Review Exam for MCN
Situation for 1-3
Arline works as a sales lady at SM dept. store. Halfway through her pregnancy, she notices bipedal edema and pronounced varicosities of her legs. She has been taking iron supplements for 4 months now, and occasionally complains of pain and swelling of her hemorrhoids.
1. You are sharing information to Arline about Iron supplements. Which of the following statement if made by Arline indicates further instruction?
a. I should increased my fluid intake to 3 liters a day.
b. I can take Iron anytime during the day.
c. There is no need for me to take vitamin C because I take it with orange juice
d. I can take laxative to minimize constipation
2. Arline asked you the contributing factors causing bipedal edema and varicosities. Your answers are all EXCEPT?
a. elevates legs every 2 hours throughout the day
b. advise Arline to get an adequate exercise
c. Arline must limit her iron intake for the day.
d. Arline must keep within the recommended weight range.
3. Arline further asked you the importance of resting her legs elevated several times daily. You will answer likely be?
a. to relieve pain an discomforts
b. to promote adequate gas exchange
c. to avoid easy fatigability
d. to promote venous return
Situation 4-6
Stella is on her 36th week of pregnancy. She is asked to monitor fetal kick counts. And later in the day, she is to undergo contraction stress test and non-stress test. She starts to get anxious and is seen pacing back and fourth.
4. Basing on the situation provided. Select appropriate nursing diagnosis applicable to Stella.
a. knowledge deficit related to complications of pregnancy
b. anxiety related to uncertainty regarding pregnancy outcome
c. altered role performance related to feelings of uncertainty
d. risk for injury related to emotional stress
5. It is said that for a non-stress test to be reactive, the fetus must?
a. show an acceleration of heart beat in every uterine contraction
b.show at least 2 contractions in a given period of time of 20 minutes
c. kick at least 10 times every 2 hours
d. react to a vibroaccoustic stimulation
6. All are correction information of contraction stress, EXCEPT?
a. during a uterine contraction there is always a brief period of impaired uteroplacental oxygen exchange.
b. this monitors the fetus response to contractions to determine his well being.
c. the woman must have three contraction lasting for 10 minutes
d. a negative result indicates that the fetus is not suffering hypoxia.
7. the woman in her 26th week of pregnancy has just undergone an amniocentesis procedure to detect chromosomal abnormalities. the woman asked the nurse how soon she can resume regular activities. Which statement denotes correct understanding of the woman?
a. no need to restrict movement as long as there is no complications
b. i must go back to work, i hate back logs
c. i must remain in bed for the rest of the day
d. i can resume my regular activities on the third day
8. It is the bony pelvis forms the rigid passageway through which the fetus must navigate to be delivered vaginally.
a. passenger c. power
b. psyche d. passageway
9. It describes the long axis of the fetus in relation to the long axis of the pregnant woman.
a. attitude c.fetal lie
b. presentation d.position
10. Refers to the relationship of the fetal parts to one another
a. attitude c. presentation
b. fetal lie d. position
11. Refers to the foremost part of the fetus that enters the pelvic inlet.
a. attitude c. presentation
b. fetal lie d. position
12. It is the relationship between the fetal presenting part to the four quadrants of a woman's pelvis.
a. attitude c. presentation
b. fetal lie d. position
13. It refers to the relationship of the fetal presenting part to the ischial spines.
a. effacement c. dilatation
b. station d. engagement
14. It refers to widening of the cervical os wide enough for the passage of the fetus
a. effacement c. dilatation
b. station d. engagement
15. It refers to the setting of the fetal presenting part far enough to have reach the woman true pelvis at the level of the ischial spine.
a. effacement c. dilatation
b. station d. engagement
16. It refers to the thinning and shortening of the cervix
a. effacement c. dilatation
b. station d. engagement
17. It is the interval from the beginning of a contraction to the end of the same contration.
a. frequency c. interval
b. duration d. intensity
18. It is the period from the beginning of a contraction to the beginning of the next contraction.
a. frequency c. interval
b. duration d. intensity
19.It is the period from the end of a contraction to the beginning of the next contraction.
a. frequency c. interval
b. duration d. intensity
20. It refers to the strength of a contraction
a. frequency c. interval
b. duration d. intensity
Arline works as a sales lady at SM dept. store. Halfway through her pregnancy, she notices bipedal edema and pronounced varicosities of her legs. She has been taking iron supplements for 4 months now, and occasionally complains of pain and swelling of her hemorrhoids.
1. You are sharing information to Arline about Iron supplements. Which of the following statement if made by Arline indicates further instruction?
a. I should increased my fluid intake to 3 liters a day.
b. I can take Iron anytime during the day.
c. There is no need for me to take vitamin C because I take it with orange juice
d. I can take laxative to minimize constipation
2. Arline asked you the contributing factors causing bipedal edema and varicosities. Your answers are all EXCEPT?
a. elevates legs every 2 hours throughout the day
b. advise Arline to get an adequate exercise
c. Arline must limit her iron intake for the day.
d. Arline must keep within the recommended weight range.
3. Arline further asked you the importance of resting her legs elevated several times daily. You will answer likely be?
a. to relieve pain an discomforts
b. to promote adequate gas exchange
c. to avoid easy fatigability
d. to promote venous return
Situation 4-6
Stella is on her 36th week of pregnancy. She is asked to monitor fetal kick counts. And later in the day, she is to undergo contraction stress test and non-stress test. She starts to get anxious and is seen pacing back and fourth.
4. Basing on the situation provided. Select appropriate nursing diagnosis applicable to Stella.
a. knowledge deficit related to complications of pregnancy
b. anxiety related to uncertainty regarding pregnancy outcome
c. altered role performance related to feelings of uncertainty
d. risk for injury related to emotional stress
5. It is said that for a non-stress test to be reactive, the fetus must?
a. show an acceleration of heart beat in every uterine contraction
b.show at least 2 contractions in a given period of time of 20 minutes
c. kick at least 10 times every 2 hours
d. react to a vibroaccoustic stimulation
6. All are correction information of contraction stress, EXCEPT?
a. during a uterine contraction there is always a brief period of impaired uteroplacental oxygen exchange.
b. this monitors the fetus response to contractions to determine his well being.
c. the woman must have three contraction lasting for 10 minutes
d. a negative result indicates that the fetus is not suffering hypoxia.
7. the woman in her 26th week of pregnancy has just undergone an amniocentesis procedure to detect chromosomal abnormalities. the woman asked the nurse how soon she can resume regular activities. Which statement denotes correct understanding of the woman?
a. no need to restrict movement as long as there is no complications
b. i must go back to work, i hate back logs
c. i must remain in bed for the rest of the day
d. i can resume my regular activities on the third day
8. It is the bony pelvis forms the rigid passageway through which the fetus must navigate to be delivered vaginally.
a. passenger c. power
b. psyche d. passageway
9. It describes the long axis of the fetus in relation to the long axis of the pregnant woman.
a. attitude c.fetal lie
b. presentation d.position
10. Refers to the relationship of the fetal parts to one another
a. attitude c. presentation
b. fetal lie d. position
11. Refers to the foremost part of the fetus that enters the pelvic inlet.
a. attitude c. presentation
b. fetal lie d. position
12. It is the relationship between the fetal presenting part to the four quadrants of a woman's pelvis.
a. attitude c. presentation
b. fetal lie d. position
13. It refers to the relationship of the fetal presenting part to the ischial spines.
a. effacement c. dilatation
b. station d. engagement
14. It refers to widening of the cervical os wide enough for the passage of the fetus
a. effacement c. dilatation
b. station d. engagement
15. It refers to the setting of the fetal presenting part far enough to have reach the woman true pelvis at the level of the ischial spine.
a. effacement c. dilatation
b. station d. engagement
16. It refers to the thinning and shortening of the cervix
a. effacement c. dilatation
b. station d. engagement
17. It is the interval from the beginning of a contraction to the end of the same contration.
a. frequency c. interval
b. duration d. intensity
18. It is the period from the beginning of a contraction to the beginning of the next contraction.
a. frequency c. interval
b. duration d. intensity
19.It is the period from the end of a contraction to the beginning of the next contraction.
a. frequency c. interval
b. duration d. intensity
20. It refers to the strength of a contraction
a. frequency c. interval
b. duration d. intensity
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