MCN Q&A With Rationale

8/9/2019 MCN Q&A With Rationale

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Jane L Hill

BSN-4A1

MCN

1. Postpartum Period:

The fundus of the uterus is expected to go down normally

postpartally about __ cm per day.

A. 1.0 cm

B. 2.0 cm

C. 2.5 cm

D. 3.0 cm

2. The lochia on the rst few days after delivery is characteried as

A. Pinkish wih s!me "l!!# cl!s

B. $hiish wih s!me m%c%s

C. &e##ish wih s!me m%c%s

D. Se'!%s wih s!me "'!wn in(e# m%c%s

!. "ochia normally disappears after how many days postpartum#

A. 5 #a)s

B. *-10 #a)s

C. 1+-21 #a)s

D. 2+-30 #a)s


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$. %fter an &h'() mother has delivered her &h '*) baby+ the mother

is given &ho,am. This is done in order to:

A. P'e,en he 'ec%''ence ! &h/ "a") in %%'e 'e(nancies

B. P'e,en he m!he' '!m '!#%cin( ani"!#ies a(ains he &h/ ani(en

ha she ma) ha,e (!en when she #eli,e'e# ! he' &h/ "a")

C. ns%'e ha %%'e 'e(nancies will n! lea# ! mae'nal illness

D. ! 'e,en he new"!'n '!m ha,in( '!"lems ! inc!mai"ili) when i

"'easee#s

-. To enhance mil production+ a lactating mother must do the

following interventions /0/PT:

A. nc'ease %i# inake incl%#in( milk

B. a !!#s ha inc'eases lacai!n which a'e calle# (alaca(%es

C. 6e'cise a#e7%ael) like ae'!"ics

D. Ha,e a#e7%ae n%'ii!n an# 'es

. The nursing intervention to relieve pain in breast engorgement

while the mother continues to breastfeed is

A. Al) c!l# c!m'ess !n he en(!'(e# "'eas

B. Al) wa'm c!m'ess !n he en(!'(e# "'eas

C. Massa(e he "'eas

D. Al) anal(esic !inmen


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3. % woman who delivered normally per vagina is expected to void

within ___ hours after delivery.

A. 3 h's

B. 4 h's.

C. 8-+ h's

D. 12-24 h!%'s

4. To ensure ade5uate lactation the nurse should teach the mother

to:

A. B'eas ee# he "a") !n sel-#eman# #a) an# ni(h

B. 9ee# 'ima'il) #%'in( he #a) an# all!w he "a") ! slee h'!%(h he

ni(h

C. 9ee# he "a") e,e') 3-4 h!%'s !ll!win( a s'ic sche#%le

D. B'easee# when he "'eas a'e en(!'(e# ! ens%'e a#e7%ae s%l)

6. %n appropriate nursing intervention when caring for a

postpartum mother with thrombophlebitis is:

A. nc!%'a(e he m!he' ! am"%lae ! 'elie,e he ain in he le(

B. ns'%c he m!he' ! al) elasic "!n#a(e '!m he !! (!in( !wa'#s

he knee ! im'!,e ,en!%s 'e%'n !w

C. Al) wa'm c!m'ess !n he a:ece# le( ! 'elie,e he ain

D. le,ae he a:ece# le( an# kee he aien !n "e#'es


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17. The nurse should anticipate that hemorrhage related to uterine

atony may occur postpartally if this condition was present during

the delivery:

A. 6cessi,e anal(esia was (i,en ! he m!he'

B. Placenal #eli,e') !cc%''e# wihin hi') min%es ae' he "a") was "!'n

C. An eisi!!m) ha# ! "e #!ne ! aciliae #eli,e') ! he hea#

D. he la"!' an# #eli,e') lase# !' 12 h!%'s

11. %ccording to &ubin8s theory of maternal role adaptation+ the

mother will go through ! stages during the post partum perio9.

These stages are:

A. ;!in( h'!%(h< a#=%smen e'i!#< a#aai!n e'i!#

B. akin(-in< akin(-h!l# an# lein(-(!

C. Aachmen hase< a#=%smen hase< a#aai!n hase

D. akin(-h!l#< lein(-(!< aachmen hase

12. The neonate of a mother with diabetes mellitus is prone to

developing hypoglycemia because:

A. he anc'eas is imma%'e an# %na"le ! sec'ee he nee#e# ins%lin

B. he'e is 'ai# #imin%i!n ! (l%c!se le,el in he "a")>s ci'c%lain( "l!!#

an# his anc'eas is n!'mall) sec'ein( ins%lin


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C. he "a") is 'eacin( ! he ins%lin (i,en ! he m!he'

D. His ki#ne)s a'e imma%'e lea#in( ! a hi(h !le'ance !' (l%c!se

1!. hich of the following is an abnormal vital sign in postpartum#

A. P%lse 'ae "eween 50-80?min

B. BP #ias!lic inc'ease '!m +0 ! @5mm H(

C. BP s)s!lic "eween 100-120mm H(

D. &esi'a!') 'ae ! 18-20?min

1$. The uterine fundus right after delivery of placenta is palpable at

A. Le,el ! )h!i# '!cess

B. Le,el ! %m"ilic%s

C. Le,el ! s)mh)sis %"is

D. Mi#wa) "eween %m"ilic%s an# s)mh)sis %"is

1-. %fter how many wees after delivery should a woman have her

postpartal chec(up based on the protocol followed by the 9;<

Philippines#

A. 2 weeks

B. 3 weeks

C. 8 weeks

D. 12 weeks


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1. =n a woman who is not breastfeeding+ menstruation usually

occurs after how many wees#

A. 2-4 weeks

B. 8-+ weeks

C. 8 m!nhs

D. 12 m!nhs

13. The following are nursing measures to stimulate lactation

/0/PT

A. 9'e7%en 'e(%la' "'eas ee#in(

B. B'eas %min(

C. B'eas massa(e

D. Alicai!n ! c!l# c!m'ess !n he "'eas

14. hen the uterus is rm and contracted after delivery but there

is vaginal bleeding+ the nurse should suspect

A. Lace'ai!n ! s! iss%es ! he ce',i6 an# ,a(ina

B. e'ine a!n)

C. e'ine in,e'si!n

D. e'ine h)e'c!n'acili)


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16. The following are interventions to mae the fundus contract

postpartally /0/PT

A. Make he "a") s%ck he "'eas 'e(%la'l)

B. Al) ice ca !n %n#%s

C. Massa(e he %n#%s ,i(!'!%sl) !' 15 min%es %nil c!n'ace#

D. ;i,e !6)!cin as !'#e'e#

27. The following are nursing interventions to relieve episiotomy

wound pain /0/PT

A. ;i,in( anal(esic as !'#e'e#

B. Si "ah

C. Pe'ineal hea

D. Pe'ineal ca'e

21. Postpartum blues is said to be normal provided that the

following characteristics are present. These are

1. $ihin 3-10 #a)s !nl)

2. $!man e6hi"is he !ll!win( s)m!ms- eis!#ic ea'%lness< ai(%e<

!,e'sensii,i)< !!' aeie


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3. Ma)"e m!'e se,e'e s)m!ms in 'ima'a

A. All ! he a"!,e

B. 1 an# 2

C. 2 !nl)

D. 2 an# 3

22. The neonatal circulation di>ers from the fetal circulation

because

A. he eal l%n(s a'e n!n-%nci!nin( as an !'(an an# m!s ! he "l!!# in

he eal ci'c%lai!n is mi6e# "l!!D.

B. he "l!!# a he le a'i%m ! he eal hea' is sh%ne# ! he 'i(h a'i%m

! aciliae is assa(e ! he l%n(s

C. he "l!!# in le si#e ! he eal hea' c!nains !6)(enae# "l!!# while

he "l!!# in he 'i(h si#e c!nains %n!6)(enae# "l!!D.

D. N!ne ! he a"!,e

2!. The normal respiration of a newborn immediately after birth is

characteried as:

A. Shall!w an# i''e(%la' wih sh!' e'i!#s ! anea lasin( n! l!n(e' han

15 sec!n#s< 30-80 "'eahs e' min%e

B. 20-40 "'eahs e' min%e< a"#!minal "'eahin( wih aci,e %se !

ine'c!sals m%scles


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C. 30-80 "'eahs e' min%e wih anea lasin( m!'e han 15 sec!n#s<

a"#!minal "'eahin(

D. 30-50 "'eahs e' min%e< aci,e %se ! a"#!minal an# ine'c!sal

m%scles

2$. The anterior fontanelle is characteried as:

A. 3-4 cm ane'!-!se'i!' #iamee' an# 2-3 cm 'ans,e'se #iamee'<

#iam!n# shae

B. 2-3 cm ane'!-!se'i!' #iamee' an# 3-4 cm 'ans,e'se #iamee' an#

#iam!n# shae

C. 2-3 cm in "!h ane'!-!se'i!' an# 'ans,e'se #iamee' an# #iam!n#

shae

D. n!ne ! he a"!,e

2-. The ideal site for vitamin ? in@ection in the newborn is:

A. &i(h %e' a'm

B. Le %e' a'm

C. ihe' 'i(h !' le "%!cks

D. Mi##le hi'# ! he hi(h


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2. %t what %P,%& score at - minutes after birth should

resuscitation be initiated#

A. 1-3

B. *-+

C. @-10

D. 8-*

23. &ight after birth+ when the sin of the baby8s trun is pinish

but the soles of the feet and palm of the hands are bluish this is

called:

A. S)n#ac)l)

B. Ac'!c)an!sis

C. Pe'ihe'al c)an!sis

D. Cehal!-ca%#al c)an!sis

24. The minimum birth weight for full term babies to be considered

normal is:

A. 2


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26. The procedure done to prevent ophthalmia neonatorum is:

A. Ma'me>s echni7%e

B. C'e#e>s meh!#

C. &i(en>s meh!#

D. Ehhalmic wash

!7. hich of the following characteristics will distinguish a

postmature neonate at birth#

A. Plen) ! lan%(! an# ,e'ni6 case!sa

B. Lan%(! mainl) !n he sh!%l#e's an# ,e'ni6 in he skin !l#s

C. Pinkish skin wih (!!# %'(!'

D. Alm!s leahe'-like< #')< c'acke# skin< ne(li(i"le ,e'ni6 case!sa

!1. %ccording to the Philippine Aursing "aw+ a registered nurse is

allowed to handle mothers in labor and delivery with the following

considerations:

1. he 'e(nanc) is n!'mal.

2. he la"!' an# #eli,e') is %nc!mlicae#

3. S%%'in( ! e'ineal lace'ai!n is all!we# '!,i#e# he n%'se ha# secial

'ainin(

4. As a #eli,e') '!!m n%'se she is n! all!we# ! inse' in'a,en!%s %i#

%nless she ha# secial 'ainin( !' i.


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A. 1 an# 2

B. 1< 2< an# 3

C. 3 an# 4

D. 1< 2< an# 4

!2. Birth ontrol Cethods and =nfertility:

=n basal body temperature 'BBT) techni5ue+ the sign that ovulation

has occurred is an elevation of body temperature by

A. 1.0-1.4 #e('ees ceni('a#e

B. 0.2-0.4 #e('ees ceni('a#e

C. 2.0-4.0 #e('ees ceni('a#e

D. 1.0-4.0 #e('ees ceni('a#e

!!. "actation %menorrhea Cethod'"%C) can be an e>ective method

of natural birth control if

A. he m!he' "'eas ee#s mainl) a ni(h ime when !,%lai!n c!%l#

!ssi"l) !cc%'

B. he m!he' "'easee#s e6cl%si,el) an# 'e(%la'l) #%'in( he F's 8 m!nhs

wih!% (i,in( s%lemenal ee#in(s

C. he m!he' %ses mi6e# ee#in( aih%ll)


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D. he m!he' "'easee#s 'e(%la'l) %nil 1 )ea' wih n! s%lemenal

ee#in(s

!$. =ntra(uterine device prevents pregnancy by the >. mechanism

/0/PT

A. n#!me'i%m inames

B. 9%n#%s c!n'acs ! e6el %e'ine c!nens

C. C!e' em"e##e# in he D can kill he se'ms

D. Se'ms will "e "a''e# '!m ene'in( he all!ian %"es

!-. ;ral contraceptive pills are of di>erent types. hich type is

most appropriate for mothers who are breastfeeding#

A. s'!(en !nl)

B. P'!(ese'!ne !nl)

C. Mi6e# )e- es'!(en an# '!(ese'!ne

D. 21-#a) ills mi6e# )e

!. The natural family planning method called Dtandard 9ays 'D9C)+

is the latest type and easy to use metho9.


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A. 21-28 #a)s

B. 28-32 #a)s

C. 2+-30 #a)s

D. 24- 38 #a)s

!3. hich of the following are signs of ovulation#

1. Mielschme'

2. Sinna"a'kei

3. hin wae') ce',ical m%c%s

4. le,ae# "!#) eme'a%'e ! 4.0 #e('ees ceni('a#e

A. 1 G 2

B. 1< 2< G 3

C. 3 G 4

D. 1< 2< 3< 4

!4. The following methods of articial birth control wors as a

barrier device /0/PT:

A. C!n#!m

B. Ce',ical ca

C. Ce',ical Diah'a(m

D. n'a%e'ine #e,ice D


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!6. hich of the following is a T&E/ statement about normal

ovulation#

A. !cc%'s !n he 14h #a) ! e,e') c)cle

B. ma) !cc%' "eween 14-18 #a)s "e!'e ne6 mens'%ai!n

C. ,e') mens'%al e'i!# is alwa)s 'ece#e# ") !,%lai!n

D. he m!s e'ile e'i!# ! a w!man is 2 #a)s ae' !,%lai!n

$7. =f a couple would lie to enhance their fertility+ the following

means can be done:

1. Conitor the basal body temperature of the woman everyday to

determine pea period of fertilityF

2.


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A. eme'a%'e< ce',ical m%c%s< ce',ical c!nsisenc)

B. &elease ! !,%m< eme'a%'e an# ,a(ina

C. eme'a%'e an# weness

D. eme'a%'e< en#!me'ial sec'ei!n< m%c%s

$2. The following are important considerations to teach the woman

who is on low dose 'mini(pill) oral contraceptive /0/PT:

A. he ill m%s "e aken e,e')#a) a he same ime

B. he w!man ails ! ake a ill in !ne #a)< she m%s ake 2 ills !' a##e#

'!eci!n

C. he w!man ails ! ake a ill in !ne #a)< she nee#s ! ake an!he'

em!'a') meh!# %nil she has c!ns%me# he wh!le ack

D. she is "'eas ee#in(< she sh!%l# #isc!nin%e %sin( mini-ill an# %se he

'!(esin-!nl) )e

$!. To determine if the cause of infertility is a blocage of the

fallopian tubes+ the test to be done is

A. H%hne'>s es

B. &%"in>s es

C. P!sc!ial es

D. N!ne ! he a"!,e


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$$. =nfertility can be attributed to male causes such as the following

/0/PT:

A. C')!'chi#ism

B. E'chiis

C. Se'm c!%n ! a"!% 20 milli!n e' millilie'

D. P'ema%'e e=ac%lai!n

$-. Dpinnabareit is an indicator of ovulation which is characteried

as:

A. hin wae') m%c%s which can "e s'eche# in! a l!n( s'an# a"!% 10 cm

B. hick m%c%s ha is #eache# '!m he ce',i6 #%'in( !,%lai!n

C. hin m%c%s ha is )ell!wish in c!l!' wih Fsh) !#!'

D. hick m%c%s ,a(inal #ischa'(e in%ence ") hi(h le,el ! es'!(en

$. Gasectomy is a procedure done on a male for steriliation. The

organ involved in this procedure is

A. P'!sae (lan#

B. Seminal ,esicle

C. eses

D. as #ee'ens


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$3. Breast self examination is best done by the woman on herself

every month during

A. he mi##le ! he' c)cle ! ens%'e ha she is !,%lain(

B. D%'in( he mens'%al e'i!#

C. &i(h ae' he mens'%al e'i!# s! ha he "'eas is n! "ein( a:ece# ")

he inc'ease in h!'m!nes a'ic%la'l) es'!(en

D. J%s "e!'e he mens'%al e'i!# ! #ee'mine i !,%lai!n has !cc%''e#

$4. % woman is considered to be menopause if she has experienced

cessation of her menses for a period of

A. 8 m!nhs

B. 12 m!nhs

C. 1+ m!nhs

D. 24 m!nhs

$6. hich of the following is the correct practice of self breast

examination in a menopausal woman#

A. She sh!%l# #! i a he %s%al ime ha she e6e'iences he' mens'%al

e'i!# in he as ! ens%'e ha he' h!'m!nes a'e n! a is eak

B. An) #a) ! he m!nh as l!n( i is 'e(%la'l) !"se',e# !n he same #a)

e,e') m!nh

C. An)ime she eels like #!in( i i#eall) e,e') #a)


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D. Men!a%sal w!men #! n! nee# 'e(%la' sel "'eas e6am as l!n( as he)

#! i a leas !nce e,e') 8 m!nhs

-7. =n assisted reproductive technology '%&T)+ there is a need to

stimulate the ovaries to produce more than one mature ov%. The

drug commonly used for this purpose is:

A. B'!m!c'iine

B. Cl!mihene

C. P'!,e'a

D. s'!(en

-1. hich of the following conditions will lead to a small(for(

gestational age fetus due to less blood supply to the fetus#

A. Dia"ees in he m!he'

B. Mae'nal ca'#iac c!n#ii!n

C. P'ema%'e la"!'

D. A"'%i! lacena

-2. The lower limit of viability for infants in terms of age of

gestation is:


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A. 21-24 weeks

B. 25-2* weeks

C. 2+-30 weeks

D. 3+-40 weeks

-!. hich provision of our 1643 constitution guarantees the right of

the unborn child to life from conception is

A. A'icle seci!n 12

B. A'icle seci!n 15

C. A'icle seci!n 11

D. A'icle seci!n 15

-$. =n the Philippines+ if a nurse performs abortion on the mother

who wants it done and she gets paid for doing it+ she will be held

liable because

A. A"!'i!n is imm!'al an# is '!hi"ie# ") he ch%'ch

B. A"!'i!n is "!h imm!'al an# ille(al in !%' c!%n')

C. A"!'i!n is c!nsi#e'e# ille(al "eca%se )!% (! ai# !' #!in( i

D. A"!'i!n is ille(al "eca%se ma=!'i) in !%' c!%n') a'e cah!lics an# i is

'!hi"ie# ") he ch%'ch


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--. The preferred manner of delivering the baby in a gravido(cardiac

is vaginal delivery assisted by forceps under epidural anesthesi%.

The main rationale for this is:

A. ! all!w a'a%maic #eli,e') ! he "a")

B. ! all!w a ('a#%al shiin( ! he "l!!# in! he mae'nal ci'c%lai!n

C. ! make he #eli,e') e:!' 'ee an# he m!he' #!es n! nee# ! %sh

wih c!n'aci!ns

D. ! 'e,en e'ineal lace'ai!n wih he e6%lsi!n ! he eal hea#

-. hen giving narcotic analgesics to mother in labor+ the special

consideration to follow is:

A. he '!('ess ! la"!' is well esa"lishe# 'eachin( he 'ansii!nal sa(e

B. e'ine c!n'aci!n is '!('essin( well an# #eli,e') ! he "a") is

imminen

C. Ce',ical #ilaai!n has al'ea#) 'eache# a leas + cm. an# he sai!n is a

leas /2

D. e'ine c!n'aci!ns a'e s'!n( an# he "a") will n! "e #eli,e'e# )e

wihin he ne6 3 h!%'s.

-3. The cervical dilatation taen at 4:77 %C in a ,1P7 patient was

centimeters. % repeat =./. done at 17 %. C. showed that cervical

dilation was 3 cm. The correct interpretation of this result is:


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A. La"!' is '!('essin( as e6ece#

B. he laen hase ! Sa(e 1 is '!l!n(e#

C. he aci,e hase ! Sa(e 1 is '!'ace#

D. he #%'ai!n ! la"!' is n!'mal

-4. hich of the following techni5ues during labor and delivery can

lead to uterine inversion#

A. 9%n#al 'ess%'e alie# ! assis he m!he' in "ea'in( #!wn #%'in(

#eli,e') ! he eal hea#

B. S'!n(l) %((in( !n he %m"ilical c!'# ! #eli,e' he lacena an# hasen

lacenal sea'ai!n

C. Massa(in( he %n#%s ! enc!%'a(e he %e'%s ! c!n'ac

D. Al)in( li(h 'aci!n when #eli,e'in( he lacena ha has al'ea#)

#eache# '!m he %e'ine wall

-6. The fetal heart rate is checed following rupture of the bag of

waters in order to:

A. Check i he e%s is s%:e'in( '!m hea# c!m'essi!n

B. Dee'mine i c!'# c!m'essi!n !ll!we# he '%%'e

C. Dee'mine i he'e is %e'!-lacenal ins%Icienc)

D. Check i eal 'esenin( a' has a#e7%ael) #escen#e# !ll!win( he

'%%'e


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7. Epon assessment+ the nurse got the following ndings: 2

perineal pads highly saturated with blood within 2 hours post

partum+ P&H 47 bpm+ fundus soft and boundaries not well dene9.

The appropriate nursing diagnosis is:

A. N!'mal "l!!# l!ss

B. Bl!!# ,!l%me #eFcienc)

C. na#e7%ae iss%e e'%si!n 'elae# ! hem!''ha(e

D. Hem!''ha(e sec!n#a') ! %e'ine a!n)

1. The following are signs and symptoms of fetal distress /0/PT:

A. 9eal hea' 'ae 9H& #ec'ease# #%'in( a c!n'aci!n an# e'siss e,en

ae' he %e'ine c!n'aci!n en#s

B. he 9H& is less han 120 "m !' !,e' 180 "m

C. he 'e-c!n'aci!n 9H& is 130 "m< 9H& #%'in( c!n'aci!n is 11+ "m

an# 9H& ae' %e'ine c!n'aci!n is 128 "m

D. 9H& is 180 "m< weak an# i''e(%la'

2. =f the labor period lasts only for ! hours+ the nurse should

suspect that the following conditions may occur:

1.Lace'ai!n ! ce',i6

2.Lace'ai!n ! e'ine%m


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3.C'anial hema!ma in he e%s

4.9eal an!6ia

A. 1 G 2

B. 2 G 4

C. 2


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-. To monitor the fre5uency of the uterine contraction during labor+

the right techni5ue is to time the contraction

A. 9'!m he "e(innin( ! !ne c!n'aci!n ! he en# ! he same c!n'aci!n

B. 9'!m he "e(innin( ! !ne c!n'aci!n ! he "e(innin( ! he ne6

c!n'aci!n

C. 9'!m he en# ! !ne c!n'aci!n ! he "e(innin( ! he ne6 c!n'aci!n

D. 9'!m he #ecele'ai!n ! !ne c!n'aci!n ! he acme ! he ne6

c!n'aci!n

. The pea point of a uterine contraction is called the

A. Accele'ai!n

B. Acme

C. Decele'ai!n

D. A6i!m

3. hen determining the duration of a uterine contraction the

right techni5ue is to time it from

A. he "e(innin( ! !ne c!n'aci!n ! he en# ! he same c!n'aci!n

B. he en# ! !ne c!n'aci!n ! he "e(innin( ! an!he' c!n'aci!n

C. he acme !in ! !ne c!n'aci!n ! he acme !in ! an!he'

c!n'aci!n

D. he "e(innin( ! !ne c!n'aci!n ! he en# ! an!he' c!n'aci!n


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4. hen the bag of waters ruptures+ the nurse should chec the

characteristic of the amniotic Iui9. The normal color of amniotic

Iuid is

A. Clea' as wae'

B. Bl%ish

C. ;'eenish

D. ell!wish

6. hen the bag of waters ruptures spontaneously+ the nurse

should inspect the vaginal introitus for possible cord prolapse. =f

there is part of the cord that has prolapsed into the vaginal opening

the correct nursing intervention is:

A. P%sh "ack he '!lase c!'# in! he ,a(inal canal

B. Place he m!he' !n semi!wle'>s !sii!n ! im'!,e ci'c%lai!n

C. C!,e' he '!lase c!'# wih se'ile (a%e we wih se'ile NSS an# lace

he w!man !n 'en#elen"%'( !sii!n

D. P%sh "ack he c!'# in! he ,a(ina an# lace he w!man !n sims !sii!n

37. The fetal heart beat should be monitored every 1- minutes

during the 2nd stage of labor. The characteristic of a normal fetal

heart rate is


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A. he hea' 'ae will #ecele'ae #%'in( a c!n'aci!n an# hen (! "ack ! is

'e-c!n'aci!n 'ae ae' he c!n'aci!n

B. he hea' 'ae will accele'ae #%'in( a c!n'aci!n an# 'emain sli(hl)

a"!,e he 'e-c!n'aci!n 'ae a he en# ! he c!n'aci!n

C. he 'ae sh!%l# n! "e a:ece# ") he %e'ine c!n'aci!n.

D. he hea' 'ae will #ecele'ae a he mi##le ! a c!n'aci!n an# 'emain s!

!' a"!% a min%e ae' he c!n'aci!n

31. The mechanisms involved in fetal delivery is

A. Descen< e6ensi!n< e6i!n< e6e'nal '!ai!n

B. Descen< e6i!n< ine'nal '!ai!n< e6ensi!n< e6e'nal '!ai!n

C. 9le6i!n< ine'nal '!ai!n< e6e'nal '!ai!n< e6ensi!n

D. ne'nal '!ai!n< e6ensi!n< e6e'nal '!ai!n< e6i!n

32. The rst thing that a nurse must ensure when the baby8s head

comes out is

A. he c!'# is inac

B. N! a' ! he c!'# is enci'clin( he "a")>s neck

C. he c!'# is sill aache# ! he lacena

D. he c!'# is sill %lsain(

3!. To ensure that the baby will breath as soon as the head is

delivered+ the nurse8s priority action is to


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A. S%ci!n he n!se an# m!%h ! 'em!,e m%c!%s sec'ei!ns

B. Sla he "a")>s "%!cks ! make he "a") c')

C. Clam he c!'# a"!% 8 inches '!m he "ase

D. Check he "a")>s c!l!' ! make s%'e i is n! c)an!ic

3$. hen doing perineal care in preparation for delivery+ the nurse

should observe the following /0/PT

A. se %-#!wn echni7%e wih !ne s'!ke

B. Clean '!m he m!ns ,ene'is ! he an%s

C. se mil# s!a an# wa'm wae'

D. Pain he inne' hi(hs (!in( !wa'#s he e'ineal a'ea

3-. hat are the important considerations that the nurse must

remember after the placenta is delivered#

1.hec if the placenta is complete including the membranes

2.hec if the cord is long enough for the baby

!.hec if the umbilical cord has ! blood vessels

$.hec if the cord has a meaty portion and a shiny portion

A. 1 an# 3

B. 2 an# 4

C. 1< 3< an# 4

D. 2 an# 3


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3. The following are correct statements about false labor /0/PT

A. he ain is i''e(%la' in inensi) an# 'e7%enc).

B. he #%'ai!n ! c!n'aci!n '!('essi,el) len(hens !,e' ime

C. he'e is n! ,a(inal "l!!#) #ischa'(e

D. he ce',i6 is sill cl!seD.

33. The passageway in labor and deliver of the fetus include the

following /0/PT

A. Disensi"ili) ! l!we' %e'ine se(men

B. Ce',ical #ilaai!n an# e:acemen

C. Disensi"ili) ! ,a(inal canal an# in'!i%s

D. 9le6i"ili) ! he el,is

34. The normal umbilical cord is composed of:

A. 2 a'e'ies an# 1 ,ein

B. 2 ,eins an# 1 a'e')

C. 2 a'e'ies an# 2 ,eins

D. n!ne ! he a"!,e

36. %t what stage of labor and delivery does a primigravida di>er

mainly from a multigravida#


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A. Sa(e 1

B. Sa(e 2

C. Sa(e 3

D. Sa(e 4

47. The second stage of labor begins with ___ and ends with __#

A. Be(ins wih %ll #ilaai!n ! ce',i6 an# en#s wih #eli,e') ! lacena

B. Be(ins wih '%e la"!' ains an# en#s wih #eli,e') ! "a")

C. Be(ins wih c!mlee #ilaai!n an# e:acemen ! ce',i6 an# en#s wih

#eli,e') ! "a")

D. Be(ins wih assa(e ! sh!w an# en#s wih %ll #ilaai!n an# e:acemen

! ce',i6

41. The following are signs that the placenta has detached /0/PT:

A. Len(henin( ! he c!'#

B. e'%s "ec!mes m!'e (l!"%la'

C. S%##en (%sh ! "l!!#

D. M!he' eels like "ea'in( #!wn

42. hen the shiny portion of the placenta comes out rst+ this is

called the ___ mechanism.


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A. Sch%le

B. &i(ens

C. D%ncan

D. Ma'mes

4!. hen the baby8s head is out+ the immediate action of the nurse

is

A. C% he %m"ilical c!'#

B. $ie he "a")>s ace an# s%ci!n m!%h F's

C. Check i he'e is c!'# c!ile# a'!%n# he neck

D. Deli,e' he ane'i!' sh!%l#e'

4$. hen delivering the baby8s head the nurse supports the

mother8s perineum to prevent tear. This techni5ue is called

A. Ma'me>s echni7%e

B. &i(en>s echni7%e

C. D%ncan mane%,e'

D. Sch%le mane%,e'

4-. The basic delivery set for normal vaginal delivery includes the

following instrumentsJarticles /0/PT:


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A. 2 clams

B. Pai' ! sciss!'s

C. Ki#ne) "asin

D. &e'ac!'

4. %s soon as the placenta is delivered+ the nurse must do which of

the following actions#

A. nsec he lacena !' c!mleeness incl%#in( he mem"'anes

B. Place he lacena in a 'eceacle !' #is!sal

C. La"el he lacena '!e'l)

D. Lea,e he lacena in he ki#ne) "asin !' he n%'sin( ai#e ! #is!se

'!e'l)

43. =n vaginal delivery done in the hospital setting+ the doctor

routinely orders an oxytocin to be given to the mother parenterally.

The oxytocin is usually given after the placenta has been delivered

and not before because:

A. E6)!cin will 'e,en "lee#in(

B. E6)!cin can make he ce',i6 cl!se an# h%s 'a he lacena insi#e

C. E6)!cin will aciliae lacenal #eli,e')

D. ;i,in( !6)!cin will ens%'e c!mlee #eli,e') ! he lacena


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44. =n a gravido(cardiac mother+ the rst 2 hours postpartum '$th

stage of labor and delivery) particularly in a cesarean section is a

critical period because at this stage

A. he'e is a %i# shi '!m he lacenal ci'c%lai!n ! he mae'nal

ci'c%lai!n which can !,e'l!a# he c!m'!mise# hea'.

B. he mae'nal hea' is al'ea#) weak an# he m!he' can #ie

C. he #eli,e') '!cess is s'en%!%s ! he m!he'

D. he m!he' is i'e# an# weak which can #is'ess he hea'

46. The drug usually given parentally to enhance uterine contraction

is:

A. e'"%alline

B. Pi!cin

C. Ma(nesi%m s%lae

D. Li#!caine

67. The partograph is a tool used to monitor labor. The maternal

parameters measuredJmonitored are the following /0/PT:

A. ial si(ns

B. 9l%i# inake an# !%%

C. e'ine c!n'aci!n

D. Ce',ical #ilaai!n


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61. The following are natural childbirth procedures /0/PT:

A. Lamae meh!#

B. Dick-&ea# meh!#

C. &i(en>s mane%,e'

D. Ps)ch!'!h)lacic meh!#

62. The following are common causes of dysfunctional labor. hich

of these can a nurse+ on her own manage#

A. Pel,ic "!ne c!n'aci!n

B. 9%ll "la##e'

C. 6ensi!n 'ahe' han e6i!n ! he hea#

D. Ce',ical 'i(i#i)

6!. %t what stage of labor is the mother is advised to bear down#

A. $hen he m!he' eels he 'ess%'e a he 'ecal a'ea

B. D%'in( a %e'ine c!n'aci!n

C. n "eween %e'ine c!n'aci!n ! 'e,en %e'ine '%%'e

D. An)ime he m!he' eels like "ea'in( #!wn

6$. The normal dilatation of the cervix during the rst stage of labor

in a nullipara is


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A. 1.2 cm.?h'

B. 1.5 cm.?h'.

C. 1.+ cm.?h'

D. 2.0 cm.?h'

6-. hen the fetal head is at the level of the ischial spine+ it is said

that the station of the head is

A. Sai!n 1

B. Sai!n 0

C. Sai!n /1

D. Sai!n /2

6. 9uring an internal examination+ the nurse palpated the posterior

fontanel to be at the left side of the mother at the upper 5uadrant.

The interpretation is that the position of the fetus is:

A. LEA

B. &EP

C. LEP

D. &EA


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63. The following are types of breech presentation /0/PT:

A. 9!!lin(

B. 9'ank

C. C!mlee

D. nc!mlee

64. hen the nurse palpates the suprapubic area of the mother and

found that the presenting part is still movable+ the right term for

this observation that the fetus is

A. n(a(e#

B. Descen#e#

C. 9l!ain(

D. ne'nal &!ai!n

66. The placenta should be delivered normally within ___ minutes

after the delivery of the baby.

A. 5 min%es

B. 30 min%es

C. 45 min%es

D. 80 min%es


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177. hen shaving a woman in preparation for cesarean section+

the area to be shaved should be from ___ to ___

A. n#e' "'eas ! mi#-hi(h incl%#in( he %"ic a'ea

B. he %m"ilic%s ! he mi#-hi(h

C. )h!i# '!cess ! he %"ic a'ea

D. A"!,e he %m"ilic%s ! he %"ic a'ea

%nswers and &ationale

1. %nswer: '%) 1.7 cm

he %e'%s will "e(in in,!l%i!n 'i(h ae' #eli,e'). is e6ece# !

'e('ess?(! #!wn ") 1 cm. e' #a) an# "ec!mes n! l!n(e' ala"le a"!% 1

week ae' #eli,e').


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2. %nswer: ') &eddish with some mucus

&i(h ae' #eli,e')< he ,a(inal #ischa'(e calle# l!chia will "e 'e##ish

"eca%se he'e is s!me "l!!#< en#!me'ial iss%e an# m%c%s. Since i is n!

%'e "l!!# i is n!n-cl!in(.

3. %nswer: 'B) 3(17 days

N!'mall)< l!chia #isaea's ae' 10 #a)s !sa'%m. $ha>s im!'an !

'emem"e' is ha he c!l!' ! l!chia (es ! "e li(he' '!m 'e##ish !

whiish an# scanie' e,e')#a).

4. %nswer: 'B) Prevent the mother from producing antibodies

against the &h'*) antigen that she may have gotten when she

delivered to her &h'*) baby

n &h inc!mai"ili)< an &h- m!he' will '!#%ce ani"!#ies a(ains he

eal &h / ani(en which she ma) ha,e (!en "eca%se ! he mi6in( !

mae'nal an# eal "l!!# #%'in( la"!' an# #eli,e'). ;i,in( he' &h!;am 'i(h

ae' "i'h will 'e,en he' imm%ne s)sem '!m "ein( e'manenl)

sensiie# ! &h ani(en.

5. %nswer: ') /xercise ade5uately lie aerobics

All he a"!,e n%'sin( meas%'es a'e nee#e# ! ens%'e ha he m!he' is in a

healh) sae. H!we,e'< ae'!"ics #!es n! necessa'il) enhance lacai!n.

8. %nswer: 'B) %pply warm compress on the engorged breast

$a'm c!m'ess is alie# i he %'!se is ! 'elie,e ain "% ens%'e


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lacai!n ! c!nin%e. he %'!se is ! 'elie,e ain as well as s%'ess

lacai!n< he c!m'ess alie# is c!l#.

*. %nswer: ') (4 hrs

A w!man wh! has ha# n!'mal #eli,e') is e6ece# ! ,!i# wihin 8-+ h's.

she is %na"le ! #! s! ae' + h!%'s< he n%'se sh!%l# sim%lae he w!man

! ,!i#. n%'sin( ine',eni!ns ! sim%lae s!nane!%s ,!i#in( #!n> w!'k<

he n%'se ma) #eci#e ! cahee'ie he w!man.

+. %nswer: '%) Breast feed the baby on self(demand day and night

9ee#in( !n sel-#eman# means he m!he' ee#s he "a") acc!'#in( !

"a")>s nee#. he'e!'e< his means he'e will "e 'e(%la' em)in( ! he

"'eass< which is essenial ! mainain a#e7%ae lacai!n.

@. %nswer: '9) /levate the a>ected leg and eep the patient on

bedrest

he m!he' al'ea#) has h'!m"!hle"iis< he n%'sin( ine',eni!n is

"e#'es ! 'e,en he !ssi"le #isl!#(in( ! he h'!m"%s an# keein( he

a:ece# le( ele,ae# ! hel 'e#%ce he inammai!n.

10. %nswer: '%) /xcessive analgesia was given to the mother

6cessi,e anal(esia can lea# ! %e'ine 'ela6ai!n h%s lea# ! hem!''ha(e

!sa'all). B!h B an# D a'e n!'mal an# C is a he ,a(inal in'!i%s h%s

will n! a:ec he %e'%s.

11. %nswer: 'B) Taing(in+ taing(hold and letting(go


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&%"in>s he!') saes ha he 3 sa(es ha a m!he' (!es h'!%(h !'

mae'nal a#aai!n a'eO akin(-in< akin(-h!l# an# lein(-(!. n he akin(-

in sa(e< he m!he' is m!'e assi,e an# #een#en !n !he's !' ca'e. n

akin(-h!l#< he m!he' "e(ins ! ass%me a m!'e aci,e '!le in he ca'e !

he chil# an# in lein(-(!< he m!he' has "ec!me a#ae# ! he' mae'nal

'!le.

12. %nswer: 'B) There is rapid diminution of glucose level in the

baby8s circulating blood and his pancreas is normally secreting

insulin

he m!he' is #ia"eic< he e%s while in %e'! has a hi(h s%l) !

(l%c!se. $hen he "a") is "!'n an# is n!w sea'ae '!m he m!he'< i n!

l!n(e' 'ecei,es a hi(h #!se ! (l%c!se '!m he m!he'. n he F's ew h!%'s

ae' #eli,e')< he ne!nae %s%all) #!es n! ee# )e h%s his can lea# !

h)!(l)cemia.

13. %nswer: 'B) BP diastolic increase from 47 to 6-mm


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1 Fn(e'"'ea#hs 1cm e,e')#a) %nil i "ec!mes n! l!n(e' ala"le a"!,e

he s)mh)sis %"is.

15. %nswer: ') wees

Acc!'#in( ! he DEH '!!c!l !sa'%m check-% is #!ne 8-+ weeks ae'

#eli,e') ! make s%'e c!mlee in,!l%i!n ! he 'e'!#%ci,e !'(ans has "e

achie,e#.

18. %nswer: 'B) (4 wees

$hen he m!he' #!es n! "'easee#< he n!'mal mens'%ai!n 'es%mes

a"!% 8-+ weeks ae' #eli,e'). his is #%e ! he ac ha ae' #eli,e')< he

h!'m!nes es'!(en an# '!(ese'!ne ('a#%all) #ec'ease h%s 'i((e'in(

ne(ai,e ee#"ack ! he ane'i!' i%ia') ! 'elease he 9!licle-Sim%lain(

H!'m!ne 9SH which in %'n sim%laes he !,a') ! a(ain ma%'e a ('aaFan

!llicle an# he mens'%al c)cle !s 'e(nanc) 'es%mes.

1*. %nswer: '9) %pplication of cold compress on the breast

! sim%lae lacai!n< wa'm c!m'ess is alie# !n he "'eas. C!l#

alicai!n will ca%se ,as!c!ns'ici!n h%s 'e#%cin( he "l!!# s%l)

c!nse7%enl) he '!#%ci!n ! milk.

1+. %nswer: '%) "aceration of soft tissues of the cervix and vagina

$hen %e'%s is F'm an# c!n'ace# i means ha he "lee#in( is n! in he

%e'%s "% !he' a's ! he assa(ewa) s%ch as he ce',i6 !' he ,a(ina.


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1@. %nswer: ') Cassage the fundus vigorously for 1- minutes until

contracted

Massa(in( he %n#%s ! he %e'%s sh!%l# n! "e ,i(!'!%s an# sh!%l# !nl)

"e #!ne %nil he %e'%s eel F'm an# c!n'ace#. massa(in( is ,i(!'!%s

an# '!l!n(e#< he %e'%s will 'ela6 #%e ! !,e' sim%lai!n.

20. %nswer: '9) Perineal care

Pe'ineal ca'e is 'ima'il) #!ne !' e's!nal h)(iene 'e(a'#less ! whehe'

he'e is ain !' n! eisi!!m) w!%n# !' n!.

21. %nswer: '%) %ll of the above

All he s)m!ms 1-3 a'e cha'ace'isic ! !sa'al "l%es. will 'es!l,e ")

isel "eca%se i is 'ansien an# is #%e ! a n%m"e' ! 'eas!ns like chan(es

in h!'m!nal le,els an# a#=%smen ! m!he'h!!#. s)m!ms lass m!'e

han 2 weeks< his c!%l# "e a si(n ! a"n!'mali) like !sa'%m #e'essi!n

an# nee#s 'eamen.

22. %nswer: '%) The fetal lungs are non(functioning as an organ and

most of the blood in the fetal circulation is mixed blood.

he eal l%n(s is %i#-Flle# while in %e'! an# is sill n! %nci!nin(. !nl)

"e(ins ! %nci!n in e6'a %e'ine lie. 6ce !' he "l!!# as i ene's he

e%s imme#iael) '!m he lacena< m!s ! he eal "l!!# is mi6e# "l!!#.

23. %nswer: '%) Dhallow and irregular with short periods of apnea

lasting not longer than 1- seconds+ !7(7 breaths per minute


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A newl) "!'n "a") sill is a#=%sin( ! 6'a %e'ine lie an# he l%n(s a'e =%s

"e(innin( ! %nci!n as a 'esi'a!') !'(an. he 'esi'ai!n ! he "a") a

his ime is cha'ace'ie# as %s%all) shall!w an# i''e(%la' wih sh!' e'i!#s

! anea< 30-80 "'eahs e' min%e. he aneic e'i!#s sh!%l# "e "'ie

lasin( n! m!'e han 15 sec!n#s !he'wise i will "e c!nsi#e'e# a"n!'mal.

24. %nswer: '%) !($ cm antero(posterior diameter and 2(! cm

transverse diameter+ diamond shape

he ane'i!' !nanelle is #iam!n# shae wih he ane'!-!se'i!' #iamee'

"ein( l!n(e' han he 'ans,e'se #iamee'. he !se'i!' !nanelle is

'ian(%la' shae.

25.%nswer: '9) Ciddle third of the thigh

Ne!naes #! n! ha,e well #e,el!e# m%scles ! he a'm. Since iamin K is

(i,en in'am%sc%la'< he sie m%s ha,e s%Icien m%scles like he mi##le

hi'# ! he hi(h.

28.%nswer: '%) 1(!

An AP;A& ! 1-3 is a si(n ! eal #is'ess which 'e7%i'es 'es%sciai!n. he

"a") is al'i(h i he sc!'e is +-10.

2*. %nswer: 'B) %crocyanosis

Ac'!c)an!sis is he e'm %se# ! #esc'i"e he "a")>s skin c!l!' a "i'h when

he s!les an# alms a'e "l%ish "% he '%nk is inkish.


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2+. %nswer: ') 2+-77gms

Acc!'#in( ! he $HE san#a'#< he minim%m n!'mal "i'h wei(h ! a %ll

e'm "a") is 2


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33. %nswer: 'B) The mother breastfeeds exclusively and regularly

during the rst months without giving supplemental feedings

A m!he' wh! "'easee#s e6cl%si,el) an# 'e(%la'l) #%'in( he F's 8 m!nhs

"eneFs '!m lacai!n amen!''hea. he'e is e,i#ence ! s%!' he

!"se',ai!n ha he "eneFs ! lacai!n amen!''hea lass !' 8 m!nhs

'!,i#e# he w!man has n! ha# he' F's mens'%ai!n since #eli,e') ! he

"a").

34. %nswer: '9) Dperms will be barred from entering the fallopian

tubes

An in'a%e'ine #e,ice is a !'ei(n "!#) s! ha i i is inse'e# in! he

%e'ine ca,i) he iniial 'eaci!n is ! '!#%ce inamma!') '!cess an# he

%e'%s will c!n'ac in !'#e' ! ') ! e6el he !'ei(n "!#). s%all) Ds a'e

c!ae# wih c!e' ! se',e as se'mici#e killin( he se'ms #e!sie# in!

he emale 'e'!#%ci,e 'ac. B% he D #!es n! c!mleel) Fll % he

%e'ine ca,i) h%s se'ms which a'e mic'!sc!ic is sie can sill ass

h'!%(h.

35. %nswer: 'B) Progesterone only

m!he' is "'easee#in(< he '!(ese'!ne !nl) )e is he "es "eca%se

es'!(en can a:ec lacai!n.

38. %nswer: 'B) 2(!2 days

San#a'# Da)s Meh!# SDM 'e7%i'es ha he mens'%al c)cles a'e 'e(%la'

"eween 28-32 #a)s. he'e is n! nee# ! m!ni!' eme'a%'e !' m%c%s


46/62

sec'ei!n. his na%'al meh!# ! amil) lannin( is ,e') simle since all ha

he w!man a)s aeni!n ! is he' c)cle. $ih he ai# ! C)cleBea#s< he

w!man can easil) m!ni!' he' c)cles.

3*. %nswer: 'B) 1+ 2+ K !

Mielschme'< sinna"a'kei an# hin wae') ce',ical m%c%s a'e si(ns !

!,%lai!n. $hen !,%lai!n !cc%'s< he h!'m!ne '!(ese'!ne is 'elease#

which can ca%se a sli(h ele,ai!n ! eme'a%'e "eween 0.2-0.4 #e('ees

ceni('a#e an# n! 4 #e('ees ceni('a#e.

3+. %nswer: '9) =ntrauterine device '=E9)

n'a%e'ine #e,ice 'e,ens 'e(nanc) ") n! all!win( he e'ilie# !,%m

'!m imlanin( !n he en#!me'i%m. S!me Ds ha,e c!e' a##e# ! i

which is se'mici#al. is n! a "a''ie' since he se'ms can 'ea#il) ass

h'!%(h an# e'ilie an !,%m a he all!ian %"e.

3@. %nswer: 'B) =t may occur between 1$(1 days before next

menstruation

N! all mens'%al c)cles a'e !,%la!'). N!'mal !,%lai!n in a w!man !cc%'s

"eween he 14h ! he 18h #a) "e!'e he N mens'%ai!n. A c!mm!n

misc!ncei!n is ha !,%lai!n !cc%'s !n he 14h #a) ! he c)cle. his is a

misc!ncei!n "eca%se !,%lai!n is #ee'mine# NE '!m he F's #a) ! he

c)cle "% 'ahe' 14-18 #a)s B9E& he ne6 mens'%ai!n.


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40. %nswer: ') 1+2+$

All ! he a"!,e a'e essenial !' enhance# e'ili) e6ce n!. 3 "eca%se

#%'in( he #') e'i!# he w!man is in he' ine'ile e'i!# h%s e,en when

se6%al c!nac is #!ne< he'e will "e n! !,%lai!n< h%s e'iliai!n is n!

!ssi"le.

41.%nswer: '%) Temperature+ cervical mucus+ cervical consistency

he 3 a'amee's meas%'e#?m!ni!'e# which will in#icae ha he w!man

has !,%lae# a'e- eme'a%'e inc'ease ! a"!% 0.2-0.4 #e('ees ceni('a#e<

s!ness ! he ce',i6 an# ce',ical m%c%s ha l!!ks like he whie ! an e((

which makes he w!man eel we.

42. %nswer: 'B) =f the woman fails to tae a pill in one day+ she must

tae 2 pills for added protection

he w!man ails ! ake he' %s%al ill !' he #a)< akin( a #!%"le #!se

#!es n! (i,e a##ii!nal '!eci!n. $ha she nee#s ! #! is ! c!nin%e

akin( he ills %nil he ack is c!ns%me# an# %se a he ime an!he'

em!'a') meh!# ! ens%'e ha n! 'e(nanc) will !cc%'. $hen a new ack

is sa'e#< she can al'ea#) #isc!nin%e %sin( he sec!n# em!'a') meh!#

she eml!)e#.

43.%nswer: 'B) &ubin8s test

&%"in>s es is a es ! #ee'mine aenc) ! all!ian %"es. H%hne'>s es is

als! kn!wn as !s-c!ial es ! #ee'mine c!mai"ili) ! he ce',ical

m%c%s wih se'ms ! he se6%al a'ne'.


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44. %nswer: ') Dperm count of about 27 million per milliliter

Se'm c!%n m%s "e wihin n!'mal in !'#e' !' a male ! s%ccess%ll) si'e a

chil#. he n!'mal se'm c!%n is 20 milli!n e' millilie' ! seminal %i# !' 50

milli!n e' e=ac%lae.

45. %nswer: '%) Thin watery mucus which can be stretched into a

long strand about 17 cm

A he mi#!in ! he c)cle when he es'!(en le,el is hi(h< he ce',ical

m%c%s "ec!mes hin an# wae') ! all!w he se'm ! easil) ene'ae an#

(e ! he all!ian %"es ! e'ilie an !,%m. his is calle# sinna"a'kei.

An# he w!man eels we. $hen '!(ese'!ne is sec'ee# ") he !,a')< he

m%c%s "ec!mes hick an# he w!man will eel #').

48. %nswer: '9) Gas deferens

asec!m) is a '!ce#%'e whe'ein he ,as #ee'ens ! he male is li(ae#

an# c% ! 'e,en he assa(e ! he se'ms '!m he eses ! he enis

#%'in( e=ac%lai!n.

4*. %nswer: ') &ight after the menstrual period so that the breast

is not being a>ected by the increase in hormones particularly

estrogen

he "es ime ! #! sel "'eas e6aminai!n is 'i(h ae' he mens'%al

e'i!# is !,e' s! ha he h!'m!nal le,el is l!w h%s he "'eass a'e n!

en#e'.


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4+. %nswer: 'B) 12 months

a w!man has n! ha# he' mens'%al e'i!# !' 12 c!nsec%i,e m!nhs< she

is c!nsi#e'e# ! "e in he' men!a%sal sa(e.

4@. %nswer: 'B) %ny day of the month as long it is regularly observed

on the same day every month

Men!a%sal w!men sill nee# ! #! sel e6aminai!n ! he "'eas 'e(%la'l).

An) #a) ! he m!nh is al'i(h '!,i#e# ha she 'acices i m!nhl) !n he

same #a) ha she has ch!sen. he h!'m!nes es'!(en an# '!(ese'!ne a'e

al'ea#) #iminishe# #%'in( men!a%se s! he'e is n! nee# ! c!nsi#e' he

ime ! #! i in 'elai!n ! he mens'%al c)cle.

50. %nswer: 'B) lomiphene

Cl!mihene !' Cl!mi# acs as an !,a'ian sim%lan ! '!m!e !,%lai!n. he

ma%'e !,a a'e 'e'ie,e# an# e'ilie# !%si#e he all!ian %"e in-,i'!

e'iliai!n an# ae' 4+ h!%'s he e'ilie# !,%m is inse'e# in! he %e'%s

!' imlanai!n.

51. %nswer: 'B) Caternal cardiac condition

n (ene'al< when he hea' is c!m'!mise# s%ch as in mae'nal ca'#iac

c!n#ii!n< he c!n#ii!n can lea# ! less "l!!# s%l) ! he %e'%s


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c!nse7%enl) ! he lacena which '!,i#es he e%s wih he essenial

n%'iens an# !6)(en. h%s i he "l!!# s%l) is less< he "a") will s%:e'

'!m ch'!nic h)!6ia lea#in( ! a small-!'-(esai!nal a(e c!n#ii!n.

52. %nswer: '%) 21(2$ wees

ia"ili) means he caa"ili) ! he e%s ! li,e?s%',i,e !%si#e ! he

%e'ine en,i'!nmen. $ih he 'esen echn!l!(ical an# me#ical a#,ances<

21 weeks AE; is c!nsi#e'e# as he minim%m eal a(e !' ,ia"ili).

53. %nswer: '%) %rticle == section 12

he Philiine C!nsi%i!n ! 1@+* (%a'anees he 'i(h ! he %n"!'n chil#

'!m c!ncei!n e7%al ! he m!he' as sae# in A'icle Sae P!licies<

Seci!n 12.

54. %nswer: 'B) %bortion is both immoral and illegal in our country

n#%ce# A"!'i!n is ille(al in he c!%n') as sae# in !%' Penal C!#e an# an)

e's!n wh! e'!'ms he ac !' a ee c!mmis a ('a,e !:ense %nisha"le

") 10-12 )ea's ! im'is!nmen.

55. %nswer: ') To mae the delivery e>ort free and the mother does

not need to push with contractions

9!'ces #eli,e') %n#e' ei#%'al aneshesia will make he #eli,e') '!cess

less ain%l an# 'e7%i'e less e:!' ! %sh !' he m!he'. P%shin( 'e7%i'es

m!'e e:!' which a c!m'!mise# hea' ma) n! "e a"le ! en#%'e.


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58. %nswer: '9) Eterine contractions are strong and the baby will

not be delivered yet within the next ! hours.

Na'c!ic anal(esics m%s "e (i,en when %e'ine c!n'aci!ns a'e al'ea#) well

esa"lishe# s! ha i will n! ca%se s!a(e ! he c!n'aci!n h%s

'!'acin( la"!'. Als!< i sh!%l# "e (i,en when #eli,e') ! e%s is imminen

!' !! cl!se "eca%se he e%s ma) s%:e' 'esi'a!') #e'essi!n as an e:ec

! he #'%( ha can ass h'!%(h lacenal "a''ie'.

5*. %nswer: ') The active phase of Dtage 1 is protracted

he aci,e hase ! Sa(e sa's '!m 4cm ce',ical #ilaai!n an# is

e6ece# ha he %e'%s will #ilae ") 1cm e,e') h!%'. Since he ime lase#

is al'ea#) 2 h!%'s< he #ilaai!n is e6ece# ! "e al'ea#) + cm. Hence< he

aci,e hase is '!'ace#.

5+. %nswer: 'B) Dtrongly tugging on the umbilical cord to deliver the

placenta and hasten placental separation

$hen he lacena is sill aache# ! he %e'ine wall< %((in( !n he c!'#

while he %e'%s is 'ela6e# can lea# ! in,e'si!n ! he %e'%s. Li(h %((in(

!n he c!'# when lacena has #eache# is al'i(h in !'#e' ! hel #eli,e' he

lacena ha is al'ea#) #eache#.

5@. %nswer: 'B) 9etermine if cord compression followed the rupture

Ae' he '%%'e ! he "a( ! wae's< he c!'# ma) als! (! wih he wae'

"eca%se ! he 'ess%'e ! he '%%'e an# !w. he c!'# (!es !% ! he

ce',ical !enin(< "e!'e he hea# is #eli,e'e# cehalic 'esenai!n< he


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hea# can c!m'ess !n he c!'# ca%sin( eal #is'ess. 9eal #is'ess can "e

#eece# h'!%(h he eal hea' !ne. h%s< i is essenial #! check he 9HB

'i(h ae' '%%'e ! "a( ! ens%'e ha he c!'# is n! "ein( c!m'esse# ")

he eal hea#.

80. %nswer: '9)


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assa(ewa) ce',i6< ,a(inal canal an# e'ine%m #i# n! ha,e en!%(h ime

! s'ech which can lea# ! lace'ai!n.

83. %nswer: ') Eterine contraction

e'ine c!n'aci!n is he 'ima') !'ce ha will e6el he e%s !% h'!%(h

he "i'h canal Mae'nal "ea'in( #!wn is c!nsi#e'e# he sec!n#a')

!we'?!'ce ha will hel %sh he e%s !%.

84. %nswer: ') Put the tip of the ngers lightly on the fundal area

and try to indent the abdominal wall at the height of the

contraction

n m!ni!'in( he inensi) ! he c!n'aci!n he "es lace is ! lace he

Fn(e'is a he %n#al a'ea. he %n#%s is he c!n'acile a' ! he %e'%s

an# he Fn(e'is a'e m!'e sensii,e han he alm ! he han#.

85. %nswer: 'B) Lrom the beginning of one contraction to the

beginning of the next contraction

9'e7%enc) ! he %e'ine c!n'aci!n is #eFne# as '!m he "e(innin( ! !ne

c!n'aci!n ! he "e(innin( ! an!he' c!n'aci!n.

88. %nswer: 'B) %cme

Acme is he echnical e'm !' he hi(hes !in ! inensi) ! a %e'ine

c!n'aci!n.


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8*. %nswer: '%) The beginning of one contraction to the end of the

same contraction

D%'ai!n ! a %e'ine c!n'aci!n 'ee's ! !ne c!n'aci!n. h%s i is c!''ecl)

meas%'e '!m he "e(innin( ! !ne c!n'aci!n ! he en# ! he same

c!n'aci!n an# n! ! an!he' c!n'aci!n.

8+. %nswer: '%) lear as water

he n!'mal c!l!' ! amni!ic %i# is clea' like wae'. i is )ell!wish< he'e is

'!"a"l) &h inc!mai"ili). he c!l!' is ('eenish< i is '!"a"l) mec!ni%m

saine#.

8@. %nswer: ') over the prolapse cord with sterile gaue wet with

sterile ADD and place the woman on Trendelenburg position

he c!''ec aci!n ! he n%'se is ! c!,e' he c!'# wih se'ile (a%e we

wih se'ile NSS. E"se',e s'ic asesis in he ca'e ! he c!'# ! 'e,en

ineci!n. he c!'# has ! "e ke m!is ! 'e,en i '!m #')in(. D!n>

aem ! % "ack he c!'# in! he ,a(ina "% 'elie,e 'ess%'e !n he c!'#

") !sii!nin( he m!he' eihe' !n 'en#elen"%'( !' Sims !sii!n

*0.%nswer: '%) The heart rate will decelerate during a contraction

and then go bac to its pre(contraction rate after the contraction

he n!'mal eal hea' 'ae will #ecele'ae (! #!wn sli(hl) #%'in( a

c!n'aci!n "eca%se ! he c!m'essi!n !n he eal hea#. H!we,e'< he

hea' 'ae sh!%l# (! "ack ! he 'e-c!n'aci!n 'ae as s!!n as he

c!n'aci!n is !,e' since he c!m'essi!n !n he hea# has als! en#e#.


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*1. %nswer: 'B) 9escent+ Iexion+ internal rotation+ extension+

external rotation

he mechanism ! eal #eli,e') "e(ins wih #escen in! he el,ic inle

which ma) !cc%' se,e'al #a)s "e!'e '%e la"!' ses in he 'imi('a,i#a.

9le6i!n< ine'nal '!ai!n an# e6ensi!n a'e mechanisms ha he e%s m%s

e'!'m as i acc!mm!#aes h'!%(h he assa(ewa)?"i'h canal. e'nal

'!ai!n is #!ne ae' he hea# is #eli,e'e# s! ha he sh!%l#e's will "e

easil) #eli,e'e# h'!%(h he ,a(inal in'!i%s.

*2. %nswer: 'B) Ao part of the cord is encircling the baby8s nec

he n%'se sh!%l# check 'i(h awa) !' !ssi"le c!'# c!il a'!%n# he neck

"eca%se i i is 'esen< he "a") can "e s'an(%lae# ") i an# he eal hea#

will ha,e #iIc%l) "ein( #eli,e'e#.

*3.%nswer: '%) Duction the nose and mouth to remove mucous

secretions

S%ci!nin( he n!se an# m!%h ! he e%s as s!!n as he hea# is #eli,e'e#

will 'em!,e an) !"s'%ci!n ha ma)"e 'esen all!win( !' "ee'

"'eahin(. Als!< i m%c%s is in he n!se an# m!%h< asi'ai!n ! he m%c%s is

!ssi"le which can lea# ! asi'ai!n ne%m!nia. &emem"e' ha !nl) he

"a")>s hea# has c!me !% as (i,en in he si%ai!n.

*4. %nswer: '9) Paint the inner thighs going towards the perineal

area

Painin( ! he e'ineal a'ea in 'ea'ai!n !' #eli,e') ! he "a") m%s


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alwa)s "e #!ne "% he s'!ke sh!%l# "e '!m he e'ine%m (!in( !%wa'#s

! he hi(hs. he e'ineal a'ea is he !ne "ein( 'ea'e# !' he #eli,e')

an# m%s "e ke clean

*5. %nswer: '%) 1 and !

he n%'se ae' #eli,e'in( he lacena m%s ens%'e ha all he c!)le#!ns

an# he mem"'anes ! he lacena a'e c!mlee. Als!< he n%'se m%s

check i he %m"ilical c!'# is n!'mal which means i c!nains he 3 "l!!#

,esselsO 1 ,ein an# 2 a'e'ies.

*8. %nswer: 'B) The duration of contraction progressively lengthens

over time

n alse la"!'< he c!n'aci!ns 'emain ! "e i''e(%la' in inensi) an#

#%'ai!n while in '%e la"!'< he c!n'aci!ns "ec!me s'!n(e'< l!n(e' an#

m!'e 'e7%en.

**. %nswer: '9) Llexibility of the pelvis

he el,is is a "!n) s'%c%'e ha is a' ! he assa(ewa) "% is n!

e6i"le. he l!we' %e'ine se(men incl%#in( he ce',i6 as well as he

,a(inal canal an# in'!i%s a'e all a' ! he assa(ewa) in he #eli,e') !

he e%s.

*+. %nswer: '%) 2 arteries and 1 vein

he %m"ilical c!'# is c!m!se# ! 2 a'e'ies an# 1 ,ein.


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*@. %nswer: '%) Dtage 1

n sa(e 1 #%'in( a n!'mal ,a(inal #eli,e') ! a ,e'e6 'esenai!n< he

m%li('a,i#a ma) ha,e a"!% + h!%'s la"!' while he 'imi('a,i#a ma) ha,e

% ! 12 h!%'s la"!'.

+0. %nswer: ') Begins with complete dilatation and e>acement of

cervix and ends with delivery of baby

Sa(e 2 ! la"!' an# #eli,e') '!cess "e(ins wih %ll #ilaai!n ! he ce',i6

an# en#s wih he #eli,e') ! "a"). Sa(e 1 "e(ins wih '%e la"!' ains an#

en#s wih %ll #ilaai!n an# e:acemen ! he ce',i6.

+1. %nswer: '9) Cother feels lie bearing down

Placenal #eachmen #!es n! 'e7%i'e he m!he' ! "ea' #!wn. A n!'mal

lacena will #each ") isel wih!% an) e:!' '!m he m!he'.

+2. %nswer: '%) Dchulte

he'e a'e 2 mechanisms !ssi"le #%'in( he #eli,e') ! he lacena. he

shin) !'i!n c!mes !% F's< i is calle# he Sch%le mechanism while i he

mea) !'i!n c!mes !% F's< i is calle# he D%ncan mechanism.

+3. %nswer: ') hec if there is cord coiled around the nec

he n%'se sh!%l# check i he'e is a c!'# c!il "eca%se he "a") will n! "e

#eli,e'e# sael) i he c!'# is c!ile# a'!%n# is neck. $iin( ! he ace

sh!%l# "e #!ne sec!n#s ae' )!% ha,e ens%'e# ha he'e is n! c!'# c!il "%

s%ci!nin( ! he n!se sh!%l# "e #!ne ae' he m!%h "eca%se he "a") is a


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nasal !"li(ae "'eahe'. he n!se is s%ci!ne# F's "e!'e he m!%h< he

m%c%s l%((in( he m!%h can "e asi'ae# ") he "a").

+4. %nswer: 'B) &itgen8s techni5ue

&i(en>s echni7%e is #!ne ! 'e,en e'ineal ea'. his is #!ne ") he n%'se

") s%!' he e'ine%m wih a se'ile !wel an# %shin( he e'ine%m

#!wna'# wih !ne han# while he !he' han# is s%!'in( he "a")>s hea#

as i (!es !% ! he ,a(inal !enin(.

+5. %nswer: '9) &etractor

9!' n!'mal ,a(inal #eli,e')< he n%'se nee#s !nl) he ins'%mens !' c%in(

he %m"ilical c!'# s%ch asO 2 clams s'ai(h !' c%',e an# a ai' ! sciss!'s

as well as he ki#ne) "asin ! 'ecei,e he lacena. he 'e'ac!' is n! a'

! he "asic se. n he h!sial sein(< nee#le h!l#e' an# iss%e !'ces a'e

a##e# eseciall) i he w!man #eli,e'in( he "a") is a 'imi('a,i#a whe'ein

eisi!!m) is (ene'all) #!ne.

+8. %nswer: '%) =nspect the placenta for completeness including the

membranes

he lacena m%s "e insece# !' c!mleeness ! incl%#e he mem"'anes

"eca%se an inc!mlee lacena c!%l# mean ha he'e is 'eeni!n !

lacenal 'a(mens which can lea# ! %e'ine a!n). he %e'%s #!es n!

c!n'ac a#e7%ael)< hem!''ha(e can !cc%'.


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+*. %nswer: 'B) ;xytocin can mae the cervix close and thus trap the

placenta inside

he aci!n ! !6)!cin is ! make he %e'%s c!n'ac as well make he ce',i6

cl!se. i is (i,en 'i!' ! lacenal #eli,e')< he lacena will "e 'ae#

insi#e "eca%se he aci!n ! he #'%( is alm!s imme#iae i (i,en a'enall).

++. %nswer: '%) There is a Iuid shift from the placental circulation to

the maternal circulation which can overload the compromised

heart.

D%'in( he 'e(nanc)< he'e is an inc'ease in mae'nal "l!!# ,!l%me !

acc!mm!#ae he nee# ! he e%s. $hen he "a") an# lacena ha,e "een

#eli,e'e#< he'e is a %i# shi "ack ! he mae'nal ci'c%lai!n as a' !

h)si!l!(ic a#aai!n #%'in( he !sa'%m e'i!#. n cesa'ean seci!n<

he %i# shi !cc%'s ase' "eca%se he lacena is aken !% 'i(h ae' he

"a") is #eli,e'e# (i,in( i less ime !' he %i# shi ! ('a#%all) !cc%'.

+@. %nswer: 'B) Pitocin

he c!mm!n !6)!cin (i,en ! enhance %e'ine c!n'aci!n is i!cin. his is

als! he #'%( (i,en ! in#%ce la"!'.

@0. %nswer: 'B) Lluid intae and output

Pa'!('ah is a m!ni!'in( !!l #esi(ne# ") he $!'l# Healh E'(aniai!n

!' %se ") healh w!'ke's when aen#in( ! m!he's in la"!' eseciall) he

hi(h 'isk !nes. 9!' mae'nal a'amee's all ! he a"!,e is lace# in he


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a'!('ah e6ce he %i# inake since his is lace# in a sea'ae

m!ni!'in( shee.

@1. %nswer: ') &itgen8s maneuver

&i(en>s meh!# is %se# ! 'e,en e'ineal ea'?lace'ai!n #%'in( he

#eli,e') ! he eal hea#. Lamae meh!# is als! kn!wn as

s)ch!'!h)lacic meh!# an# Dick-&ea# meh!# a'e c!mm!nl) kn!wn

na%'al chil#"i'h '!ce#%'es which a#,!cae he %se ! n!n-ha'mac!l!(ic

meas%'es ! 'elie,e la"!' ain.

@2. %nswer: 'B) Lull bladder

9%ll "la##e' can ime#e he #escen ! he eal hea#. he n%'se can 'ea#il)

mana(e his '!"lem ") #!in( a simle cahee'iai!n ! he m!he'.

@3. %nswer: 'B) 9uring a uterine contraction

he 'ima') !we' ! la"!' an# #eli,e') is he %e'ine c!n'aci!n. his

sh!%l# "e a%(mene# ") he m!he'>s "ea'in( #!wn #%'in( a c!n'aci!n.

@4. %nswer: '%) 1.2 cm.Jhr

9!' n%llia'a he n!'mal ce',ical #ilaai!n sh!%l# "e 1.2 cm?h'. i is less

han ha< i is c!nsi#e'e# a '!'ace# aci,e hase ! he F's sa(e. 9!'

m%lia'a< he n!'mal ce',ical #ilaai!n is 1.5 cm?h'.

@5. %nswer: 'B) Dtation M7N

Sai!n is #eFne# as he 'elai!nshi ! he eal hea# an# he le,el ! he


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ischial sine. A he le,el ! he ischial sine< he sai!n is 0. A"!,e he

ischial sine i is c!nsi#e'e# - sai!n an# "el!w he ischial sine i is /

sai!n.

@8. %nswer: '%) ";%

he lan#ma'k %se# in #ee'mine eal !sii!n is he !se'i!' !nanel

"eca%se his is he nea'es ! he !cci%. S! i he n%'se alae# he

!cci% E a he le L si#e ! he m!he' an# a he %e'?ane'i!' A

7%a#'an hen he eal !sii!n is LEA.

@*. %nswer: '9) =ncomplete

B'eech 'esenai!n means he "%!cks ! he e%s is he 'esenin( a'.

i is !nl) he !!?ee< i is c!nsi#e'e# !!lin(. !nl) he "%!cks< i is 'ank

"'eech. "!h he ee an# he "%!cks a'e 'esenin( i is calle# c!mlee

"'eech.

@+. %nswer: ') Lloating

he e'm !ain( means he eal 'esenin( a' has n! ene'e#?#escen#e#

in! he el,ic inle. he eal hea# has ene'e# he el,ic inle< i is sai# !

"e en(a(e#.

@@. %nswer: 'B) !7 minutes

he lacena is #eli,e'e# wihin 30 min%es '!m he #eli,e') ! he "a").

i akes l!n(e'< '!"a"l) he lacena is a"n!'mall) a#he'en an# he'e is a

nee# ! 'ee' al'ea#) ! he !"se'ician.


62/62

100. %nswer: '%) Ender breast to mid(thigh including the pubic area

Sha,in( is #!ne ! 'e,en ineci!n an# he a'ea %s%all) sha,e# sh!%l#

s%Icienl) c!,e' he a'ea !' s%'(e')< cesa'ean seci!n. he %"ic hai' is

#eFniel) ! "e incl%#e# in he sha,in(

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