Practice Test | 12/22/2011, 1:07 am

Maternal and Child Health Nursing Board Exam Questions I

This test will challenge your skills regarding the concept of Maternal and Child Health Nursing (MCN).

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All test questions will be shown in one page
All test questions are randomly arranged
All choices are randomly arranged
Rationales will be given after the quiz (be sure to read them!)
The test contains 25 questions to enjoy!
Read each question carefully!

Maternal and Child Health Nursing (MCN) 1

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This test will challenge your skills regarding the concept of Maternal and Child Health Nursing (MCN) >All test questions will be shown in one page >All test questions are randomly arranged >All choices are randomly arranged >Rationales will be given after the quiz (be sure to read them!) >The test contains 25 questions to enjoy! >Read each question carefully!

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Question 1

The following are ways of determining expected date of delivery (EDD) when the LMP is unknown EXCEPT:

	Quickening
	Naegele’s rule
	Mc Donald’s rule
	Batholomew’s rule of 4

Question 1 Explanation:

Naegele’s Rule is determined based on the last menstrual period of the woman.

Question 2

In the Batholonew’s rule of 4, when the level of the fundus is midway between the umbilicus and xyphoid process the estimated age of gestation (AOG) is:

	6th month
	5th month
	7th month
	8th month

Question 2 Explanation:

In Bartholomew’s Rule of 4, the landmarks used are the symphysis pubis, umbilicus and xyphoid process. At the level of the umbilicus, the AOG is approximately 5 months and at the level of the xyphoid process 9 months. Thus, midway between these two landmarks would be considered as 7 months AOG.

Question 3

When preparing the mother who is on her 4th month of pregnancy for abdominal ultrasound, the nurse should instruct her to:

	Void immediately before the procedure for better visualization
	Observe NPO from midnight to avoid vomiting
	Drink at least 2 liters of fluid 2 hours before the procedure and not void until the procedure is done
	Do perineal flushing properly before the procedure

Question 3 Explanation:

Drinking at least 2 liters of water 2 hours before the procedure will result to a distended bladder. A full bladder is needed when doing an abdominal ultrasound to serve as a “window” for the ultrasonic sound waves to pass through and allow visualization of the uterus (located behind the urinary bladder).

Question 4

The expected weight gain in a normal pregnancy during the 3rd trimester is

	1 pound a week
	10 lbs total weight gain in the 3rd trimester
	10 lbs a month
	2 pounds a week

Question 4 Explanation:

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus, one pound a week is expected.

Question 5

The nursing intervention to relieve “morning sickness” in a pregnant woman is by giving

	Low sodium diet
	Dry carbohydrate food like crackers
	Antacid
	Intravenous infusion

Question 5 Explanation:

Morning sickness maybe caused by hypoglycemia early in the morning thus giving carbohydrate food will help.

Question 6

The hormone responsible for a positive pregnancy test is:

	Human Chorionic Gonadotropin
	Estrogen
	Follicle Stimulating hormone
	Progesterone

Question 6 Explanation:

Human chorionic gonadotropin (HCG) is the hormone secreted by the chorionic villi which is the precursor of the placenta. In the early stage of pregnancy, while the placenta is not yet fully developed, the major hormone that sustains the pregnancy is HCG.

Question 7

You want to perform a pelvic examination on one of your pregnant clients. You prepare your client for the procedure by:

	Asking her to void
	Doing a vaginal prep
	Giving the client a perineal care
	Taking her vital signs and recording the readings

Question 7 Explanation:

A pelvic examination includes abdominal palpation. If the pregnant woman has a full bladder, the manipulation may cause discomfort and accidental urination because of the pressure applied during the abdominal palpation. Also, a full bladder can impede the accuracy of the examination because the bladder (which is located in front of the uterus) can block the uterus.

Question 8

Which of the following is a positive sign of pregnancy?

	(+) pregnancy test
	Fetal movement felt by mother
	(+) ultrasound
	Enlargement of the uterus

Question 8 Explanation:

A positive ultrasound will definitely confirm that a woman is pregnant since the fetus in utero is directly visualized.

Question 9

In the later part of the 3rd trimester, the mother may experience shortness of breath. This complaint maybe explained as:

	The woman is having allergic reaction to the pregnancy and its hormones
	The woman maybe experiencing complication of pregnancy
	The fundus of the uterus is high pushing the diaphragm upwards
	A normal occurrence in pregnancy because the fetus is using more oxygen

Question 9 Explanation:

From the 32nd week of the pregnancy, the fundus of the enlarged uterus is pushing the respiratory diaphragm upwards. Thus, the lungs have reduced space for expansion consequently reducing the oxygen supply.

Question 10

What event occurring in the second trimester helps the expectant mother to accept the pregnancy?

	Quickening
	Pseudocyesis
	Ballotment
	Lightening

Question 10 Explanation:

Quickening is the first fetal movement felt by the mother makes the woman realize that she is truly pregnant. In early pregnancy, the fetus is moving but too weak to be felt by the mother. In the 18th-20th week of gestation, the fetal movements become stronger thus the mother already feels the movements.

Question 11

The hormone responsible for the maturation of the graafian follicle is:

	Estrogen
	Follicle stimulating hormone
	Progesterone
	Luteinizing hormone

Question 11 Explanation:

The hormone that stimulates the maturation if the of the graafian follicle is the Follicle Stimulating Hormone which is released by the anterior pituitary gland.

Question 12

Kegel’s exercise is done in pregnancy in order to:

	Relieve backache
	strengthen abdominal muscles
	Strengthen perineal muscles
	Prevent leg varicosities and edema

Question 13

In Leopold’s maneuver step #1, you palpated a soft broad mass that moves with the rest of the mass. The correct interpretation of this finding is:

	The mass palpated is the back
	The presentation is breech.
	The mass palpated is the buttocks.
	The mass palpated at the fundal part is the head part.

Question 13 Explanation:

The palpated mass is the fetal buttocks since it is broad and soft and moves with the rest of the mass.

Question 14

The main reason for an expected increased need for iron in pregnancy is:

	The mother may suffer anemia because of poor appetite
	The mother may have physiologic anemia due to the increased need for red blood cell mass as well as the fetal requires about 350-400 mg of iron to grow
	The mother may have a problem of digestion because of pica
	The fetus has an increased need for RBC which the mother must supply

Question 14 Explanation:

About 400 mgs of Iron is needed by the mother in order to produce more RBC mass to be able to provide the needed increase in blood supply for the fetus. Also, about 350-400 mgs of iron is need for the normal growth of the fetus. Thus, about 750-800 mgs iron supplementation is needed by the mother to meet this additional requirement.

Question 15

The diet that is appropriate in normal pregnancy should be high in

	Carbohydrates and vitamins
	Fats and minerals
	Protein, minerals and vitamins
	Proteins, carbohydrates and fats

Question 15 Explanation:

In normal pregnancy there is a higher demand for protein (body building foods), vitamins (esp. vitamin A, B, C, folic acid) and minerals (esp. iron, calcium, phosphorous, zinc, iodine, magnesium) because of the need of the growing fetus.

Question 16

When a pregnant woman experiences leg cramps, the correct nursing intervention to relieve the muscle cramps is:

	Allow the woman to exercise
	Let the woman walk for a while
	Let the woman lie down and dorsiflex the foot towards the knees
	Ask the woman to raise her legs

Question 16 Explanation:

Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus, the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.

Question 17

From the 33rd week of gestation till full term, a healthy mother should have prenatal check up every:

	2 weeks
	3 weeks
	week
	4 weeks

Question 17 Explanation:

In the 9th month of pregnancy the mother needs to have a weekly visit to the prenatal clinic to monitor fetal condition and to ensure that she is adequately prepared for the impending labor and delivery.

Question 18

Which of the following findings in a woman would be consistent with a pregnancy of two months duration?

	Fullness of the breast and urinary frequency
	Increased respiratory rate and ballottement
	Braxton Hicks contractions and quickening
	Weight gain of 6-10 lbs. and presence of striae gravidarum

Question 18 Explanation:

Fullness of the breast is due to the increased amount of progesterone in pregnancy. The urinary frequency is caused by the compression of the urinary bladder by the gravid uterus which is still within the pelvic cavity during the first trimester.

Question 19

Shoes with low, broad heels, plus a good posture will prevent which prenatal discomfort?

	Leg cramps
	Backache
	Nausea
	Vertigo

Question 19 Explanation:

Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her third trimester usually assumes a lordotic posture to maintain balance causing an exaggeration of the lumbar curvature. Low broad heels provide the pregnant woman with a good support.

Question 20

The most common normal position of the fetus in utero is:

	Oblique position
	Vertical position
	None of the above
	Transverse position

Question 20 Explanation:

Vertical position means the fetal spine is parallel to the maternal spine thus making it easy for the fetus to go out the birth canal. If transverse or oblique, the fetus can’t be delivered normally per vagina.

Question 21

In Leopold’s maneuver step # 3 you palpated a hard round movable mass at the supra pubic area. The correct interpretation is that the mass palpated is:

	The buttocks because the presentation is breech.
	The mass palpated is the fetal small part
	The mass palpated is the head.
	The mass is the fetal back.

Question 21 Explanation:

When the mass palpated is hard round and movable, it is the fetal head.

Question 22

Pelvic rocking is an appropriate exercise in pregnancy to relieve which discomfort?

	Leg cramps
	Urinary frequency
	Backache
	Orthostatic hypotension

Question 22 Explanation:

Backache is caused by the stretching of the muscles of the lower back because of the pregnancy. Pelvic rocking is good to relieve backache.

Question 23

If the LMP is Jan. 30, the expected date of delivery (EDD) is

	Nov. 7
	Oct. 7
	Nov. 8
	Oct. 24

Question 23 Explanation:

Based on the last menstrual period, the expected date of delivery is Nov. 7. The formula for the Naegele’s Rule is subtract 3 from the month and add 7 to the day.

Question 24

Which of the following signs will require a mother to seek immediate medical attention?

	Slight dyspnea on the last month of gestation
	Mild uterine contraction
	When the first fetal movement is felt
	No fetal movement is felt on the 6th month

Question 24 Explanation:

Fetal movement is usually felt by the mother during 4.5 – 5 months. If the pregnancy is already in its 6th month and no fetal movement is felt, the pregnancy is not normal either the fetus is already dead intra-uterine or it is an H-mole.

Question 25

You performed the leopold’s maneuver and found the following: breech presentation, fetal back at the right side of the mother. Based on these findings, you can hear the fetal heart beat (PMI) BEST in which location?

	Left lower quadrant
	Left upper quadrant
	Right upper quadrant
	Right lower quadrant

Question 25 Explanation:

Right lower quadrant. The landmark to look for when looking for PMI is the location of the fetal back in relation to the right or left side of the mother and the presentation, whether cephalic or breech. The best site is the fetal back nearest the head.

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There are 25 questions to complete.

9 Comments

Destiny 10/15/2011 3:18 pm
i mean number 6 is wrong…It should be right upper quadrant, the baby is in breech therefore the head is in the upper quadrant.
Reply
Destiny 10/15/2011 3:16 pm
number 23 is wrong…It should be right upper quadrant, the baby is in breech therefore the head is in the upper quadrant.
“the answer must be November 7. because January 30 is her LMP and it is nearly the start of February. considering, subtracting 3 months to the month of the LMP, it will fall in October but if we will add up 7 days to 30, the result would be 37. we will add one month after October because the days exceed
(which is 37).so remainder 7 then we will add up 1 month after October.. I mean, the EDD would probably on the 7th of November..
01 30
-3 +7
______________
10 (Oct) 37
37 one month then add one month after October.. NOVEMBER 7″
January has 31 days right? then it should be
01 30
-3 +7
______________
10 (Oct) 37
37-31 = 6 then it should be november 6?
Reply
Zachstar18 08/09/2011 9:18 am
i think number 23 is wrong, it must be right upper quadrant because the fetus is in a breech presentation..
Reply
Zachstar18 08/09/2011 9:17 am
i think num
Reply
chixie 07/14/2011 12:53 pm
if i may state this, i guess as far as i know, the answer for question 3 is not letter D but instead letter A. it is stated in your rationale the formula on how to get the EDC/EDD of the mother, if her LMP is Jan.30, we need to add 7 days then minus 3 months. it should be OCT.7, not NOV.7 .since November is 2mos. away from January.
Reply
- Yhan2_azinay 07/16/2011 9:43 pm
  the answer must be November 7. because January 30 is her LMP and it is nearly the start of February. considering, subtracting 3 months to the month of the LMP, it will fall in October but if we will add up 7 days to 30, the result would be 37. we will add one month after October because the days exceed
  (which is 37).so remainder 7 then we will add up 1 month after October.. I mean, the EDD would probably on the 7th of November..
  01       30
  -3       +7
  ______________
  10 (Oct)      37
  37 one month then add one month after October.. NOVEMBER 7
  Reply
- jannnjennn 01/01/2012 10:46 am
  i think it’s october 6 since january has 31 days
  Reply
  - jm 04/26/2012 12:27 pm
    i think its nov 6
    01 30 (jan 31)
    -3 +7
    ______________
    10(oct) 37 days – 31= 6 days
    +1 mon
    so it will fall to nov 6…