<<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
maternal and child Questions and Correct
Answers
1. A pregnant woman who is at term is admitted to the birthing unit in active labor. The
client has only progressed from 2cm to 3 cm in 8 hours. She is diagnosed with hypotonic
dystocia and the physician ordered Oxytocin (Pitocin) to augment her contractions. Which of
the following is the most important aspect of nursing intervention at this time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging.
✓ ~: A. The oxytocic effect of Pitocin increases the intensity and durations of contractions;
prolonged contractions will jeopardize the safetyof the fetus and necessitate discontinuing
the drug
2. A client who hallucinates is not in touch with reality. It is important for the nurse to:
A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship.
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
✓ ~: B. It is of paramount importance to prevent the client from hurting himself or herself or
others.
3. The nurse is caring to a child client who has had a tonsillectomy. The child complains of
having dryness of the throat. Which of the following would the nurse give to the child?
A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk
✓ ~: B. After tonsillectomy, clear, cool liquids should be given. Citrus, carbonated, and hot
or cold liquids should be avoided because they may irritate the throat. Red liquids should
be avoided because they give the appearance of blood if the child vomits. Milk and milk
products including pudding are avoided because they coat the throat, cause the child to
clear the throat, and increase the risk of bleeding.
4. The physician ordered Phenylephrine (Neo-Synephrine) nasal spray to a 13-year-old client.
The nurse caring to the client provides instructions that the nasal spray must be used exactly
as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia.
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
✓ ~: A. Phenylephrine, with frequent and continued use, can cause rebound congestion of
mucous membranes.
5. A client with tuberculosis is to be admitted in the hospital. The nurse who will be assigned
to care for the client must institute appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room.
✓ ~: B. The N 95 respirator is a high-particulate filtration mask that meets the CDC
performance criteria for a tuberculosis respirator.
6. Which of the following is the most frequent cause of noncompliance to the medical
treatment of open-angle glaucoma?
A. The frequent nausea and vomiting accompanying use of miotic drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic effects of pilocarpine.
D. The painful and insidious progression of this type of glaucoma.
✓ ~:
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
7. In the morning shift, the nurse is making rounds in the nursing care units. The nurse enters
in a client's room and notes that the client's tube has become disconnected from the
Pleurovac. What would be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac.
✓ ~:
8. Which of the following complications during a breech birth the nurse needs to be alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse.
✓ ~:
9. The nurse is caring to a client diagnosed with severe depression. Which of the following
nursing approach is important in depression?
maternal and child Questions and Correct
Answers
1. A pregnant woman who is at term is admitted to the birthing unit in active labor. The
client has only progressed from 2cm to 3 cm in 8 hours. She is diagnosed with hypotonic
dystocia and the physician ordered Oxytocin (Pitocin) to augment her contractions. Which of
the following is the most important aspect of nursing intervention at this time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging.
✓ ~: A. The oxytocic effect of Pitocin increases the intensity and durations of contractions;
prolonged contractions will jeopardize the safetyof the fetus and necessitate discontinuing
the drug
2. A client who hallucinates is not in touch with reality. It is important for the nurse to:
A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship.
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
✓ ~: B. It is of paramount importance to prevent the client from hurting himself or herself or
others.
3. The nurse is caring to a child client who has had a tonsillectomy. The child complains of
having dryness of the throat. Which of the following would the nurse give to the child?
A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk
✓ ~: B. After tonsillectomy, clear, cool liquids should be given. Citrus, carbonated, and hot
or cold liquids should be avoided because they may irritate the throat. Red liquids should
be avoided because they give the appearance of blood if the child vomits. Milk and milk
products including pudding are avoided because they coat the throat, cause the child to
clear the throat, and increase the risk of bleeding.
4. The physician ordered Phenylephrine (Neo-Synephrine) nasal spray to a 13-year-old client.
The nurse caring to the client provides instructions that the nasal spray must be used exactly
as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia.
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
✓ ~: A. Phenylephrine, with frequent and continued use, can cause rebound congestion of
mucous membranes.
5. A client with tuberculosis is to be admitted in the hospital. The nurse who will be assigned
to care for the client must institute appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room.
✓ ~: B. The N 95 respirator is a high-particulate filtration mask that meets the CDC
performance criteria for a tuberculosis respirator.
6. Which of the following is the most frequent cause of noncompliance to the medical
treatment of open-angle glaucoma?
A. The frequent nausea and vomiting accompanying use of miotic drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic effects of pilocarpine.
D. The painful and insidious progression of this type of glaucoma.
✓ ~:
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
7. In the morning shift, the nurse is making rounds in the nursing care units. The nurse enters
in a client's room and notes that the client's tube has become disconnected from the
Pleurovac. What would be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac.
✓ ~:
8. Which of the following complications during a breech birth the nurse needs to be alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse.
✓ ~:
9. The nurse is caring to a client diagnosed with severe depression. Which of the following
nursing approach is important in depression?
