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NUR 259 (Maternity) > Multi-Choice/Relevant Questions (Past Exam) > Flashcards

Multi-Choice/Relevant Questions (Past Exam) Flashcards

1
Q

What do low APGAR scores at 1 min and 5 min intervals mean?

A

That the child needs special immediate care such as suctioning of the airway(nose-mouth) Oxygen therapy or constant monitoring(vital signs) such as in a breech birth.

Low scores dont necessarily mean that the newborn is abnormal some infants can take a lil longer to adjust to life outside the womb but gives a better clinical picture if there are problems.

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2
Q

Which virus is the most common cause of bronchiolitis in paediatric patient’s?

A

Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis but there can be other causes such as Adenovirus, Parainfluenza virus and Human metapneumovirus.

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3
Q

Which investigation is undertaken to diagnose which virus has caused the bronchiolitis?

A

ELISA

Enzyme Linked Immune Absorbent Assay or Immunofluorescence assay

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4
Q

All neonates are sessed by using an APGAR score what does this acronym stand for?

A

Appearance (skin color/pallor) eg Normal color all over (hands and feet are pink)

Pulse (heart rate) eg Normal (above 100 beats per minute)

Grimace (reflex irritability) eg Pulls away, sneezes, coughs, or
cries with stimulation

Activity (muscle tone) eg Active, spontaneous movement

Respiration (breathing rate and effort) eg Normal rate and effort, good cry

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5
Q

Name the pain scale you would use with the following child after surgery?

Six months old-

A

CRIES:
Crying

Requires O2 for SaO2 <95%

Increased vital signs

Expression

Sleepless

This scale is a NEONATAL POST-OP PAIN MEASUREMENT SCORE

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6
Q

Name the pain scale you would use with the following child after surgery?

Ten year old with Down syndrome-

A

FLACC: (If in pain)
Face- eg Frequent to constant quivering chin, clenched jaw

Legs- eg Kicking, or legs drawn up

Activity- eg Arched, rigid or jerking

Cry- eg Crying steadily, screams or sobs, frequent complaints

Consolability- eg Difficult to console or comfort

This scale is used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain.

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7
Q

What does the APGAR score do?

A

The APGAR score at 1 & 5 minute intervals indicates the overall physical condition of the newborn at birth and if there are any problems This assessment gives an overall view but does not predict long term health of the infant.

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8
Q

Identify three infection control precautions required for a paediatric patient with a droplet infection?

A
  1. Negative pressure room/isolation room or if that is not possible their own private room to prevent spreading the infection to other patients.
  2. HAND HYGIENE prevents cross-contamination and protects the patient.
  3. PPE- Droplet precautions! so Gown, Mask, Gloves
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9
Q

On examination the presence of what three symptoms would be suggestive of gastroenteritis?

A

Diarrohea, Vomiting, Abdominal cramps and fever can suggest Gastroenteritis but are not specific to this condition.

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10
Q

What is the primary intervention to prevent the spread of gastroenteritis?

A

HAND HYGIENE!

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11
Q

Which bacterial respiratory infection is being targeted in the combined immunisation vaccine given at 2,4 and 6 month of age to infants in Perth WA?

A

Diphtheria, Tetanus and Pertussis

These are all respiratory illnesses

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12
Q

Fertility depends on the ability of the ovaries to produce one dominant follicle per cycle this process is called?

a. Spermatogenesis
b. Folliculogenesis
c. Oogenesis
d. Granulogensis

A

c. Oogenesis

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13
Q

Which of the following best describes the term Gravida?

a. How many multiple pregnancies
b. How many pregnancies
c. How many miscarriages/stillbirths
d. How many live births

A

b. How many pregnancies

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14
Q

During which trimester are teratogens a major concern?

a. 1
b. 2
c. 3
d. All of the above

A

d. All of the above

Teratogens are eviromental/substances that can harm the fetus

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15
Q

Which of the following blood test is not a standard investigation at the first antenatal assessment?

a. Blood group and Rhesus factor
b. Rubella immunity
c. Fasting blood sugars
d. VDRL

A

d. VDRL

Veneral disease research lab

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16
Q

The APGAR score done at 1 and 5 minutes post-delivery assesses newborns?

a. Appearance, pulse, grimace, activity, respiration
b. Appearance, pulse, grasps activity respiration
c. Appearance, pulse, grip, activity, respiration
d. Appearance, pulse, grunt, activity and respiration

A

a. Appearance, pulse, grimace, activity, respiration

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17
Q

Palpation done by the midwife can assess all of the following except?

a. The size of the fetus
b. The position of the fetus
c. The degree of the presenting part
d. The fetal heart

A

d. The fetal heart??

seems the most logical as the fetal heart can only be assessed by machines not by a midwife

18
Q

When would Anti D be given in the antenatal period to a pregnant woman?

a. Routinely at 28 and 34 weeks
b. Threatened or spontaneous miscarriage
c. Termination of pregnancy
d. All of the above

A

b. Threatened or spontaneous miscarriage??

Anti D is not given routinely at 28/34 weeks so A and D are out leaving B as the most correct

19
Q

During the antenatal period women are screened for Group B strep (GBS) because?

a. 25% of woman without knowing have GBS in their vagina
b. Group B strep is an infection which can lead to infant mortalit and/or morbidity
c. Group B strep can be treated by oral antibiotics in the antenatal period
d. All of the above

A

d. All of the above

20
Q

Which of the following is considered a normal presentation?

a. Breech
b. Face
c. Vertex
d. Transverse

A

c. Vertex

21
Q

Routine midwifery antenatal care is able to detect all of the following except?

a. Ectopic pregnancy
b. Pre eclampsia
c. Vaginal Bleeding
d. Gestational Diabetes

A

b. Pre eclampsia

no defintive cause so its kind of like a PE, seems the most logical

22
Q

An increased BMI in pregnacy is associated with all the following except?

a. Hypertensive disorders
b. Gestational diabetes
c. Hyperemesis
d. Caesarean section

A

c. Hyperemesis

Continious spewing

23
Q

The midwife expects to administer an oxytocic to a woman after expulsion of her placenta to?

a. Relieve pain
b. Stimulate uterine contraction
c. Prevent infection
d. Facilitate rest and relaxation

A

b. Stimulate uterine contraction

Oxytocic helps with this

24
Q

WHO/NHMRC Exclusive breastfeeding is recommended for what period of a child life?

a. 12 months
b. 9 months
c. 6 months
d. 3 months

A

d. 3 months

is the recommended

25
Q

Which of the following is recommended for the newborn following birth?

a. HEP A
b. Vitamin D
c. Vitamin K
d. HEP B

A

c. Vitamin K

Through breastmilk/sun exposure risk

26
Q

Gastroenteritis is best described as:

a. Diarrhea and vomiting
b. Cramps and fever
c. Diarrohea vomiting and cramps
d. Diarrohea vomiting and cramps and fever

A

c. Diarrohea vomiting and cramps

27
Q

Which is the most common cause of asthma in children?

a. Exercise
b. Irritants
c. Allergies
d. Viral respiratory illness

A

c. Allergies

28
Q

Development is defined as?

a. Development is cephalocaudal
b. Development progresses from proximal to distal
c. Development progresses from gross to fine proceeds
d. Development is an increase in a skill or the ability to function

A

d. Development is an increase in a skill or the ability to function

29
Q

You are caring for a family whose 6 months baby is hospitalized. The mother is complaining that the child is only setted when sucking. What did Freud call this stage?

a. Anal
b. Phallic
c. Oral
d. Sensorimotor

A

b. Phallic

30
Q

When assessing a woman in the first stage of labour, the midwife recognise that the most conclusive sign that uterine contraction are effective would be?

a. Dilation of the cervix
b. Descent of the fetus
c. Rupture of the amniotic membranes
d. Increase in bloody show

A

a. Dilation of the cervix

31
Q

Which is the most common infectious organism to cause acute gastroenteritis in an infant or child?

a. Viral
b. Bacterial
c. Protozoa
d. Parasitic worms

A

b. Bacterial

32
Q

Which method of oxygenation is recommended for a 9 month infant with severe bronchiolititis who requires 3L of oxygen?

a. Nasal prongs
b. Hudson mask
c. Non rebreather bag
d. Headbox

A

a. Nasal prongs

33
Q

Which of the following best describes the phases of the second stage of labour?

a. Latent Phase: feels sleepy, duration is 30-45 min
b. Active phase: Overwhelmingly strong contractions
c. Descent phase: Significant increase in contractions
d. Transitional phase: Woman ‘labouring down’ duration is 15min

A

b. Active phase: Overwhelmingly strong contractions

34
Q

You are caring for a family who’s 3 year old is in hospital. The parents are concerned because he ‘doesnt talk much’ Which other developmental area maybe affecting his speech?

a. Auditory
b. Social/Emotional
c. Visual
d. Cognitive

A

d. Cognitive

35
Q

You are to assess and admit a 12 month old who is suspected to have sever bronchiolitis when you auscultate the chest what sounds will you expect to hear?

a. Grunting
b. Crackles
c. Stridor
d. Wheeze

A

b. Crackles

36
Q

The modified Paediatric Glasgow Coma Scale assesses?

a. Eyes opening
b. Best verbal or non verbal response
c. Best motor response
d. All of the above

A

d. All of the above

37
Q

Which of the following is the most reliable observation for compartment syndrome?

a. Pallor
b. Paraesthesia
c. Paralysis
d. Pain

A

d.Pain

38
Q

Which is the most efective infection control measure when caring for a child with gastroenteritis?

a. Isolation
b. Handwashing
c. Gown and glove
d. All of the above

A

d. All of the above

39
Q

Which two electrolytes are most affected by gastroenteritis?

a. Sodium and calcium
b. Potassium and magnesium
c. Calcium and magnesium
d. Sodium and potassium

A

d. Sodium and potassium

40
Q

A child with a chronic condition in this century is most likely?

a. To improve over time
b. To get worse over time
c. To be hospitalized many times
d. To live longer

A

d. To live longer

because of medical treatments

41
Q

In WA which of the following professional must report child sexual abuse?

a. RN’s Teachers Doctors and Psychologists
b. RN’s Teachers Doctors and Police
c. Student Nurses Teachers Doctors and child care staff
d. Student Nurses Teachers Doctors and police

A

a. RN’s Teachers Doctors and Psychologists

NUR 259 (Maternity) (3 decks)

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