding fetal circulation the educator should stress on?
A. One umbilical artery and one umbilical vein
B. One umbilical artery and two umbilical veins
C. Two umbilical arteries and one umbilical vein
D. Two umbilical arteries and two umbilical veins
30. 37 weeks of gestation neonate is admitted to the Neonatal Intensive Care Unit immediate after delivery because the mother has fever in the last 2 days before delivery. Which of the following is most expected finding for neonatal sepsis?
A. decreased urinary output
B. poor feeding
C. stable body weight
D. sudden hyperthermia
A. Escherichia coli
B. Cytomegalovirus
C. variclla zoster virus
D. Group B streptococcuss
32. while a nurse is assessing an infant born 11 hours ago caesarean section, she auscultated moist lung sounds. Which of the following is the most likely interpretation?
A. Abnormal finding
B. Normal finding
C. Pneumothorax
D. Surfactant aspiration
33. Lanugo hair is fine hair in preterm baby less than 30weeks
34. Vernix caseosa, also known as vernix, is the waxy or cheese-like white substance found coating the skin of newborn human babies. It is produced
by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth.
35. newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
A. Milia
B. Lanugo
C. Whiteheads
D. Mongolian spots
36. A 25 years old primipara is admitted for labor . the infant is delivered by forceps because of breech presentation and full body assessment shows alrage blue macular marking over left buttocks which o the following the most likely cause ?
A. Echymosis
B. Nervus flames
C. Telangiectasia nevi
D. Mongolian spots
37. A nurse was observing the stool color for a newborn on the first day after delivery. What is the expected color of stool for this newborn?
A. Brown
B. Light green
C. Light brown
D. Brownish green
38. A neonatal is admitted to the NICU with a meningomyelocele. HR130 .. RR 28….. TEM 36.7 which of the following action the nurse should perform to prevent infection of the meningomyelocele sac ?
A. Wash the sac with betadine every shift
B. Expose the defect to the room air
C. Apply antibiotic cream every 24 hours
D. Cover he sac with moist sterile saline dressing
39. A baby born at 38 weeks of gestational with birth weight 1800gram. Which of the following is the classification of this infant?
A. Low birth weight
B. Very low birth weight
C. Appropriate for gestational age
D. Small for gestational age
40. 24 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with respirator distress syndrome de 1.
hart rate 140 /min respiratory rate 77 /min Temperature 36.5
Which of the following method of feeding is recommended to promote with of this premature?
A. Enteral feeding of breast milk
B. Enteral feeding of premature formula
C. Oral breast feeding
D. Oral premature formula
41. A newborn is delivered by the midwife. The umbilical cord i cut safely by following necessary aseptic techniques. Furth newborn is to be taken. Which of the following intervention is the most desired?
A. Assess sucking response
B. Increase mother child bonding
C. Assess and record APGAR score
D. Keep dry and maintain thermoregulation
42. When assess newborn wight in scale the nurse must avoid heat loss by;
A. Radiation
B. Evaporation
C. Conduction
D. Convection
43. A nurse is caring for a newborn in Well Born Nursery she warps the baby with blanket and ensures the nursey temperature is suitable for the babies. What type of heat loss is the nurse preventing?
A. Radiation
B. Conduction
C. Convention
D. Evaporation
44. A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital anomaly associated with the this disease?
A. Developmental dysplasia of hip (DDH)
B. Congenital heart disease
C. Hypospadias
D. Pyloric stenosis
45. A neonate is admitted to the neonatal care unit with a meningomyelocele HR 130 RR 28 TEM 36.7 which of the following actions should the nurse perform to prevent infection of the meningomyelocele sac?
A. Wash the sac with betadine every shift
B. Expose the defect the room air
C. Apply antibiotic cream every 24 hours
D. Cover the sac with sterile dressing
46. If full term infant weight 3 kg at birth, approximately should the infant weight be at 12 months old ?
A. 7 kg
B. 9 kg
C. 11kg
D. 13kg
47. A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this baby is risk to develop which of the following?
A. Sudden death
B. Pathological jaundice
C. Infected umbilical cord
D. Increased intracranial pressure
48. A4 days old baby diagnosed with physiological jaundice . his father is distressed and wants to know why he have this condition . what the nurse should the nurse tell the about the most prominent physiological jaundice
A. Immature hepatic function
B. Decrease milk intake
C. Rh incompatibility
D. Red blood cell enzyme defects
49. A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction regarding feeding?
A. Feed glucose drinks
B. Breastfeed two hourly
C. Bottle feed till the bilirubin level reduce
D. Breastfeed alternatively with bottle feeds
50. Which action a nurse needs to include when caring for a newborn ceiving phototherapy?
A. Expose all surfaces
B. Prevent stimulation
C. Cover the eyes with shield
D. Change position every four hourly
51. A baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn?
A. ensure proper fitting of eye covering (patches)
B. monitor bilirubin levels every 48 hours
C. feed the infant formula every 4 to 5 hours
D. avoid removing the infant from phototherapy
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