The answer to practice questions in Genki I and II
wirting
anatomy review
Respuestas Inside Out AdvancedFull description
)*" Fou attended to a mother who deli/ered a harelip baby0which of the following traits do you thin( you should posses in order to help the mother accept the situation8 A.E'mpath' B"Sympathy C"Pity
#"Shame
)'" Professional conduct should be obser/ed by a midwife0 an e%ample of which is8 "per&orming the task and &unctions that is onl' within the scope o& midwi&er' practice. B"performing the function of a midwife since nursing care can be done by the midwi/es effecti/ely" C"operating a lying+in clinic which charged e%orbitant fee #" Choosing patient
)9" $hich of the following is true about the code of ethics for midwi/es& "a midwife should wor( with interest and concern and may -oin a health team at her discretion" B"a midwife is bound by professional ethics so she has the reason to re/eal any information gi/en by her patient" C.a midwi&e who has accepted to the take care o& a patient should render service to the patient to the best o& her abilit'. #" a midwife who choose client and charged e%orbitant fee
);" $hen teaching a group of adolescents about male hormone production0 which of the following would the midwife include as being produ ced by the 4eydig cells& A. ?ollicle+stimulating hormone B. Testosterone C. 4euteini6ing hormone !. Gonadotropin releasing hormone
A .
.<" $hen preparing a woman who is ) days postpartum for discharge0 recommendations for which of the following contracepti/e methods would be a/oided& #iap hrag m ?emale condom (ral contraceptives Rhythm method
B. C. ! . .!" A.
patient is in labor and has -ust been told she has a breech presentation" The midwife should be particularly alert for which of the following& uic(ening
B.
Ophthalmia neonatorum
C P . i c a ! $rolapsed umbilical cord . .)" The midwife documents positi/e ballottement in the client>s prenatal record" The midwife understands that this indicates which of the following& Palpable contractions on the A. abdomen B. $assive movement o& the unengaged &etus C. ?etal (ic(ing felt by the client Enlargement and softening of the uterus ! . .." $hich of the following actions would be least effecti/e in maintaining a neutral thermal en/ironment for the newborn& Placing infant under radiant warmer after bathing A. B. Co/ering the scale with a warmed blan(et prior to weighing Placing crib close to window for family /iewing C. ! Covering the in&ant’s head with a knit stockinette . .3" $hen teaching a group of adolescents about /ariations in the length of the menstrual cycle0 the midwife understands that the u nderlying mechanism is due to /ariations in which of the following phases& A. )enstrual phase B. Proliferati/e phase Secretory phase C. ! 2schemic phase . .5" $hich of the following would the midwife use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight
A. B. C. ! . .*" A. B. C. ! . .'"
A. B. C. ! . .9"
during pregnancy& !< pounds per trimester ! pound per wee( for 3< wee(s H pound per wee( for 3< wee(s A total gain o& *+ to pounds To differentiate as a female0 the hormonal stimulation of the embryo that must occur in/ol/es which of the following& 2ncrease in maternal estrogen secretion #ecrease in maternal androgen secretion ecretion o& androgen b' the &etal gonad Secretion of estrogen by the fetal gonad multigra/ida at .9 wee(s> gestation is admitted with painless0 bright red bleeding and mild contractions e/ery ' to !< minutes" $hich of the following assessments should be a/oided& Maternal /ital sign ?etal heart rate Contraction monitoring Cervical dilation postpartum client has a temperature of !
A / . o c hi a B Br . ea sts C 2n . cis io n 7rine ! .
.;"
A. B. C. !
#uring a prenatal class0 the midwife e%plains the rationale for breathing techni,ues during preparation for labor based on the understanding that breathing techni,ues are most important in achie/ing which of the following& Eliminate pain and gi/e the e%pectant parents something to do Reduce the ris( of fetal distress by increasing uteroplacental perfusion 0acilitate relaxation, possibl' reducing the perception o& pain Eliminate pain so that less analgesia and anesthesia are need ed
.
3<" A. B. C. ! .
3!"
A. B. C. ! .
3)" A. B. C. ! . 3."
A. B. C. ! . 33"
A. B. C. ! . 35" A.
#uring a pel/ic e%am the midwife notes a purple+blue tinge of the cer/i%" The midwife documents this as which of the following& Bra%ton+:ic(s sign Chadwic(>s sign 1oodell’s sign Mc#onald>s sign
client !) wee(s> pregnant come to the emergency department with abdominal cramping and moderate /aginal bleeding" Speculum e%amination re/eals ) to . cms cer/ical dilation" The midwife would document these findings as which of the following& Threatened abortion 2mminent abortion Complete abortion Missed abortion
The midwife assesses the postpartum /aginal discharge lochia on four clients" $hich of the following assessments would warrant notification of the physician& dar( red discharge on a )+day postpartum client pin( to brownish discharge on a client who is 5 da ys postpartum lmost colorless to creamy discharge on a client ) wee(s a fter deli/ery bright red discharge + da's a&ter deliver' The client tells the midwife that her last menstrual period started on January !3 and ended on January )<" 7sing Dagele>s rule0 the midwife determines her E## to be which of the following& September )' (ctober *3 Do/ember ' #ecember )' $hen ta(ing an obstetrical history on a pregnant client who states0 K2 had a son born at .9 wee(s gestation0 a daughter born at .< wee(s gestation and 2 lost a baby at about 9 wee(s0L the midwife should record her obstetrical history as which of the following&" G) T) P< < 4) G. T! P! < 4) G. T) P< < 4) 14 T3 $3 A3 /* postpartum primipara as(s the midwife0 K$hen can we ha/e se%ual intercourse again&L $hich of the following would be the midwife>s best response& Knytime you both want to"L
B. C. ! .
3*" A. B. C. ! .
3'" " B. C. ! . 39" A. B. C. ! . 3;" A. B. C. !.
5<" A. B . C .
Ks soon as you choose a contracepti/e method"L 56hen the discharge has stopped and the incision is healed.7 Kfter your * wee(s e%amination"L
newborn who has an asymmetrical Moro refle% response should be further assessed for which of the following& Talipes e,uino/arus 0ractured clavicle Congenital hypothyroidism 2ncreased intracranial pressure
The postterm neonate with meconium+stained amniotic fluid needs care designed to especially monitor for which of the following& Respiratory problems Gastrointestinal problems 2ntegumentary problems Elimination problems $hich of the following should the midwife do when a primipara who is lactating tells the midwife that she has sore nipples& Tell her to breast &eed more &re8uentl' dminister a narcotic before breast feeding Encourage her to wear a nursing brassiere 7se soap and water to clean the nipples $hen measuring a client>s fundal height0 which of the following techni,ues denotes the correct method of measurement used by the midwife& ?rom the %iphoid process to the umbilicus ?rom the symphysis pubis to the %iphoid process 0rom the s'mph'sis pubis to the &undus ?rom the fundus to the umbilicus $hich of the following refers to the single cell that reproduces itself after conception& Chromosome
Blast ocyst 9' go te Trophoblast ! .
5!"
A. B. C. ! . 5)" A. B. C. ! .
5." A. B. C. ! . 53"
?or the client who is using oral contracepti/es0 the midwife informs the client about the need to ta(e the pill at the same time each day to accomplish which of the following& #ecrease the incidence of nausea )aintain hormonal levels Reduce side effects Pre/ent drug interactions $hen preparing to administer the /itamin = in-ection to a neonate0 the midwife would select which of the following sites as appropriate for the in-ection& #eltoid muscle nterior femoris muscle :astus lateralis muscle Gluteus ma%imus muscle
client at )3 wee(s gestation has gained * pounds in 3 wee(s" $hich of the following would be the priority when assessing the client& Glucosuria #epression ;and<&ace edema #ietary inta(e
The amniotic fluid of a client has a greenish tint" The midwife interprets this to be the result of which of the following& A. 4anugo B :ydra . mnios C. )econium erni% ! . 55" A. B. C. ! .
5*"
A .
client at 9 wee(s> gestation calls complaining of slight nausea in the morning hours" $hich of the following client inter/entions should the midwife ,uestion& Ta(ing ! teaspoon of bicarbonate of soda in an 9+ounce glass of water Eating a few low+sodium crac(ers before getting out of bed Avoiding the intake o& li8uids in the morning hours Eating si% small meals a day instead of thee large meals
$hen teaching a client about contraception" $hich of the following would the midwife include as the most effecti/e method for pre/enting se%ually transmitted infections& Spermi cides
B #iaphr . agm C. ! asect . omy
Condoms
5'" 5'" ?or which of the following clients would the midwife e%pect that an intrauterine de/ice would not be recommended&" A. $oman o/er age .5 Dulliparous woman B. C. $romiscuous 'oung adult Postpartum client
! .
59" $hen performing a pel/ic e%amination0 the midwife obser/es a red swollen area on the right side of the /aginal orifice" The midwife would document this as enlargement of which of the following& A Cl . it or is B. Parotid gland S(ene>s gland C. ! Bartholin’s gland . 5;" A. B. C. ! .
*<" A. B. C. ! .
*!" A. B.
$hich of the following would be the priority for a client with an ectopic pregnancy& Ris( for infection Pain =nowledge #eficit Anticipator' 1rieving
$hen preparing to listen to the fetal heart rate at !) wee(s> gestation0 the midwife would use which of the following& Stethoscope placed midline at the umbilicus !oppler placed midline at the suprapubic region ?etoscope placed midway between the umbilicus and the %iphoid process E%ternal electronic fetal monitor placed at the umbilicus
$ith a fetus in the left+anterior breech presentation0 the midwife would e%pect the fetal heart rate would be most audible in which of the following areas& bo/e the maternal umbilicus and to the right of midline 2n the lower+left maternal abdominal ,uadrant
2n the lower+right maternal abdominal ,uadrant Above the maternal umbilicus and to the le&t o& midline
C. ! .
*)" A. B. C. ! .
*." A. B. C. ! . *3" A. B. C. ! .
*5"
A. B. C. !.
The midwife understands that the fetal head is in which of the following positions with a /erte% presentation& Completel' &lexed Completely e%tended Partially e%tended Partially fle%ed
#uring the first 3 hours after a male circumcision0 assessing for which of the following is the priority& 2nfection ;emorrhage #iscomfort #ehydration client in her third trimester tells the midwife0 K2>m constipated all the timeNL $hich of the following should the midwife recommend& #aily enemas 4a%ati/es 2ncreased &iber intake #ecreased fluid inta(e
client has a midpel/ic contracture from a pre/ious pel/ic in-ury due to a motor /ehicle accident as a teenager" The midwife is aware that this could pre/ent a fetus from passing through or around which structure during ch ildbirth& Symphysis pubis Sacral promontory 2schial spines Pubic arch
**" #uring this phase of menstrual cycle the corpus luteum degenerates and the hormones progesterone and estrogen declines ma(ing mood changes as part of the discomforts of menstruation" s a midwife you (now this is phase is& Secretory Phase B Proliferati/e Phase C Menstrual Phase $re-)enstrual $hase #
*'" 2n the menstrual cycle0 this phase is the determining time for conception" s a midwife you (now this as B C #
*9" The phase would normally start between #ay * to #ay !3 wherein the ?ollicle Stimulating :ormone would increase while the progesterone and estrogen declines" O/ulation is being initiated in this stage" Secretory Phase $roli&erative $hase B C Menstrual Phase # Pre+Menstrual Phase
*;" s a midwife you (now the normal menstrual cycle as8 Pre+Menstrual0 Menstrual0 Secretory Phase0 Proliferati/e Phase B )enstrual, $roli&erative, ecretor', $re-)enstrual C Proliferati/e0 Menstrual0 Secretory0 Pre+Menstrual # Menstrual0 Secretory0 Proliferati/e0 Pre+Menstrual
'<" Fou are assigned in a Reproducti/e Clinic0 as a midwife it is your tas( to gi/e counsel to young couples" These are the natural methods e%cept8 bstinence B Coitus 2nterruptus C Calendar 1uided -$ills # Calendar Method
'!" #uring the initial stages of pregnancy0 what happens during the 3th wee(& ex !i&&erentiation B Cardio/ascular system functioning C :eartbeat is audible # ?acial ?eatures becomes distinct ')" $hen is the earliest time in pregnancy that heartbeat can be heard by a #oppler& 3 weeks B !) wee(s
C #
!3 wee(s !9 wee(s
'." s a midwife0 how can you determine that the pregnancy is on its )
weeks '5" $hich of the following time of pregnancy denotes optimum time for sur/i/al of the child& .) wee(s B .3 wee(s C .* wee(s # 4 weeks
'*" ).+year+old lady came in to the clinic one day claiming that she is pregnant" s a midwife which of the following signs and symptoms of pregnanc y denotes presumpti/e signs of pregnancy& Enlargement of abdomen B Ballottement C Amenorrhea # Positi/e pregnancy test ''" s a midwife0 you (now that these are probable signs of pregnancy e%cept8 uic(ening B :egar>s Sign C Ballottement )c!onald’s ign # '9" pregnant mother complained of e%cessi/e /aginal discharge" $hich of the following assessment would signal a referral to the doctor& E%cess discharge B 2tching sensation C #iscomfort # 6et &eeling ';" Pica is one of the common problems that a pregnant woman e%perience" s a midwife0 you (now that this is associated with&
B C #
2ncrease energy needs Tiredness 2ron-de&icienc' anemia :yperacidity
9<" s a midwife0 these are the danger signs of pregnancy e%cept8 aginal bleeding B Chills and fe/er Ballottement C # Persistent /omiting 9!" 2n pregnancy induced hypertension0 which sign would alarm the health care team& Blurring of /ision B ?lashing of light or dots C 2ncrease in blood pressure # Bipedal Edema 9)" Rina0 a primigra/ida has an e%pected date of deli/ery on #ecember )*0 )
A. Two were born a&ter @ weeks, one was born between *-@ weeks, * pregnancies were ended either with abortion, three were number o& children currentl' alive
B" Three were born after .' wee(s0 one was born between )<+.' wee(s0 ) pregnancies were ended either with abortion0 two were number of children currently ali/e C" Two were born after .' wee(s0 one was born between )<+.' wee(s0 ! pregnancy was ended either with abortion0 two were number of children currently ali/e #"Three were born after .' wee(s0 one was born between )<+.' wee(s0 ) pregnancies were ended either with abortion0 . number of children currently ali/e
93" $hen will be the wee(ly /isit if with no complications to the OB+Gyne indicated& 3th wee( !*th wee( B )
95" s a midwife0 when a patient has #iabetes on pregnancy0 these are complications that must be pre/ented e%cept8 A $ol'h'dramios B Stillbirth C 4ow birth weight # Pregnancy 2nduced :ypertension 9*" s a midwife0 which of the following happens when the placenta is abnormally implanted near to or o/er the internal cer/ical os& bruptio Placenta B $lacenta $revia C Premature Rupture of Membranes # Done of the abo/e 9'" ling Dita0 has had multiple pregnancies" She now has ) twins and 5 more children" $ith this present pregnancy0 she is most li(ely to de/elop& Sei6ure B #iabetes Mellitus C :yperemesis gra/idarum # $lacenta $revia 99" $hen the patient has a complete pre/ia0 what is the recommendation for the deli/ery of the child& $ater birth B Dormal Spontaneous aginal #eli/ery Caesarean ection C # Termination of pregnancy 9;" s a midwife0 in pregnancy0 this process in/ol/es the physiologic and mechanical processes in which the baby placenta and fetal membranes are propelled through the pel/is" This is simply called8 Premature rupture of Membranes B Birth of Placenta C /abour # #eli/ery ;<" 2n the third trimester of pregnancy0 a patient e%periences lightening" fter lightening0 the e%pectant mother may complain of 8 a" cramps in her legs b" reduced pel/ic pressure c" shortness of breath d" decreased urinary fre,uency ;!" This is the term in determining the number of times a woman has been pregnant" a" Parity c" bortion b" Gra/ida d" O/ulation
;)" 2t is called abortion if the fetusis terminated at" a" )!wee(s c" !*wee(s b" .9wee(s d" )3wee(S ;." $e can tell that the baby is premature if he is born at" a" !*wee(s c" .9wee(s b" .*wee(s d" 33wee(s ;3" This of the period of pregnancy where rapid deposition of fats0thus0period of most rapid growth ta(es place" a" ?irst trimester c" Second trimester b" Third trimester d" Post partum ;5" ll but one is presumpti/e sign of pregnancy" a" menorrhea c" uic(ening b" 7rinary fre,uency d" :egar>s sign ;*" ll but one is probable sign of pregnancy" a" :egar>s sign c" Goodle>s sign b" ?etal heart rate d" Ballottement ;'" On the prenatal chec(+up0 the mother states0 Kthis is my first pregnancyL0 the mother is" a" Primipara c" Dullipara b" Primigra/ida d" Dulligra/ida ;9" nother client /isit the health care facility and claimed0 Ki ha/e ne/er been pregnant and im not pregnant right now"L Fou classify the client as" a" Primipara c" Dullipara b" Primigra/ida d" Dullgra/ida ;;" The ne%t day0 a mother came to your facility and claimed0 KK2 was pregnant but lost my baby !*wee(s and ha/e not been pregnant aga in"L Fou correctly assessed the mother as" a" Dullipara c" Dulligra/ida b" Primipara d" Primigra/ida !<<" 2n your healthcare facility0 you are assessing a pregnant mother who states0 Kthis is my first pregnancy" 2m a on my )' wee(" 2 ha/e not been pregnant before"L 7sing the GTP40how do you score the mother& a" !+<+!+<+< c" !+!+!+<+< d" !+<+<+<+< b. !+!+<+<+<