How to have a good study habits

Study effectively:1. Use memory aids, pictures, pathogenesis,

schematic diagrams and mnemonics. They will assist in drawing associations from other ideas with the use of visual aids.

2. Review class notes the next day . Very effective study habit to develop during school is to review the class notes the day after the class. Correlate the notes and the visual the instructor presented with the information in the textbook.

3. Plan your study time when you are most receptive to learning. Don’t study the night before the exam, only 40% will retain the next day. Your favorite study mode: toxic cramming.

4. Set a schedule of your daily activities. For example, when you set aside 2 hours for review after the class everyday then 2 hours of facebook after. Have a time schedule to deal with personal activities, family activities and then your school activities. Please feel guilty if you did not study for 2 hours that evening.

5. Set a study goal:a. Decide on a study methodb. Divide the review materials into segmentsc. Prioritize the segments; review first the

areas in which you feel you are deficient or weak. Leave those areas you are the most comfortable with & most knowledgeable about for last.

d. Identify areas that will require additional review in your Nursing textbook. Read your books!

e. Establish a realistic schedule and follow it. Example:

8-5 classroom discussion. 5- 7 facebook/ friendster/

multiply/youtube or any internet gaming. regular study mode: 8-10 pm daily.f. Plan on achieving your study goal

several days before the examinations.

Group study:1. Limit the group to four to five people.2. Group members should be mature &

serious about studying. Don’t end up laughing and impersonating your funny lecturers.

3. The group should agree on the planned study schedule.

4. If the group makes you anxious or you do not feel it meets your study needs, do not continue to participate.

5. Group study is very effective with the right mix of participants

Decrease some anxiety-provoking situations before examinations:

a) Be earlyb) Don’t cram your classmates in the room.c) Do something pleasant the evening

before the examination. d) Anxiety is contagious. If those around are

extremely anxious, avoid contact with them.

e) Settle your accounts a few days before so you will not worry about it the day of examination.

f) If the other person finishes before you do, will it put increased pressure on you to hurry up and finish? Don’t mind the people around you.

g) Make your meal before the test a light, healthy one. Avoid eating highly spiced or different foods. This is not the time for gastrointestinal upset.

h) Do not take study material to the examination site. Its too late to study.

i) Don’t panic when you encounter very hard questions that increases your anxiety. Take a deep breath and close your eyes at the moment then return to the question.

j) Bring your past success to bring positive energy and “vibes” to your exam. YOU WILL PASS! I KNOW YOU CAN DO IT.

MIDTERM EXAMINATIONS

Situation: Jent, a 32 year old primigravida at 39-40 weeks AOG is admitted to the Labor Room due to hypo gastric and lumbo-sacral pains. IE reveals a fully dilated, fully effaced cervix, BOW, Station O.

1. The nurse inspects the amniotic fluid of Jent. Which of the following characteristics of the amniotic fluid confirm the diagnosis of fetal distress?A. Mucus-tinged c. GreenishB. Colorless d. Pinkish

2. The nurse knows that Jent needs NO further instruction on monitoring fetal movement. Which of the following remarks of Jent influence the nurse to think so?a. “My baby is in good status, I felt her move

twice for an hour.”b. “The last time my baby move was an hour

ago.”c. “Maybe my baby is asleep. I have not felt

her movement since an hour ago.”d. “My baby is very active, she move about 5

times per hour.”

Situation: Celine is pregnant for the second time. Since she is breastfeeding her first baby, she has menstruated. She reports having noticed tingling breast tenderness and feels nauseated in the morning.

3. If Celine is not menstruating after her first child, what sign will help her estimate her gestational age?A. Quickening c. Abdominal

girthB. First time heart sound was using Doppler d. Lightening

4. Celine is given instruction to notify the nurse if she notices any of the following signals, Except:

A.Tight finger rings, puffy eyelids

B. Severe, persistent headacheC. Vaginal bleedingD. Nausea and vomiting in the first

5. The first action of the nurse upon admission is to:a. Take the fetal heart toneb. Notify the obstetricianc. Determine cervical dilatationd. Inspect the color, amount and odor of

the amniotic fluid

6. A woman is having a prenatal visit at 18 weeks gestation. Why is it important to ask her about fetal movement?a. Absence of fetal movement at this time

suggests that the pregnancy is more advanced than her dates indicated.

b. Denial of fetal movement at this stage in pregnancy may indicate that the woman is not accepting her pregnancy.

c. If she has started feeling the movement, the fetal heartbeat will be checked with the use of a fetoscope to confirm that the fetus is living.

d. Fetal movement is the first felt by the mother about this time and provides a marker for a approximate gestational age.

Situation: Annabelle, an 18-year-old primigravida at 39-40 weeks gestation is admitted to the hospital in active labor. Her cervical dilatation is 7cms. 90% effaced station 0 and positive for bag of water(BOW).

7. Soon after, Annabelle is admitted; she had a bloody mucoid vaginal discharge. Which of the following is the BEST action of the nurse?a. Call the obstetricianb. Perform IE to determine the cervical dilatationc. Prepare for a double set-up procedured. Check if there is a rupture of the bag of water

8. She starts to have intolerable pain during contractions. Which of the following breathing techniques will be MOST effective during this phase?A. Pursed lip breathingB. Deep chest breathing c. Pant, pant, blow d. Slow chest breathing

9. Her cervical dilatation is now 10cm. 100% effaced and station + 1. Her BOW ruptured spontaneously to clear amniotic fluids. Which of the following actions of the nurse is PRIORITY?A. Check the FHTB. Start an intravenous fluid linec. Notify the obstetriciand. Transfer Annabelle to the delivery table.

10. The obstetrician is still scrubbing when Annabelle shouts. “The baby is coming!” Which of the following actions should the nurse perform?A. Tell her to push when she has the

urgeB. Urge her to do shallow breathingC. Instruct her to pant-blowD. Administer oxygen per mask

11. Annabelle delivered a live baby girl. She remarks, “She looks just like me when I was a baby!” Which of the following is an interpretation of this statement?A. Potential post-partum depressionB. Maternal-infant bodingc. Disappointment of the gender of the babYd. Rejection of her baby

Situation: Rachel Osorio, 24 years old, full term primigravida, is admitted to the Labor Room. IE findings 3-4cms. Dilated; 70% effaced; station-2; breech presentation.

12. Which of the following statements BEST describes what a station-2 means? The presenting part of the fetus is;a. Two cms. above the ischial spinesb. Two cms. below the sacral prominencec. At the level of the ischial spinesd. Two cms. above the symphysis pubis

13. What type of breech presentation does the fetus assume when the legs are extended and lie against the abdomen and chest?a. Single footing c. Frankb. Complete d. Double

footing

14. In breech presentation, where can the fetal heart sounds be usually heard at its loudest?a. Above the symphysis pubisb. Slightly above the umbilicus c. At the level of the symphysisd. Below the umbilicus

15. What method of delivery will the nurse anticipate to prepare considering the status of Mrs. Osorio?a. Low mid forceps deliveryb. Breech extractionc. Normal spontaneous deliveryd. Cesarean section

 

16. Artificial rupture of the membrane is done. Which of the following nursing diagnosis is PRIORITY?a. High risk for infection related to rupture of

membranesb. Potential for injury related to prolapse of

cordc. Alteration if comfort related to increasing

strength of uterine contractionsd. Anxiety related to unfamiliar procedure

17. Upon admission, FHT is noted to be 110 beats per minute over RLQ. Which of the following actions should be immediately done by the nurse?a. Place her on left lateral positionb. Monitor FHT every 15 minutesc. Call the obstetriciand. Administer oxygen inhalation

18. Which of the following BEST describes a threatened abortion?a. A likely expulsion of the fetus and placenta

before the 10th week of gestationb. Prolonged retention of a fetus who died

during the first half of pregnancyc. A sudden gush of fluid accompanied by

bleeding and pain during early pregnancyd. Any vaginal discharge or bleeding which

appears during the first half of pregnancy

19. What will be the immediate nursing action be done?a. Start an IVF infusionb. Notify her obstetricianc. Request for CBC, blood typing and cross

matchingd. Place her in a complete bed rest

20. After D and C is done, Melissa should be observed for:a. Hemorrhage and infectionb. Depressionc. Dehydration and hemorrhaged. Dehydration

21. The client asked how she would recognize a true labor. What are the characteristics of the uterine contractions in a true labor?a. Regular with increasing frequency of

durationb. Regular and remain constant in frequencyc. Occasional and irregular in durationd. Regular with diminishing frequency and

duration

22. A woman is hospitalized for the treatment of severe preeclampsia. Which of the following represents an unusual finding for this condition?a. Convulsionsb. blood pressure 160/100 mmHgc. protenuriad. generalized edema

23. A woman is admitted with severe preeclampsia. What type of room should the nurse select for this woman?a. a room next to the elevatorb. the room farthest from the nursing station

c. the quietest room on the floord. the labor suite

24. A woman is discharged after treatment for hydatidiform mole. The nurse should include which of the following in the discharge teaching plan?a. Do not become pregnant for at least one

yearb. Have blood pressure checked weekly for six

monthsc. Avoid smoking for one yeard. An amniocentesis can detect a recurrence

of this disorder in the future

25. A woman 30 weeks gestation is being discharge to home care with a diagnosis of placenta previa. The nurse knows that the client understands her home care when the client states:a. “As I get closer to my due date I will have to

remain in bed”b. “I can continue with my office job because

its mostly sitting”c. “My husband won’t be too happy with this

“no sex” order”d. “I’m disappointed that I will need a

cesarean section”

26. After a prenatal check up and class on health behaviors during pregnancy, the nurse can evaluate that learning has occurred when a client states.a. “Alcohol in the first trimester of pregnancy is

very dangerous, later its OK.”b. “Drinking alcohol during pregnancy is the most

preventable cause of mental retardation”c. “Alcohol is bad during pregnancy, but a little

with breastfeeding helps with breastfeeding”d. “Problems for the baby usually only occur with

heavy drinking of alcohol”

27. The nurse is caring for a 20 year old primigravida who has been in the first stage of labor for about 8 hours. What assessment findings would indicate the client is progressing to the 2nd stage of labor?a. uterine contraction about 10 minutes apart,

cervical dilatation at 6cm.b. cervical effacement at 100% dilatation at

10cm.c. scant to moderate blood mucus showing,

station +2d. fetal station at -2 and fetal hearth rate noted

at level of the umbilicus

28. The nurse is assessing a client 12 hours after a prolonged labor and delivery. What assessment data would cause the nurse the most concern?a. oral temperature of 98 degree

Fahrenheit.b. Moderate amount of dark red vaginal

dischargec. Episiotomy area bruised with small

amount of dark bloody drainage d. Uterine fundus palpated to the

right of the umbilicus

29. The nurse is caring for a client in labor. How are frequency of contractions timed?a. End of one to the beginning of the nextb. Beginning of one to the end of the nextc. End of one to the end of the nextd. Beginning of one to the beginning of the

next

30. A client is 38 weeks pregnant and is admitted with bright red vaginal bleeding. She complains of abdominal discomfort, but she is not having contractions. After assessing the client’s vital signs and the FHR. What is the most important information to obtain? a. The amount of cervical dilatation that is

present.b. The exact location of her abdominal

discomfort.c. The station of the presenting part.d. At what time the client last ate.

31. The pelvic examination reveals the fetus to be at -1 station. What information does this indicate to the nurse about the presenting part of the fetus?a. Is visible on the perineum.b. Has not yet entered the inlet of pelvis.c. Is above large to fit through the opening

into the true pelvis.d. Is too large to fit through the opening into

the true pelvis.

32. During the first stage of labor, the cervix becomes thin and distinct from the body of the uterus. What is the term the nurse would use to describe this observation?

a. Dilation b. Attitudec. Effacement d. Transition

33. The nurse is checking a laboring client. Her assessment reveals the head at +3 station. What will the nurse do?a. Prepare for the delivery of the infant.b. Begin administration of oxygen at 6L/min.c. Determine if contractions are increasingd. Determine the FHR

34. A multigravida client comes to the emergency room complaining of abdominal pain. She is at 30 weeks gestation. On assessment, the nurse observes complete dilatation and effacement of the cervix with the perineal area bulging. What is your nursing action?a. prepare the client for an emergency cesarean

delivery.b. Place even gentle pressure on infant’s head and

support it through the birth canal.c. Have the client hold her legs together and take

her to the labor and delivery unit.d. Have the client take two deep breaths and push

hard with next contraction.

35. A woman who is gravida 1 is in the active phase of stage 1 labor. The fetal position is LOA. When her membranes rupture the nurse should expect to see?a. a large amount of bloody fluid.b. a moderate amount of clear to straw-

colored fluid.c. a small amount of greenish fluid.d. A small amount of the umbilical cord.

36. The nurse is caring for a woman in stage 1 labor. The fetal position is LOA. When her membranes rupture the nurse’s first action should be to:a. notify the physicianb. measure the amount of fluidc. count the fetal heart rated. perform a vaginal examination

 

37. A woman had a mediolateral episiotomy performed at delivery. The primary purpose of the episiotomy is to?a. allow forceps to be appliedb. enlarge the vaginal openingc. eliminate the possibility of lacerations

d. eliminate the need for cesarean birth

38. A woman is admitted to the hospital in labor. Vaginal examination reveals that she is 8cm. dilated. At this point in her labor, which of the following statements would the nurse expect her to make?a. “I can’t decide what to name my baby”b. “It feels good to push with each

contraction”c. “Take your hand off my stomach when I

have a contraction!”d. “This isn’t as bad as I expected”

39. The nurse is talking with a woman who is 36 weeks gestation during a prenatal visit. Which statement indicates that the woman understands the onset of labor?a. “I need to go to the hospital as soon as the

contractions become painful.”b. “If I experience bright red vaginal bleeding I

know that I am about to deliver.”c. I need to go to the hospital when I am having

regular contractions and bloody show.”d. “My labor will not start until my membranes

rupture and gush fluid.”

40. Using Leopold’s maneuvers to determine fetal position, the nurse finds that the fetus is in a vertex position with the back on the left side. Where is the best place for the nurse to listen for fetal heart tones?a. in the right upper quadrant of the mother’s

abdomen.b. In the left upper quadrant of the mother’s

abdomen.c. In the right lower upper quadrant of the

mother’s abdomen.d. In the left lower upper quadrant of the

mother’s abdomen.

41. A woman arrives at the CEH ER in active labor. On examination, the cervix is 5 cm. dilated membranes intact and bulging and the presenting part at -1 station. The woman asks if she can go for a walk. What is the best response for the nurse to give?a. “I think it would be best for you to remain in bed at

this time because of the risk of cord prolapsed.”b. “It’s time for you to walk, but please stay nearby. If

you feel a gush of fluid, I will need to check you and your baby.”

c. “It will be best time for you to walk because that will assist the natural body to bring the baby down the birth canal”

d. “I would be glad to get you a bean bag chair or rocker instead

42. A woman who is in active labor at 4 cm. dilated, 100% effaced and 0 station is ambulating and experienced a gush of fluid. What is the most appropriate initial action for the nurse to take?a. Send a specimen of the amniotic fluid to the

laboratory for analysis.b. Have the woman return to her room and place

her in Trendelenburg position to prevent cord prolapsed.

c. Have the woman return to her room so that you can assess fetal status including auscultation of fetal heart for one full minute.

d. Call the woman’s physician because a cesarean delivery will require.

43. A woman is completely dilated and at +2 station. Her contractions are strong and last 50-60 seconds. Based on this information, the nurse should know that the client is in which stage of labor.

a. First stage b. Second stageb. c. Third stage d. Fourth stage

44. A woman’s cervix is completely dilated with the head at -2 station. The head has not descended in the past hour. What is the most appropriate initial assessment for the nurse to make?a. Asses to determine of the client’s bladder

are distended.b. Send the client for X-rays to determine fetal

size.c. Notify the surgical team so that an

operative procedure should be done.d. Assess fetal status, including fetal heart tones.

45. A woman who has been in labor for 6 hours is now 9 cm. dilated and has intense contractions every 1 to 2 minutes. She is anxious and feels the need to bear down with her contractions. What is the best action for the nurse to take?a. Allow her to push so that delivery can be

expedited.b. Encourage panting breathing through contractions

to prevent pushing.c. Reposition her in a squatting position to make her

more comfortable.d. Provide back rubs during contractions to distract

her.

a.  

46. A woman is scheduled for a cesarean section delivery due to a transverse fetal lie. What is the best way for the nurse to evaluate that she understands the procedure?a. Ask her about the help she will have at

home after delivery.b. Give her a diagram of the body and ask the

scheduled surgery.c. Ask her to tell you what she knows about the

scheduled surgery.d. Provide her with a booklet explaining

cesarean deliveries when she arrives at the hospital.

47. A client is being admitted to the OBW unit for Hypovolemia secondary to hyperemesis gravidarum. Which of the following factors predisposes to the development of this condition?a. trophoblastic diseaseb. low levels of human chorionic gonadotropinc. malnourished or underweightd. maternal age older than 35 years

48. A client at 14 weeks gestation is scheduled for an intentional abortion. The nurse should explain to the client that the method used for the abortion will most likely be a:a. vacuum extractionb. partial birth abortionc. saline inductiond. menstrual extraction

49. The nurse in a family clinic is assessing a client who is at 30 weeks gestation. The nurse hears a fetal heart rate (FHR) of 88 beats per minute. What should the nurse do next?a. notify the physician immediatelyb. assess the client’s radial pulsec. recognize that the rate is within the normal

units and document the rated. permit the mother to hear the heartbeat

50. A pregnant client is scheduled to have an ultrasound to determine the growth of the fetus. To prepare the client for this diagnostic test, the nurse should instruct the client to:a. drink large volume of water before the testb. void before the procedure c. lie on her right side during the testd. remain NPO for 8 hours before the test

51. The nurse is caring for a client after suction curettage for gestational trophoblastic disease. When planning discharge instructions, the nurse should instruct the client to:a. consider having hysterectomy in the next

yearb. avoid pregnancy for at least 1 yearc. have her blood tested for HCG every 2

hoursd. try to become pregnant as soon as possible

52. A multipara client who is pregnant with her fourth child visits the prenatal clinic at 35 weeks gestation and tells the nurse that her “hands and face are swollen”. The nurse should assess:a. marked hyporeflexiab. gestational diabetesc. pregnancy-induced hypertensiond. chronic hypertension

53. A pregnant client at 36 weeks gestation is admitted to the emergency room of CEH after an automobile accident. The client is conscious. The nurse should assess the client for which of the following complications?a. incompetent cervixb. placenta previac. still birthd. placenta separation

54. During the initial history assessment of a pregnant client, the nurse determines that the client has a history of abruptio placenta with her last pregnancy. Based on this information the nurse should expect to find which of the following in her evaluation of this client?a. anemiab. Stillbirthc. hypertension d. multiparity

55. A pregnant client’s ultrasound evaluation has determined that she is pregnant with twins. The nurse explains to the client that she will need more frequent prenatal visits to assess for:a. pregnancy-induced hypertensionb. gestational diabetesc. fetal anomaliesd. hemolytic disease

56. A client is receiving an intravenous infusion of magnesium sulfate for severe pregnancy-induced hypertension. Which of the following should the nurse anticipate giving for magnesium sulfate toxicity?a. RhoGAMb. Hydralazine (Apresoline)c. calcium lactated. calcium gluconate

57. A pregnant client at 6 weeks gestation visits the clinic and tells the nurse that she has mild spotting and a few “cramps”. Vaginal examination reveals no cervical dilation. The client is most likely experiencing a type of abortion termed.

a. inevitable b. threatenedc. therapeutic d. missed

58. At 36 weeks gestation, a client visits the emergency room and complains of a sudden gush of bright red, painless, vaginal bleeding. Based on this information, the nurse assess that the client might be experiencing which of the following complications?a. abruption placentab. incompetent cervixc. placenta previad. placenta accreta

59. A pregnant client is diagnosed with hydramnios at 35 weeks gestation. The nurse should be aware that the presence of hydramnios might be indicating that the fetus has the potential for?a. renal dysfunctionb. gastrointestinal malformationc. fetal growth retardationd. cardiac anomalies

60. A client is admitted to the hospital with a diagnosis of ruptured ectopic pregnancy. Which of the following actions should the nurse perform first?a. ask the client to sign a surgery consentb. prepare to administer antibioticc. assess the amount of vaginal bleedingd. draw blood for typing and cross matching

61. A 40 year old client visits the clinic and a pregnancy of 8 weeks is confirmed. The nurse should instruct the client that more frequent prenatal visits will be necessary because pregnant women of her age are at greater risk for?a. pregnancy-induced hypertensionb. multiple pregnanciesc. uterine ruptured. birth defects

62. A pregnant client at term and in labor tells that she used amphetamines during her pregnancy. After the birth, the nurse should assess the newborn for:a. hyperbilirubinemiab. intrauterine growth retardationc. meconium aspiration syndromed. cardiac anomalies

63. A pregnant client tests, positive for cocaine use. The nurse should instruct the client that one of the long-term neonatal effects of this drug isa. tremulousnessb. continual cryingc. muscle rigidity d. learning defects

64. a pregnant client at term and in labor tells the nurse that she used cocaine during her pregnancy. After birth, the nurse should assess the newborn for complication except:a. low birth weight

b. fetal alcohol syndrome c. microcephally d. decrease fetal oxygenation

65. The nurse is caring a nullipara in active labor cervical dilation is 4 cm. The nurse should explain to the client that she is in which of the following stages of labor?a. latent stage of laborb. first stage of the active phase of laborc. second stage of the active phase of labord. third stage of labor

66. After birth of a healthy newborn, the nurse knows that one of the signs that the placenta is ready to deliver is:a. shortening of the umbilical cordb. a sudden gush of vaginal bloodc. a change in the shape of the uterus

to an oval shaped. an increase in the amount of amniotic

fluid

67. During labor a client’s amniotic membranes rupture. Meconium is present in the amniotic fluid, which is a normal finding in which of the following situations?a. breech presentation

b. preterm laborc. prolonged latent phased. cephalopelvic disproportion

68.The degree of flexion that the fetus assumes or the relationship of the fetal parts to one another is termed fetal:

a. lie b. presentationc. attitude d. position69.The nurse is caring for a client at term

who is in active labor. The nurse should explain to the client that the setting of the presenting part of the fetus into the pelvis at the level of the maternal ischial spines is termed:a. engagement b. descentc. lightening d. station

70. The nurse is caring for a multipara client in active labor at 39 weeks gestation. To assess the frequency of the contractions, the nurse should assess the length of time from thea. end of one contraction to the end of the

next contractionb. beginning of one contraction to the end of

the same contractionc. beginning of one contraction to the

beginning of the next contractiond. peak of one contraction to the peak of the

next contraction

71. Passage of the fetus through the birth canal involves various position changes by the fetus-termed cardinal movements of labor. The first cardinal movements is:a. descent b. internal rotationc. engagement d. extension

72. The nurse is caring for a primigravida client in active labor. The nurse should encourage the client to void every 2 hours because full bladder can result in:a. uterine ruptureb. delayed fetal descentc. prolonged contractionsd. urinary tract infections

73. A pregnant client visits the emergency room at CEH because she thinks she is in labor. The nurse should explain to the client that true labor can be differentiated from false labor by contractions that:a. are often irregularb. are felt abdominallyc. achieve cervical dilationd. may disappear with ambulation

74. The nurse is caring for a primigravida in active labor whose cervix is 10cm. dilated and who has been pushing for 45 minutes. The nurse should explain to the client that one advantage of an episiotomy is:a. greater diameter for the fetal head

b. increased perineal tearingc. decreased blood lossd. advanced to 3rd labor

75. The nurse is caring for a client in active labor who will have a forceps birth. Immediately after the forceps are applied, the nurse should assess the:a. client’s ability to pushb. fetal presenting partc. client’s blood pressured. fetal heart rate

76. A multipara has been diagnosed with gestational diabetes. The nurse would expect that the client would be managed initially by which of the following therapies?a. oral hypoglycemic drugsb. oral hypoglycemic and insulinc. diet d. insulin

77. What drug that is similar to natural hormone that is being given to pregnant client for induction of labor?

a. oxytocinb. progesteronec. magnesium sulfated. estriol78. On fetal circulation, blood that enters the

pulmonary artery will go to lungs to supply oxygen but will shunt to descending aorta passing a special structure called:a. foramen ovaleb. ductus venosusc. ductus arteriosusd. umbilical arteries

79. Pathogenesis of RH incompatibility include the following except:a. accidental break in placental villi results in

fetal blood entering the maternal blood stream

b. occurs when the mother is RH positive and the fetus is RH negative

c. maternal and fetal blood are mixed up, causing the mother to produced antibodies that will attack the fetus

d. maternal bloodstream will destroy the fetal red blood cells and can result to fetal anemia

80. Heart structure that connects that right and left atrium before and closes (at times open) after birth.a. inferior vena cavab. aorta, descendingc. pulmonary arteriesd. foramen ovale

81. TORCH syndrome, to include Rubella is one of the teratogenic infections that cause fetal complication. Health teachings for mothers planning to get pregnant include the following except:a. Rubella immunization 3 month before

pregnancyb. Avoid contact with children with rashes

while pregnantc. Have intravenous Zovirax IV to women

during pregnancyd. Infants born with rubella must be isolates

from other newborn

82. Teratogenic drugs that includes alcohol, coffee, tea and cola which of this has a non-stimulant effect to mother and fetus?a. cola b. teac. coffee d. alcohol

83. A type of presentation that the hips are flexed but the knees are extended to rest on chest making the buttocks alone as the presenting part.a. Compound b. Frank breech c. incomplete breech d. transverse lie

84. A type of presentation that the presenting part is usually iliac crest, hand or an elbow.a. Shoulder presentation c. compound presentationb. Vertex presentation d. single footling

85. Identify the most common fetal position in most pregnancies (Left occiput anterior)

 

86. Monitoring for true labor would include:I – cervical dilationII – regular intervalsIII – intensity remains unchangedIV – pain starts at the lumbar area to abdomen

 a. I, III & IV b. I, II only c. II, IV &

I d. I & III only

87. A woman is on active labor for 2 hours and she is on 6-7 cm dilatation. She ask for candy during relaxation. What is your best response?a. Mother should maintain on NPO for possible

operation.b. Candies are contraindicated during labor

since this will impede breathing techniquesc. Candies and lollipops are recommended for

carbohydrates fluid intake during labord. Inform mother of the possibility of choking

as the labor progresses

Identify the following presentations on the illustrations presented:

88. Right occiput posterior89. Left sacrum posterior90. Right occiput posterior91. Left occiput transverse

92. Mechanism by which fetus nestles into the pelvis.

a. Engagement c. Descent

b. Expulsion d. Flexion

93. Rotation of the fetus into the pelvis, to the occiput anterior position while continuously descending.

Internal rotation c. Descent

External rotation d. Flexion94. process of the fetal head's nodding

forward toward the fetal chest.

a. Internal rotation c. Descent

b. External rotation d. Flexion

95. process that the fetal head undergoes as it begins its journey through the pelvis

a. Internal rotation c. Descent

b. External rotation d. Flexion

96. birth of the entire body

a. Engagement c. Descent

b. Expulsion d. Flexion

97. The shoulders externally rotate after the head emerges and restitution occurs, so that the shoulders are in the anteroposterior diameter of the pelvis.

a. Internal rotation c. Descent

b. External rotation d. Flexion

98. Stage of labor & delivery from the complete dilatation of the cervix to the birth of the baby.a. 1st Stage c. 2nd stageb. 3rd stage d. 4th stage

99. stage of cervical dilatationa.1st Stage c. 2nd stageb. 3rd stage d. 4th

stage

100. from the delivery of the placenta up to 1st 4 hours after delivery.

a. 1st Stage c. 2nd stageb. 3rd stage d. 4th

stage

 

“…..the last few miles of a journey are always tough, but if you keep going you’ll see that the last few steps are the most fulfilling…..”

Next topic: pre final sept.11,2009Fetal distressProlapsed umbilical cord

causescontributing factorssign/symptomsnursing care

Problems with the passagewayAbnormal size or shape of the pelvisCephalopelvic disproportionShoulder dystocia

Problems with the powersDystocia or difficult labor

hypertonic uterine dysfunctionhypotonic uterine dysfunctionabnormal progress in laborretraction rings

premature laborprecipitate labor and birthuterine prolapseduterine rupture

Nursing Care of the Postpartal clientassessment (

Important guidelines:a. Breast (engorgement)b. Uterus (contraction, position,size)c. Bladder (distention)d. Bowel (positive for bowel sounds or elimination)e. Lochia (color, amount, consistency, number of pads

consumed) f. Episiotomy (condition of wound healing, signs of

infection)g. Homan’s sign (presence or absence)h. Emotions (presence or absence of depression,

coping mechanism) - vital signs - signs of complications such as hemorrhage,

infections)

Postpartal hemorrhageEarly postpartal hemorrhageLate postpartal hemorrhage (subinvolution)Postpartal Puerperial infectionEndometriosisWound infectionUTIHepatitis etcThromboembolic disordersPostpartal psychiatric disorder

Immediate Care of the NewbornAssessment

APGAR ScoringVital signsPhysical assessmentassessment for deformitiesanthropometric measurements (head, chest, and

abdominal circumferences, weight and length)management of establishing respirationmaintaining optimum temperatureidentification of newbornprevention of infection and injury

ImmunizationNewborn screeningPromotion of adequate nutritionObservation of passage meconiumNewborn reflexes

Nursing care of clients with specific Health problems related to Reproduction and Sexuality