SCFHS MCQs 2.2
Some multiple-choice questions may contain errors. If you notice any, please share your corrections in the comment box. Your feedback will help us improve, and your cooperation is greatly appreciated.
2. A 28-year-old pregnant woman at 9 weeks presents to the o with vaginal bleeding. During assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis?
A. Placenta previa
B. Abruptio placenta
C. Ectopic pregnancy
D. Hydatidiform mole
3. A 25 years old patient with history of amenorrhea for two month was admitted for hydatiform mole investigation. Which signs and symptoms would the nurse observe ?
A. Hypotension
B. Hyperglycemia
C. Rapid uterine growth
D. Painful uterine contraction
4. A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy) Which of the following is the best advice to give her?
A. Never to fall pregnant again
B. To request the doctor to sterilize her
C. To consider having her uterus removed
D. to avoid falling pregnant for at least one year
5. postpartum mother is to be discharged on the second day of her forceps delivery. She had sutures on her vaginal and perineum tears. She is breastfeeding her baby and eating thespecial food provided by her family. what discharge teaching needs more emphasis?
A. Diet management and exercise plan
B. Newborn care and vaccination records
C. Hygiene practices and alert signs to report
D. Family planning and child growth monitoring
A. Document the findings
B. Notify the physician
C. Reassess the client in 2 hours
D. Encourage increased intake of fluids
7. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
8. A pregnant woman of 15 week gestation age and Rh –ve has an abortion admitted in the ward what should the nurse do for this woman ?
A. Administer Rheum within 72hour
B. Do not give Rheum since it is not used with abortion
C. Do not give Rheum since the pregnancy is more than 12
D. Make certain she received Rheum on her first clinic visit
9. Lochia red fleshy odor mean :
A. Normal
B. Infection
C. Bleeding
10. The nurse was educating a postpartum woman during discharge about importance of breast feeding. Which of the following if said by the women, indicates the need for further education?
A. Breast milk is nutritionally balanced
B. Breast milk reduces the risk of infection
C. Breast feeding promotes mother-child bonding
D. Breast feeding prevents pregnancy
11. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
12. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother:
A. Regulate breast feeding every 3 hours
B. That’s normal feeding problem
C. Shift to bottle feeding
D. Start weaning your baby
13. A 17-years-old mother presented to the primary health after delivery. She is suffering from fatigue, anemia, fever vaginal discharge (see lab results)
81/50 mmHg Blood pressure, 98 /min Heart rate
26 /min Respiratory rate, 39.6C Temperature Result Test
4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values 4.2-5.4 ×1012 /L (Female)
88 Hb 130-170 g/L (Male) 120-160 g/L (Female), 2.50 Calcium 2.15-2.62 mmol/L
Which of the following is considered as the main maternal postpartum haemorrhage complication ?
A. Death
B. Candidacies
C. Cervical cancer
D. Uterine prolapsed
14. A pregnant woman she come to gynecological word she have vaginal bleeding and no FHS and cervex not dialted they diagnosis invetable abortion the treatment for this ledy :
A. surgical treatment
B. induction of labor(syntocinon)
C. dialitation and curttage
15. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of the following is a possible complication?
A. Postpartum depression
B. Maternal hypoglycemia
C. Postpartum hemorrhage
D. Pregnancy-induced hypertension
16. Puerperal sepsis symptoms is ?
A. Temperature of 38c or higher 2 – 10days postpartum
17. A 17-year-old mother presented to the primary health center ten after delivery. She is suffering from fatigue, anemia, fever and vaginal discharge (see lab results)
Blood pressure | 80/50 mmHg | |
Heart rate | 112 /min | |
Respiratory rate | 35 /min | |
Temperature | 39.6 C | |
Test | Result | Normal Values |
RBC | 4 | 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) |
Hb | 90 | 130-170 g/L 120-160 g/L (female) |
HCT | 0.29 | 0.42-0.52 (male) 0.37-0.48 (female) |
WBC | 12.8 | 4.5-10.5 × 109/L |
A. Severe urinary track infiction
B. Vesico-vaginal fistula
C. Puerperal sepsis
D. Post-partum haemorrhage
18. What does the relationship of the site of the presenting part to the location on maternal pelvis refer to ?
A. Fetal lie
B. Fetal position
C. Fetal presentation
D. Fetal attitude
19. A 20 weeks pregnant , primary gravid woman visits the antenatal has sickle cell anemia trait and worried this disease transmitted to her baby which of the following should be initial intervention
A. Plan for the fetal genetic screening
B. Educate mother that her disease is inactive
C. Discuss the chances of genetic disease in the fetus
D. Gather data about the other family members having the disease
20. woman who is 32 weeks gestation. Her weight was 66 kg last month and today it is 78 kg. Which of the following is the best nursing action?
A. Assess the size of her fetus
B. Give health education good nutrition.
C. Advise her to exercise and lose some weight.
D. Check her blood pressure and test her urine for protein.
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
22. 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
23. 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
24. 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
25. 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
26. 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
27. 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
28. 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
29. A 30-year-oldarimigravida postnatal mother come to the clinic on the She complained of feeling shivering, redness, swelling and pain in her right Blood pressure 90/62 mmHg Hea 84/min Respiratory rate Temperature 38.8
°C Which is the most common organism that causes mastitis?
A. Pseudomonas
B. Escherichia coli
C. Group B streptococcus
D. Staphylococcus aurous
30. Both parent have sickle anemia disease ?
A. 100%.
B. 50%.
C. 75%.
D. 25%
31. Both parent have sickle anemia trait the percentage for the child to have the disease ?
A. 100%.
B. 50%.
C. 75%.
D. 25%
32. 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
33. 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
34. 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.
35. 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
A. Normal male
B. Abnormal male
C. Normal female
D. Abnormal female
37. 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
A. Doppler sound
B. Weighting measures
C. Non-stress test
D. Daily fetus kicks
39. 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
40. 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
41. 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
42. 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
43. 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
44. 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
45. 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
46. 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
47. 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
48. Which of organism can cause neonate to develop septicemia including respiratory distress apnea and hypotension within 12 hours of birth
A. Escherichia coli
B. Cytomegalovirus
C. variclla zoster virus
D. Group B staphococcuss
49. 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
50. Lanugo hair is fine hair in preterm baby less than 30weeks
0 Comments