WorksheetsNS4 quizz
Total questions: 25
Worksheet time: 13mins
Name
Class
Date
1.
Susan was admitted to hospital for complaints of giddiness. She is having her first child and is 37 weeks pregnant. Her blood pressure recorded in Emergency department was 150/90. A provisional diagnosis of Pre -eclampsia was ruled out. What are the other common signs and symptoms will she present ?
a)
nausea and acetone present in the urine.
b)
nausea and glucose present in the urine.
c)
edema and protein present in the urine
d)
edema and blood present in the urine.
2.
The next day, Susan complained of severe abdominal pain highly suspicious of Abruptio placenta. One of the immediate management that will be carried out will be to
a)
infuse blood and immediate delivery of the baby in the labour ward.
b)
give her pain relief.
c)
List her for ceaserean section in the operating theatre.
d)
continue blood pressure monitoring for another 24 hours.
3.
Mdm Laila was admitted to labour ward when she experienced true labour. She is scheduled for normal vertex delivery and is in the first stage of labour which is
a)
full cervical dilatation of 10 cm to the birth of an infant.
b)
delivery of the placenta.
c)
the onset of labour to a full cervical dilatation of 10 cm.
d)
recovery stage.
4.
Mdm Laila delivered a healthy female baby at 1500hrs through normal vertex delivery and completed the third stage of labour. To prevent post partum haemorrhage, the nurse massages the fundus or the uterus to
a)
promote uterine involution.
b)
promote pain relief.
c)
promote uterine sub involution.
d)
promote delivery of the placenta.
5.
The delay of ovulation in lactating women is caused by one of the following hormones.
a)
Oestrogen.
b)
Progesterone.
c)
Oxytocin.
d)
Prolactin.
6.
Mdm T has been married for 4 years and was trying for a child. She was seen at the polyclinic being 6 weeks of amenorrhea. The test to be done to confirm if she is pregnant will be
a)
an obstetric ultrasound.
b)
a full blood count.
c)
an abdominal x-ray.
d)
a urine test for glucose.
7.
During late pregnancy, the woman will experience frequent micturation. This may be due to
a)
increased level of progesterone in the circulation.
b)
increased level of prolactin in the circulation.
c)
the bladder straightening upright.
d)
the growing uterus compressing on the bladder.
8.
Madam T is now 12 weeks pregnant and she was admitted for severe nausea and vomiting. The first priority in nursing care management for her is
a)
to correct her electrolyte imbalance.
b)
to observe for septicaemic shock.
c)
to provide psychological support.
d)
to provide her with antenatal teaching.
9.
Madam T had her ultrasound scanning done at 39 weeks and noted to have marginal placenta praviae. The goal of management if she goes into labour is to
a)
immediately run an oxytocin drip to induce labour.
b)
immediately run hartman’s solution to prevent shock.
c)
artificially ruture the membranes and prepare for surgery soonest.
d)
artificially rupture the membranes and deliver vaginally soonest.
10.
During fetal circulation, one of the shunt that prevents the fetal lungs from overload is the
a)
foramen ovale.
b)
ductus arteriosus.
c)
ductus venosus.
d)
inferior vena cava.
11.
Madam J underwent antenatal assessment and was told that she could not deliver through normal vaginal delivery as she
a)
is 45 years old.
b)
had one previous caesarian section.
c)
has an android pelvis.
d)
has cepalopelvic disproportion.
12.
A week after delivery, Mdm J informed the nurse that her vaginal discharge is foul smelling. The advice the nurse has to give to the patient is
a)
to perform vaginal douching three times a day.
b)
to return to the polyclinic for a septic workup.
c)
to drink lots of fluid and keep hydrated.
d)
to eat lots of fruits and vegetables.
13.
After delivery, the mother is at risk to develop deep vein thrombosis
a)
because of prolonged second stage labour.
b)
because of not exercising during her ante natal period.
c)
because of increased plasma fibrinogen level and other coagulation factors.
d)
because of increased hemoglobin level and other coagulation factors.
14.
Deficient surfactant in premature babies may lead to which condition?
a)
Visual impairment.
b)
Cerebral palsy.
c)
Respiratory distress syndrome.
d)
Acute nephritic syndrome.
15.
The nurse notes that 2 hours after delivery, the woman has saturated 3 pads in the last hour. While giving her perineal care, the nurse notes a trickle of lochia from the vaginal orifice. The uterus is firmly contracted. Which of the following would the nurse do next?
a)
Massage the uterus.
b)
Observe her for 30 minutes.
c)
Notify the doctor.
d)
Apply ice pack.
16.
In the Fetal heart, blood circulation is able to bypass the pulmonary circulation through the
a)
ductus arteriosus.
b)
foramen ovale.
c)
umbilical vein.
d)
umbilical artery.
17.
Mdm T was 39 weeks pregnant. She had labour pain. She was being monitored with cardiotocography (CTG). Fetal heart monitoring revealed a reading of late deceleration which indicates that the
a)
umbilical cord is being compressed.
b)
fetal head is being compressed.
c)
placenta is not delivering enough nourishment to the fetus.
d)
placenta is not delivering enough oxygen to the fetus.
18.
Thirty minutes after childbirth, the nurse assessed Mdm T’s uterine fundus. It was deviated slightly to the right side above the umbilicus. The appropriate nursing action is to
a)
massage the fundus.
b)
assist her to micturate.
c)
provide mild analgesia.
d)
restrict oral intake.
19.
Mdm T developed puerperal infection after a normal vaginal delivery and the important signs to look out for apart from pyrexia would be
a)
cough.
b)
foul-smelling lochia.
c)
incontinent urine.
d)
nausea.
20.
Baby T was born with an 1 minute apgar scoring of 4 and 5-minute apgar scoring of 7. This was indicative that Baby T required
a)
gentle stimulation.
b)
active resuscitation.
c)
no action.
d)
oxygen therapy.
21.
Name the drug that is given to prevent or treat status asthmaticus if asthma is unresponsive to bronchodilators.
a)
Corticosteroids
b)
Theophylline
c)
Rifampin
d)
Propranolol
22.
Staff Nurse X was measuring an infant’s blood pressure and found that it was higher in the arms than in the legs. Which congenital heart defect is this finding associated with?
a)
Tetralogy of Fallot
b)
Ventricular Septal Defect
c)
Patent Ductus Arteriosus
d)
Coarctation of the Aorta
23.
Children with urinary tract infection who do not respond to antibiotics within 48 hours after starting treatment must have the following investigation done.
a)
Blood Culture
b)
Ultrasound kidneys
c)
X-rays of the kidneys
d)
Urinalysis
24.
Opisthotonos position, an involuntary arching of the back and extension of the neck, are seen in children with
a)
renal problem.
b)
cardiac problem.
c)
respiratory infections.
d)
brain injury or meningeal irritation.
25.
An infant was admitted for abdominal distention and vomiting. The nurse noticed that the infant was passing ribbon-like stool. Rectal biopsy was done. It revealed that there was absence of ganglionic innervations to the muscle segment of the bowel. What medical condition is the infant having?
a)
Pyloric Stenosis
b)
Intussception
c)
Hirschsprung’s Disease
d)
Meckel’s Diverticulum
100 %
