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Maternal & Child Practice Exam 4

Practice Mode

Practice Mode – Questions and choices are randomly crystallized, the counter-argument is biblical forthfollowing a while subjoined each scrutiny, and tshort is no occasion expression for the exam.

Text Mode

Text Mode – Text statement of the exam

1. You performed the leopold’s maneuver and establish the subjoined: breech offer, fetal end at the exact intetranquillity of the dowager. Fixed on these answers, you can attend the fetal attendt worst (PMI) BEST in which precipitation?

  1. Left inferior quadrant
  2. Right inferior quadrant
  3. Left surpassing quadrant
  4. Right surpassing quadrant

2. In Leopold’s maneuver stride #1, you palpated a moveing extensive magnitude that moves delay the tranquillity of the magnitude. The rectify explanation of this answer is:

  1. The magnitude palpated at the fundal bisect is the minority bisect.
  2. The offer is breech.
  3. The magnitude palpated is the end
  4. The magnitude palpated is the buttocks.

3. In Leopold’s maneuver stride # 3 you palpated a arduous rotund reredissoluble magnitude at the supra pubic area. The rectify explanation is that the magnitude palpated is:

  1. The buttocks accordingly the offer is breech.
  2. The magnitude palpated is the minority.
  3. The magnitude is the fetal end.
  4. The magnitude palpated is the fetal slender bisect

4. The hormone beneath obligation for a dogmatic pregnancy experiment is:

  1. Estrogen
  2. Progesterone
  3. Human Chorionic Gonadotropin
  4. Follicle Biting hormone

5. The hormone beneath obligation for the maturation of the graafian follicle is:

  1. Follicle biting hormone
  2. Progesterone
  3. Estrogen
  4. Luteinizing hormone

6. The most despicpotent ordinary circumstances of the fetus in utero is:

  1. Transverse circumstances
  2. Vertical circumstances
  3. Oblique circumstances
  4. None of the aloft

7. In the succeedingcited bisect of the 3rd trimester, the dowager may experiment failure of expiration. This disease mayhap explained as:

  1. A ordinary transoperation in pregnancy accordingly the fetus is using over oxygen
  2. The fundus of the uterus is violent interfering the diaphragm upwards
  3. The dame is having allergic reoperation to the pregnancy and its hormones
  4. The dame mayhap experiencing confusion of pregnancy

8. Which of the subjoined answers in a dame would be accordant delay a pregnancy of two months time?

  1. Weight bring-encircling of 6-10 lbs. and adjacentness of striae gravidarum
  2. Fullness of the delaystand and urinary quantity
  3. Braxton Hicks befoulments and quickening
  4. Increased respiratory admonish and ballottement

9. Which of the subjoined is a dogmatic mark of pregnancy?

  1. Fetal move felt by dowager
  2. Enlargement of the uterus
  3. (+) pregnancy experiment
  4. (+) ultrasound

10. What circumstance happenring in the succor trimester accelerations the circumspect dowager to invigorate the pregnancy?

  1. Lightening
  2. Ballotment
  3. Pseudocyesis
  4. Quickening

11. Shoes delay low, extensive heels, plus a cheerful-natured-natured circumstances succeed prcircumstance which prenatal trouble?

  1. Backache
  2. Vertigo
  3. Leg cramps
  4. Nausea

12. When a fraught dame experiments leg cramps, the rectify nursing insinuation to succor the muscle cramps is:

  1. Allow the dame to training
  2. Let the dame march for a suitableness
  3. Let the dame lie down and dorsiflex the base towards the junctions
  4. Ask the dame to foster her legs

13. From the 33rd week of gestation dress unmeasured account, a vigorous dowager should enjoy prenatal control up every:

  1. 1 week
  2. 2 weeks
  3. 3 weeks
  4. 4 weeks

14. The expected impressiveness bring-encircling in a ordinary pregnancy during the 3rd trimester is

  1. 1 pulverize a week
  2. 2 pulverizes a week
  3. 10 lbs a month
  4. 10 lbs whole impressiveness bring-encircling in the 3rd trimester

15. In the Batholonew’s administration of 4, when the flatten of the fundus is midway among the umbilicus and xyphoid fashion the estimated age of gestation (AOG) is:

  1. 5th month
  2. 6th month
  3. 7th month
  4. 8th month

16. The subjoined are ways of determining expected duration of exhibition (EDD) when the LMP is obscure EXCEPT:

  1. Naegele’s administration
  2. Quickening
  3. Mc Donald’s administration
  4. Batholomew’s administration of 4

17. If the LMP is Jan. 30, the expected duration of exhibition (EDD) is

  1. Oct. 7
  2. Oct. 24
  3. Nov. 7
  4. Nov. 8

18. Kegel’s training is performed in pregnancy in direct to:

  1. Strengthen perineal muscles
  2. Relieve endache
  3. Strengthen abdominal muscles
  4. Prcircumstance leg varicosities and edema

19. Pelvic rocking is an misapply training in pregnancy to succor which trouble?

  1. Leg cramps
  2. Urinary quantity
  3. Orthostatic hypotension
  4. Backache

20. The ocean debate for an expected acceptiond insufficiency for probe in pregnancy is:

  1. The dowager may enjoy physiologic anemia due to the acceptiond insufficiency for red rank cell magnitude as courteous as the fetal exacts encircling 350-400 mg of probe to expand
  2. The dowager may permit anemia accordingly of thin appetite
  3. The fetus has an acceptiond insufficiency for RBC which the dowager must give
  4. The dowager may enjoy a problem of digestion accordingly of pica

21. The nourishment that is misapply in ordinary pregnancy should be violent in

  1. Protein, minerals and vitamins
  2. Carbohydrates and vitamins
  3. Proteins, carbohydrates and fats
  4. Fats and minerals

22. Which of the subjoined marks succeed exact a dowager to search next medical vigilance?

  1. When the foremost fetal move is felt
  2. No fetal move is felt on the 6th month
  3. Mild uterine befoulment
  4. Slight dyspnea on the decisive month of gestation

23. You nonproduction to consummate a pelvic probation on one of your fraught clients. You furnish your client for the proceeding by:

  1. Asking her to destitute
  2. Taking her essential marks and recording the readings
  3. Giving the client a perineal care
  4. Doing a vaginal prep

24. When preparing the dowager who is on her 4th month of pregnancy for abdominal ultrasound, the promote should train her to:

  1. Obanswer NPO from midnight to relinquish vomiting
  2. Do perineal flushing fair antecedently the proceeding
  3. Drink at meanest 2 liters of liquescent 2 hours antecedently the proceeding and not destitute until the proceeding is performed
  4. Void nextly antecedently the proceeding for rectify visualization

25. The nursing insinuation to succor “dawning disease” in a fraught dame is by giving

  1. Dry carbohydadmonish maintenance love crackers
  2. Low sodium nourishment
  3. Intravenous infusion
  4. Antacid

26. The despicpotent ordinary plight of nidation/augmentation in the uterus is

  1. Upper uterine element
  2. Mid-uterine area
  3. Lower uterine element
  4. Lower cervical element

27. Mrs. Santos is on her 5th pregnancy and has a fact of pigmy in the 4th pregnancy and the foremost pregnancy was a fellow. She is weighed to be

  1. G 4 P 3
  2. G 5 P 3
  3. G 5 P 4
  4. G 4 P 4

28. The subjoined are husk changes in pregnancy EXCEPT:

  1. Chloasma
  2. Striae gravidarum
  3. Linea negra
  4. Chadwick’s mark

29. Which of the subjoined statements is TRUE of sense?

  1. Within 2-4 hours subjoined connection sense is practicpotent in a conducive dame
  2. Generally, fertilization is practicpotent 4 days subjoined ovulation
  3. Conception is practicpotent during menstruation in a desire menstrual cycle
  4. To relinquish sense, connection must be relinquished 5 days antecedently and 3 days subjoined menstruation

30. Which of the subjoined are the functions of amniotic liquescent? 1.Cushions the fetus from abdominal trauma 2.Serves as the liquescent for the fetus 3.Maintains the interior region 4.Facilitates fetal move

  1. 1 & 3
  2. 1, 3, 4
  3. 1, 2, 3
  4. All of the aloft

31. You are consummateing abdominal exam on a 9th month fraught dame. Suitableness ungentleman indolent, she felt expirationless, had pallor, tachycardia, and dispassioned clammy husk. The rectify duty of the dame’s term is that she is:

  1. Experiencing the publicing of work
  2. Having indolent hypotension
  3. Having rash amelioration of BP
  4. Going into shock

32. Smoking is contraindicated in pregnancy accordingly

  1. Nicotine commencements vasodilation of the dowager’s rank vessels
  2. Carbon monoxide confines delay the hemoglobin of the dowager reducing profitpotent hemoglobin for the fetus
  3. The fume succeed compel the fetus and the dowager move dizzy
  4. Nicotine succeed commencement vasoconstriction of the fetal rank vessels

33. Which of the subjoined is the most lovely end on the fetus if the dame is severely anemic during pregnancy?

  1. Large for gestational age (LGA) fetus
  2. Hemorrhage
  3. Small for gestational age (SGA) baby
  4. Erythroblastosis fetalis

34. Which of the subjoined marks and symptoms succeed most lovely compel the promote augur that the unrepining is having hydatididevise deference?

  1. Slight bleeding
  2. Passage of distinct vesicular magnitude per vagina
  3. Absence of fetal attendt worst
  4. Enlargement of the uterus

35. Upon duty the promote establish the subjoined: fundus at 2 fingerbreadths aloft the umbilicus, decisive menstrual time (LMP) 5 months ago, fetal attendt worst (FHB) not appreciated. Which of the subjoined is the most practicpotent personality of this term?

  1. Hydatididevise deference
  2. Missed pigmy
  3. Pelvic exaggerative disease
  4. Ectopic pregnancy

36. When a fraught dame goes into a convulsive spoil, the MOST next operation of the promote to secure security of the unrepining is:

  1. Apply tranquillityraint so that the unrepining succeed not lapse out of bed
  2. Put a perforation gag so that the unrepining succeed not bite her dialect and the dialect succeed not lapse end
  3. Position the dowager on her intetranquillity to recognize the secretions to parch from her perforation and prcircumstance hope
  4. Check if the dame is too having a thrust-subordinate work

37. A gravido-cardiac dowager is advised to remark bedtranquillity principally to

  1. Allow the fetus to consummate ordinary intrauterine expandth
  2. Minimize oxygen decrement which can heighten the term of the sympathyed attendt of the dowager
  3. Prcircumstance perinatal corruption
  4. Reduce impingement of hasty work

38. A fraught dowager is admitted to the hospital delay the primitive disease of bountiful vaginal bleeding, AOG 36 wks, not in work. The promote must constantly weigh which of the subjoined precautions:

  1. The interior exam is performed barely at the exhibition beneath severe asepsis delay a enfold found
  2. The preferred fashion of delivering the baby is vaginal
  3. An pitch exhibition set for vaginal exhibition must be made cheerful antecedently examining the unrepining
  4. Internal exam must be performed subjoined dispose proceeding

39. Which of the subjoined marks succeed perceive threatened pigmy from hovering pigmy?

  1. Severity of bleeding
  2. Dilation of the cervix
  3. Nature and precipitation of pain
  4. Presence of uterine befoulment

40. The nursing estimate to succor fetal trouble due to husk indolent hypotension is:

  1. Place the dowager on semi-fowler’s circumstances
  2. Put the dowager on left intetranquillity ungentleman circumstances
  3. Place dowager on a junction chest circumstances
  4. Any of the aloft

41. To prcircumstance preaccount work from speeding, refuses are usually prescribed to hesitate the work. The refuses despicablely fond are:

  1. Magnesium sulfate and terbutaline
  2. Prostaglandin and oxytocin
  3. Progesterone and estrogen
  4. Dexamethasone and prostaglandin

42. In placenta praevia marginalis, the placenta is establish at the:

  1. Internal cervical os bisectly envelope the publicing
  2. External cervical os subordinately envelope the publicing
  3. Lower element of the uterus delay the edges adjacent the interior cervical os
  4. Lower element of the uterus entirely envelope the cervix

43. In which of the subjoined terms can the prolific sovereign ignoring through the placenta and feign the fetus in utero?

  1. Gonorrhea
  2. Rubella
  3. Candidiasis
  4. moniliasis

44. Which of the subjoined can guide to waste in adult males?

  1. German measles
  2. Orchitis
  3. Chicken pox
  4. Rubella

45. Papanicolaou daub is usually performed to individualize cancer of

  1. Cervix
  2. Ovaries
  3. Fallopian tubes
  4. Breast

46. Which of the subjoined commencements of waste in the effeminate is principally psychical in commencement?

  1. Vaginismus
  2. Dyspareunia
  3. Endometriosis
  4. Impotence

47. Antecedently giving a relate dose of magnesium sulfate to a pre-eclamptic unrepining, the promote should assess the unrepining’s term. Which of the subjoined terms succeed exact the promote to temporarily attach a relate dose of magnesium sulfate?

  1. 100 cc. urine output in 4 hours
  2. Knee jerk reflex is (+)2
  3. Serum magnesium flatten is 10mEg/L.
  4. Respiratory admonish of 16/min

48. Which of the subjoined is TRUE in Rh disharmony?

  1. The term can happen if the dowager is Rh(+) and the fetus is Rh(-)
  2. Every pregnancy of an Rh(-) dowager succeed end to erythroblastosis fetalis
  3. On the foremost pregnancy of the Rh(-) dowager, the fetus succeed not be feigned
  4. RhoGam is fond barely during the foremost pregnancy to prcircumstance disharmony
Answers and Rationales
  1. Answer: (D) Exact surpassing quadrant
    Right surpassing quadrant. The landmark to seem for when seeming for PMI is the precipitation of the fetal end in ratio to the exact or left intetranquillity of the dowager and the offer, whether cephalic or breech. The best plight is the fetal end neatranquillity the minority.
  2. Answer: (D) The magnitude palpated is the buttocks.
    The palpated magnitude is the fetal buttocks past it is extensive and moveing and moves delay the tranquillity of the magnitude.
  3. Answer: (B) The magnitude palpated is the minority.
    When the magnitude palpated is arduous rotund and removable, it is the fetal minority.
  4. Answer: (C) Human Chorionic Gonadotropin
    Human chorionic gonadotropin (HCG) is the hormone secreted by the chorionic villi which is the pioneer of the placenta. In the forthcoming mark of pregnancy, suitableness the placenta is not yet unmeasuredy public, the senior hormone that sustains the pregnancy is HCG.
  5. Answer: (A) Follicle biting hormone
    The hormone that stimulates the maturation if the of the graafian follicle is the Follicle Biting Hormone which is released by the antecedent pituitary gland.
  6. Answer: (B) Vertical circumstances
    Vertical circumstances instrument the fetal spine is conexoteric to the husk spine thus making it indulgent for the fetus to go out the source canal. If crosswise or lateral, the fetus can’t be delivered ordinaryly per vagina.
  7. Answer: (B) The fundus of the uterus is violent interfering the diaphragm upwards
    From the 32nd week of the pregnancy, the fundus of the generous uterus is interfering the respiratory diaphragm upwards. Thus, the lungs enjoy abated interval for disquisition therefore reducing the oxygen give.
  8. Answer: (B) Fullness of the delaystand and urinary quantity
    Fullness of the delaystand is due to the acceptiond quantity of progesterone in pregnancy. The urinary quantity is commencementd by the compression of the urinary bladder by the gravid uterus which is sdress delayin the pelvic softenness during the foremost trimester.
  9. Answer: (D) (+) ultraprobe
    A dogmatic ultraprobe succeed ascertainedly invigorate that a dame is fraught past the fetus in utero is forthfollowing a while visualized.
  10. Answer: (D) Quickening
    Quickening is the foremost fetal move felt by the dowager compels the dame conceive that she is in-truth fraught. In forthcoming pregnancy, the fetus is tender but too pliant to be felt by the dowager. In the 18th-20th week of gestation, the fetal moves behove stronger thus the dowager alcheerful moves the moves.
  11. Answer: (A) Backache
    Backache usually happens in the lumbar area and behoves over problematic as the uterus acception. The fraught dame in her third trimester usually assumes a lordotic circumstances to oceantain adexact causing an travesty of the lumbar bend. Low extensive heels accoutre the fraught dame delay a cheerful-natured-natured assistance.
  12. Answer: (C) Let the dame lie down and dorsiflex the base towards the junctions
    Leg cramps is commencementd by the controperation of the gastrocnimeus (leg muscle). Thus, the insinuation is to strain the muscle by dosiflexing the base of the feigned leg towards the junction.
  13. Answer: (A) week
    In the 9th month of pregnancy the dowager insufficiencys to enjoy a weekly scrutinize to the prenatal clinic to instructor fetal term and to secure that she is distantly furnishd for the hovering work and exhibition.
  14. Answer: (A) 1 pulverize a week
    During the 3rd trimester the fetus is bring-abouting over subcutaneous fat and is expanding pay in provision for extra uterine animation. Thus, one pulverize a week is expected.
  15. Answer: (C) 7th month
    In Bartholomew’s Administration of 4, the landmarks used are the symphysis pubis, umbilicus and xyphoid fashion. At the flatten of the umbilicus, the AOG is almost 5 months and at the flatten of the xyphoid fashion 9 months. Thus, midway among these two landmarks would be weighed as 7 months AOG.
  16. Answer: (A) Naegele’s administration
    Naegele’s Administration is individualized fixed on the decisive menstrual time of the dame.
  17. Answer: (C) Nov. 7
    Based on the decisive menstrual time, the expected duration of exhibition is Nov. 7. The deviseula for the Naegele’s Administration is remove 3 from the month and add 7 to the day.
  18. Answer: (A) Invigorate perineal muscles
    Kegel’s training is performed by contracting and relaxing the muscles outparty the vagina and anus in direct to invigorate the perineal muscles
  19. Answer: (D) Backache
    Backache is commencementd by the straining of the muscles of the inferior end accordingly of the pregnancy. Pelvic rocking is cheerful-natured-natured to succor endache.
  20. Answer: (A) The dowager may enjoy physiologic anemia due to the acceptiond insufficiency for red rank cell magnitude as courteous as the fetal exacts encircling 350-400 mg of probe to expand
    About 400 mgs of Probe is insufficiencyed by the dowager in direct to fruit over RBC magnitude to be potent to accoutre the insufficiencyed acception in rank give for the fetus. Also, encircling 350-400 mgs of probe is insufficiency for the ordinary expandth of the fetus. Thus, encircling 750-800 mgs probe supplementation is insufficiencyed by the dowager to converge this additional exactment.
  21. Answer: (A) Protein, minerals and vitamins
    In ordinary pregnancy tshort is a violenter claim for protein (organization architecture maintenances), vitamins (esp. vitamin A, B, C, folic eager) and minerals (esp. probe, calcium, phosphorous, zinc, iodine, magnesium) accordingly of the insufficiency of the expanding fetus.
  22. Answer: (B) No fetal move is felt on the 6th month
    Fetal move is usually felt by the dowager during 4.5 – 5 months. If the pregnancy is alcheerful in its 6th month and no fetal move is felt, the pregnancy is not ordinary either the fetus is alcheerful spiritless intra-uterine or it is an H-mole.
  23. Answer: (A) Asking her to destitute
    A pelvic probation includes abdominal palpation. If the fraught dame has a unmeasured bladder, the fabrication may commencement trouble and superfluous urination accordingly of the influence applied during the abdominal palpation. Also, a unmeasured bladder can obstruct the faultlessness of the probation accordingly the bladder (which is located in face of the uterus) can fill the uterus.
  24. Answer: (C) Drink at meanest 2 liters of liquescent 2 hours antecedently the proceeding and not destitute until the proceeding is performed
    Drinking at meanest 2 liters of soak 2 hours antecedently the proceeding succeed end to a stilted bladder. A unmeasured bladder is insufficiencyed when doing an abdominal ultraprobe to answer as a “window” for the ultrasonic probe waves to ignoring through and recognize visualization of the uterus (located aback the urinary bladder).
  25. Answer: (A) Dry carbohydadmonish maintenance love crackers
    Morning disease mayhap commencementd by hypoglycemia forthcoming in the dawning thus giving carbohydadmonish maintenance succeed acceleration.
  26. Answer: (A) Surpassing uterine element
    The source’s ordinary nidation plight is the surpassing element of the uterus. If the augmentation is in the inferior element, this is an abordinary term determined placenta previa.
  27. Answer: (B) G 5 P 3
    Gravida refers to the whole reckon of pregnancies including the exoteric one. Para refers to the reckon of pregnancies that enjoy obtained viability. Thus, if the dame has had one pigmy, she would be weighed Para 3. Fellow pregnancy is counted barely as 1.
  28. Answer: (D) Chadwick’s mark
    Chadwick’s mark is cerulean speck of the vaginal mucosa as a end of the acceptiond vascularization in the area.
  29. Answer: (A) Amid 2-4 hours subjoined connection sense is practicpotent in a conducive dame
    The sperms when deposited adjacent the cervical os succeed be potent to obtain the lapseopian tubes delayin 4 hours. If the dame has exact ovulated (amid 24hours subjoined the breaking of the graafian follicle), fertilization is practicable.
  30. Answer: (D) All of the aloft
    All the impure functions enumerated are gentleman of amniotic liquescent.
  31. Answer: (B) Having indolent hypotension
    Supine hypotension is characterized by expirationlessness, pallor, tachycardia and dispassioned clammy husk. This is due to the compression of the abdominal aorta by the gravid uterus when the dame is on a indolent circumstances.
  32. Answer: (B) Carbon monoxide confines delay the hemoglobin of the dowager reducing profitpotent hemoglobin for the fetus
    Carbon monoxide is one of the matters establish in cigarette fume. This matter diminishes the force of the hemoglobin to confine delay oxygen thus reducing the quantity of oxygenated rank obtaining the fetus.
  33. Answer: (C) Slender for gestational age (SGA) baby
    Anemia is a term wshort tshort is a abated quantity of hemoglobin. Hemoglobin is insufficiencyed to give the fetus delay distant oxygen. Oxygen is insufficiencyed for ordinary expandth and product of the fetus.
  34. Answer: (B) Passage of distinct vesicular magnitude per vagina
    Hydatididevise deference (H-mole) is characterized by the retrogradation of the chorionic villi wherein the villi behoves vesicle-like. These vesicle-love matters when expelled per vagina and is a ascertained mark that the dame has H-mole.
  35. Answer: (A) Hydatididevise deference
    Hydatididevise deference begins as a pregnancy but forthcoming in the product of the source retrogradation happens. The proliferation of the vesicle-love matters is quick causing the uterus to increase bigger than the expected greatness fixed on ages of gestation (AOG). In the circumstances fond, the pregnancy is barely 5 months but the greatness of the uterus is alcheerful aloft the umbilicus which is coexistent delay 7 months AOG. Also, no fetal attendt worst is appreciated accordingly the pregnancy degenerated thus tshort is no apprecipotent fetal attendt worst.
  36. Answer: (C) Circumstances the dowager on her intetranquillity to recognize the secretions to parch from her perforation and prcircumstance hope
    Positioning the dowager on her intetranquillity succeed recognize the secretions that may garner in her perforation to parch by starch thus obstructing hope pneumonia. Putting a perforation gag is not trustworthy past during the convulsive spoil the jaw succeed nextly lock. The dowager may go into work too during the spoil but the next sympathy of the promote is the security of the baby. Subjoined the spoil, control the perineum for marks of thrust-subordinate work.
  37. Answer: (B) Minimize oxygen decrement which can heighten the term of the sympathyed attendt of the dowager
    Activity of the dowager succeed exact over oxygen decrement. Past the attendt of a gravido-cardiac is sympathyed, tshort is a insufficiency to put a dowager on bedtranquillity to subjugate the insufficiency for oxygen.
  38. Answer: (A) The interior exam is performed barely at the exhibition beneath severe asepsis delay a enfold found
    Painless vaginal bleeding during the third trimester mayhap a mark of placenta praevia. If interior probation is performed in this husk of term, this can guide to equable over bleeding and may exact next exhibition of the baby by cesarean minority. If the bleeding is due to moveing edifice impairment in the source canal, next vaginal exhibition may sdress be practicpotent so the set up for vaginal exhibition succeed be used. A enfold found instrument tshort is a set up for cesarean minority and a found for vaginal exhibition to accommoduration nextly the compulsory mark of exhibition insufficiencyed. In twain cases, severe asepsis must be remarkd.
  39. Answer: (B) Dilation of the cervix
    In hovering pigmy, the pregnancy succeed ascertainedly be accountinated accordingly the cervix is alcheerful public unlove in threatened pigmy wshort the cervix is sdress determined.
  40. Answer: (B) Put the dowager on left intetranquillity ungentleman circumstances
    When a fraught dame lies on indolent circumstances, the impressiveness of the gravid uterus would be compressing on the vena cava abutting the vertebrae obstructing rank stream from the inferior extremities. This commencements a retrench in rank give-back to the attendt and therefore next retrenchd cardiac output and hypotension. Hence, putting the dowager on intetranquillity ungentleman succeed succor the influence exerted by the gravid uterus on the vena cava.
  41. Answer: (A) Magnesium sulfate and terbutaline
    Magnesium sulfate acts as a CNS depressant as courteous as a soften muscle relaxant. Terbutaline is a refuse that inhibits the uterine soften muscles from contracting. On the other laborer, oxytocin and prostaglandin stimulates controperation of soften muscles.
  42. Answer: (C) Inferior element of the uterus delay the edges adjacent the interior cervical os
    Placenta marginalis is a mark of placenta previa wherein the placenta is implanted at the inferior element of the uterus thus the edges of the placenta are tender the interior cervical publicing/os. The ordinary plight of placental augmentation is the surpassing element of the uterus.
  43. Answer: (B) Rubella
    Rubella is commencementd by a bane and banees enjoy low deferencecular impressiveness thus can ignoring through the placental enclosure. Gonorrhea, candidiasis and moniliasis are terms that can feign the fetus as it ignoringes through the vaginal canal during the exhibition fashion.
  44. Answer: (B) Orchitis
    Orchitis is a confusion that may involve mumps in adult males. This term is characterized by unilateral inflammation of one of the experimentes which can guide to atrophy of the feigned experimentis. Encircling 20-30% of males who gets mumps subjoined puberty may educe this confusion.
  45. Answer: (A) Cervix
    Papanicolaou (Paps) daub is performed to descry cervical cancer. It can’t descry cancer in ovaries and lapseopian tubes accordingly these organs are outintetranquillity of the uterus and the abordinary cells from these organs succeed not be descryed from a daub performed on the cervix.
  46. Answer: (A) Vaginismus
    Vaginismus is principally psychical in commencement. Endometriosis is a term that is commencementd by fundamental monstrousities. Dyspareunia is usually commencementd by corruption, endometriosis or hormonal changes in menopause although may casually be psychical in commencement.
  47. Answer: (A) 100 cc. urine output in 4 hours
    The restriction urine output expected for a relate dose of MgSO4 is 30 cc/hr. If in 4 hours the urine output is barely 100 cc this is low and can guide to thin exudation of Magnesium delay a practicpotent cumulative end, which can be exposed to the dowager.
  48. Answer: (C) On the foremost pregnancy of the Rh(-) dowager, the fetus succeed not be feigned
    On the foremost pregnancy, the dowager sdress has no apposition delay Rh(+) rank thus it has not antibodies abutting Rh(+). Subjoined the foremost pregnancy, equable if accountinated into an pigmy, tshort is alcheerful the possibility of mixing of husk and fetal rank so this can trigger the husk rank to fruit antibodies abutting Rh(+) rank. The fetus takes it’s rank mark usually devise the father.


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We take care not only of your academic success, but also of your experience with us. That’s why we have made the process of placing your order as easy and fast as possible—usually, it takes no more than 2-3 minutes.

Let’s have a closer look at the simple steps you need to go through for submitting your order:

Fill in the order form.

Be sure to include specific instructions regarding your paper and to upload any of the required materials. If you have any questions while specifying your paper’s information, just click on the info sign at the end of every field name and you will see a detailed tip on what exact information is required.

Proceed with the payment.

After you are through with the order form, you will need to make a payment via a preferable system. Right after that, you will be automatically provided with your personal order page where you can track your order’s progress, provide additional requirements, and send messages to your writer or support manager.

A personal writer is assigned to your order.

Our qualified staff will choose the most suitable writer whose skills and experience match your field of study and paper’s details. In case the writer must have any particular software or literature in order to get the Nursing Assignment done, please do not forget to mention this in your initial instructions.

Your paper is completed and delivered to your personal order page.

When the writer finishes your paper, it is delivered to your personal order page as a PDF document, available for preview only. You will be able to download an editable MS Word version of the order right after you click the “Approve” button in the “Files” tab of your personal order page. If any changes are to be applied to the paper, you are always welcome to request a free revision with a new deadline for the writer (be sure to check more information about this in our revision policy).

You can check how easy the process is by going to the order page and submitting your paper details right now.

Is there a money-back guarantee? If yes, how can I receive a refund?

You can get more details about possible types and terms of refunds on our official money-back guarantee page.

How will I receive a completed paper?

You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions.

If there happen to be any problems with downloading your paper, please contact our support team.

What if I’m not satisfied with my order?

If your paper needs some changes, you can apply for a free revision that is available for 7 days after your paper is approved. To use this option, you have a “Revision” button on your personal page.

After the 7-day period, you cannot apply for a free revision, though you still can use a paid revision option. The price of such a revision will differ depending on the number of amendments needed to be done. Please contact our support team to find out how we can help you with the amendments to your paper.

If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

Order your essay today and save 15% with the discount code NURSINGHELP