Pre Test 7-9

NURSING SEMINAR 1
OBGYN NURSING,
PEDIA NURSING SAS 7-9
Total points28/30

1. If induction of labor is unsuccessful and full dilatation has not occurred when the
mother has hypotonic labor the next step that the nurse is going to expect for the
obstetrician to do is
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1/1
A. Prep the mother for caesarean section

B. Use assistive tools such as forceps
C. Help the mother in the labor through vacuum extraction
D. Perform an episiotomy

2. Which of the following medical procedures is avoided during a face presentation?
*
1/1
A. Augmentation of labor with oxytocin

B. Caesarean section
C. Delivery by forceps
D. Vacuum extraction

3. Kiara the mother who is already prolonged in labor says to the nurse, “This is
hopeless; I really can’t do it anymore. I’m so much frustrated.” Which of the following
nursing responses is most therapeutic?
*
1/1
A. “The doctor is doing everything she can in order to help you get past this labor.”
B. “Would you opt to be placed in a caesarean section instead?”
C. “It must be hard for you to be experiencing this. But let’s think positive and be patient, you can
still do this.”

D. “We’ll see other options that we can do in order to augment this labor that you are
experiencing.”

4. When assessing the mother who is undergoing hypotonic labor the nurse must
assess signs of infection if the labor is already prolonged. Which of the following would
indicate that the mother has an infection?
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1/1
A. Fetal bradycardia
B. Presence of meconium in the amniotic fluid
C. Fever and chills

D. Distended bladder

5. A 22-year old woman has been brought into the delivery room and was
diagnosed to have tachysystole labor. What would be the characteristic of tachysystole
labor?
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1/1
A. Infrequent and brief contractions

B. More than 5 contractions per 10 minute intervals in 2 consecutive intervals

C. Prolonged active phase
D. Uterus can be easily indented by the fingertip

6. Upon assessing the newborn child on his fifth minute you have observed for the
following: the child’s heart rate is 123 beats per minute, there is a slow, irregular weak
cry, he sneezes when a catheter is placed in his nostril, he grimaces when the foot is
slapped and there is acrocyanosis. What is the APGAR score?
*
1/1
A. 6
B. 7

C. 8
D. 9

7. Assess the Apgar score of the female infant with the following assessments: the
infant appears blue overall, she grimaces when slapped on the foot and when a
catheter is placed in her nostril, the heart has 72 beats per minute, there is some flexion
of the extremities and there is a slow weak cry. What is the APGAR score?
*
1/1
A. 2
B. 3
C. 4

D. 5

8. If the new-born’s APGAR score is zero. Which of the following would be the best
nursing intervention?
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1/1
A. Resuscitate the patient

B. Place the patient in close monitoring
C. Do nothing since the patient is a well-baby
D. Inject IV epinephrine

9. An infant child named Giselle would learn to explore the environment through
which of the following?
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1/1
A. mouth

B. hands
C. feet
D. eyes

10. A mother of a child tells the nurse, “I constantly see my five-year-old son
fondling with his genitals.” She appears tensed because according to him this may
seem deviant for a pre-schooler. The nurse should tell the father that
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1/1
A. “This behavior is abnormal. You should scold your child when you see him next time.”
B. “Just ignore the behavior of the child.”
C. “This act is to deviant. He probably will develop sexual disorders later on.”
D. “Tell the child to do it privately in his room. And make no issue out of it.”

11. Which of the following scenarios is suggestive of a child who may not be ready
to enter first grade? An inability to:
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1/1
A. Recognize six colors and remember one’s phone number

B. Accurately use pronouns
C. Empathize with others
D. Count to five and draw a person with three parts.

12. Which diversion would be appropriate for the nurse to plan to use with an 8-
month-old infant?
*
1/1
A. A colorful mobile
B. Large blocks to stack
C. A colorful rattle
D. A game of peek-a-boo

13. In planning care for an 18-month-old child, the nurse would expect him to be
able to do which of the following?
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1/1
A. Button his shirt and tie his shoes

B. Feed himself and drink from a cup

C. Cut with scissors
D. Walk up and down stairs

14. When planning outdoor play activities for a normal 4-year-old child, which
activity is most appropriate?
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1/1
A. Two-wheeled bike
B. Sandbox

C. Climbing trees
D. Push toy lawn mower

15. A 3-year-old child has all of the following abilities. Which did he acquire most
recently?
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1/1
A. Walking
B. Throwing a large ball
C. Riding a tricycle

D. Stating his name

16. A 2-year-old child named James is very curious about his environment. Which of
the following statements would be true about a toddler?
*
1/1
A. Allowing the toddler to explore his environment for him to learn while providing him with
safety.

B. Inhibit all of the child’s desires.
C. Give in always to the child’s temper tantrums to stop the child from crying.
D. Be strict in the child’s toilet training.

17. The infant named Juliana at this stage can say mam-ma and dad-da, plus 2
words such as milk and water. She can also take her first few steps at this stage. Her
birth weight has already tripled. What month is she in?
*
0/1
A. 12 months
B. 11 months
C. 9 months
D. 10 months

Correct answer
A. 12 months
Feedback
RATIONALE: A. This is the age where the infant can do the following tasks mentioned above. At 11
months the infant is able to do cruising. At 9 months that infant can crawl with abdomen off the floor
and can demonstrate a pincer grasp. At around 10 months the infant develops object permanence and
is able to play peek-a-boo.

18. In order for the nurse to prevent the occurrence of hypotonic labor, the nurse
should avoid excessive use of which of the following medications?
*
1/1
A. Oxytocin
B. Methergine
C. Sedatives

D. Analgesic

19. During hypotonic labor the fetus may be in distress. When the obstetrician has
performed amniotomy, which of the following is the nurse going to do?
*
0/1
A. Observe for the odor of the amniotic fluid

B. Determine the amount of amniotic fluid present
C. Observe for the color of the amniotic fluid
D. Check for the presence of blood in the amniotic fluid
Correct answer
C. Observe for the color of the amniotic fluid
Feedback
RATIONALE: C. The first thing that the nurse should do once amniotomy is done during a hypotonic
labor is to assess for the color of the amniotic fluid and check for the presence of meconium. If the
amniotic fluid is green, this must be reported immediately since the fetus is already in distress.

20. During an ultrasonography the physician has noticed that the baby’s hips and
knees are flexed so that the baby is sitting cross-legged, with feet beside the bottom.
What is being presented in this situation?
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1/1
A. Frank breech
B. Incomplete breech
C. Complete breech

D. Footling breech

21. Vaginal breech delivery is done by a skilled health care provider and is safe and
feasible under the following conditions EXCEPT
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1/1
A. Adequate clinical pelvimetry

B. Complete or frank breech
C. Had a previous caesarean section for cephalopelvic disproportion 2 years ago

D. Fetus has a flexed head

22. During ultrasonography the obstetrician has found out that the fetus is in a
complete breech presentation on the 28th week age of gestation. The doctor will
attempt to perform external version at what week?
*
1/1
A. 37 weeks

B. 32 weeks
C. 38 weeks
D. 30 weeks

23. In a transverse type of position, the presenting part is usually
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1/1
A. One of the shoulders

B. An iliac crest
C. A hand
D. Any of the above

24. This type of presentation is caused by hyper-extension of the fetal head so that
neither the occiput nor the sinciput is palpable on vaginal examination
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1/1
A. Sinciput
B. Occiput
C. Transverse
D. Face

25. Which of the following medical procedures is avoided during a face
presentation?
*
1/1
A. Augmentation of labor with oxytocin

B. Caesarean section
C. Delivery by forceps
D. Vacuum extraction

26. Nurse Alyana is assessing the reflexes of a newborn. The nurse assesses which
of the following reflexes by placing a finger in the newborn’s mouth?
*
1/1
A. Sucking reflex

B. Landau reflex
C. Babinski reflex
D. Moro reflex

27. Four newborns with the following conditions are in the well-baby nursery. The
baby with which of the following conditions are at high risk for physiological jaundice?
*
1/1
A. Mongolian spots
B. Harlequin coloring
C. Cephalhematoma

D. Caput succedaneum

28. Which of the following behaviors would a newly born infant who is named Kyla
going to demonstrate?
*
1/1
A. Playing with mobile toys

B. Patty Cake
C. Peek-a-Boo
D. Enjoys face of caregiver

29. A preschool-age child undergoing chemotherapy experiences nausea and
vomiting. Which of the following would be the best intervention to include in the child's
plan of care?
*
1/1
a. Administer tube feedings.

b. Offer small, frequent meals.
c. Offer fluids only between meals.
d. Allow the child to choose what to eat for meals.

30. The nursing history for a newborn suspected of having pyloric stenosis would
most likely reveal which of the following?
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1/1
A. Frequent vomiting of bile-stained fluid

B. Cyanosis and vomiting immediately after feedings
C. Mild emesis progressing to projectile vomiting

D. Absence of gastrointestinal peristalsis

Pre Test 7-9

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NURSING SEMINAR 1

A. Prep the mother for caesarean section

A. Augmentation of labor with oxytocin

A. Infrequent and brief contractions

A. Resuscitate the patient

A. Recognize six colors and remember one’s phone number

A. Button his shirt and tie his shoes

A. Adequate clinical pelvimetry

A. One of the shoulders

A. Augmentation of labor with oxytocin

A. Playing with mobile toys

a. Administer tube feedings.

A. Frequent vomiting of bile-stained fluid

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