CALUZA, ZHYRAINE IRAJ D.
BSN-IV
Test 1. Select the best answer.
1. During a prenatal examination of a young client, the nurse explains that drawing blood is
a routine performed to determine the Rh of an expectant mother to predict whether the
fetus is at risk for developing:
1. Acute hemolytic anemia
2. Physiologic bilirubinemia
3. RDS
b. A common method of locating the precise position of the fetus and placenta prior to an
amniocentesis is:
a. Fetoscope
b. Xray examination
c. Sonography
1. In performing hysterosalpingogram, which of the following instructions should be given to
the woman?
a. The sonogram of the uterus will reveal any tumors present
b. The woman will not get pregnant 3 months after the procedure
c. She may feel abdominal cramps when the dye is inserted
Test II.
a. Discuss the importance of doing assessment for risk factors
It is important to do assessment for risk factors because it creates awareness of
hazards and risks, and it helps identify who may be at risk, prevents injuries and
illnesses and prioritizes control and hazard measures and preventions.
b. List down the risk factors during pregnancy and the diagnostic techniques to
identify these risks.
There are many risk factors during pregnancy, it includes advanced
maternal age, lifestyle choices like smoking cigarettes, drinking alcohol
and using illegal drugs. Maternal health problems like high blood
pressure, obesity, diabetes, epilepsy, thyroid disease, heart or blood
disorders, poorly controlled asthma, and infections. Multiple pregnancy
and also history of pregnancy-related hypertension disorders, such as
preeclampsia, increases your risk of having this diagnosis during your
next pregnancy.
To identify these risks, consulting a physician befor conception is the
best. Doctor might counsel you to start taking a daily prenatal vitamin with
folic acid and reach a healthy weight before you become pregnant. If you
have a medical condition, your treatment might be adjusted in preparation
for pregnancy. Your health care provider might also discuss your risk of
having a baby with a genetic condition.
Test III. Select the BEST answer
1. Four hours after vaginal delivery, Vilma still has not voided. The nurse’s initial action
should be to:
a. Palpate the client’s suprapubic area for distention
b. Encourage voiding by placing the client on a bed pan frequently
c. Place the client’s hands in warm water to encourage micturation
2. The two most important predisposing causes of puerperal infection in Vilma are:
CALUZA, ZHYRAINE IRAJ D.
BSN-IV
a. Hemorrhage and trauma during labor
b. Organisms present in the birth canal and trauma during labor
c. Pre eclampsia and retention of placenta
3. While checking on her funds on the second postpartum day, the nurse observes that the
fundus is at the umbilicus and displaced to the right. The nurse evaluates that Vims probably
has:
a. A slow rate of involution
b. A full, over distended bladder
c. Retained placental fragments
4. When caring for Vilma with an episiotomy, the nurse encourages sitz baths 3 times a day for
15 mins. Sitz bath primarily aid in healing process by:
a. Promoting vasodilation
b. Softening of the incision site
c. Tightening the rectal sphincter
5. Vilma is encouraged to ambulate early in order to:
a. Promote respiration
b. Maintain the tone of the abdominal muscles
c. Increase peripheral vasomotor activity
Test IV.
If the client who delivered via cesarean or abdominal delivery, verbalized that she want
to breastfeed her baby. What should the nurse advise the client?
The nurse should advise the client to start breastfeeding as soon as possible. Skin-to-
skin contact is very important. Positioning the baby while breastfeeding is important.
Using breast pump may also help stimulate the milk production.
Test V. Select the BEST answer.
1. Which of the following clients is most at risk for nutritional deficiency.
1. 14 year old who is 5 lbs overweight
2. 15 years old who is 15 lbs overweight
3. 16 years old who is 10 lbs overweight
b. A client’s pre-pregnancy weight is 12% below the recommended weight for her height.
The nurse knows that the client is at risk for:
a. Giving birth to low birth weight infant
b. Gestational diabetes
c. Congenital anomaly
a. A pregnant mother is suffering from protein deficiency, the nurse evaluates her
understanding of the teaching when she selects which of the following meal contains the
most protein?
1. Peanut butter, soup and lemonade
2. Bacon and lettuce sandwich
3. Steak, cheese and milk
b. A pregnant mother is suffering from folic acid deficiency. The nurse encourages the
client to increase intake of the following:
a. Green leafy veg.
b. Turkey
c. Ice cream
CALUZA, ZHYRAINE IRAJ D.
BSN-IV
a. The client asked the nurse what is the required caloric intake when she will breastfeed
her baby.
a. Increase diet by 500 calories over the pregnancy requirement
b. Increase diet by 200 calories over the pregnancy requirement
c. Increase diet by 100 calories over the pregnancy requirement
1. When caring for a family on a postpartum unit, the nurse must understand
responsibilities and attitudes that make up child care called parenting. A person is able
to perform parenting by:
a. An inborn ability based on instinct
b. Positive childhood roles and concepts’
c. A good education in growth and development
a. The common complication of hysterectomy is:
a. Diarrhea due to over stimulation
b. Thrombophlebitis of the pelvic and thigh vessels
c. Wound dehiscense
8. When observing a newborn for signs and symptoms of pathologic jaundice, the nurse
should be alert for:
a. Neurologic signs during the first 24 hours
b. Muscular irritability at birth
c. The appearance of jaundice during the first 24 hours
Test VI.
a. Discuss the role of the husband and the other members of the family in the preparation
of the woman during labor and delivery.
It is important for a woman to have companion during labor and delivery because it
lessens their fear. There are 3 childbirth preparation that I learned during my 2nd year in
Nursing. These are: Bradley method, where the husbands participates in the delivery of
her wife, Grantly Dick Read Method where they help the mother overcome fear,
because fear can lead to tension and pain, lastly is the Lamaze method where the
husband coaches the mother for concentration, breathing and relaxation. These three
methods are very important because support might even improve the outcome and
reduce the length of labor.
b. What is the pharmacologic and non-pharmacologic management of hemorroids in a
postpartum woman?
Pharmacologic Management
Excision of thrombosis
Surgical hemorrhoidectomy
Doppler-guided transanal hemorrhoidal dearterialization
Hemorrhoidal artery ligation and rectoanal repair
Non-pharmacologic Management
Warm baths
High fiber diet
Stool softeners
Topical agents
CALUZA, ZHYRAINE IRAJ D.
BSN-IV
c. Explain the importance of assessing the amount of blood loss after delivery and until 12
hours later this in determining normal from abnormal blood loss.
Hemorrhage is a major contributing factor to maternal morbidity and mortality.
Although current data do not support any one method of quantifying blood loss
as superior to another, quantification of blood loss, such as using graduated
drapes or weighing, provides a more accurate assessment of actual blood loss
than visual estimation. When quantitative blood loss is included as a component
of a bundle of practices that focus on prevention and early diagnosis of excessive
blood loss, it may improve situational awareness and thereby improve
hemorrhage diagnosis and response time.
d. What are the causes of thrombophlebitis. What are the nursing responsibilities to
prevent the occurrence of this condition?
Blood clots are caused by injury to the vein and it can be hereditary. To prevent
thrombophlebitis, Take a walk. If you're flying or riding a train or bus, walk up and
down the aisle once an hour or so. If you're driving, stop every hour or so and
move around. Move your legs regularly. Flex your ankles, or carefully press your
feet against the floor or footrest in front of you at least 10 times each hour. Drink
plenty of water or other non-alcoholic fluids to avoid dehydration.