Maternal and Child Nursing

Question 1

Age of viability:

Answer 1

At least 24 weeks
At least 20 cms in length
At least 600 grams

Question 2

FHR is heard using doppler, fetoscope, and stethoscope by what period?

Answer 2

Doppler: 10 weeks
Fetoscope: 16 weeks
Stethoscope: 18-20 weeks

Question 3

Neural tube defect is suspected if ___ is present in amniotic fluid

Answer 3

Alpha feto protein

Question 4

Fetal bradycardia and tachycardia

Answer 4

Less than 110

More than 160

Question 5

Lochia

Answer 5

Rubra: 1-3 days
Serosa: 4-9 days
Alba: 10 days

Question 6

Presumptive signs of pregnancy

Answer 6

Morning sickness
Amenorrhea
Fatigue
Frequency of urination
Breast changes
Lassitude
Quickening

Question 7

Average weight gain in pregnancy

Answer 7

11-13 kg

Question 8

Pituitary changes during pregnancy

Answer 8

Increased estrogen and progesterone

Decreased luteinizing hormone, FSH, and oxytocin

Question 9

Causes of first trimester bleeding

Answer 9

Abortion

Ectopic pregnancy

Question 10

Cases of 2nd trimester bleeding

Answer 10

Hyaditiform mole

Incompetent cervix

Question 11

How to position pregnant mothers with incompetent cervi

Answer 11

Trendelenerg position

Question 12

Medications for incompetent cervix

Answer 12

Tocolytics:

• Ritodrine HCL
• Terbutaline
• Magnesium sulfate

Question 13

Causes of 3rd trimester bleeding:

Answer 13

Placenta previa

Abruptio placenta

Question 14

L:S ratio for lung maturity

Answer 14

2:1

Question 15

Mode of action of tocolytics

Answer 15

Stimulate beta 2 receptors causing uterine relaxation

Question 16

Fluid administered with tocolytics to prevent hyperglycermia

Answer 16

Lactated Ringers

Question 17

Drug of choice for prevention and treatment of convulsions in pregnancy induced hypertension and causes CNS depression

Answer 17

Magnesium sulfate

Question 18

Antidote to magnesium sulfate

Answer 18

Calcium gluconate

Question 19

Gold standard for diagnosing diabetes

Answer 19

oral glucose tolerance test

Question 20

In hydramnios, amniotic fluid is more than ____ ml and index is above ___ cm

Answer 20

2000 ml

24 cm

Question 21

Treatment for HIV infected pregnant mother and infant

Answer 21

Zidovudine

Question 22

Chemoprophylaxis against pneumocystis carinii pneumonia in HIV exposed infants

Answer 22

Trimethoprim

Sulfamethoxazole

Question 23

Maternal infection that causes neonatal conjunctivitis

Answer 23

Chlamydia infection

Question 24

Maternal infection that causes opthalmitis

Answer 24

Gonococcal disease (Neisseria gonorrhea)

Question 25

Cause, mode of contraction, symptoms and treatment of Toxoplasmosis

Answer 25

Cause: Protozoan toxoplasma gondii, by eating raw meat or contact with feces of infected animals Ssx: myalgia, malaise, rash, splenomegaly, posterior cervical lymphadenopathy Tx: sulfadiazine and pyrimethamine

Question 26

Effect when rubella is acquired during first trimester, and on early second trimester

Answer 26

Death | Permanent hearing impairment

Question 27

Postpartum assessment

Answer 27

``` Breast Uterys Bladder Bowel Lochia Episiotomy ``` Skin Homan's sign Emotional response

Question 28

Classification of metal retartdation

Answer 28

Mild: 50-59: Slow, basic math and reading skills up to 6th grade, can achieve vocational skills, self-maintenance and independent living Moderate: 35-49: delay in motor development, with self-help, incapable of self-maintenance Severe: 20-34: marked delay in development and minimal self-help abilities, can conform to routines Profound: less than 20: gross retardation with minimal-capacity, incapable of self-maintenance, only basic emotional response

Question 29

Kinds of play for age

Answer 29

``` Infants: Solitary Toddlers: Parallel Preschool: Associative School age: Cooperative Adolescents: Competitive ```

Question 30

Usual cause of otitis media

Answer 30

Streptococchus pneumoniae | Hemophilus influenzae

Question 31

Four pillars of the family planning program

Answer 31

Responsible parenthood Respect for life Birth spacing informed choice

Question 32

First placental hormone produced

Answer 32

Human chorionic gonadotropin

Question 33

Normla amount of amniotic fluid

Answer 33

800-1200 ml at term

Question 34

Embryological origin of placenta

Answer 34

Trophoblast

Question 35

BPD that corresponds to 40 weeks gestration

Answer 35

8.5

Question 36

Averga eindex of amniotic fluid volume assessment

Answer 36

12-15