NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
PART FOUR OBSTERTIC NURSING
1. The best position to adopt for delivery which can a. Lateral position increase the pelvic outlet is…………..position
a. Lateral position
b. Lithotomy position c. Squatting position
d. Watcher’s position
2. The number of antenatal visits expected of a pregnant woman in focused antenatal care is………. times
a. 2
b. 3 C. 4
d. 5
3. Madam Akosua a 26 year old Gravida1 Para 0 had her last menstrual period as 1/1/17. What is her expected date of delivery?
a. 8/9/17
b. 9/9/17 c. 8/10/17
d. 9/11/17
NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
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4. The normal body temperature of a healthy baby is usually maintained due to the following conditions…..
i. A stable environmental temperature of between 18°C and 21°C
ii. Adequate nutrition
iii. Restricted movement by baby
iv. Unrestricted movement of the baby
a. i and ii only
b. i, ii, and iii only
c. ii and iii only
d. i, ii, and iv only
5. Lanugo which is found on the shoulder and chest of a preterm baby is described as ………..
a. Firm, downy hair
b. Hard, downy hair
c. Creamy, downy hair
d. Soft, downy hair
6. The primary function of the pelvis
a. Dancing
b. Movement
c. Running
d. Walking
7. The female pelvis is completely developed after
a. 18
b. 20
C. 24
d. 30
8. Which part of the uterus is shed off every month?
a. Decidua
b. Endometrium
c. Myometrium
d. Perimetrium
9. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?
a. Pelvic thrombophlebitis
b. Endometriosis
c. Endometritis
d. Salpingitis
10. A client at 36 weeks gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?
a. The ultrasound identifies blood flow through the umbilical cord
b. The ultrasound will help to locate the placenta
c. The ultrasound locates a pool of amniotic fluid
d. The test will determine where to insert the needle
11. While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the nurse expect to administer if the client develops complications related to heparin therapy?
a. Methylergonovine (Methergine)
b. Nitrofurantoin (Macrodantin)
c. Protamine sulfate
d. Calcium gluconate
12. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following?
a. Encourage the mother to discontinue breastfeeding
b. Turn the neonate every 6 hours
c. Notify the physician if the skin becomes bronze in color
d. Check the vital signs every 2 to 4 hours
13. A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?
a. Abdomen
b. Fundus
c. Perineum
d. Back
14. The nurse is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says:
a. “Leg cramps can be alleviated if I put an ice pack on the area.”
b. “If I start to leak colostrum, I should cleanse my nipples with soap and water.”
c. “If I have a vaginal discharge, I should wear nylon underwear.”
d. “Nausea and vomiting can be decreased if I eat a few crackers before arising.”
15. Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. By this time, the nurse expects that the phase of postpartum psychological adaptation that the client would be in would be termed which of the following?
a. Taking in
b. Resolution
c. Letting go
d. Taking hold
16. A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following?
a. Platelet infusion
b. Labor induction with oxytocin
c. Activity limited to bed rest
d. Immediate cesarean delivery
17. The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan?
a. Wearing a supportive brassiere with nipple shields
b. Breast-feeding the neonate at frequent intervals
c. Feeding the neonate a maximum of 5 minutes per side on the first day
d. Decreasing fluid intake for the first 24 to 48 hours
18. When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
a. Grasping reflex
b. Startle reflex
c. Tonic neck reflex
d. Babinski reflex
19. The area of the fallopian tube which joins the uterus is known as………….
a. Ampula
b. Cornua
c. Infundibulum
d. Isthmus
20. What is the average head circumference of a normal baby?
a. 31-35
b. 32-36
c. 33-37
d. 34-38
21. The following educations to be given to a client after norplant insertion EXCEPT:
a. Cover site of incision when bathing
b. Encourage the client to keep the arm dry.
c. Visit the client after every incision.
d. Visit the Clinic when there are signs of infection.
22. A client G2P1, 40week gestation reported at your clinic with the following history. Select the option that suggest a danger sign in pregnancy.
i. Mucoid bloody vaginal discharge
ii. Painful uterine contraction
iii. Ruptured membranes two days ago
iv. Vomiting and nausea which is continuous
a. i and ii
b. i and iii
c. ii and iv
d. iii and iv
23. The danger signs in this type of placenta is that the a lobe may e retained after the placenta is born. Choose the most appropriate answer.
a. Battledore insertion
b. Bipartite insertion
c. Circumvallate lobe
d. Succenturiate lobe
24. The teacher explained that during labour, there is funneling in the cavity which usually hinders the progress. The teacher was referring to which type of pelvis?
a. Android
b. Anthropoid
c. Gynaecoid
d. Platypelloid
25. The matured sperm is stored in ……………. before ejaculation.
a. Epididymis and deferent duct
b. Bulbourethral duct and deferent duct
c. Ejaculatory duct and prostate gland
d. Prostate gland and seminal vesicles
26. To locate the fetal back, the midwife performs ……… palpation
a. Fundal
b. Lateral
c. Pelvic
d. Pawlik’s
NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
NMC OBSTETRIC NURSING PAST QUESTIONS AND ANSWERS-1
