LICENSING EXAMINATION(SCFHS)

MATERNITY HEALTH NURSING

Ms.Tagreed Alotaibi
 MATERNITY HEALTH NURSING
BLUEPRINT

(150 MCQs, 3 hours)

1‐ Management and Leadership 10%
2‐ Fundamentals 20%
3‐ Maternal‐ Nursing 15%
4- Child –nursing 15 %
4‐ Adult Nursing 40%
 MATERNITY HEALTH NURSING
REFERENCE

1. Marshall, J. & Raynor, M. Myles Textbook for Midwives.

Churchill Livingstone. Latest Edition
2. . Murray, S., McKinney, E. Foundation of Maternal‐ Newborn
Nursing, Missouri: Saunders Elsevier, Latest Edition.
 MATERNITY HEALTH NURSING

Maternal health refers to the health of women during

pregnancy, childbirth, and the postnatal period.
othe
 PREGNANCY

The nurse is aware that an adaptation of pregnancy is an increased blood supply

to the pelvic region that results in a purplish discoloration of the vaginal mucosa,
which is known as:

A. Ladin’s sign

B. Hegar’s sign

C. Goodell’s sign

D. Chadwick’s sign
 PREGNANCY

A 26-year-old multigravida is 14 weeks pregnant and is scheduled for an alpha-

fetoprotein test. She asks the nurse, “What does the alpha-fetoprotein test
indicate?” The nurse bases a response on the knowledge that this test can detect:

A. Kidney defects

B. Cardiac defects

C. Neural tube defects

D. Urinary tract defects

 PREGNANCY

A client arrives at a prenatal clinic for the first prenatal

assessment. The client tells a nurse that the first day of her last
menstrual period was September 19th, 2022. Using Naegele’s rule,
the nurse determines the estimated date of confinement as:

A. July 26, 2023

B. June 12, 2023

C. June 26, 2023

D. July 12, 2023

 PREGNANCY

A 28-year-old pregnant woman at 9 weeks presents to the

emergency room with vaginal bleeding. During the assessment,
the nurse found fundal height is 12cm.
Which of the following is the most likely diagnosis?
A. Placenta previa
B. Abruptio placenta
C. Ectopic pregnancy
D. Hydatidiform mole
 PREGNANCY

Nutritional planning for a newly pregnant woman of average height and weighing
145 pounds should include:

A. A decrease of 200 calories a day.

B. An increase of 300 calories a day.

C. An increase of 500 calories a day.

D. A maintenance of her present caloric intake per day.

 PREGNANCY

The nurse recognizes that expected physiological changes in the cardiovascular

system that occurs during the 2nd trimester of pregnancy is:

A. A decrease in WBC’s

B. Increase in hematocrit.

C. An increase in blood volume.

A decrease in sedimentation rate.

 PREGNANCY

A nurse-midwife is performing an assessment of a pregnant client and is assessing

the client for the presence of ballottement. Which of the following would the
nurse implement to test for the presence of ballottement?

A. Auscultating for fetal heart sounds.

B. Palpating the abdomen for fetal movement.

C. Assessing the cervix for thinning.

D. Initiating a gentle upward tap on the cervix.

 PREGNANCY

The antagonist for magnesium sulfate should be readily available to any client
receiving IV magnesium. Which of the following drugs is the antidote for
magnesium toxicity?

A. Calcium gluconate

B. Hydralazine (Apresoline)

C. Narcan

D. RhoGAM
 PREGNANCY

An expected physiological changes in respiratory system adaptation experienced

by most pregnant women is:

A. Tachycardia

B. Dyspnea at rest

C. Progression of dependent edema

D. Shortness of breath on exertion

ore
ation
 DELIVERY

A client diagnosed with preterm labor at 28 weeks gestation.

Later, she comes to the emergency dept saying "I think im in
labor" The nurse would expect her physical exam to show which
condition?

1. painful contractions with no cervical dilation

2. regular uterine contractions with cervical dilation
3. irregular uterine contractions with no cervical dilation
4. irregular uterine contractions with cervical effacement
 PREGNANCY

• A 31-year-old woman, 34 weeks pregnant, arrives at the ER with severe

abdominal pain, uterine tenderness, and an increased uterine tone. The client
denies vaginal bleeding. The external fetal monitor shows fetal distress with
severe, variable deceleration The client most likely has which of the following?

A. Abruptio placenta
B. Placenta Previa
C. Molar Pregnancy
D. Ectopic Pregnancy
 LABOR AND DELIVERY

26 years old pregnant woman 40 weeks of gestation in the labour room, vaginal examination 4 cm
cervical dilatation, vertex -3 station. Cardiotocogram shows fetal heart rate 140 bpm, good
variability, acceleration, and late deceleration also present
A. Which of the following is the meaning of station?
a.Describe the relationship of fetal parts
b.The relationship of the presenting part of the fetus to the four quadrants of the mother’s pelvic
c.The relationship of the long axis (spine) of the fetus to the long axis of the mother.
d.The location of the presenting part in relation to the mother’s ischial spine.
 LABOR AND DELIVERY

26 years old pregnant woman 40 weeks of gestation in the labour room, vaginal
examination 4 cm cervical dilatation, vertex -3 station. Cardiotocogram shows fetal heart
rate 140 bpm, good variability, acceleration, and late deceleration also present
B. Which of the following is abnormal finding in CTG?
a.Acceleration

b.FHR 140 BPM

c.Variability

d.Late deceleration
 LABOR AND DELIVERY

• A nurse in the labor room is caring for a client in the active phases of
labor. The nurse is assessing the fetal patterns and notes a late
deceleration on the monitor strip. The most appropriate nursing
action is to:

 A. Place the mother in the supine position.

 B. Document the findings and continue to monitor the fetal patterns.
 C. Administer oxygen via face mask.
 D. Increase the rate of Pitocin IV infusion.
 LABOR AND DELIVERY

• 26 years old pregnant woman 40 weeks of gestation in the labour room, vaginal
examination 4 cm cervical dilatation, vertex -3 station. Cardiotocogram shows fetal
heart rate 140 bpm, good variability, acceleration, and late deceleration also present
A. What is the stage of labour in this case?
B. First stage
C. Second stage
D. Thired stage
E. Fourth stage
 LABOR AND DELIVERY

• A woman who's 36 weeks pregnant comes into the labor &

delivery unit with mild contracts. Which of the following
complications should the nurse watch out for when the client
informs her that she has placenta prevue?

a. sudden rupture of membranes

b. vaginal bleeding
c. emesis
d. fever
 LABOR AND DELEVERY

A nurse prepares the patient for emergency cesarean section due to failure of
progress to vaginal delivery.

What is the most important responsibility of the nurse before surgery starts?
a.Inserting a urinary catheter.
b.Decreasing the stomach secretions.
c.Assessing the woman’s hygiene.
d.Securing informed consent and ensuring that it is obtained.
1. What are the important considerations that the nurse must remember after the
placenta is delivered?

A. Check if the placenta is complete including the membranes

B. B. Check if the cord is long enough for the baby

C. Label the placenta properly.

D. Check if the cord has a meaty portion and a shiny portion

1. The pregnant woman in labor room in the first stage of labor her cervical
opening 7 cm dilatation, when the fetal head is at the level of the ischial spine,
it is said that the station of the head is:

A. Station –1

B. Station “0”

C. Station +1

D. Station +2
1. As the nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:

A. The discomfort level is greater with false labor.

B. Progressive cervical changes occur in true labor.

C. There is a feeling of nausea and vomiting.

D. There is more fetal movement with true labor.

1. During the second stage of labor, the fetus is moved along the birth canal by
the mechanism of labor, cardinal movement of labor includes which of the
following?

A. Presentation

B. Position

C. Attitude and lie

D. Flexion and expulsion

 POSTPARTUIM

A nurse is preparing to assess the uterine fundus of a client in the immediate

postpartum period. When the nurse locates the fundus, she notes that the uterus
feels soft and boggy. Which of the following nursing interventions would be
most appropriate initially?
a.Massage the fundus until it is firm.
b.Elevate the mother's legs.
c.Push on the uterus to assist in expressing clots.
d.Hydration.
 POSTPARTUIM

A nurse is assessing the perineum of the patient delivered 30 minutes ago, the •
nurse notes that the laceration involves the entire perineum and the external anal
.sphincter
?Which of the following is a type of laceration for this case •

a.Fourth-degree laceration
b.First-degree laceration
c.Third-degree laceration
d.Second-degree laceration
 POSTPARTUIM

Methergine or Pitocin is prescribed for a woman to treat postpartum hemorrhage.

Before administration of these medications, Which of the following the priority
nursing assessment is to check before given?
a.Deep tendon reflexes
b.Amount of lochia
c.Uterine tone
d.Blood pressure
 POSTPARTUIM

The nurse is assessing the lochia on a 1-day postpartum patient. The nurse notes
that the lochia is red and moderate amount stain on the pad. The nurse determines
that this assessment type finding is:
a.Lochia Alba
b.Lochia serosa
c.Abnormal finding

d.Lochia rubra
 POSTPARTUIM

25-years old woman in the postnatal ward, progressed to spontaneous vaginal delivery,
estimated blood loss is 150 ml, utrues well contracted, patient complain of Sudden, sharp chest
pain, Tachypnea, Tachycardia, Orthopnea, and Cyanosis.
which of the following is a diagnosis of this patient?
Bleeding
Cardiac arrest
Pulmonary Embolus
Thrmbophilibitis
 POSTPARTUIM

25-years old woman in the postnatal ward, progressed to spontaneous vaginal delivery,
estimated blood loss is 150 ml, utrues well contracted, patient complain of Sudden, sharp chest
pain, Tachypnea, Tachycardia, Orthopnea, and Cyanosis.
Which of the following is the meaning of Orthopnea?
inability to breathe except in an upright position.
Difficulty of breathing
Heart rate over 100 beats a minute.
Bluish discoloration of the skin or mucous membrane.
rthtrimester #postpartumcare #postpartumlife #takebackpostpartum

POSTPARTUIM
Thank you