2 Questions on Obstetrics, Gyne

QUESTIONS ON OBSTETRICS, GYNECOLOGY

1.

Estrogen, one of the hormones regulating regulating cyclic activities in female reproductive reproductive system is responsible for for which

effect? a.

Increases the quantity and pH of cervical mucus, mucus, causing it to become thin and watery and can be stretched stretched to a

distance of 10-13 cm. b.

Inhibits the production of LH

c.

Increases endometrial tortuosity

d.

All of the above

2.

Jessa, 17 years years old, is bleeding between periods of less than two two weeks. This condition is an abnormality in the

menstrual cycle known as: a.

Metrorrhagia

b.

Menorrhagia

c.

Amenorrhea

d.

Dysmenorrheal

3.

One factor of having a normal delivery delivery is the size size of the pelvis. pelvis. Pelvis serves as the the passageway for the

passenger (fetus) during childbirth. The most ideal pelvis for childbirth is: a.

Android

b.

Anthropoid

c.

Platypelloid

d.

Gynecoid

4.

An important landmark landmark of the pelvis pelvis that determines determines the distance distance of the descent descent of the head is known as:

a.

Linea terminalis

b.

Sacrum

c.

Ischial spines

d.

Ischial tuberosities

5.

The permanent cessation of menstruation is:

a.

Amenorrhea

b.

Menopause

c.

Oligomenorrhea

d.

Hypomenorrhea

Situation: Mrs. Donna, pregnant for 16 weeks age of gestation (AOG), visits the health care facility for her prenatal check-up with her only son, Mark. During assessment the client told the nurse that previously she got pregnant twice. The first was with her only child, Mark, who was delivered at 35 weeks AOG and the other pregnan cy was terminated at about 20 weeks AOG. 6.

Based on the data obtained, Mrs. Donna’s GTPAL score is:

a.

20111

b.

21111

c.

30111

d.

31111

7.

Discomforts during pregnancy are discussed discussed by the nurse to the Mrs. Donna. Which of the following, following, when

complained by the client would alert the nurse? a.

Easy fatigability

b.

Nausea and vomiting

c.

Edema of the lower extremities

d.

Heartburn

8.

Psychological and emotional responses of pregnant women differ. However, general emotional response has

been noted during pregnancy based on their gestational age. Mrs. Donna will most likely have which emotional response towards her pregnancy? a.

Presents denial disbelief and sometimes repression.

b.

Has personal identification of the baby and realistic plans for future of the child.

c.

Fantasizes the appearance of the baby.

d.

Verbalizes fear of death during childbirth.

9.

The nurse assisted Mrs. Donna to a dorsal recumbent position and is about to assess the fetal heart rate (FHR).

Which of the following apparatus should the nurse use in a uscultating for the FHR? a.

Doppler apparatus

b.

Fetoscope

c.

Ultrasound

d.

Stethoscope

10.

Mrs. Donna asked the nurse, when a fetal heart starts beating. The nurse correctly responded by stating:

a.

3 weeks AOG

b.

8 weeks AOG

c.

12 weeks AOG

d.

20 weeks AOG

Situation: Mrs. Dela Cruz is in labor and is brought to the emergency room with a ruptured bag of water. 11.

The nurse’s initial action once the bag of water has ruptured is:

a.

Take the fetal heart tones

b.

Put the client to the bed immediately

c.

Perform an IE

d.

Take the woman’s temperature

12.

Mrs. Dela Cruz’s has contractions growing stronger which lasts for 40 -60 seconds and occur approximately

every 3-5 minutes. The doctor is about to perform an IE, the nurse expects that the client’s cervical dilatation will be: a.

0-3 cm

b.

4-7 cm

c.

8-10 cm

d.

11-13 cm

13.

The doctor informed the woman that she is on station -1. Mrs. Dela Cruz asked the nurse, what does a station -

1 means, the most appropriate response of the nurse is: a.

“It means that engagement has already occurred.”

b.

“The presenting part of your baby is at the entrance of the true pelvis or the largest diameter of  the presenting

part into the true pelvis.” c.

“Your baby is still floating or “ballotable”

d.

“The presenting part of your baby is at the vulvar ring of your reproductive organ.”

14.

The history of Mrs. Dela Cruz revealed that she is a multipara. When should the nurse transport the client from

the labor room to the delivery room? a.

When the cervical dilatation is 8 cm.

b.

When the cervical dilatation is 10 cm.

c.

When the cervical dilatation is 9 cm.

d.

When the client feels the urge to push.

15.

Monitoring contractions is very important during labor. To monitor uterine contractions, what should the nurse

do? a.

Observe for the client’s facial expression to know that the contraction has started or stopped.

b.

Instruct the client take note of the duration of her contractions.

c.

Offer ice chips to the woman.

d.

Spread the fingers lightly over the fundus to monitor the contraction.

16.

Uterine contractions can occur because of the interplay of the contractile enzyme adenosine triphosphate and

the influence some hormones. Which of the following least likely contributes to the occurrence of uterine contractions? a.

Oxytocin

b.

Estrogen

c.

Prolactin

d.

All of the above

17.

Dysfunctional labor may be caused by which of the following?

a.

Excessive or too early analgesia administration

b.

Exhausted mother 

c.

Overdistention of the uterus

d.

All of the above

18.

The client’s uterine contractions are hypotonic. The nurses top priority with hypotonic con tractions during the

intrapartal period is: a.

Pain relief 

b.

Psychological support

c.

Monitoring the lochia for possible bleeding

d.

Infection control

19.

For a woman experiencing hypotonic contractions, what should be done initially?

a.

Obtain an ultrasonic result

b.

Infusion of oxytocin

c.

Administration of analgesia

d.

Amniotomy

20.

The most important nursing consideration in a postpartal woman with a hypotonic contraction is:

a.

Assessment for infection

b.

Assessment for bleeding

c.

Assessment for FHR

d.  Assessment for woman’s coping mechanism Situation: Bleeding during pregnancy is a serious case and should be managed immediately. 21.

Mrs. Diane is diagnosed with Placenta Previa. The main difference with the bleeding in placenta previa and

abruption placenta is that placenta previa has: a.

Painful bleeding

b.

Rigid abdomen

c.

Bright-red blood

d.

Blood filled with clots

22.

In caring for a client diagnosed with placenta previa, the nurse should avoid which of the following?

a.

Inspecting the perineum

b.

Performing a Kleihauer-Betke test

c.

Performing a pelvic examination

d.

All of the above

23.

For the nurse to distinguish that the bleeding of the patient is placenta previa or abruption placenta what should

she ask the woman? a.

Whether there was accompanying pain

b.

What she has done for bleeding

c.

Estimation of blood loss

d.

All of the above

24.

Continued bleeding may result to fetal distress. The nurse knows that the fetus is being compromised when she

observed or note which of the following: a.

Fetal tachycardia

b.

Fetal bradycardia

c.

Fetal thrashing

d.

All of the above

25.

A woman in labor is diagnosed with abruption placenta. The nurse would expect which findings in the client’s

history that may contribute to the occurrence of the complication? a.

Age of 24 years old

b.

Cigarette smoking

c.

Sleeping 8 hours per night

d.

Sitting for long period