College of Nursing

All India Instutite of Medical Sciences, Rishikesh (Uttarakhand)

B.Sc. (Hons) Nursing 3rd year Batch – 2016
End Term Examination – 2019
Subject – Obstetrics and Gynaecological Nursing including Midw
Note: All questions are compulsory. Each carries 1 mark
Q. No. Question Text Option A Option B Option C
In indian scenario we see that Hypertensive Obstetric Postpartum
maternal morbidity and mortality is Diseases Hemorrhage Depression
high, what is the main reason of
maternal mortality during
1 pregnancy and labour?

The medical termination of 20 weeks 24 weeks 28 weeks

pregnancy act which is formed to
2 protect pregnancies under legal
guidelines, does not protect act of
termination of pregnancies after:

The quality of an obstetrical and Competency Autonomy Decision making

gynaecological nurse in which her
thoughts, work and actions are able
3 to follow norms chosen of her own
without external constraints is
known as:

This refers to systems of health Extended Roles Expanded Roles Change in social
care delivery that focus on reducing structure
the cost of health care by closely
monitoring the cost of personnel,
use and brands of supplies, length
4 of hospital stays, number of
procedures carried out, and number
of referrals requested:
 It refers exclusively to people with ANM Trained nurse Skilled birth
midwifery skills, who have been and midwife attendant
trained to get proficiency in the
skills necessary to manage normal
5 deliveries and to diagnose, manage
or refer complications to all levels
of health care settings:

A nursing teacher is teaching about gynecoid android anthropoid

female pelvis and its types to the
students, which type of pelvis has
6 the below given features? Heart
shaped brim with prominent ischial
spines

In labour room a placenta is given 100ml/min 250ml/min 330 ml/min

to students and asked, what is the
7 amount of fetal blood flow through
the placenta? Correct answer is:
A term gravid mother had done her 400 ml 500 ml 700 ml
ultrasound and the report stated that
8 her amniotic fluid is normal. What
is her expected level of amniotic
fluid?
While a nurse performing post maturity meconium Rh incompatability
amniotomy the nurse noted that the stained
9 color of the fluid was golden
coloured. What would be the
nurses interpretation?

An antenatal mother asks to the 5th day 11th day 20th day
clinical nurse regarding
10 implantation timing of the fertilized
ovum. What would the nurses’s
expected answer?

After the delivery of the placenta 300 g 600 g 800 g

the nurse writes the report in the
case file as placenta and
11 membranes complete and small
sized placenta with the weight of
350 g. What is the normal weight
of the placenta at term?
 During per vaginal examination of Jacquemier’s sign Goodell’s sign Chadwick’s sign
a 6 weeks antenatal mother,
midwife found the cervix to be
12 softened at the lip of the mouth.
What should be the midwife’s
interpretation for this finding?

In an antenatal clinic doctor asks 9 days and 9 7 days and 9 9 days and 9
the students to calculate the EDD months to the last months to the months from the
of the antenatal mother with menstrual period last menstrual ovulation day
13 Naegele’s formula. How will the period
students calculate the EDD using
this formula?

After completion of topic 0-12 hours 12-24hours 24-36 hours

Oogenesis students ask question
14 that What is the expected life span
of an oocyte? Correct answer will
be?

The physician determines that the 4- 6 weeks 10-12 weeks 16-18 weeks
client is in the 15th week of
pregnancy. The client asks if it is
too early to hear the baby’s
15 heartbeat. How early in a
pregnancy can the nurse expect to
hear the foetal heart beat using a
Doppler device?

A patient has underwent testing of At 36 weeks she At 28 weeks she No further testing
her blood type and Rh factor. She will receive Rh should receive will be done
has A- blood type. Which of the immune globulin. the Rh immune because the patient
16 following statement is correct? globulin. is Rh negative,
instead of Rh
positive.

A patient Roshini, who is multipara Roshini is having Sign of old Both a and b
came for antenatal checkup at 28th loose and lax scarring from
weeks of gestation. How will you abdominal wall previous perineal
17 assess that she is a multipara and lacerations
not the primigravida from the
following options?
 A patient Sunita, 22nd weeks Immediately go Sit and relax , The problem
pregnant , is worry about the for this is nothing to mostly disappears
Haemorrhoids problem that she is haemorrhoidectom worry after pregnancy
18 facing during pregnancy . What y
would be the best advice you will
give, if haemorrhoids are not
bothering her too much?

The nurse is preparing a client at 16 Ensure the client Ensure that Ensure that the
weeks’ gestation for an has a full bladder. lab results are on client empties her
19 amniocentesis. Which of the the chart. bladder.
following nursing actions has
priority?

A client at 28 weeks’ gestation was “Heartburn means “Heartburn “Heartburn is

seen for a routine clinic your baby has a lot means you are caused by
appointment. She complained of hair.” carrying a boy.” pregnancy
20 about frequent heartburn. She hormones.”
asked the clinic nurse why this
occurs. Which of the following
replies by the nurse is most
accurate?
When abdominal examination is Podalic Cephalic Breech
done on a antenatal woman, What
21 is the presentation of fetus in utero
if buttocks of fetus are felt in
fundal grip ?

A pregnant woman at her 16 weeks Give first dose Give first dose Give first dose then
of gestation came in antenatal then gap of 4 then gap of 1 gap of 2 weeks
clinic. she has queries regarding TT weeks then 2nd weeks then 2nd then 2nd dose
22 administration. What is the correct dose dose
answer by the nurse about TT
administration in pregnancy?

A 16 years old girl named Meera Single parent Unwed mother victim of sexual
came to antenatal OPD with violence
complaints of nausea and vomiting
23 with amenorrhea since 2 months,
her UPT is done and is positive.
Meera falls in which category of
pregnancy
 Tripple screening is to be done on a Maternal blood Amniocentesis urine examination
antenatal woman which measures sampling
blood protein, screens for spina
24 bifida, Down syndrome and other
severe abnormalities, which of the
following is needed for this
screening?

A clinical examination is done on a Breast Per Vaginal Blood screening

woman to detect a number of examination examination
clinical conditions such as
anatomical abnormalities and
sexually transmitted infections, to
evaluate the size of a woman’s
25 pelvis (pelvimetry) and to assess
the uterine cervix so as to be able
to detect signs of cervical
incompetency, this examination is
referred as:

The nurse documents positive Palpable Passive Fetal kicking felt

ballottement in the clients prenatal contractions on the movement of the by the client
26 record. The nurse understands that abdomen unengaged fetus
this indicates which of the
following?

When teaching a group of Menstrual phase Proliferative Secretory phase

adolescents about variations in the phase
length of the menstrual cycle, the
27 nurse understands that the
underlying mechanism is due to
variations in which of the
following phases?

When measuring a client’s fundal From the xiphoid From the From the
height, which of the following process to the symphysis pubis symphysis pubis to
28 techniques denotes the correct umbilicus to the xiphoid the fundus
method of measurement used by process
the nurse?

A multigravida at 38 weeks Maternal vital sign Fetal heart rate Contraction

gestation is admitted with painless, monitoring
bright red bleeding and mild
29 contractions every 7 to 10 minutes.
Which of the following
assessments should be avoided?
 After 4 hours of active labor, the nurse
Obtaining
notes thatanthe contractions
Administering
of a primigravida
a Preparingclient
for aare not strong en
order to begin IV light sedative to cesarean section for
oxytocin infusion allow the patient failure to progress
30 to rest for several
hour

The postterm neonate with Respiratory Gastrointestinal Integumentary

meconium-stained amniotic fluid problems problems problems
31 needs care designed to especially
monitor for which of the
following?
The laboring client is experiencing Discontinue the IV Document the Contact the doctor
contractions every 2–3 minutes fluid containing finding in the at once and
lasting 90 seconds. The client’s Pitocin (oxytocin) client’s medical reposition the client
fetal heart rate is ranging from record
32 130–140 beats per minute (BPM)
with variability of 6–10 beats per
minute. Which action by the nurse
is most appropriate?

The client is found to be at +4 Prepare for Chart the finding Administer pain
33 station. Which action is most delivery medication
appropriate for the nurse to take?
During stage 3 of labor, a gush of Postpartum Imminent Signs of placental
blood is noted and the uterus haemorrhage delivery of baby separation
34 changes shape from an oval shape
to globular shape. This indicates?
A patient who is in labour has Increase in Retracting Rapid and intense
transitioned to stage 2 of labor. meconium-stained perineum and contractions
35 What changes in the perineum fluid and retracting anus with an
indicate the birth of the baby is perineum increase of
imminent? bloody show

The nurse observes the client’s Clear and dark Milky, greenish Clear, almost
amniotic fluid and decides that it amber in colour yellow, colorless, and
appears normal. What are the containing containing little
36 normal features of amniotic fluid shreds of mucus white specks
that made the nurse to reach the
conclusion?

Why should the client nurse teach energy helps to fatigue may energy is needed to
pregnant women the importance of increase the increase the need push during the
37 conserving the "spurt of energy" progesterone level of pain first stage of labour
before labour? medication
 A primigravida with 40 weeks of teach the client encourage the provide the client
gestation arrives at the labour room how to push with client to perform with comfort
with abdominal cramping and a each contraction pattern paced measures
bloody show. Her membranes breathing
ruptured 30 minutes before arrival.
38 Vaginal examination reveals 1 cm
dilatation and -1 station. After
obtaining the FHR and maternal
vital signs, what should the nurse
do next?

Why should the nurse with hold the the mechanical undigested food the gastric phase of
food and oral fluids as a labouring and chemical and fluid may digestion stimulates
client approaches the second stage digestive process cause nausea and the release HCL
39 of labour? require energy that vomitting and may cause
is needed for the dyspepsia
labour process

A nurse is caring for a primigravida bloody discharge client become perineum begins to
during labour. What does the nurse from the vagina more irritable bulge with each
40 observe that indicates birth is about increases contractions
to happen?
The cervix of a client in labour is relax by closing push with her blow to slow the
fully dilated and effaced. The head her eyes glottis open birth process
41 of the fetus is at +2 station. What
should the nurse encourage the
client to do during contractions?

How should the nurse plan the care decrease the IV help the client to reduce the client's
42 for a client in the transition phase fluid intake maintain control discomfort with
of the first stage of labour? medications
A client was being taken care by deep breathing perform pelvic use the panting
her partner/ attendant during the slowly rocking technique
women's labour. The client's cervix
is now dilated 7 cm, and the
presenting part in the mid pelvis.
43 What should the nurse instruct the
partner to do that will alleviate the
client's discomfort during
contraction?

A client is admitted in the delivery Diminished blood increased and less discomfort
area in active phase of labour. What flow more variable with contractions
44 should the nurse expect after an FHR
amniotomy is performed?
 A pregnant women at 39 weeks auscultate the fetal perform check the vaginal
gestation arrives in the triaging area heart rate to abdominal introitus for the
of the labour ward, stating that,"her determine the feat palpation to rule presence of
45 bag of water have been broken." well being out the umbilical cord
What should be the nurse's next presentation
action?

A client's membrane spontaneously auscultate the FHR monitor the call the health care
rupture during active labour. The contractions provider
nurse inspects the perineum and
46 determine that the umbilical cord is
not visible. What is the next
nursing action ?

A client's membrane rupture while change the client's take the client's stop the oxytocin
her labour is being augmented with position blood pressure infusion
oxytocin infusion. A nurse observes
47 variable decelaration in the fetal
heart rate on the fetal monitoring
strip.what action should the nurse
take immediately?

A primigravida is admitted to the not yet engaged below the ischial entering the pelvic
delivery room in early labour. A spine inlet
pelvic examination reveals that her
48 cervix is 100% effaced and the 3
cm dilated.the fetal head is at +1
station. In what area of the
maternal pelvis is the fetal occiput?

What is the most common problem intrusion on inability to take interference with
that confronts the client in labour movement sedative breathing technique
49 when an external fetal monitor has
been applied on to her abdomen?
Longitudinal axis of the fetus in Presentation Attitude Lie
relation to the long axis of maternal
50 uterus assessed by nurse during
abdominal examination prior to
delivery is determined as:

On the third postpartum day, a Puerperal diuresis Renal Increased

client complains that she is malfunctioning postpartum fluid
51 urinating more than when she was intake
pregnant. which is the primary
cause of urinary output
postdelivery
 The time period following Puerperium Pregnancy Involution
childbirth during which the body
52 tissues, specially the pelvic organs
revert back approximately to the
prepregnant state, is known as:

Implementing anti – D It is given in all It is given only It is given during

immunoglobulins prophylaxis in the pregnant in primigravida last trimester in Rh
53 Rh-D negative women during women negative mother
pregnancy , which of the following
statement is considered?

On assessment of the postpartum Elevate the client,s Document the Massage the fundus
client the nurse notes that the leg findings until it is firm
54 uterus feels soft and boggy. the
nurse takes which initial action:
While mother is feeding her child Breast milk Colostrum A and B
first time, the discharge from the
55 breasts following birth of the baby
for the first three days is known as:
Mrs. Moni, 35 years old postnatal Clean the wound Application of Hot fomentation at
mother admitted in obstetrics ward, and advice her to infrared heat at suture site
complains that she is having severe use ice packs at suture site
56 pain on episiotomy site, on suture site
observation hemotoma found at
suture site, what will be the intial
action by nurse?

A primiparous mother who is 4 weeks 6 weeks 8 weeks

admitted to postnatal ward, is
conscious about time period of
57 involution of her genital organs and
is frequently asking questions.
What will be the best answer by the
nurse?

The nurse is providing instructions I should feed after I should I should change the
about measures to prevent 2-3 hours exclusively breast pads
postpartum mastitis to a client who breastfeed the frequently
58 is breastfeeding her newborn baby
,which client statement indicate
need for further instructions
 A postpartum nurse is preparing to Every 30 minutes Every 15 Every hour for the
care for a woman who has just during the first minutes during first 2 hours and
delivered a healthy newborn infant. hour and then the first hour and then every 4 hours
59 In the immediate postpartum period every hour for the then every 30
the nurse plans to take the woman’s next two hours. minutes for the
vital signs: next two hours.

A postpartum nurse is taking the Retake the Notify the Document the
vital signs of a woman who temperature in 15 physician findings
delivered a healthy newborn infant minutes
60 4 hours ago. The nurse notes that
the mother’s temperature is
100.2*F.Which of the following
actions would be most appropriate?

A nurse in a Postpartum unit is One peripad per Two peripads per Three peripads per
instructing a mother regarding day day day
lochia and the amount of expected
61 lochia drainage. The nurse instructs
the mother that the normal amount
of lochia may vary but should
never exceed the need for:

A nurse in a delivery room is Warming the crib Turning on the Closing the doors
assisting with the delivery of a pad overhead radiant to the room
newborn infant. After the warmer
62 deliveryWhich of the following
method is used by the nurse to
prevent heat loss in the newborn
resulting from evaporation?.

A newborn is admitted to neonatal Level I Level II Level III

intensive care unit with sustained
63 life support and is on full
respiratory support which level of
care is required by the newborn?

A newborn with cleft palate is suction infant feeding in sitting hold feed of an
admitted to the ward, what before feeding position infant during
64 appropriate feeding method for the hospitalization
nurse to use with this infant?
When performing a physical bulging fontanels stiff lower abnormal heart
assessment of a newborn with extremities sound
65 down syndrome, the nurse suspects
that the infant may have
 When the object touches the baby's rooting reflex gag reflex sucking reflex
cheek ,baby turns his head towards
66 the side touched ,opens his mouth
and begins to suck -this is an
A NICU nurse is taking care of a administer oxygen document notify physician
newborn what action should a findings
67 nurse take if the respiratory rate of
an infant is 35 breaths/minute
A nurse is educating a postnatal attachment parenting caring
mother regarding proper newborn
68 care. The newborn should always
be kept close to the mother for
effective

Vitamin K is prescribed for a Deltoid Triceps Vastus lateralis

neonate after birth. A nurse
69 prepares to administer this
medication in which muscle site?
A nurse prepares to administer a Your infant needs The vitamin K Newborn infants
vitamin K injection to a newborn vitamin K to will protect your are deficient in
infant. The mother asks the nurse develop immunity. infant from being vitamin K. and this
why her newborn infant needs the jaundiced. injection prevents
70 injection. The best response by the your infant from
nurse would be: abnormal bleeding.

A nurse in a newborn nursery is Wrap the tape Place the tape Place the tape
performing an assessment of a measure around measure under measure under the
newborn infant.What would the the infant’s head the infants head infants head. wrap
nurse do to appropriately measure and measure just at the base of the around the occiput.
the head circumference of the above the skull and wrap and measure just
71 infant? eyebrows. around to the above the eyes
front just above
the eyes

At 10 hours of age an infant has a administer oxygen suction insert nasogastric

large amount of mucus and become tube
72 cyanotic .what should the nurse do
first
 A primigravida client at 8 weeks' Hydatidiform Gonorrhea. Syphilis
gestation tells the nurse that since 2 mole
days she has vaginal bleeding,
discharge of clusters of vesicles on
her vagina with variable degree of
73 abdominal pain. The nurse refers
the client to a health care provider
because the nurse suspects which
of the following?

After a dilatation and curettage Urinary tract Chorioamnionitis Abdominal

(D&C) to evacuate a molar infection. distention.
74 pregnancy, assessing the client for
signs and symptoms of which of
the following would be most
important?
When preparing a multigravid Ectopic pregnancy Choriocarcinoma. Multifetal
client who has undergone pregnancies
evacuation of a hydatidiform mole
for discharge, the nurse explains
75 the need for follow-up care. The
nurse determines that the client
understands the instruction when
she says that she is at risk for
developing which of the following?
After suction and evacuation of a 6 months. 12 months. 18 months.
complete hydatidiform mole, the
28-year-old multigravid client asks
the nurse when she can become
76 pregnant again. The nurse would
advise the client not to become
pregnant again for at least which of
the following time spans?

A client presents to the OB triage Applying external Applying Obtaining a fundal

unit with no prenatal care and fetal monitor and external fetal height physical
77 painless bright red vaginal complete physical monitor and assessment on the
bleeding. Which interventions are assessment. perform sterile patient.
most indicated? vaginal exam.

When assessing a 34-year-old Painless vaginal Uterine tetany. Intermittent pain

multigravid client at 34 weeks' bleeding. with spotting.
gestation experiencing moderate
78 vaginal bleeding, which of the
following would most likely alert
the nurse that placenta previa is
present?
 The primary health care provider Validate client Check the vital Ask the client if she
prescribes whole blood information and signs before has ever had any
replacement for a multigravid the blood product transfusing over allergies.
79 client with abruptio placentae. with another 5 to 6 hours.
Before administering the nurse.
intravenous blood product, the
nurse should first:
The nurse should do which of the Prepare the client Obtain a brief Insert a large-
following actions first when for a vaginal history from the gauge intravenous
80 admitting a multigravid client at 36 examination. client. catheter.
weeks' gestation with a probable
diagnosis of abruptio placentae?

An ultrasound is performed on a Delivery of the Strict monitoring Complete bedrest

client at term gestation who is fetus of intake and for the remainder
experiencing moderate vaginal output of the pregnancy
bleeding. The results of the
81 ultrasound indicate that abruptio
placentae is present. Based on these
findings, the nurse would prepare
the client for:

When explaining about the causes SLE Tuberculosis Alcohol

of IUGR, the nurse states that all of consumption
82 the following are causes of IUGR
except:
Intrauterine growth restricted The fetal Non-stress test is Biophysical profile
fetuses are more prone to movement count non reactive is 8
83 intrauterine asphyxia. It is in 12 hours is only
suspected in IUGR pregnancies if: 10
What is your management of a 36 Laparatomy Laparascopy Repeat of vaginal
year old woman who is pregnant sonography several
after primary infertility. She is days later
84 referring to you for spotting and
hypogastric pain, beta HCG is 1500
mu/l and ultrasound of uterus and
ovaris are normal.

What is the most likely cause of Endocrine Immunological Anatomic

abortion in a 27 year old woman
with the past history of two
85 abortions in 10 wks and one in 15
wks with normal karyotype
conceptus?
 Fetal cells usually enter the Indirect coomb's Direct coomb's tesKleihauer betke test
maternal circulation at the time of test
86 expulsion of fetus or at the time of
delivery.These cells are identified
in maternal circulation by:

Indication for immediate REDF (Reversed Mild IUGR Reactive

87
termination of pregnancy with end diastolic flow) biophysical profile
IUGR is : old client, 6 weeks'
A 21 year Bowel perforation Electrolyte imbal Miscarriage
pregnant is diagnosed with
hyperemesis gravidarum. This
88 excessive vomiting during
pregnancy will often result in
which of the following conditions?

A senior nurse is taking a class on Fetal kick chart Cardiotocograph Chorionic villous
IUGR. When talking about the y CTG non stress sampling
investigations for it, she mentioned test
89 that all these tests can be useful in
management of intrauterine fetal
growth restriction (IUGR)
EXCEPT:

When talking about the possible Intra uterine death Severe hypoxia Meconium
90 complications of IUGR, all are and fetal distress aspiration
included except : in labor
What is your management of a 36 Laparatomy Laparascopy Repeat of vaginal
year old woman who is pregnant sonography several
after primary infertility. She is days later
91 referring to you for spotting and
hypogastric pain, beta HCG is 1500
mu/l and ultrasound of uterus and
ovaris are normal.

What is the most likely cause of Endocrine Immunological Anatomic

abortion in a 27 year old woman
with the past history of two
92 abortions in 10 wks and one in 15
wks with normal karyotype
conceptus?

In the 12th week of gestation a Administer Make certain she Not give RhoGAM
client completely expels the RhoGAM within receives since it is not used
products of conception. Because 72 hours RhoGAM on her with the birth of a
93 the client is Rh negative the nurse first clinic visit stillborn
must:
 A client in the first trimester of I will maintain I will avoid I will count the
pregnancy arrives at a healthcare strict bedrest sexual numbe of perineal
clinic and reports that she has been throughout the intercourse until pads on a daily
experiencing vaginal bleeding. A remainder of the bleeding has basis and note the
threatened abortion is suspected pregnancy stopped and for amount and colour
94 and the nurse instructs the client 2weeks of blood on the
regarding management of care. following the last pads
Which statement, if made by the evidence of
client,indicates a need for further bleeding
education?

A 24 years old G2 P1 A0 had last Threatened Inevitable abortio Incomplete abortion

menstrual period 9 weeks ago. She abortion
presents with bleeding and passage
95 of tissus pervaginum. Bleeding is
associated with lower abdominal
pain. The most likely diagnosis is :

A 32 years old primigravida Preterm Labour Postterm Labour Prolonged labour

presented with contractions since 1
day. She looks uncomfortable. Her
96 cervix is 2 cm dilated and 50%
effaced. What is her condition
indicating:

A 24 years old 36 weeks gestation ineffective uterine prolonged labour hyperactive uterine
woman presented in labour. She contractions contractions
has contractions every 5 minutes
97 and looks comfortable. She
progressed 4 cm in last 6 hours.
Membranes are intact. Her
condition is determined as:

A 28 years old primi at 42 weeks of Uterine inertia Cephalopelvic preterm labour

gestation admitted in labour room. Disproportion
There is history of pelvic fracture.
98 Cervix is 6 cm dilated and
membranes are ruptured. Pelvis is
constricted and fetal head is not
engaged. What is the contion?

Under what condition is external Multiparity Placenta Previa presenting part

99 cephalic version allowed in breech sacrum
or transverse position?
 A woman 35 years old G2P1A0, 38 Induction of Internal rotation Allow spontaneous
weeks estimated fetal weight 2 kg labour to make mentum rotation
100 presents face and shoulder in ant. Post
presentation. How do you manage position
her delivery?

A few hours in labour induction Maternal position Uterine Compression of

CTC shows a late deceleration after on left lateral side hyperstimulation fetal head
101 episodes of frequent contractions. from cervical
The most like explanation of ripening agent
deceleration is:

A client just ruptured her Check color and Perform vaginal Instruct the client
membranes spontaneously when quantity of the examination for to remain in bed the
she went to the bathroom to fluid. dilation. remainder of labor.
102 urinate. As soon as she gets back to
bed, what is the first assessment the
nurse should make?

A client arrives in the labor and Perform a ferning Feel the perineal Check at the
delivery unit with a perineal pad test pad for moisture vaginal opening
on, stating that she “thinks she with nitrazene
103 ruptured her bag of water” On way. paper
the nurse can assess if the bag is
really ruptured is to:

A client has been making steady Decrease in FHR Inability to push Client anxious and
progress in labor. When she is to 100 bpm baby out restless
starting to push, she lets out a
104 blood-curdling scream and
contractions stop. What sign would
the nurse recognize as life
threatening in this situation?

A labor and delivery nurse is Check for ruptured Call for the Turn client to left
watching the fetal monitor strip on membranes. physician. side or knee-chest
a client whose fetus has been at -3 position.
105 station. Suddenly the FHR drops
from 150 to 90 bpm and stays
there. What is the first thing the
nurse should do to help the fetus?

A client is about 3 weeks larger in “Do not eat or “Drink several Eat properly before
uterine size than her dates indicate. drink after glasses of water test
The physician orders an ultrasound midnight.” 1 hour before,
106 to diagnose multiple fetuses. What and do not
information should the nurse give urinate.”
the client in preparation for the
test?
 A client is 4–5 cm dilated at 40 The contraction is The contraction The uterus is at
weeks. She is complaining of at its peak starts to its peak rest
107 severe backache with contractions.
The nurse will administer an
analgesic IV when:

A woman who is G3 P2 is Reduce risk of Prevent preterm Prevent trauma in

concerned about fetal loss because PROM dilation of the case of precipitous
of an incompetent cervical os. She cervix delivery
108 is scheduled for a cerclage. The
nurse explains to her that a cerclage
is used to:

During recovery after delivery of Urinary tract Hemorrhoids Uterine atony

twins, a client begins to infection (UTI)
109 hemorrhage. The nurse recognizes
this as usually related to:
The nurse is explaining tests to Amniocentesis NST Ultrasound
assess the growth of twins during
110 pregnancy. Which of the following
would the nurse explain to the
client?

The delivery nurse is prepared for Retained placental Prolapsed cord Meconium-stained
111 this common complication with fragments fluid
twin deliveries:
A client’s abdomen is loose and Umbilical hernia Diastasis recti Inguinal hernia
soft after delivery. The nurse will
112 assess for a common herniation
that appears after delivery, which
is:
Suddenly, a client who is in active Put on sterile Call the Speed up her IV
labor screams out in pain and then gloves for delivery physician fluids
113 quiets down. She has had three
previous cesarean sections. The
nurse’s first priority is to:

During Pitocin administration, the Reposition in Administer O2 Hydrate with

nurse recognizes a tetanic Trendelenburg by face mask primary fluids
114 contraction and fetal bradycardia.
The nurse’s first intervention would
be to:

A G4 P3 client arrives at the Precipitous labor Placenta previa Ruptured uterus

hospital in active labor. She has
been scheduled for her fourth
115 cesarean section. A major
complication the nurse would be
concerned about is:
 A client still has irregular “Pitocin is a “The hospital “Tell me more
contractions. Her physician orders dangerous drug.” can handle any about your fears;
116 Pitocin. She expresses concern emergency.” maybe I can
about induction, and the nurse alleviate them.”
replies:

A client is scheduled for an Determine sex of Evaluate Confirm fetal

ultrasound. The nurse explains to the fetus placental age presentation
117 the client that the primary use of
ultrasound in post-term pregnancy
is to:

A client is at 26 weeks’ gestation MgSO4 Betamethasone Oxytocin

with prematurely ruptured
membranes. In order to help mature
118 the fetus’ lungs in utero, the nurse
would anticipate the physician
would order:

A nurse recieves a baby with Administering Reassuring the Encouraging

PROM.Nursing care for effective narcotics mother that the ambulation
119 management of preterm PROM “baby will be
includes: fine”
A postpartum client is diagnosed Providing sitz bath Encouraging Placing ice on the
with cystitis. The nurse plans for fluid intake perineum
120 which priority nursing intervention
in the care of the client?
When assessing a client 1 hour Uterine involution Cervical Placental
after vaginal delivery, the nurse laceration separation
121 notes blood gushing from the
vagina, pallor and a rapid, thready
pulse. What do these findings
suggest?
Three hours postpartum, a uterine inversion perineal retained placental
primiparous client’s fundus is firm lacerations tissue
and midline. On perineal
122 inspection, the nurse observes a
small, constant trickle of blood.
Which condition should the nurse
assess further?
A primiparous client who gave hygiene needs fatigue fainting
birth vaginally 8 hours ago desires
123 to take a shower. The nurse
anticipates remaining nearby the
client to assess for which problem?
 During a home visit with a Normal uterine Retained Puerperal
primipara who gave birth 7 days involution. placental infection.
ago, the client tells the nurse that fragments.
her lochia serosa has been profuse
and foul-smelling and she has had
124 chills. During palpation of the
uterus, the client indicates that she
is very sore. The nurse should
further assess the client for:

When assessing a postpartum Massage the Assure the client Apply an ice pack
client, the nurse notes a continuous uterus every 15 that such to the perineum.
flow of bright red blood from the minutes. bleeding is
125 vagina. The uterus is firm and no normal.
clots can be expressed. Which
action should the nurse take?

A multigravid client gave birth blood glucose uterine infection fundus and lochia
vaginally 2 hours ago. A family level and vital and pain
member notifies the nurse that the signs
126 client is pale and shaky. Which are
the priority assessments for the
nurse to make?

A nurse is providing care for a Placenta previa Hypertension Severe pain

postpartum client. Which condition
127 increases this client's risk for a
postpartum haemorrhage?
A nurse Kamla recieved a baby with 100 % oxygen Maintain patent Mechanical
Respiratory Distress syndrome with administration airway Ventilation
128 the C/O dyspnea. What should be her
priority nursing intervention?

Parents brought a 4 month-old to OPD A sunken fontanel Drinking water Increased blood
with lethargy and poor feeding. Which pressure
129 among the following finding
suggestive of fluid volume deficit?

Rh negative mother delivered a baby. Direct Coomb's Indirect Coomb's Blood culture
Which among the following test is
130 more likely to be ordered for the
baby?

A nurse Kavita identifies which Sucking Swallowing Respiration

among the following society is
131 compromised in a newborn baby with
cleft lip?
 The nurse is monitoring a mother fatigue drowsiness uterine
who is receiving oxytocin to induce hyperstimulation
labour. Which assessment finding
132 would cause the nurse to
immediately discontinue the
oxytocin infusion?

A nurse posted in peadiatric OPD Supine Prone Sitting

133 recieves a baby with epistaxis should
give him which position suitably?
What is the priority need that must Rest Respiratory Nutrition
134 include in the care of a child who is exercise
having pneumonia?
Nurse was going through the file of a Olive like mass Projectile string in the x-ray
child who is admitted with vomiting
135 hyperpyloric stenosis. All among the
following except one can be seen in
the file:

Safest position of neonate is on their Asphyxia Apnea Sudden infant death

back or side lying this is because syndrome
136 incidence of ......................... is very
less in those position.

Excess vitamin A cause all among the Increased appetite Blurred vision Bone pain or
137 following sign EXCEPT swelling
Feeding a child with coanal atresia can Chokes on feeding Lack of Does not appear to
138 cause ................ swallowing be hungry
reflexes
In phototherapy unit what is the To provide privacy To reflect the light To avoid exposure to
139 importance of using white clothes or to the child back on the baby other lights in the
aluminium foil around the unit? unit
The nurse is assessing a client who Obtain Instruct the Elevate the
is 6 hours Postpartum after haemoglobin and mother to request mother's legs
delivering a full-term healthy haematocrit levels help when
infant. The client complains to the getting out of
nurse of feelings of faintness and bed
dizziness. Which of the following
140 nursing actions would be most
appropriate?

A nurse recieves a baby with Maintain hydration Antibiotic therapy Measurement in head
141 meningomyelocele. What should be circumference daily
her priority nursing action?
 A nurse in a delivery room is assisting Warming the crib Turning on the Closing the doors to
with the delivery of a newborn infant. pad overhead radiant the room
After the deliveryWhich of the warmer
following method is used by the nurse
142 to prevent heat loss in the newborn
resulting from evaporation?.

A NICU nurse is taking care of a administer oxygen document notify physician

newborn what action should a findings
143 nurse take if the respiratory rate of
an infant is 35 breaths/minute
At 10 hours of age an infant has a administer oxygen suction insert nasogastric
large amount of mucus and become tube
144 cyanotic .what should the nurse do
first
When the object touches the baby's rooting reflex gag reflex sucking reflex
cheek ,baby turns his head towards
145 the side touched ,opens his mouth
and begins to suck -this is an
A preterm neonate admitted to the brachial palsy dislocate hip intracranial
neonatal intensive care unit has hemorrhage
muscle twitching ,seizures
146 ,cyanosis,abnormal respirations and
a short ,shrill cry.what
complication is to be suspected

When performing a physical bulging fontanels stiff lower abnormal heart

assessment of a newborn with extremities sound
147 down syndrome, the nurse suspects
that the infant may have
A tracheo-esophageal fistula should jaundice bile stained absence of sucking
be suspected in a neonate vomitus
148 immediately after birth if one of the
following is present
A 10 days old baby is admitted tachycardia bradycardia hypothermia
with 5% dehydration.The nurse is
149 most likely to note which of the
following signs
A weeks old child who has persistent dysentry severe dysentry
150 diarrhoea for 14 days but has no diarrhoea
sign of dehydration ,is classified as
Beti Bachao, Beti padavo programme Haryana Bihar Uttar Pradesh
151 launched in which state?
 JSY stands for: Janani swetchatha Jan Suraksha Janani Suraksha
152 Yojana Yojana Yojana
As per RCH, first referral unit is: District Hospital Community health primary health centre
153 centre
154 Universal precaution is applied for: Blood Semen Amniotic fluid
ASHA (Accredited social health Community level Village level PHC Level
155 activist) workers are fucntioning at:
A patient enquires the community Pain Bleeding Vaginal discharge
health nurse reagarding commonest
156 side effect of copper-T. What should
be the appropriate response by the
nurse?

A couple who comes for first antenatal Rubella Measles Varicella

checkup enquires regarding the
vaccinewhich is contraindicated in
157 pregnancy. What should be the most
correct response of the nurse?

Child survival and safe motherhood MCH NRHM RCH

158 (CSSM) programme was replaced by
which program in India?
ASHA workers performance is Number of Number of home Reducation in IMR
159 monitered by: deliveries attended visits

Pap smear is an example of : Primordial Primary Secondary

160 prevention prevention prevention
The nurse should anticipate that Excessive Placental
hemorrhage related to uterine atony analgesia was delivery An episiotomy had
161 may occur postpartally if this given to the occurred within to be done to
condition was present during the mother thirty minutes facilitate delivery
delivery: after the baby of the head
was born
You are performing abdominal Experiencing the Having supine Having sudden
exam on a 9th month pregnant beginning of labor hypotension elevation of BP
woman. While lying supine, she
162 felt breathless, had pallor,
tachycardia, and cold clammy skin.
The correct assessment of the
woman’s condition is that she is:

The nurse posted in antenatal OPD Once a month Precoceptional Twice a month
gives education to an antenatal client. during first 7 visit during the next
163 Which of the following about months month
Antenatal Visit is NOT true:
 Placing infant Covering the Placing crib close
Nurse is taking care of a newborn
under radiant scale with a to nursery window
who was born by forcep assisted
warmer after warmed blanket for family viewing
vaginal delivery. Which of the
164 bathing prior to weighing
following actions would be least
effective in maintaining a neutral
thermal environment for the
newborn?
Call the Start oxygen per Suction the infant’s
Geeta deliverd a baby at 42 weeks. assessment data to nasal cannula at mouth and nares
Immediately after birth the nurse the physician’s 2 L/min.
notes the following on a male attention
newborn: respirations 78; apical
165 hearth rate 160 BPM, nostril
flaring; mild intercostal retractions;
and grunting at the end of
expiration. Which of the following
should the nurse do?

Which of these is a possible side Nausea Irregular bleeding Headaches

166 effect of birth control pills?
A woman with preeclampsia is Ankle clonus is The blood Seizures do not
receiving magnesium sulfate. The noted pressure occur
nurse assigned to the care for the decreases
167 patient determines that the
magnesium sulfate therapy is
effective if:

Methylergonovine is prescribed for Peripheral Hypothyroidism Hypotension

a client with postpartum vascular disease
haemorrage. Before administering
the medication, a nurse contacts the
health care provider who
168 prescribed the medication if which
of the following conditions is
documented in the client's medical
history?

A nurse is monitoring a client who fatigue lethargy sleepiness

is receiving an oxytocin infusion
169 for the induction of labour. The
nurse would suspect water
intoxication if which of the
following were noted?
 A nurse is caring for a client in increased urinary a fetal heart rate 3 contractions
labour who is receiving oxytocin output of 90 beats/ min occuring within a
infusion to stimulate the uterine 10 minute duration
170 contractions. Which assessment
finding would indicate to the nurse
that the infusion has to be
discontinued?

A nurse is preparing to administer morphine sulphate fentanyl butorphanol tartate

an analgesic to a client in labour.
171 Which analgesic is contraindicated
for a client who has a history of
opiod dependency?

Which among the following is the to increase the to relieve the to prevent
purpose of the drug butorphanol uterine false labour pain respiratory distress
172 tartate (stadol) used for a client in contractions in the newborn
labour?
The physician has ordered urine for glucose deep tendon stool for blood
magnesium sulphate therapy for a reflexes
client in worsen condition. While
the client is receiving magnesium
173 sulphate, besides monitoring the
client's vital signs, what other
nursing assessment is essential to
include?

The ingestion of drugs during first trimester second trimester third trimester
pregnancy is most likely to cause
174 structural damage to the fetus
during which trimester of
pregnancy?
A nurse is caring for an obese epidural anesthesia oral opoid pudendal nerve
client in early labour. The analgesia anesthesia
anesthesiologist have discussed
regarding the types of analgesia
175 and anesthetic and recommended
one according to the client's
condition. Which type of anesthesia
did the anesthetic preferred for the
client?
A client in labour who has been turn the client on notify the health check the vaginal
receiving epidural anesthesia has a her side care provider area for bleeding
sudden episode of severe nausea
176 and her skin becomes cold and
clammy. What is the nurse's
immediate action?
 Which one of the following is the IUCD Depo-Provera Diaphragm
ideal contraceptive for a patient
177 with heart disease who comes to
familoy planning OPD for family
planning?

A postpartum nurse is assessing a Paleness of the Enlarged, Coolness of the calf

mother who delivered a healthy calf area hardened veins area
newborn infant by C- section. The
nurse is assessing for signs and
symptoms of superficial venous
178 thrombosis. Which of the following
signs or symptoms would the nurse
note if superficial venous
thrombosis were present?

A postpartum client is being treated Dysuria, Epistaxis, Hematuria,

for DVT. The nurse understands ecchymosis and hematuria and ecchymosis and
179 that the client's response to vertigo dysuria epistaxis
treatment will be evaluated by
regularly assessing the client for:

A 20 years woman is reffered with Cervical Smear Endocervical Speculum

a problem of post coital bleeding, swab for examination
over the past two months it has chlamydia
occurred on six occassions and
there has been a small amount of
180 bright red blood noticed after
intercourse. There is no associated
pain. The following investigations
should initially be performed, apart
from:

A 24 years old woman presents Hyperprolactinae Hyperthyroidism premature ovarian

with the absence of periods for 7 mia failure
months. She started her periods at
her age of 13 years and had a
regular 28 day cycle until 18
months ago. The periods then
181 became irregular, occuring every 2-
3 months until they stopped
completely. the following are all
included in the differential
diagnosis of secondary
amenorrhea, except:
 A 32 years old woman presents to Increased Normal FSH Normal oestradiol
the gynaecology clinic with androgen levels
infrequent periods. A hormone
182 profile is done and all the following
are consistent with polycystic
ovarian syndrome, except:

A 48 year old woman presents with Endocervical Cervical Endometrial polyp

intermenstrual bleeding for two polyp malignancy
months and episode of bleeding
183 occuring anytime in the cycle.
There is no associated pain.
Differential diagnosis for
intermenstrual bleeding does not
include:
A Lady with uterine fibroid is scurvy anemia altered mental
having prolonged and heavy status
184 bleeding . She is mainly developing
which high risk condition?
A young student came with the ovarian cancer cushing's PCOD
complaints of oligomenorrhea, syndrome
hirsutism and weight gain, USG
185 done and it reveals multiple sub
capsular cyst. What would be the
most likely diagnosis?

A 43 year old women came to Tranexamic acid dilatation and misoprostol

Gynae OPD with complaints of curettage
heavy, irregular menstural bleeding
186 with clots without any anatomical
reason. What may be the effective
remedy to reduce her menstural
flow?

A 32 year old woman begins GnRH analogue Androgenic Combined oral

medical treatment for agent contraceptive pills
endometriosis. After 2 months the
patient returns to the physician
187 complaining of hot flashes, vaginal
dryness, loss of libido, and mood
swings. What type of medication
was the patient prescribed?
 A 16-year-old girl is brought to the Complete Mullerian Transverse vaginal
physician by her mother because androgen agenesis septum
she has not started to menstruate insensitivity
yet. Examination shows Tanner syndrome
stage IV breast development and
188 pubic hair, normal external female
genitalia, and shaved axillary
hair. Which of the following is the
most likely diagnosis?

A client asks the nurse, "Why do I This is the hardest Who told you I'm not sure why
need to examine my armpits when I area to feel for that you have to that is important,
do my monthly breast exam?" changes. do that? but it sounds like it
189 Which of the following would be is.
an appropriate response for the
nurse to make to this client?

During the breast exam, the nurse It's done because To review the To assess the deep
palpates a series of lymph nodes. the chest area is integrity of the lymph nodes which
190 Why is this a part of the breast exposed. skin. drain the mammary
exam? lobules.
A 14-year-old female client is upset Don't worry about They look equal Maybe you should
because her breast development is that! to me. talk with your
191 not equal. What can the nurse say mother about breast
to this client? surgery?
An elderly female client wants to It's not really Breast cancer Probably in a
know when she can stop doing necessary at your can still develop month or two.
192 breast exams. What can the nurse age. when you get
say to this client? older.
A female client tells the nurse, "I Nothing. Talk with the Instruct the client
know I should examine my breasts client about on how to perform
193 but I just don't." What should the possible fears the breast exam
nurse do with this information? associated with again.
the breast exam.

The nurse is planning a focused Has your mother Have you ever Are you still
breast/axilla interview and wants to or sister had breast had a menstruating?
194 include a general health question. cancer? mammogram?
Which of the following questions
would fit this criteria?

A 58-year-old client says to the Maybe you can Wearing a good Don't be silly.
nurse, "My saggy breasts have breast bra will help.
195 embarrass me!" What can the nurse augmentation
say to this client in response? surgery?
 During the breast exam, the nurse Skin dimpling is The nurse The client has
asks the client to raise her arms accented in this couldn't palpate small breasts.
196 over her head. Why did the nurse position. the axillae
change the client's position? correctly.
A 29-year-old G4P4 is found to Vaginal Radical Cold-knife
have an abnormal smear signed out hysterectomy hysterectomy/Ra conization of the
as atypical glandular cells, diotherapy cervix
favouring neoplasia. She undergoes
a colposcopy with cervical
197 biopsies. One of the ectocervical
biopsies demonstrated
adenocarcinima in the situ. The
most appropriate next step is:

A 42-year-old G4P4 has had Perform a Pap Perform a cold- Give the patient a
postcoital bleeding for the past four smear knife conization course of
months. She has not had a Pap test intravaginal
since the delivery of her last child 7 Metronidazole gel
years ago. Speculum examination followed by
198 shows a vaginal discharge and a 1 reexamination
cm exophytic lesion of the in 6 weeks
posterior cervical lip. The most
appropriate next step is:

A 54-year-old woman is found to Lipid cell tumor. Granulosa-theca Sertoli-Leydig yumo

have endometrial hyperplasia on cell tumor.
199 endometrial biopsy. A functional
ovarian tumor to be suspected is a
A 63 old lady presents with epithelial tumour germ cell tumour stromal tumour
abdominal mass & weight loss ,
200 was diagnosed as having an
ovarian tumor , the most common
ovarian tumour in this woman
would be…
kesh (Uttarakhand)

sing including Midwifery

MM- 200
Option D Answer
Anemia

30 weeks

Privacy

Cost
containment

D
Staff nurse

platypelloid

400ml/min
D

1000 ml
C

Intra Uterine
Death
C

22nd day

500 g

D
Hegar’s sign

7 days and 9
months from the
ovulation day
B

36-72 hours

20-24 weeks

The patient will

be checked for
clotting
problems B

Rigid uterine
wall

C
No need to
worry

Ensure that the

client has
remained NPO. C

“Heartburn is
caused by
carrying your
baby high.”
C

Oblique

Give first dose

then gap of 3
weeks then 2nd
dose A

teenage
pregnancy

D
fetal blood

Systemic
examination

Enlargement
and softening of
the uterus B

Ischemic phase

From the fundus

to the umbilicus
C

Cervical dilation

D
Increasing the
encouragement
to the patient
when pushing A
begins

Elimination
problems
A

Insert an internal
fetal scalp
electrode
monitor
B

Increase the
oxytocin A

Both b &c
C

Bulging
perineum and
rectum with an D
increase in
bloody show

Cloudy, greenish
yellow and
containing little
white specks C

fatigue will
increase the
intensity of B
contraction s
prepare for
client blood
grouping and Rh
typing

food and fluid

will further
aggravate gastric
peristalsis B

contraction
becomes more
stronger and last C
longer
pant to prevent
the cervical
edema B

institute simple
breathing B
technique
begin pattern
paced breathing

progressive
dilation and
effacement D
do a nitrazine
test on the
vagianl fluid for
verification C

obtain the
maternal vital
signs
A

prepare the
client for an
immediate
delivery
A

visible at the
vaginal introitus

increased
frequency of
vaginal A
examination
Position

Breastfeeding

A
postnatal period

It is given
during last
trimester in Rh C
positive mother

Push on the
uterus to assist
in expressing C
clots
None of these
B

Antibiotics

10 weeks

I should wash
my nipples daily
with soap and
water D
Every 5 minutes
for the first 30
minutes and
then every hour B
for the next 4
hours.

Increase
hydration by
encouraging oral
fluids
D

Eight peripads
per day

Drying the
infant in a warm
blanket
D

Level IV

bubble the infant

after feed to
reduce risk for B
aspiration
unusual
papillary
reaction C
grasp reflex
A

reassess after 15
minute
B

bonding

Biceps
C

Newborn infants
have sterile
bowels. and
vitamin K
promotes the C
growth of
bacteria in the
bowel.

Place the tape

measure at the
back of the
infant’s head.
wrap around
across the ears. C
and measure
across the
infant’s mouth.

record the
incident
B
Herpes

Hemorrhage.

Infertility.

24 months.

Obtaining fundal
height and a
sterile vaginal A
exam.

Dull lower back p

A
 Administer 100
mL of 5%
dextrose
solution A
intravenously.

Prepare the
client for an
ultrasound scan. C

The need for

weekly
monitoring of
coagulation
studies until the A
time of delivery

Major degree
placenta previa
D

The placental
grading is 3 or 4
B

Progesterone
measurement

Infectious

B
Amniocentesis
and cytology of
liquor C

None of the abov

A

Pregnancy
induced
hypertension
(PIH) B

Biophysical profil

Post maturity
D

Progesterone
measurement

Infectious

Make certain the

client does not
receive
RhoGAM since
A
the gestation
only lasted 12
weeks.
I will watch for
the evidence of
the passage of
tissue

Twin pregnancy

Precipitate Labou

spastic lower
segment

Postterm labour

CPD
A
Caesarean
section
C

Umbilical cord
compression
B

Listen to FHR

Do a vaginal
examination

Palpation of
fetal parts
through
abdominal wall
D

Prepare for
cesarean section.

“Give yourself
an enema prior
to the test.”
B
The contraction
ends
B

Protect mother
from abnormal
Pap smears
B

Inability to
breast-feed at
delivery C

GTT

Placenta previa
B

Hiatal hernia
B

Check the
contraction
pattern C

Turn off the

Pitocin IV
D

Dysfunctional
labor

C
 “You will be
monitored
closely, to look C
for
complications.”

Assess for fetal

abnormalities
B

Ritodrine

Monitoring for
signs of
infection D

Monitoring
hemoglobin and
hematocrit B
levels
Post partum
hemorrhage
D

bladder
distention

diuresis

C
Uterine atony.

Notify the
physician.

temperature and
level of
consciousness
C

Uterine infection
A

Intubate the client

B

Enough tears
A

Pletelet count
A

Facial expression
B
early
deceleration of
fetal heart rate
C

Lithotomy
C

Tricycle riding
A

Radiating pain
towards left
shoulder D

Aspiration
C

Dryness in the
skin A

Talks about half

of the feeding A

All of the above

B

Inform the B
nursery room
nurse to avoid
bringing the
newborn infant
to the mother
until the feelings
of light-
headedness and
dizziness have
subsided.

I/O chart
maintanance C
Drying the infant
in a warm blanket

reassess after 15
minute
B

record the
incident
B

grasp reflex
A

fractured hip

unusual
papillary
reaction C

excessive
amount of frothy
saliva in the D
mouth
hyperthermia
A

severe persistent
diarrhoea A

Delhi
A
Jan Sulabh-
Sauchaly Yojana C

Sub centre
B

All of the above D

District level
B

Pelvic
Inflammation
B

All of the above

ICDS
C

Number of
training hours C
attended
Tertiary
prevention C

The labor and

delivery lasted
for 12 hours A

Going into
shock

Every week in
thereafter
B
Covering the
infant’s head
with a knit cap
C

Recognize this
as normal first
period of
reactivity
D

All of the above

D

Scotomas are
present

Diabetes
mellitus

tachycardia

D
adequate resting
tone of the
uterus palpated
between the
B
contractions

meperidine
hydrochloride
C

to prevent
nausea and
vomitting B

pupils for
constriction

entire pregnancy
A

IV infusion of
opoid analgesia

monitor the fetal

heart rate every
three minutes
A
Oral
contraceptive
pills C

Palpable dorsalis
pedis pulses

Hematuria,
ecchymosis and
vertigo C

Colposcopy

Weight Loss

B
Decreased LH

Ovarian
Teratoma

fractures
B

diabetes mellitus

ergometrine
maleate

Progestins

A
Turner
syndrome

Breast tissue
extends into the
axilla.
D

To assess
shoulder range
of motion. C

Breast tissue
growth is
uneven but will D
even out as you
get older.
You can stop
five years after
menopause. B

Instruct the
client on getting
an annual B
mammogram
instead

Have you had

any breast
trauma? C

Breasts sag
because of
declining D
estrogen levels.
 The client has
large breasts.
A

Loop excision of
the cervical
tranformation
zone
C

Perform a punch
biopsy of the
lesion

Muncious
cystadenocarcin
oma. B

trophoblastic
tumour
A