DHA MCQs 4.3

 DHA MCQs 4.3

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1.        A woman informed a nurse that she was never vaccinated against rubella. Which of the following is the best nursing advice?
A.      No need for her to be distress, rubella is not harmful to the fetus
B.      The vaccine can be administered any time during her pregnancy
C.      She can get pregnancy any time after receiving the vaccine
D.      She should be vaccinated after delivery of the baby she get discharge
 
2.        A 29 year old woman had been diagnosed with a 3 cm ovarian cyst. Which of the following is the appropriate step in management?
A.      Cyst aspiration
B.      Hormonal therapy
C.      Cyst removal by laparoscopy
D.      Examination after next menstruation
 
3.        A diabetic mother delivered a full term neonate by Caesarean section infant is admitted to the neonatal intensive care unit for observation. This infant is at risk of which of the following complication?
A.      Pneumothorax atelectasis
B.      Hyperglycemia
C.      Atelectasis
D.      Hypoglycemia
 
4.        The midwife was assessing a 36 year old gravis 4 para 2mother. The patient was in labour for 10 hour and had extraction. Two saturated pads were fully soaked with blood with hours been admitted in the post natal ward. Which of the following is the appropriate nursing diagnosis?
A.      Anxiety related to blood loss
B.      Fatigue related to lack of oral intake
C.      Activity intolerance due to discomfort
D.      Fluid volume deficit due to uterine atony
 
5.                 Which dietary intake should be initiated in pregnant woman?
A.      Yogurt
B.      Soft cheese
C.      Processed cheese
D.      Pasteurized milk
 
6.        A 33 old woman presented to the ER with general weakness. The laboratory investigation indicated VIT D deficiency. Which of the following nutrient should be recommended as a good source of vitamin?
A.      Rice
B.      Green tea
C.      Orange juice
D.      Fish liver oils
 
7.        The midwife was caring for a 30 year old gravida 3 para 3 postpartum normal delivery mother. After three hours, the patient was restless, her skin was cool, clammy and feeling thirsty. What will be midwife’s initial action?
A.      Notify the doctor
B.      Check the vital sign
C.      Give patient a drink
D.      Start fundal massage
 
8.                 Which of the following statement indicate nursing action during the first hour after delivery of the placenta?
A.      Monitor of mothers hemoglobin
B.      Assess maternal vital signs every 15 minutes
C.      Ensure that the mother mobilize and empty her bladder
D.      Administer 10 units of oxytocin via IV line to ensure uterus is well contracted.
 
9.        Which of the following nursing responsibilities should be done immediately following administration of lumbar epidural anesthesia to a woman in labor?
A.      Reposition from side to side
B.      Administer oxygen C.
D. Assess for maternal hypotension
 
10.     A nurse is assessing the uterus of a G5P4 patient immediately after delivery. The nurse notes the fundus is not contracted. Which of the following is the most appropriate immediate action should be taken?
A.      Massage the fundus
B.      Assess the bladder
C.      Elevated the mother's legs
D.      Encourage the mother to void
 
11.     A nurse is assisting during a normal vaginal delivery on a 22 year diabetic patient. The head was delivered without any complication head suddenly retracts against the perineum prompting the physician to immediately ask for the nurse assistance with this dystocia. Which of the following will be the nurse appropriate action to impacted shoulders of the infant?
A.      Fracture the infants clavicle.
B.      Prepare patient for immediate cesarean section
C.      Apply fundal pressure to displace anterior shoulder
D.      Perform supra public pressure to release anterior shoulder
 
12.     At labor room, a nurse assessed the condition of the patient and gathered the following data. Cervical dilatation 2-5minutes lasting 40-60seconds increasing bloody show leg discomfort with heaviness what is the significance of the data?
A.      Patient on the first stage of labor
B.      Patient on the third stage of labor
C.      Patient on the second stage of labor
D.      Patient is experience a prolonged labor
 
13.     A primigravida mother is having her baby through normal vaginal delivery. The baby is completely delivered but the mother is still experiencing the uterine contractions.
A.      Beginning of the third stage of labour
B.      Indication of increase in vaginal bleeding
C.      Need for reducing the rate of intravenous oxytocin
D.      Uterine contraction will gradually reduce then stop.
 
14.     A mother is the outpatient Clinic for her first post natal visit on the 15^th day her normal vaginal delivery. Her physical examination reveals a stable condition, breasts are soft and her sanitary napkin has bright coloured rubra. Which of the following needs further evaluation?
A.      Amount and frequency of breast feeding
B.      Hydration level and bleeding breast feeding
C.      Activity, exercise and resting periods
D.      Uterine size and position
 
15.     A midwife is discussing the birth spacing measures with a mother whose first baby boy is a 1 year old and was born with spina bifida. The midwife has explained the possible causes of condition of the baby and the measures is necessary if the mother is planned for a next pregnancy?
A.      Increase iron and calcium supplements
B.      Multivitamin and folic acid intake
C.      Genetic screening
D.      Immunization before and during pregnancy
 
16.     A 32 weeks pregnant patient present for her follow up appointment in the antenatal clinic. She complains of experiencing frequent heartburn. Which of the following is the most appropriate advice to the patient?
A.      Drink plain water between meals
B.      Raise head of the bed
C.      Eat favorite foods
D.      Lie down for one hour after taking food
 
17.     A midwife visits a mother four weeks after delivery. The mother is breastfeeding her baby but she requests the midwife to suggest alternative formula milk as she has to return back to her job and her baby will stay in a day care center. Which of the following teaching plans is suitable for the mother?
A.      Supplementary medications with bottle feeding
B.      Combined schedule of the breastfeed and top feed
C.      Hygiene practices with bottle feeding
D.      How to express and save milk
 
18.     A women in labor is progressing well. She has been diagnosed with a large fibroid in the fundus. What should the nurse observe her for after delivery?
A.      Thrombophlebitis
B.      Postpartum depression
C.      Postpartum hemorrhage
D.      Loss of bladder tone during puerperium
 
19.     Which of the following assessment is contraindicated while providing intrapartum nursing care for a patient with HELLP syndrome?
A.      Heart sounds
B.      Blood studies
C.      Leopold's maneuvers
D.      Deep tendon reflexes
 

20.                 For which of the following issues should the nurse observe the movie closely during the 4^TH stage of labor?
A.      Uterine irritability
B.      Signs of infection
C.      Signs of bleeding
D.      Unwillingness to breastfeed

21.     A 32year old woman has just been told that she is pregnant she states ‘ As mcsh as I love my children , I had had hoped we would not have any more “ this statement reflect of which of the following related to pregnancy
A.     Anger
B.      Denial
C.      Guilt
D.     Ambivalence
 
22.     After nurse assessed a newborn she reported that the baby has syndactyly the student nurse ask the nurse in charge what is the syndactyly ?
Which of the following is the best nursing response
A.     Fistula.
B.      Abnormal big head
C.      Extra finger or toes
D.     Finger or toes wholly of partly united
 
23.     A newborn is diagnosed with Ventricular Septal Defect (VSD) Which of the following information should the nurse give to the newborn's mother?
A.     Cyanosis will occur most of the time during sleeping
B.      Breast feeding is not recommended for your child
C.      The defect might close spontaneously after 6 months
D.     Blood pressure is different on the child's arm and the leg

24.     A couple asked the nurse which of the first investigation they should do for infertility? Which of the following should be the proper a nurse answer?
A.     Hysterosalpingogram
B.      Serum progesterone
C.      Semen analysis
D.     Endometrial biopsy
 
25.     A nurse is assessing a 5 month old infant who has admitted to the pediatric ward with coarcotation of aorta Which of the following is the most common assessment findings ?
A.     Cyanosis and clubbing hands
B.      Bounding pulse and hypotonicity
C.      Cyanosis occur frequently during and after feeding
D.     Blood pressure is different on the arm the leg
 
26.     A 36 years old woman is in her 18 weeks pregnancy came to antenatal clinic and assessed by the nurse. She has three previous abortion during the first trimesters prior to pregnancy. How the nurse will document the status of the mother?
A.      Parity
B.      Nullipara
C.      Multipara
D.      Primipar

27.     During vaginal examination the nurse palpated the posterior fontanel to be at the right side and upper quadrant of the maternal pelvis ?
A.      ROP
B.      LOP.
C.      ROA
D.      LOA
 
28.     A 38 years old gravida 5 para 3 post natal mother delivered via caesarean section. On the fourth post operative day the mid wife noted human's sign was positive . human's sign is result by pain which of the following leg site?
A.      Calf
B.      Foot
C.      Heel
D.      Thigh

29.                 Which of the following vaccines are safe to administer to pregnant women?
A.      Measles
B.      Tetanus
C.      Rubella
D.      Varicella
 
30.                 Which of the following is independent function of primary health care nurse?
A.      Complete history and nursing assessment
B.      Referral for diagnostic evolution
C.      Medical examination
D.      Psychotherapy referral
 
31.                 Which of the following statement by the nurse describes the effect of clomid an ovulation inducing drug?
A.      Given for the first 15 days in each cycle
B.      Maximum dose is 50mg daily for a month
C.      Increase the risk of birth defects
D.      It increases the risk of multiple pregnancy
 
32.     A 50 year old woman is attending the outpatient clinic for annual check up. Which of following should be reported if inspected during breast examination?
A.      Everted nipples
B.      Symmetrical visible
C.      Dimple in the left breast
D.      Right breast is slightly larger than left breast

33.     A pregnant woman is 36 weeks pregnant was admitted to antenatal ward for observation after being involved in a car accident the refuses when the nurse tried to touch her abdomen to perform examination saying it is painful. She also present mild vaginal bleeding . Which of the following is the most appropriate diagnosis
A.      Placenta previa
B.      Tubal pregnancy
C.      Abruptio placenta
D.      Inevitable abortion
 
34.     Mother of nine children, three of them with congenital anomalies and one down syndrome, she is a primary school graduate, with low financial status, she is not using any method of family planning . according, the primary health are nurse has referred her for counseling.
Which of the following is a model concerned with disability as from of social injustice due to stigma, or discrimination
A.      Health belief
B.      Biomedical
C.      Sociopolitical
D.      Economic
 
35.     A primiparous mother is calling the clinic to report that her baby often regurgitates small amount of breast milk which of the following is appropriate nursing advice the mother?
A.      Elevate the head of the bed
B.      Feed the baby when he is too hungry
C.      Attend to the clinic with the baby
D.      Put the baby in prone position after feeding
 
36.     A 10 month old infant is admitted to the surgical ward with hydrocephalus. Which of the following .indicate increased intracranial pressure?
A.      Bulging
B.      Decrease blood pressure
C.      Rapid, shallow breathing
D.      Increase body temperature
 
37.     A multigravida and 37 weeks pregnant mother presents t the antenatal Clinical. Her condition of the stable and her baby position and heart rate are normal. Which of the following discussion is more appropriate with thr mother?
A.      Observer until the 40weeks complete
B.      Family planning and birth spacing
C.      Arrange for caesarean section
D.      Possible of induced labor.
 
38.     A 26 years old patient in the gynecological ward complained of pain and swelling in her episiotomy stitches on her second post-natal day. On examination the localized swelling redness foul smell and pussy discharge were identified at the stitches site after examination the nurse checked vital sings BP 116/28 HR 132 RR 28 TEM
39.8. which of the following should the nurse do prior to the patient examination by the gynecologist?
A.      Arrange dressing instrument
B.      Maintain patient privacy
C.      Arrange stitch removal kit
D.      Collect detailed history
 
39.     A 28-year-old primigravida who is pregnant at 16 weeks of attended at the emergency department because of dark brow discharge. investigation showed a decline in pregnancy test for which of the following is the most likely type of the spontaneous abortion?
A.      Missed
B.      Threatened
C.      Incomplete
D.      Inevitable

40.     A nurse is educating a primigravida woman who is pregnant at 30weeks on breast feeding. Which of the following statement by the woman indicates that she needs additional teaching?
A.      Breast milk can stored at room temperature
B.      Breast feeding should be based on baby demand
C.      Baby can beheld in different ways during feeding
D.      Breast feeding helps the uterus to return to pregnancy size
 
41.                 Which of the following vaccines should be given to a 9 months old ?
A.      Hepatitis
B.      Varicella & measles
C.      Oral polio and bacillus cellmate Guerin
D.      Measles and meningo conjugate quadrivalent ( MCV4)

42.      nurse is instructing a female client how to do breast self-exam. Which of the followings is the best time to perform this exam?
A.       After ovulation
B.       After the period
C.       Two weeks after period
D.       Three days before period
 
43.     A nurse is explaining pudendal block anesthesia to primigravida women who is inactive labor. Which of the following relief areas identified by the woman would indicate that teaching was effective?
A.      Back
B.      Perineum
C.      Fundus
D.      Abdomen
 
44.     Which of the following classifications of placenta previa is applicable when the placental edge is 5 cm away from the internal cervical OS?
A.      Total
B.      Partial
C.      Marginal
D.      Complete
 
45.     A postdate pregnant woman is admitted for the induction of labour. Her fetal heart rate and vital signs are within normal range her intravenous line is maintained and she is to be started on low doses of labour inducing medication. Which of the following medication the mother is likely to receive intravenously ?
A.      Oxytocin
B.      Cervidil
C.      Cytotec
D.      Cytoxin

46.                 Which of the following patients are at risk for cord prolapse?
A.      Fetus that remains at high station
B.      Mother with oligohydramnios
C.      Presenting part at station +
D.      Intact membranes
 
47.     While taking care of the a patient with a spinal cord injury, the patient suddenly complains of pounding headache upon assessment the patient was found to have diaphoresis , drop in heart and elevated blood pressure , autonomic dysreflexia is suspected and the head on the bed is elevate . which of the of the following is the most appropriate to important immediately?
A.      Notify the physician
B.      Assess bladder for distension
C.      Continue to monitor for next hour

48.     vital statistics and control of communicable disease serve many function. Which of the following is the basic function for health?
A.      Public
B.      Mental
C.      Education
D.      Maternal & child
 
49.     A 6 months old infant mother decided to wean her child. Which of the following is the best principle of weaning process?
A.      Start the weaning process by 8 month of life
B.      Gradually replace one breast session at a time
C.      Discontinues the nighttime feeding first
D.      Allow the child to take a bottle of milk or juice bed
 
50.     A midwife is conducting a health a health education session to the primigravid mothers. The session is about antepartum care to ensure the health of the mother their babies. Which of the following statement made by mother suggest their appropriate understandings of anti-partum periods ?
A.      Beginning of labor till the baby birth
B.      Diagnosis of pregnancy till the baby birth
C.      Last three months of pregnancy 

D.      Forty days after the child is born