SCFHS MCQs 1.4

 SCFHS MCQs 1.4

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1.       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
 
2.                   Which of the following vaccines are safe to administer to pregnant women?
A.    Measles
B.     Tetanus
C.     Rubella
D.    Varicella
3.                   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
 
4.                   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 
5.       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
 
6.       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 
7.       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
 
8.       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
9.       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
 
10.   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. 
11.   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
 
12.   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 
13.   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
 
14.               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)
15.   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
 
16.   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 
17.   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
 
18.   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
19.               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
 
20.   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
21.   vital statistics and control of communicable disease serve many function. Which of the following is the basic function for health?
A.     Public health
B.     Mental
C.     Education
D.    Maternal & child
 
22.   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
23.   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
 
24.   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
25.   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
26.               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 )
 
27.               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
28.   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
 
29.   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
 
30.   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 
31.               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
 
32.   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
33.   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
 
34.   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 
35.          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

36.          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
37.   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
 
38.   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 
39.   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

40.   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 
41.   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
 
42.   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
43.               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
 
44.   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
45.   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”
 
46.   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
47.   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
 
48.               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
49.   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