SCFHS MCQs 2.1
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2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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 |
A. Endometritis
B. Uterine atony
C. Vulvar hematoma
D. laceration of the genital tract
9. 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
10. 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
11. 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
12. 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
13. 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
14. 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
15. 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
16. 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
17. 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
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
19. 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
20. 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
21. 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
22. When would the nurse schedule a woman for a glucose tolerance test?
A. 6th -10th week of pregnancy
B. 12th -16th week of pregnancy
C. 24th -28th week of pregnancy
D. 32th -36th week of pregnancy
23. 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
24. 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
25. When is the ideal time to administer analgesia to a women in labour?
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
A. Underweight
B. Normal
C. Overweight
D. Obese
27. 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
28. Every how many minutes to check fetal pulse with second stage of labor Every ?
A. 5min
B. 10min
C. 15min
D. 20min
29. 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
30. Mastitis caused by..... E.colia Streptococcus, & V aureus
31. 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
33. 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
34. 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
35. 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
36. 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.
37. 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
38. 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
39. 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
40. 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
41. 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
42. 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)
43. 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
44. 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
45. 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
46. A mother in the postnatal Ward is being provided with the her family and she has been instructed to be on the bed members believe that the diet with the specific home increase the milk production and will promote her healing Which of the following intervention is the most desired?
A. Respect the cultural believes and encourage activities
B. Teach and monitor for correct breast-feeding practices
C. Discuss dietary plan and monitor weight gain
D. Explain post-partum care and follow ups
47. 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
48. 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
49. 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
50. 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.
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