Lesson 1 to 6 Flashcards
Maternal and child health nursing is a challenging role for nurses and a major factor in keeping families well and optimally functioning.
TRUE or FALSE
True
It is the controlled investigation of problems that have implications for nursing practice, provides evidence for practice and justification for implementing activities for outcome achievement, ultimately resulting in improved and cost-effective patient care.
Nursing Research
It is the number of deaths that occur as a direct result of the reproductive process per 100,000
live births.
Maternal Mortality Rate
Preventing further complications from an illness, bringing client back to an optimal state of wellness, helping client accept inevitable death.
Health Rehabilitation
The infant mortality rate which is the death of children between birth and exactly 1 year of age is an important indicator for child health. The denominator for such rate is _______
Number of life births in the same year
Which structure in the figure below sheds during menstruation?
What is the name of the tissue that creates the menses?
Endometrium
This is secreted by the ovary (follicle and corpus luteum), causes proliferation of the endometrium.
It is also responsible in developing and maintaining the female reproductive organs and secondary sexual characteristics associated with the adult female.
Estrogen
Mrs. Marianne Cruz, 23 years old and her husband desires to use natural family planning as their contraceptive method. Her menstrual cycle length is variable, ranging from 26 to 32 days.
She does not plan to measure her basal body temperature (BBT). The time of her fertility, with the first day of menses defined as day 1, would be between what cycle days?
Day 8 to 21
What is the muscle that is an extension of the abdominal muscles which can raise or lower the testes depending on the environmental temperature?
Cremaster Muscle
Wilma plans to use the rhythm method for contraception. She has a regular menstrual cycle of 28 days each month. What days during her menstrual cycle would be her fertile period?
Day 10 to 17
The mechanism of action of combined oral contraceptives is that _____ suppresses LH action
while ______ suppresses FSH action.
Progesterone
Estrogen
Ferning or arborization of the cervical mucus is brought about by the crystallization of sodium chloride on mucus fibers in the presence of elevated levels of estrogen. This pattern can be normally seen in which phase of the menstrual cycle?
Proliferative
A woman, who wishes to use the calendar method for contraception, reports that her last 6 menstrual cycles were 28, 32, 26, 33, 30, and 35 days long, respectively. In the future, if used correctly, she should abstain from intercourse on what days of her cycle?
day 8 to 24
Deaths of infants which is influenced by environmental and nutritional factors and not merely genetic and prenatal factors can be measured using:
A. Infant mortality rate
B. Maternal mortality rate
C. Neonatal mortality rate
D. Post neonatal mortality rate
D
It is important in evaluating the health of a nation because it reflects the overall quality of maternal health and prenatal care.
A. Infant mortality rate
B. Maternal morbidity rate
C. Fetal death rate
D. Maternal mortality rate
A
“Maternal and child health nursing includes a high degree of independent nursing functions, because teaching and counseling are minor interventions.” This statement is:
A. False because health teaching is an independent and major function of the nurse
B. False because health teaching is a collaborative and interdependent role of the
nurse
C. Neither true nor false.
D. True because health teaching is an interdependent function of the nurse.
A.
The nurse functions effectively within nursing and inter professional teams, fostering open communication, mutual respect and shared decision making as they achieve quality patient care. This competency is known as:
A. Teamwork and collaboration
B. Patient care centered
C. Evidenced based practice
D. Quality improvement
A.
The infant mortality rate of a community is 80/1,000 live births. This rate implies:
A. The community has poor environmental condition
B. Affluent residents live in the community
C. Very poor environmental condition that is detrimental to the health of inf
D. The data are not sufficient
A.
The nurse instructs Cristina further into the process of ovulation. Which two statements below are TRUE?
A. At birth, each ovary contains probably 400,000 underdeveloped ova
B. Before puberty, the primordial cells produce estrogen
C. Normally, only one ovum matures in each cycle
D. The formation of Primordial cells continue until puberty
C and D
Which of the following, if stated by the client, would indicate that teaching about cervical mucus changes as an indicator for ovulation has been understood?
A. “If my cervical mucus is yellowish and thick, I am probably fertile.”
B. “the thin, clear mucus will block the sperm from getting into my cervix.”
C. “If my cervical mucus is thick and white, I will need to avoid intercourse or use back-up method of contraception
D. “If my cervical mucus is thin and watery, I am probably fertile.”
D.
A client has been instructed that her cervical mucus will be tested using a spinnbarkeit test. The nurse should explain to the client that this will test her cervical mucus for:
A. Amount of ferning pattern
B. Stretchability
C. Level of progesterone
D. Level of cervical mucus
B.
The nursing professor is discussing in the online lecture the differences between the male and female reproductive organs with emphasis on the organs that are homologous. Which of the following is incorrect?
A. Cowper’s gland - Skene’s glands
B. Scrotum - labia majora
C. Glans penis - clitoris
D. Spermatogenesis - oogenesis
D.
The nurse is discussing reproductive health with female adolescents. She would explain which of the following as the chief function of the progesterone? Select all that applies.
A. Prevents lactation during pregnancy
B. Influences the increased supply of glycogen, arterial blood and amino acids in the endometrium
C. Decreases uterine contractility
D. Proliferation of vaginal epithelium
E. Prepares the breasts for lactation
All options are correct
A client is prescribed an OCP. The nurse has explained to the client about the non-contraceptive benefits of OCP.
The nurse determines that the client needs further instructions when the client says that the OCP decreases the incidence of:
A. Premenstrual syndrome
B. Blood clots
C. Fibrocystic breast disease
D. Endometrial cancer
C.
Willy James asks the nurse about vasectomy. He understands that this is a minor operation and asks if he’ll become sterile immediately. The nurse’s best response is:
A. “If the procedure is done correctly, you’11 be sterile immediately.”
B. “You’ll be sterile in 2 to 3 days.”
C. “It may takes several weeks and as many as 30 to 40 ejaculations to remove all the live sperm.”
D. “No, you’ll remain fertile.”
C.
Ana Gay decides to have Bilateral tubal ligation, during the immediate postoperative period, a priority assessment for Nurse Jocelyn to make is:
A. Presence of constipation
B. Nausea and vomiting
C. Abdominal distention
D. Bleeding
D.
An individual’s or a couple’s choice of contraceptive method should be made carefully, with complete knowledge about the advantages, disadvantages and even the side effects. What are the important things that a couple should consider? Select all that apply.
A. Sensation effect
B. Cheapest or financial factors
C. Ability to use a method correctly
D. Environmental factors
B and C
A nursing student records the signs of her ovulation which likely includes:
Select all that apply.
A. Mittleschmerz
B. Increased quantity and pH of cervical secretions
C. Weight gain
D. Rise in BBT
A, B, D
An appointment to an Obstetrician’s office was scheduled by a cient because a home pregnancy test was performed and the results were positive. The nurse determines that the home pregnancy test identified the presence of what in the urine?
HCG
A 30 year old G2P1 (1001) seeks consult at the Obstetric Unit. A non-stress test is requested by her Ob-Gynecologist. While performing the non-stress test, the nurse told the mother the test showed: Baseline FHT-140’s, good variability, with more than
2 accelerations of 20 bpm lasting for 20 secs. The mother asked what this means. The tracing is interpreted by the nurse as __________
Reactive
Michelle Marquez, a 19 y/o primigravid consulted on your clinic for her first prenatal check-up. The fundic height was measured to be at the level of umbilicus. Assuming that this is not a multifetal pregnancy and there is NO structural, or medical abnormality, approximately how many weeks AOG is this pregnancy?
20 weeks
Michelle Marquez, 18 year-old, Gravida 1 Para 0, 39-40 weeks AOG, was brought to the Delivery Suite due to labor pains: Internal examination shows: Cervix 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds duration; mild to moderate contractions. Michelle in this case is already in what phase of labor?
Latent Phase
Michelle Marquez, a 25-year-old Gravida 1 at 37 weeks exhibits with gross rupture of membranes. On cervical examination, she is observed to be 4 cm dilated, 90% effaced with the presenting part at -3 station. The presenting part is soft and felt to be the fetal buttock. Immediate bedside ultrasound reveals a presentation with both hips flexed and knees extended What type of breech presentation is described?
Frank Breech
During the interview, Michelle Marquez verbalized she has undergone ultrasound only 4 weeks ago. Based on the result, the inlet is well rounded forward and backward and the pubic arch is wide indicating pelvis is ideal for childbearing. This type of pelvis is called as.
Gynecoid
Mrs. Michelle Marquez at delivery was assessed with a perineal laceration tore through the skin of the fourchette, vaginal mucous membrane, and the fascia and perineal muscles of the perineal body but not the anal sphincter or mucosa. This should be recorded in the medical record as what type of laceration?
Second Degree
