DHA MCQs 4.4

 DHA MCQs 4.4

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1.       A 41 weeks pregnant was admitted to labor and delivery unit for induction with oxytocin infusion 3 hour later her contraction are 5 to 6 in 10 minutes and strong which of the following is he best nursing action?
A.    Gives an analgesic
B.     Stop the oxytocin & inform the doctor
C.     Gives psychological support
D.    Change position to left lateral

2.       A 25 year woman was admitted to medical ward for anorexia chemotherapy the nursing diagnosis was imbalanced nutrition less than body requirements related to dysfunctional eating pattern which of the following is the best way to evaluate the outcome of nursing care of this patient?
A.     Record daily weight
B.     Monitor vital signs accurately
C.     Schedule meals with family members
D.    Offer small portions of favorites
 
3.                   Total ante natal visits ?
10 -12 visit ( every 4 weeks in the first 28 weeks , every 2 weeks in 32-36 weeks , every week from 36weeks - 40weeks )

4.                   What is the antenatal assessment schedule for women the period of conception and 28 weeks of gestation?
A.    Once a week
B.     Every 2 week
C.     Every 3 weeks
D.    Every 4 weeks
 
5.       A nurse is instructing a 20years old nulligravida woman about side effect of oral contraceptive. Which of the following if stated by the woman indicates for further education?
A.    Nausea
B.     Headache
C.     Weight gain
D.    Ovarian cancer
 
6.       A 33 week pregnant mother is on her routine medications that include iron supplement , folic acid , multivitamins and calcium supplement , despite all medication her hemoglobin has not been increase since last two month, she is experiencing more fatigue and lethargy since past few weeks
HB 80  ….. HCT 0.22
Which of the following intervention is the most desired?
A.     Add vitamin c to increase drug absorption
B.     Start injectable multivitamins as per regimen
C.     Advise increase intake of organ meat and fortified food
D.    Advise increased food intake by frequent small meals and snacks
 
7.       A primigravida attend the antenatal clinic for her routine visit the nurse performed an abdominal palpitation and found the fundus to be midway between the symphysis pubis and the umbilicus what are the weeks of gestation according to this findings ?
A.    8 Weeks
B.     16 weeks
C.     24 weeks
D.    28 weeks

8.                   What is the meaning of the acronym A of REEDA which is used to assess the perineum after birth?
A.     The status of edges of the perineal wound it should be closed
B.     Presence of discharge from the perineal wound
C.     The presence of bruising of the perineal area
D.    Excessive swelling of the perineal area
9.       A pregnant woman has visited the antenatal clinic her last menstrual date was on 10^th August this year. Her menstrual cycle was regular at 28 day. What is the expected date of delivery?
A.     17^th may next year
B.     20^st may next year
C.     23^rd may next year
D.    25^th may next year
December 15.

10.   A 30 years old woman , gravid 3 para 2 in her20 weeks pregnancy was complaining of increase leucorrheoa during past weeks the nurse reassured the mother and explained the reason of this secretions ?
A.    Vaginal infection
B.     Expansion of uterus
C.     Stimulation of cervix
D.    Production of estrogen
 
11.   Lochia red sometimes happens during postpartum to bleed heavily with Foul smell for the first three to ten postpartum days, the nurse should expect that may to
A.    Lochia pink
B.     Sign of abnormal hemoglobin
C.     Infection
D.    Bleeding
 

12.          Which of the following assessment findings indicates laceration of the canal in the fourth stage of labor?
A.    Red-brown lochia
B.     Firm contracted uterus
C.     Fundus is palpated at the level of the umbilicus
D.    More than 1 saturated perineal pad per hour
13.          Which of the following must be checked during the third day of post-partum period by the nurse?
A.    The flow of milk
B.     Uterine prolapse
C.     Exclusive breast feeding
D.    Complete involution of uterus
 
14.   A child with sever bronchial asthma is started on prednisone. Which of the following is a side effect of prednisone that might be exhibited by the child?
A.     Anorexia
B.     Weight loss
C.     Anemia and fever
D.    Neurologic symptoms
 
15.   A woman was rushed to the emergency room because if vaginal bleeding mild cramps, tenderness over the uterus, and closed cervix. After the assessment, it was suspected that the patient may be lead to inevitable abortion. What is the possible management of this patient?
A.    bed rest
B.     surgical management
C.     induction of oxytocin
D.    dilatation and curettage
 
16.   Which of the following nursing responsibilities should be done immediately following administration of lumbar epidural anesthesia to a woman in labour?
A.    reposition from side to side
B.     administer oxygen
C.     increase IV fluid as indicated
D.    assess for maternal hypotension

17.   the antenatal clinic, a 9-month pregnant woman notifies the nurse that e is concerned that she gained 15Kg during this pregnancy and she is and needs to start a diet program. which of the following is the best nursing response?
A.      This weight gain is normal during pregnancy
B.     You can reduce the carbohydrates in your diet
C.     Wait till you have the baby and start a diet program
D.    This weight is lower than you should gain during pregnancy
 
18.   Intrauterine growth curves were used to classify a 32-week-old preterm new-born. Birth weight and gestational age shows the infant's growth rate falls below the 10th percentile. What is the priority nursing diagnosis for a new-born with small for gestational age?
A.    Risk for injury related to impaired gluconeogenesis
B.     Risk for impaired gas exchange related to meconium aspiration
C.     Risk for ineffective thermoregulation related to lack of subcutaneous fat
D.    Risk for altered nutrition less than body requirement related to increased metabolic needs
19.   A nurse is leading an educational session on the correct use of oral contraceptives. One of the attendees ask the nurse what to do if she missed taking an oral contraceptive for one day? Which of the
following should be the nurse advice to her?
A.    Continue as usual with no back up contraception
B.     Take an active pill immediately and take the next pill at the usual time
C.     Take two pills as soon as possible and then one pill daily at the usual time
D.    Use back up contraception such as a condom for the next 7 days
 
20.               Which of the following represents secondary infertility?
A.    Male infertility
B.     A couple that does not conceive
C.    Infertility that occurs after previous pregnancy
D.    Infertility lasts for more than 3 years
21.   A women patient with a body mass index of 35 is admitted to ward. Which of the following nursing diagnosis, related to Imbalance the most appropriate :
A.    Activity intolerance
B.     Less than body requirement
C.     More than body requirement
D.    Deficient knowledge on normal nutrition
 
22.   A nurse is providing health education for a primigravida patient who has gestational diabetes mellitus. Which of the following statements made by the patient indicates the need for additional education?
A.     “I should not do exercises”
B.     “I should follow the prescribed diet”
C.     “I should monitor my blood glucose”
D.    “I should report any sign of infection”
23.   Gestational diabetes is high blood sugar (diabetes) that starts or is found during pregnancy. The best time for glucose screening tests during pregnancy is:
A.    7 – 12 weeks
B.     17 – 18 weeks
C.     24 – 28 weeks
D.    20 – 35 weeks
 
24.   laboring women desires to participate in her cesarean and have pain control. Which of the following methods would satisfy the women's needs
A.     Epidural block
B.     Pudendal block
C.     Meperidine injection
D.    General anesthesia
25.               which of the following statement described the latent phase?
A.     First 3 cm of cervical dilatation
B.     From onset of labour to full dilatation
C.     When the cervix is 100% effaced
D.    Time of progress from 4 cm to 7 cm
 
26.   A nurse is performing an assessment of a women who is delivery Which assessment finding would indicates a need to physician?
A.    Hemoglobin of 11.0 g/dl
B.     White blood cell count of 12,000
C.     Fetal heart rate of 180 beats per minute
D.    Maternal pulse rate of 85 beats per minute
27.   Amniotic fluid importance . surrounds ,cushion ,protect baby . allow the fetus to move freely , maintain body temperature to the fetus , and contain urine from the fetus cushion

28.   A 34-weeks-pregnant mother experiences a sudden gush o from her vagina and mild uterine contractions. She informs about her condition and requests if she could wait until the delivery. Which of the following is the best desired response for report to the hospital?
A.    Intravenous fluids and medicines need to be administer
B.     Observation is necessary to identify premature labor
C.     Pain and fluid flow both need to be controlled
D.    Fetal heart sound monitoring is necessary

29.   During A Vaginal Delivery of Woman 38 Years Old the Nurse Should Consider the Risk of Which of The Following
A.    Acute bleeding and coma
B.     Low potassium
C.     Brain Injury
D.    Fetal heart rate
 
30.          Pregnant woman 34 weeks has hypertension this problem is identified as?
A.    Hypertension
B.     pregnancy induced DM
C.     PIH (Pregnancy induced hypertension)
D.    placenta Previa 
31.               A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area?
A.  +1
B.  +2
C.  +3
D.  +4
 
32.   38weeks-pregnant woman complains that she has been craving to eat non food substance What is the term that describes this pregnant mother’s condition?
A.     Pica
B.     Bulimia
C.     Anorexia
D.    Binge eating
 
33.   pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks. a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format the nurse should identify that the client is:
A.    G4 T3 P2 A1 L4
B.     G5 T2 P2 A1 L4
C.     G5 T2 P1 A1 L4
D.    G4 T3 P1 A1 L4
 
34.   multiparous woman is admitted to postpartum ward after vaginal delivery. Assessment showed, lochia: steady trickle of bright red blood and ndus: firm.
Blood pressure                            110/70 mmHg                           Heart rate    80/min                                        Respiratory rate                            20 /min                                               Temperature 37.5

Which of the following is the most likely diagnosis?
A.    Endometritis
B.     Uterine atony
C.     Vulvar hematoma
D.    laceration of the genital tract
 
35.   A 7-year-old insulin dependent diabetic mother has delivered normally in 38 gestational weeks. The nurse was assessing the insulin requirement this mother after delivery. What is the insulin requirement for this patient?
A.    Higher than before pregnancy
B.     No changes in insulin requirement
C.     Lower than when she was pregnant
D.    Slightly increased than before deliver
 
36.   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. Accordingly, the primary health care nurse has referred her for counseling.
Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals?
A.    Sensory limitations
B.     Rigid rules
C.     Developmental disabilities
D.    Deafness & hearing limitations
37.   Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used?
A.    community organization
B.     individual counseling
C.     group discussion
D.      health class
 
38.   multiparous patient on day 1 postpartum is asking the nurse to send her baby to the nursery so she can sleep. What is the most likely phase of psychological adaptation?
A.     Taking-in
B.     Letting-go
C.     Taking-go
D.    Letting-in
 
39.   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
 
40.   A 65-year-old women visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she cough embarrassing for her? Which of the following can be considered as risk factors pelvic floor muscles?
A.     Chronic coughing
B.     Diabetes mellitus
C.     Excessive spot
D.    Sedentary life style
 
41.               At is the recommended weight gain during pregnancy of a woman with MI of < 18.5?
A.     12.5 -18 Kg
B.     11.5 -16 Kg
C.     7 -11.5 Kg
D.    5- 9 Kg
 
42.   A 25-year-old mother gravid 2 para q came for a routine check Antenatal Clinic. The nurse assessed fetal heart rate for the 38 pregnant mother. What is the expected normal fetal heart rate per minute?
A.    90
B.     100
C.     140
D.    170
 
43.               A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A.     A repeat the ultrasound after menstruation
B.     Remove it by laparoscopy.
C.     Give the medication
D.    None

44.   Nancy, a primipara who is due to deliver next week, calls and tells the nurse she has been having contractions every four minutes for an hour. Before asking any further questions, the nurse confirms that Nancy knows how to correctly time contractions, which is
A.    from the end of one contraction to the beginning of the next.
B.     from the beginning of one contraction to the end of the next.
C.     from the end of one contraction to the end of the next.
D.    from the beginning of one contraction to the beginning of the next
 
45.   A 22-year-old gravida 2 para 1 with gestational age 38 week admitted to the hospital. The chief complaint is decreased the fetal non-stress test revealed decreased variability and fetal movement. The next morning as part of the antenatal the nurse checks the fetal heart rate by Doppler Sonicaid decreased the fetal heart rate to less than 100 /min. which of the following action the nurse should do first?
A.    Reassure the mother that the FHR is Ok
B.     Notify immediately the physician or midwife
C.     Reposition the patient to left lateral position
D.    Ask the mother about the pattern of fetal movement
 
46.   Pregnant patient admission to triage with abdominal pain on assessment the FHR found 70 p/m. what is the first action for the nurse?
A.     Call the doctor
B.     Report the finding
C.     Put the patient in left lateral position

47.          Which of the following statements describe puerperal infection ?
A.     presence of fever of 38 or higher from 2 days to 10 days
B.     presence of fever of 40
 
48.          When would the nurse schedule a woman for a glucose tolerance test?
A.    6^th -10^th week of pregnancy
B.     12^th -16^th week of pregnancy
C.     24^th -28^th week of pregnancy
D.    32t^h -36^th week of pregnancy
 
49.   A new-born has a diagnosed Developmental Dysplasia of the Hip (DDH) and is using a Pavlik Harness as treatment. Which of the following mechanical factors is associated with DDH?
A.     Intrauterine breech position
B.     Caesarean section
C.     Small infant size
D.    Single fetus
 
50.   The relative of a 25-year-old post-partum patient stopped her from taking bath until the 40 days provided with the food by the family that was of saturated fat and a liter of reduced full asking, she said the diet was good for the milk Which of the following should be the prioritized patient's understanding about?
A.    A healthy and balanced diet is beneficial
B.     Breast feed is not affected by mother's diet
C.     Maintaining personal hygiene is most
D.    Rest and relaxation is necessary to regain