Obstetrical Nursing Objective Questions

Obstetrical Nursing Objective Questions

1. As regard to partograph all are correct except
(a) detects dysfunctional labour early
(b) records events in pregnancy
(c) reduces ceaserean section rate
(d) records uterine contraction

2. The most important factor in haemostasis following placenta seperation
(a) uterine contraction
(b) uterine retraction
(c) thrombosis
(d) myotamponade

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3. Most common cause of first trimester abortion is
(a) chromosomal abnormalities
(b) syphilis
(c) rhesus isoimmunization
(d) cervical incompetence

4. Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site?
(a) deltoid
(b) triceps
(c) biceps
(d) vastus lateralis

5. To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include
(a) monitoring the passage of each shift
(b) instituting phototherapy for 30 minutes every 6 hours
(c) substituting breastfeeding for formula during the 2nd day after birth
(d) supplementing breastfeeding with glucose waterduring the first 24 hours
6. A woman delivers a 3.250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination if this neonate?
(a) abundant lanugo
(b) abscence of sole crease
(c) breast bud of 1-2mm diameter
(d) leathery, cracked and wrinkled skin

7. The primary critical observation for apgar score is
(a) heart rate
(b) respiratory rate
(c) presence of meconium
(d) evaluation of the moro reflex

8. When performing a newborn assessment, the nurse should measure the vital signs in the following sequence:
(a) pulse, respiration, temperature
(b) temperature, pulse, respiration
(c) respiration, temperature, pulse
(d) respiration, pulse, temperature

9. The normal lochia discharge at the end of second week is called
(a) lochia rubra
(b) lochia serosa
(c) lochia alba
(d) lochia mixed

10. Uterus after delivery at term normally weighs
(a) 200gms
(b) 600gms
(c) 800gms
(d) 1000gms

11. Breast milk secretion after child birth is due to
(a) withdrawl of estrogen and progesterone
(b) production of prolactin
(c) excretion of oxytocin
(d) all of the above

12. Supression of lactation is best achieved by
(a) Oestrogen
(b) oestrogen + tetstosterone
(c) vit b6
(d) bromocriptine

13. The normal rate of involution of the uterus in 24 hours as per the height of uterus is
(a) 1.25cm
(b) 2.25cm
(c) 3.25cm
(d) 4.25cm

14. The causes of subinvolution of uterus are due to
(a) twins pregnancy
(b) uterine sepsis
(c) retained products of conception
(d) all of the above

15. The immediate complications that may arise in puerperium
(a) PPH
(b) Thromboembolism
(c) Psychosis
(d) Breast engorgement

16. Prolactin secretion is decreased by
(a) Bromocriptine
(b) Hyperthyroidism
(c) prolactinoma
(d) phenothiazine therapy

17. Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site?
(a) deltoid
(b) triceps
(c) biceps
(d) vastus lateralis

18. The glomerular filtration in the postpartum period returs to normal by
(a) 6 weeks
(b) 7 weeks
(c) 8 weeks
(d) 9 weeks

19. The meantime for onset of menstrual cycle for first after postpartum is within
(a) 7 – 8 weeks
(b) 9 – 10 weeks
(c) 11 – 12weeks
(d) 13 – 14weeks

20. In the phases of physiological basis of lactation, synthesis and secretion from the breast alveoli is called
(a) Mamogenesis
(b) Lactogenesis
(c) Galactokinesis
(d) galactopoiesis