Post Test Arellano

8/19/2019 Post Test Arellano

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MATERNITY NURSING

1. Which of the following is responsible for the production of sperm?a. Epididymis c. testesb. Leydig’s cell d. vas deferens

2. There are many functions of estrogen one of which isa. Elevates basal body temperature during ovulationb. !nhibits uterine contractilityc. "esponsible for the development of mammary glandd. #romotes female secondary se$ characteristics

%. &ll of the following are physiologic effects of progesterone e$cept'a. responsible for spinnbar(eitb. )lightly elevated basal body temperaturec. "esponsible for mammary gland developmentd. !nhibition of uterine contractility during pregnancy

*. !t is collectively termed as the female e$ternal reproductive organ'a. +ulvab. ,ons pubis and clitorisc. Labia ma-ora and minorad. ourchette vestibule and perineum

/. The layer of the non pregnant uterus that sloughs off during the menstrual cycle is?a. ,yometrium c. Endometriumb. #erimetrium d. 0ecidua

. !n males the primary reason for the scrotal sac to be descended outside the body is?a. )ecrete fluid that (eeps sperm aliveb. &ct as a cooling mechanism of the testes to maintain spermatogenesisc. #romote satisfaction during intercoursed. one of the above

3. )(ene’s gland in female is e4uivalent to what structure in male?a. 5owper’s gland c. Testesb. 6artholin’s gland d. #rostate

7. The endometrium begins to thic(en at what phase of the menstrual cycle?a. ,enstrual phase c. )ecretory phase

b. #roliferative phase d. !schemic phase8. The pituitary hormone responsible for ovulation is'

a. 9nrh b. sh c. hcg d. Lh1:. This phase of the ovarian cycle is from day 1 to day 1* of the menstrual cycle

a. ollicular phaseb. Luteal phasec. both follicular and luteald. none of the above

11. Which of the following are physiologic changes during the e$citement phase of the male se$ualresponse cycle?a. 0evelops recurring contractions of the muscles of the penis and deep perineum.b. & high level of se$ual tension is maintained nearing orgasmc. +ital signs are at pea(

d. +itals signs returning to normal12. The ability of the sperm to dissolve ;ona pellucida and corona radiata and penetrate the ovum iscalled?a. ertili;ation c. idationb. 5apacitation d. &pposition

1%. <n ultrasound a gravid woman is 8 wee(s pregnant. )he is now carrying which type of conceptus?a. =ygote c. Embryob. etus d. !nfant

1*. The nurse recogni;es that the placenta is formed from the'a. 0ecidua capsulares



b. 0ecidua basilis and deciduas verac. 5horionic villi and decidua basalisd. 5horionic villi and deciduas vera

1/. #regnancy tests detect the presence of which hormone in the maternal blood or urine?a. >pl c. "ela$inb. >cg d. #rogesterone

1. #aula #ascual is as pregnant for the first time and as(s the nursehow can a baby be deliveredwithout you tearing your body apart? The nurse’s correct response is'a. @The hormones progesterone and rela$in help soften and increase the mobility of your -oints and

muscles.b. Aou will tear some but this is normal and nature has a way of putting you bac( together.c. @!ncreased blood supply and elastic muscles help you not to tear.d. @&ll hormones of pregnancy prevent tearing at birth.

13. 0uring which wee( of gestation is the product of gestation prone to teratogenic insults to thecardiovascular system?a. 2nd to 7th wee( c. 12B1*th wee(b. 1:B12th wee( d. 1th wee(

17. The most dangerous stage of fetal growth and development is?a. #re embryonic stageb. Embryonic stage

c. =ygote staged. Either of the above

18. Aou should advise a pregnant woman to stop smo(ing during pregnancy because babies of motherswho smo(e tend to'a. >ave low antibodiesb. >ave congenital anomaliesc. >ave cardiac defectsd. 6e smaller and lighter

2:. The nurse should e$plain to a primigravida client that the fetal heart beat will first be heard with'a. etoscope around 7 wee(sb. )tethoscope at 7 wee(sc. Electronic 0oppler as early as 7 wee(sd. one of the above

21. What is the most common urinary symptom e$perienced by the woman during the first trimester?a. 0ysuria c.!ncontinenceb. re4uency d. 6urning

22. & woman in early pregnancy is concerned because she is nauseated every morning. Which of thefollowing would be the best measure to help relieve this?a. eating few crac(ers before getting out of bedb. 0elay tooth brushing until noon.c. 0elay brea(fast until midmorning.d. Ta(e two aspirin on arising.

2%. & 21Byear old client wee(s’ pregnant is diagnosed with hyperemesis gravidarum. This e$cessivevomiting during pregnancy will often result in which of the following conditions?a. 6owel perforationb. Electrolyte imbalance

c. ,iscarriaged. #regnancyBinduced hypertension2*. & woman who is * months pregnant has pyrosis. Which of the following suggestions would you give

her?a. 0o not drin( mil(b. Eat small meals and maintain on upright position after eatingc. Try and include comple$ carbohydrates in meals.d. 5alorie increase vitamin inta(e by adding more citrus fruit.



2/. & primigravida at 7 wee(s’ gestation tells the nurse that the nurse has been e$periencing e$cessivesaliva production since becoming pregnant. The nurse should instruct the patient toa. Eat starchy foods such as potatoes.b. Cse mouthwash.c. )uc( on popsicles or ice cream.d. Eat only three large meals.

2. !f constipation is a problem for a woman during pregnancy which of the following would be best torecommend?a. ,ineral oil.b. !ncreased roughage in the diet.c. )topping prenatal vitamins temporarily.d. Eating more meat products.

23. Early in pregnancy fre4uent urination results mainly from which of the following?a. #ressure on the bladder from the uterus.b. !ncreased concentration of urine.c. &ddition of fetal urine to maternal urine.d. 0ecreased glomerular selectivity

27. & primigravida at %/ wee(s’ gestation tells the nurse that she gets an occasional cramp in her legs.The nurse should assess the patient’s initial inta(e of'a. =inc c. 5alcium

b. !ron d. iacin28. Which of the following food will you advise to relieve her leg cramps?

a. ,ongo cheese dilisb. #echay s4uash malunggayc. uts legumes eggsd. "ice bread rootcrops

%:. 0uring an initial assessment another woman who thin(s she is pregnant because she urinatesfre4uently and e$perience fatiguea. egative sign c. #ositive signb. #resumptive sign d. #robable sign

%1. !rregular scar lines may be observed on the abdomen of a pregnant woman as a result of stretchingof the s(in. This refers to'a. Linea nigra c. )triae gravidarum

b. 5hloasma d. ,elasma.

%2. The nurse is answering 4uestions during a woman’s prenatal visit at wee( 2*. What information wouldbe most significant?a. &t this time the fetus is most sensitive to teratogensb. +omiting is commonc. )urvival is possible if the fetus is bornd. etus is beginning to store iron to the liver

%%. & probable sign of pregnancy characteri;ed by painless irregular abdominal false labor contractionsis called'a. 9oodel’s signb. >egar’s sign

c. 6ra$ton hic(s contractiond. 6allottement

%*. Aou care for a woman in a prenatal clinic who thin(s she might be pregnant. Which of the followingassessments is a probable sign of pregnancy?a. 5hloasmab. ausea and vomiting.c. & positive pregnancy test.d. &menorrhea



%/. & danger sign of pregnancy that needs to be reported during antenatal period to prevent fetalcompromise isa. 5onstipationb. Lea(ing amniotic fluidc. asal stuffinessd. 6reast tenderness

%. 5hloasma are irregular brown patches usually found on the nose and chee(s related to?a. !ncreased estrogenb. !ncreased progesteronec. !ncreased >cgd. !ncreased ,)>

%3. Which of the following tas(s is the most important tas( of the first trimester of pregnancy?a. &ccepting the pregnancy.b. &ccepting a coming child.c. #reparing for birthd. "esponsible parenthood

%7. & universal feeling e$pressed by most women upon learning they are pregnant is'

a. &cceptance c. Dealousyb. 0epression d. &mbivalence

%8. & woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. &t what point in pregnancy does the average woman change her mind about an unwantedpregnancy?a. &round the third monthb. When 4uic(ening occurs.c. &fter lightening happens.d. &fter the seventh month.

*:. Which of the following terms refer to the total number of viable pregnancy?a. 9ravidity c. obstetric history

b. #arity d. viability

*1. & pregnant client comes to her prenatal visit. )he reports a pregnancy history of two babies born near the due date a twin born prematurely and a miscarriage in the first trimester. Csing the 9T#&Lnotation how would her pregnancy history be recordeda. 9ravida * #ara 2 1 1 *b. 9ravida * #ara 2 2 1 *c. 9ravida / #ara 2 1 1 *d. 9ravida / #ara 2 2 1 *

*2. & woman who once delivered a fetus that reached the age of viability but was delivered as a stillbornis called?a. #rimigravida c. ullipara

b. #rimipara d. ulligravida

*%. ,au 1/ wee(s &<9 is e$periencing vaginal bleeding and abdominal cramping pain with no passageof meaty material on !E her cervi$ is 3 cm dilated. What type of abortion is this?a. !ncomplete c. !nevitableb. 5omplete d. Threatened

**. & mother as(s you why her newborn baby was called stillborn. >ow would you define stillbirth?a. &n infant born after 2:B2* wee(s without signs of lifeb. &n infant less than 2: wee(s but dies inside the uterus



c. &n infant at birth breathing spontaneously but e$pires after 1 wee(d. & conceptus e$pelled from the uterus at less than 2: wee(s

*/. The nurse will classify the newborn as post term if he was born after?a. *2 wee(s c. %3 wee(sb. *% wee(s d. % wee(s

*. ,rs. 5astro % months &<9 visited the rural health with an obstetrical history that reveals her firstpregnancy resulted to an abortion. 0etermine the ob score.a. 2B:B:B1B: c. 2B2B1B:B1b. 2B:B:B:B: d. 2B2B:B:B:

*3. ,rs. 6aldo;a is again pregnant at % months &<9. 0uring interview she said that she gave birth toher first child at %8 wee(s &<9 her second baby was aborted at 13 wee(s her %rd baby was astillborn delivered at %/ wee(s &<9. What is the 9T#&L score?a. *B1B2B%B* c. *B1B1B1B1b. *B1B1B1B: d. *B:B1B1B1

*7. & prenatal visit was made by ,rs. 5ho(ie whose ob history revealed a baby boy delivered by the *:thwee( &<9. >er second pregnancy was a miscarriage her third pregnancy was a twin delivered at %/wee(s &<9 and she is pregnant at third month. What is her ob score?a. *B1B1B1B1 c. *B1B2B2B1

b. *B1B1B1B% d. *B1B%B1B1*8. & pregnant client’s last normal menstrual period was on Dune 2/ 2:1:. Csing aegele’s rule the

nurse calculates that her estimated date of birth will be which of the following?a. &pril %1 2:11 c. ,arch %1 2:11b. &pril 17 2:11 d. &pril 1 2:11

/:. &ccording to ,rs. ,alou Wang her L,# is Danuary 1 2::8. Csing the ,ittendorf’s rule what is her E05?a. <ctober 11 2:1:b. <ctober 11 2:11c. ovember 11 2:11d. ovember 11 2:1:

/1. What calorie inta(e is recommended during pregnancy?a. 22:: c. 23::

b. 2/:: d. Whatever

/2. & pregnant client is used to be vegetarian before her pregnancy. Aou would emphasi;e to her toinclude meats to prevent deficiency in which vitamin?a. !ron c. +itamin 612b. olic acid d. +itamin &

/%. The 6 vitamins are important to pregnancy nutrition. Which of the following foods is the best source of vitamin 612?a. 5arrots c. 6read.b. 5ottage cheese d. Lemons.

/*. When teaching a pregnant woman about nutrition the nurse would urge her to ingest foods

containing which vitamin to prevent the ris( of neural tube defects?a. olic acid c. +itamin 5b. +itamin & d. +itamin (

//. & client receives health teaching regarding ironBsupplementation to prevent anemic during pregnancy.Which of the following statements if made by the client would indicate successful learning?a. The iron is needed for the red blood cellsb. ,eal that does not provide iron should be avoidedc. !ron supplementation will give me diarrhead. ,y body has all the iron it need and ! don’t need to ta(e supplements



/. Which food below is not a good source of iron?a. ,il( c. 9rainsb. Legumes d. 6eef

/3. & woman at her 27th wee( of pregnancy complains of lightheadedness when lying in the e$aminationtable what would be the primary nursing action'a. &ssess 6#b. Encourage to ta(e a deep breathc. Lower the head of the e$amination tabled. Turn the woman to her left side

/7. & client who is pregnant as(s the nurse whether she can continue to have se$ual relations. Thenurse’s response is based on the (nowledge that coitus during pregnancy would be contraindicated inthe presence of'a. +aginal spottingb. #reterm labor c. #remature rupture of membraned. &ll of the above

/8. Fegel’s e$ercises are included in the schedule of activities for the pregnant mother. The purpose of the e$ercise is to'a. ,inimi;e leg cramps

b. #revent contracturesc. )trengthens pubococcygeal musclesd. )trengthens muscles in the lower bac(

:. The nurse teaches the pregnant client how to perform tailor sitting e$ercises as a way to accomplishwhich of the following?a. "elieves low bac( painb. ,aintains good posturec. !ncrease pelvic muscle toned. Lose pregnancy weight 4uic(ly



PEDIATRIC NURSING

1. When completing an assessment of a healthy adolescent client, which of the followingwould be most appropriate

a. Obtain a detailed account of the adolescent’s prenatal and early developmentalhistory

b. Discuss sexual preference and behaviors with the parents present for legal reasonsc. Discuss the client’s smoking with parents present in the room

d. ssess the adolescent in private! gather additional information from the parents". During the assessment of a small infant admitted with a diagnosis of meningitis, the

infant becomes less responsive to stimuli and exhibits bradycardia, slight hypertension,irregular respirations and a temperature of #$.% &. 'he infant’s fontanel also seems

tense. What will the nurse do first(a. sk the nurse to verify the findings

b. )otify the physician of the findingsc. *aise the head of the head

d. dminister antipyretics#. Which of the following would be best to help prepare a preschool aged child for an

in+ection(

a. aving an older child explain that shots do not hurtb. elping the child to imagine she is in a different placec. -iving the child a play syringe and a bandage to give a doll in+ections

d. -iving the child a pounding board to encourage expressions of anger

. year old child asks the nurse if it will hurt to have the tonsils and adenoids takenout. Which is the best response of the nurse(

a. /t won’t hurt because you are going to put you to sleep

b. /t won’t hurt because you are such a big boyc. /t will hurt because of the incisions made in the throat

d. /t will hurt, but we have medicine to help you feel better%. When preparing to give a neonate the first feeding by nipple, for which of the following

reasons would the nurse anticipate using a % ml feeding of sterile water first(

a. scertain the patency of the neonate’s esophagusb. Determine if the neonate can retain the feedingc. 0nsure that the neonate has the energy to take oral feedings

d. 0nsure that the mother will be able to feed the neonate. n 12 year old senior tells the nurse, 3everyone does it, so it’s all right,4 to +ustify rule

breaking behavior. 'he nurse reali5es this is an example of which level or stage of moralreasoning development as described by 6ohlberg(

a. 7reconventional c. 7ostconventionalb. &onventional d. utonomous

8. 7arents ask for advice about handling their " year old’s negativism. Which of thefollowing would be the best recommendation.

a. /gnore this behavior because it is a stage the child is going throughb. 9et realistic limits for the child, then be sure to stick to them

c. 0ncourage the grandmother to visit fre:uently to relieve themd. 7unish the child for misbehaving or violating set, strict limits.

2. Which of the following suggestions would be most appropriate in helping parents toprepare their children for starting school(

a. ave an older sibling tell the child about school

b. Orient the child to the school’s physical environmentc. Offer to stay with the child for the first few days of school

d. Discuss school with the child if he or she asks about it



$. parent group is discussing different types of punishment. 'he parents ask the nurse todiscuss corporal punishment. 'he nurse tells the group that corporal punishment;

a. Does not physically harm the childb. &an result in children becoming accustomed to spanking

c. *einforces the idea that violence is not acceptabled. &an be beneficial in teaching children what they do

1<.When discussing the appropriate iron rich food selections with the mother of an 11month old infant with iron deficiency anemia, which of the following choices verbali5edby the mother indicates successful teaching(

a. 0ggs, fortified cereals, meats and green vegetables

b. =ruits, cereals, milk, and yellow vegetablesc. 0ggs, fruits, milk and mixed vegetables

d. >uices, fruits, fortified cereals and milk11. mother brings her " year old child to the clinic because of her concerns about the

child’s nutritional status. 3=or the last week, he has refused to eat anything exceptcrackers and peanut butter. Which of the following measures would be most appropriate

for the nurse to suggest.a. -iving the child a small reward if he eats extra food given to him

b. &onsulting a physician because this behavior could lead to nutritional deficiency

c. )ot worrying about this behavior food fads last only a short time and common intoddlers

d. /nsisting the child eat small portions of the family’s meal to maintain ade:uate

nutrition1".'he adolescent client who is very body conscious asks the nurse that he would like to

lose weight and asks the nurses’s opinion on how to accomplish his goal. Which of thefollowing suggestions would be most appropriate(

a. 0xercising more oftenb. 9everely limiting caloric intake

c. 7articipating in an adolescent weight reduction programd. &utting down on sweets and other snacks

1#.Which of the following activities would the nurse include in the teaching plan for a

mother to help channel her year old child’s energy(a. 7articipation in parallel play

b. 7lay involving a game such as 9imon saysc. ?icycle riding

d. 9tringing of large beads1.Which of the following behaviors absent in an 12th month old child would cause the nurse

to be concerned(

a. &opying a circleb. 7laying with pull toys

c. 7laying tag with other childrend. ?uilding a tower of 2 blocks

1%.Which of the following nursing diagnoses would the nurse identify as the priority for a month infant with heart failure and congenital heart disease(

a. ctivity /ntoleranceb. *isk for /nfection

c. /mpaired @obilityd. /neffective ealth @aintenance

1.@ark $ years old conceives death as;a. person

b. 'emporaryc. form of sleep

d. &essation of corporal life



18.'he nurse is instructing a mother about the nutritional needs of her fullAtermbreastfeeding infant at age " months. Which of the following responses show that the

mother understands the infant’s dietary needs(a. 3We won’t start any new foods now.4

b. 3We’ll start any new foods now.4 c. 3We’ll introduce cereal into the diet now.4

d. 3We should add new fruits to the diet one at a time.4

12.Which of the following characteri5e the rate of growth during this period(

a. @ost rapid period of growth

b. decline in growth ratec. -rowth spurt

d. 9low and uniform growth rate

1$.Bou typically gag children to inspect the back of their throat. When is it important not toelicit a gag reflex(

a. When children are under % years of ageb. When a child has symptoms of epiglottitis

c. When a boy has a possible inguinal herniad. When a girl has a geographic tongue

"<.Which of the following statements by the parents of a child with school phobia wouldindicate the need for further teaching(

a. 3We’ll keep him at home until the phobia subsides4 b. 3We’ll work with his teachers and counselors at school4

c. 3We’ll try to encourage him to talk about his problems4 d. We’ll discuss possible solutions with him and a counselor4

"1. /n choosing toys for an infant, what criteria should be considered a priority(a. 0ducational 7urposes

b. Development =unctionc. 9afety

d. *ecreation use"". recently hospitali5ed " C years C old client scream and shouts he wants a 3bottle4. is

parents are pu55led and state he has drunk from a cup for the past year. 'he nurseexplains that;

a. /rritability is exhibited in all age groups.b. 'emper tantrums often represent the child’s need for parental attention

c. arious forms of punishment are necessary when such behavior occurd. *egression to an earlier behavior often helps the child cope with stress and anxiety

"#. /n choosing an appropriate toy for a $ year old asthmatic child the nurse would choose;

a. board gameb. 9ponge ?ob the movie

c. coloring book

d. set of building blocks".'he mother discusses with the nurse that her toddlers asks every night for a bedtime

story. 'he mother asks why the child does this. 'he nurse would explain that this

behavior demonstrates.a. *itualismb. Ob+ect permanence

c. Dependencyd. &onservation

"%.When caring for a child and family with a different cultural background, the nurse willconceive which of the following as an appropriate goal(

a. 9trive to keep the background from interfering with health needsb. Discourage continuation of cultural practices in the hospital



c. -ently attempt to change the family’s belief d. dapting the family’s cultural beliefs to the health needs as necessary

". @oro reflex is the single best assessment of neurologic ability in a newborn. What isthe best way to test this reflex(

a. Observe the infant while she is on her abdomen to see whether she can turn herhead.

b. Eift the infant’s head while she is in supine position and allow it to fall back 1 inch.c. 9hake the infant’s crib until the infant responds by flailing her arms.d. @ake a sharp noise, such as clapping your hands, to wake the infant.

"8.?ryan’s mother is concerned about him developing babyAbottle syndrome. What would

be her best action to prevent this(a. Fse plastic rather than glass bottles

b. ?oil formula to reduce the curdc. Don’t put ?ryan to bed with a bottle

d. &heck the expiration date on formula"2.Bou teach *obin imaging to help reduce pain from blood drawing. Why does a techni:ue

such as imagery work well for children(a. &hildren’s pain is not as acute as in adults.

b. /ntravenous pain relief is not effective in children.

c. &hildren’s imaginations are at their peak.d. &hildren’s muscles are less tense than adults’ muscles.

"$.nother concern in the care of toddlers is toiletAtraining. Which of the following is the

most important factor for a successful toiletAtraining(a. ge of the child

b. Developmental readiness of the childc. 'oiletAtraining at scheduled time

d. @other’s flexibility for growth and development#<.is mother expresses concern about her sons, *ico 1 year old, slow development. Fpon

assessment, the nurse observes that *ico’s motor development is normal for his age.Which of the following is inappropriate for his stage(

a. 9its down from standing position without help

b. Walks alonec. Walks with support

d. 9tands for a moment without support#1.*ico currently weighs $ kg. is mother asks if this is normal for him because his

previous birth weight was # kg. Which of the following is an appropriate response(a. 3Bes, because at 1 year old, he usually weighs three times his birth weight.4

b. 3is weight is below normal. Bou should give him food supplements.4

c. 3e should have doubles his birth weight by now.4 d. 3Bou need not worry. is weight is advance for his age.4

#"[email protected]. asks how much her #AdayAold baby weighs. When the nurse tells her % lb 11 o5G"%2<gH, she starts to cry because the baby is losing weight. 'he baby weighed lb o5

G"2#H at birth. What is the expected weight loss pattern in newborn(a. )one c. %IA 1<I

b. %I d. 1<IA1%I##. nineAyearAold girl with rheumatic fever is asking to play. Which diversional activity is

the nurse likely to offer(a. Walking to the gift store.

b. &oloring books and crayons.c. #<< piece pu55le.

d. dancing contest.



#.s a schooler what psychological task should be developed by him at his age(a. /ntimacy vs. isolation

b. /nitiative vs. guiltc. /ndustry vs. inferiority

d. /dentity vs. role diffusion#%.'he mother of one of the children was told to have her daughter confined. One of the

effects of hospitali5ation for children is separation. t what stage are children mostlikely to experience separation anxiety(a. 7reAschool age c. 'oddler

b. dolescence d. )ewborn

#.'he primary nursing intervention that can be used to help a 1 month old infant toleratehospitali5ation(

a. Fsing consistent caregiversb. 7roviding sensorimotor stimulation

c. =ollowing home schedule as closely as possibled. 6eeping the infant warm and dry

#8.fter teaching a group of parents of preschoolers attending a wellAchild clinic about oralhygiene and teeth brushing, the nurse determines that the teaching has been successful

when the parents state that the children can begin to brush their teeth with minimum

help at which of the following ages(a. # years c. 8 yearsb. % years d. $ years

#2.n infant’s blood pressure is reported to be very high. What is the most appropriatenursing action to take(

a. 'ake it again in "< minutes.b. &all the house officer.

c. @easure the cuff width to the infant’s arm.d. 7repare to give an antihypertensive.

#$.n 12AmonthAold presents with nasal flaring, intercostals and substernal retractions, anda respiratory rate of %<. What is the most appropriate nursing diagnosis(

a. 6nowledge deficit.

b. /neffective breathing pattern.c. /neffective

d. igh risk for altered body temperature<. /n counseling parents about controlling fever in their child, a nurse should advise them

to do all of the following 0J&07'a. -ive fluids every two hours

b. 6eep the environmental temperature at #"K& G2<K=H or more

c. Dress the child in light clothing

d. 'ake the child’s temperature every two hours when the fever is above #8K& G1<<K=H

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