Maternal And Child Health Nursing NCLEX Quiz 36
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.
Postpartum blues is said to be normal provided that the following characteristics are present. These are : (Select all that apply)
- A.
Within 3-10 days only;
- B.
Woman exhibits the following symptoms- episodic tearfulness. fatigue. oversensitivity. poor appetite;
- C.
Maybe more severe symptoms in primipara
Correct Answer(s)
A. Within 3-10 days only;
B. Woman exhibits the following symptoms- episodic tearfulness. fatigue. oversensitivity. poor appetite;
C. Maybe more severe symptoms in primiparaExplanation
All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms last more than 2 weeks. this could be a sign of abnormality like postpartum depression and needs treatment.Rate this question:
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- 2.
The neonatal circulation differs from the fetal circulation because
- A.
The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blooD.
- B.
The blood at the left atrium of the fetal heart is shunted to the right atrium to facilitate its passage to the lungs
- C.
The blood in the left side of the fetal heart contains oxygenated blood while the blood on the right side contains unoxygenated blooD.
- D.
None of the above
Correct Answer
A. The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blooD.Explanation
The fetal lungs are fluid-filled while in utero and are still not functioning. It only begins to function in extrauterine life. Except for the blood as it enters the fetus immediately from the placenta. most of the fetal blood is mixed blood.Rate this question:
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- 3.
The normal respiration of a newborn immediately after birth is characterized as:
- A.
Shallow and irregular with short periods of apnea lasting not longer than 15 seconds. 30-60 breaths per minute
- B.
20-40 breaths per minute. abdominal breathing with active use of intercostals muscles
- C.
30-60 breaths per minute with apnea lasting more than 15 seconds. abdominal breathing
- D.
30-50 breaths per minute. active use of abdominal and intercostal muscles
Correct Answer
A. Shallow and irregular with short periods of apnea lasting not longer than 15 seconds. 30-60 breaths per minuteExplanation
A newly born baby still is adjusting to extra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea. 30-60 breaths per minute. The apneic periods should be brief lasting. not more than 15 seconds otherwise it will be considered abnormal.Rate this question:
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- 4.
The anterior fontanelle is characterized as:
- A.
3-4 cm anteroposterior diameter and 2-3 cm transverse diameter. diamond shape
- B.
2-3 cm anteroposterior diameter and 3-4 cm transverse diameter and diamond shape
- C.
2-3 cm in both anteroposterior and transverse diameter and diamond shape
- D.
None of the above
Correct Answer
A. 3-4 cm anteroposterior diameter and 2-3 cm transverse diameter. diamond shapeExplanation
The anterior fontanelle is a diamond shape with the anteroposterior diameter being longer than the transverse diameter. The posterior fontanelle is a triangular shape.Rate this question:
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- 5.
The ideal site for vitamin K injection in the newborn is:
- A.
Right upper arm
- B.
Left upper arm
- C.
Either right or left buttocks
- D.
Middle third of the thigh
Correct Answer
D. Middle third of the thighExplanation
Neonates do not have well-developed muscles of the arm. Since Vitamin K is given intramuscular. the site must have sufficient muscles like the middle third of the thigh.Rate this question:
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- 6.
At what APGAR score at 5 minutes after birth should resuscitation be initiated?
- A.
03/01/2017
- B.
08/07/2017
- C.
10/09/2017
- D.
07/06/2017
Correct Answer
A. 03/01/2017Explanation
An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.Rate this question:
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- 7.
Right after birth. when the skin of the baby’s trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:
- A.
Syndactyly
- B.
Acrocyanosis
- C.
Peripheral cyanosis
- D.
Cephalo-caudal cyanosis
Correct Answer
B. AcrocyanosisExplanation
Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.Rate this question:
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- 8.
The minimum birth weight for full-term babies to be considered normal is:
- A.
2.000gms
- B.
1.500gms
- C.
2.500gms
- D.
3.000gms
Correct Answer
C. 2.500gmsExplanation
According to the WHO standard. the minimum normal birth weight of a full-term baby is 2.500 gms or 2.5 Kg.Rate this question:
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- 9.
This procedure is done to prevent ophthalmia neonatorum is:
- A.
Marmet’s technique
- B.
Crede’s method
- C.
Ritgen’s method
- D.
Ophthalmic wash
Correct Answer
B. Crede’s methodExplanation
Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually. an ophthalmic ointment is used.Rate this question:
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- 10.
Which of the following characteristics will distinguish a postmature neonate at birth?
- A.
Plenty of lanugo and vernix caseosa
- B.
Lanugo mainly on the shoulders and vernix in the skin folds
- C.
Pinkish skin with good turgor
- D.
Almost leather-like. dry. cracked skin. negligible vernix caseosa
Correct Answer
D. Almost leather-like. dry. cracked skin. negligible vernix caseosaExplanation
A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.Rate this question:
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Mar 22, 2023Quiz Edited by
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Sep 08, 2017Quiz Created by
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