TEST II - COMMUNITY HEALTH NURSING AND CARE OF MOTHER AND CHILD
TEST II - COMMUNITY HEALTH NURSING AND CARE OF MOTHER AND CHILD
TEST II - COMMUNITY HEALTH NURSING AND CARE OF MOTHER AND CHILD
TEST II - Community Health Nursing following nursing actions is the
and Care of the Mother and Child priority?
a. Monitoring weight
1. May arrives at the health care clinic b. Assessing for edema
and tells the nurse that her last c. Monitoring apical pulse
menstrual period was 9 weeks ago. d. Monitoring temperature
She also tells the nurse that a home
pregnancy test was positive but she 4. Nurse Oliver is teaching a diabetic
began to have mild cramps and is now pregnant client about nutrition and
having moderate vaginal bleeding. insulin needs during pregnancy.
During the physical examination of The nurse determines that the
the client, the nurse notes that May client understands dietary and
has a dilated cervix. The nurse insulin needs if the client states
determines that May is experiencing that the second half of pregnancy
which type of abortion? requires:
a. Inevitable a. Decreased caloric intake
b. Incomplete b. Increased caloric intake
c. Threatened c. Decreased Insulin
d. Septic d. Increase Insulin
2. Nurse Reese is reviewing the record 5. Nurse Michelle is assessing a 24
of a pregnant client for her first year old client with a diagnosis of
prenatal visit. Which of the following hydatidiform mole. She is aware
data, if noted on the client’s record, that one of the following is
would alert the nurse that the client unassociated with this condition?
is at risk for a spontaneous abortion?
a. Age 36 years
b. History of syphilis
c. History of genital herpes
d. History of diabetes mellitus
3. Nurse Hazel is preparing to care for a
client who is newly admitted to the
hospital with a possible diagnosis of
ectopic pregnancy. Nurse Hazel
develops a plan of care for the client
and determines that which of the
, a. Excessive fetal activity. condition that warrant the nurse in-
b. Larger than normal charge to discontinue I.V. infusion of
uterus for gestational Pitocin is:
age. a. Contractions every 1 ½
c. Vaginal bleeding minutes lasting 70-80 seconds.
d. Elevated levels of human b. Maternal temperature 101.2
chorionic gonadotropin. c. Early decelerations in the
fetal heart rate.
6. A pregnant client is receiving d. Fetal heart rate baseline 140-160
magnesium sulfate for severe bpm.
pregnancy induced hypertension (PIH).
The clinical findings that would warrant 9. Calcium gluconate is being
use of the antidote , calcium gluconate administered to a client with
is: pregnancy induced hypertension
a. Urinary output 90 cc in 2 hours. (PIH). A nursing action that must be
b. Absent patellar reflexes. initiated as the plan of care
c. Rapid respiratory rate above throughout injection of the drug is:
40/min. a. Ventilator assistance
d. Rapid rise in blood pressure. b. CVP readings
c. EKG tracings
7. During vaginal examination of Janah d. Continuous CPR
who is in labor, the presenting part is
at station plus two. Nurse, correctly 10. A trial for vaginal delivery after an
interprets it as: earlier caesarean, would likely to be
a. Presenting part is 2 cm above given to a gravida, who had:
the plane of the ischial spines.
b. Biparietal diameter is at the level
of the ischial spines.
c. Presenting part in 2 cm below
the plane of the ischial spines.
d. Biparietal diameter is 2 cm
above the ischial spines.
8. A pregnant client is receiving oxytocin
(Pitocin) for induction of labor. A
274
,
, a. First low transverse cesarean position.
was for active herpes type 2 c. Give the baby a pacifier.
infections; vaginal culture at d. Place the infant’s arms in soft
39 weeks pregnancy was elbow restraints.
positive.
b. First and second caesareans 13. Which action should nurse Marian
were for cephalopelvic include in the care plan for a 2 month
disproportion. old with heart failure?
c. First caesarean through a a. Feed the infant when he cries.
classic incision as a result of b. Allow the infant to rest before
severe fetal distress. feeding.
d. First low transverse caesarean c. Bathe the infant and
was for breech position. Fetus administer medications
in this pregnancy is in a vertex before feeding.
presentation. d. Weigh and bathe the infant
before feeding.
11. Nurse Ryan is aware that the best
initial 14. Nurse Hazel is teaching a mother who
approach when trying to take a crying plans to discontinue breast feeding
toddler’s after 5 months. The nurse should
temperature is: advise her to include which foods in
a. Talk to the mother first and her infant’s diet?
then to the toddler. a. Skim milk and baby food.
b. Bring extra help so it can b. Whole milk and baby food.
be done quickly. c. Iron-rich formula only.
c. Encourage the mother to hold d. Iron-rich formula and baby food.
the child.
d. Ignore the crying and 15. Mommy Linda is playing with her
screaming. infant, who is sitting securely alone on
the floor of the clinic. The mother
12. Baby Tina a 3 month old infant just hides a toy behind her back and the
had a cleft lip and palate repair. What
should the nurse do to prevent
trauma to operative site?
a. Avoid touching the suture
line, even when cleaning.
b. Place the baby in prone
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