Care of Mother Child Adolescent Well Clients

FACTORS AFFECTING LABOR AND DELIVERY : Powers

• Contractions

Strained marital relationship, care-giving burden, strained parent-sibling relationship are examples of:

• Health deficit
• Health threat
• Accident hazards
• Stress provoking factors

Assigning the workload; including responsibility for household income and household management is under what function of the family?

• Reproduction
• Division of labor
• Allocation
• Socialization

Refers to the blueprint that the nurse designs to systematically minimize or eliminate the identified health and family nursing problems.

• Family Health Process
• Family Care Plan
• Nursing diagnosis
• Medical Care Plan

observe the relationship of the client and caregiver

• C

One trait common in healthy families is that there is only one decision maker

• True
• False

Height or peak of contraction

• Acme or Apex

Beginning of the contraction to the end of the same contraction

• Duration

Directions: Arrange in Chronological Order. Drag the correct answer in the box provided: SIGNS OF PLACENTAL SEPARATION

• 1. Fundus becomes globular and firm again, rising high to the level of the umbilicus (Calkin’s sign‑ earliest sign of placental separation) 2. Lengthening of the cord 3. Sudden gush of blood

“ A risk of low birth rate among pregnant adolescents in the downtown area___________ inadequate income and use of tobacco.” Supply the missing link/term in the above Community Diagnosis

• as evidenced by
• as seen by
• related to
• as manifested by

Enumerate the four methods done during Physical examination in chronological order : PALPATION

• 2

Which of the following is an example of unhealthy lifestyle and personal habits?

• Alcohol drinking and smoking
• Noise pollution
• Unsanitary waste disposal
• Unsanitary food handling

According to World Health Organization, women die as a result of complications during and following pregnancy and childbirth. The following are the major complications that account for nearly 75% of all maternal deaths EXCEPT:

• Severe bleeding shortly after childbirth
• High blood pressure during pregnancy (Pre-eclampsia and Eclampsia)
• . Chronic conditions like cardiac disease
• Infections usually after childbirth

VAG*NAL ORIFICE

• FEMALE GENITALIA

The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a

• Health deficit
• Health threat
• Stress point
• Foreseeable crisis

The first sign of pubescence in female is usually _____ formation

• PUBERTY

Setting of goals occurs in which step of the Family Nursing Process?

• Implementation
• Planning
• Evaluation
• Assessment

Refers to condition including the promotion and maintenance of physical, mental, spiritual and social health for the family unit and for individual family members.

• Community Diagnosis
• Family Health
• Nursing
• Environment

Enumerate the four methods done during Physical examination in chronological order : AUSCULTATION

• 4

A woman who has completed one pregnancy or has given birth for the first time with a fetus or fetuses who have reached 20 weeks of gestation.

• A gravida

The Family Nursing Process has how many elements?

• 4
• 3
• 5
• 6

Mary, a pregnant 25 y/o has a 2 y/o and 4 y/o children, had an abortion at 16 y/o. What is her GTPAL?

• Gravida= 3 Full term= 2 Pre-term: 1 Abortion= 1 Living = 2
• Gravida= 4 Full term= 3 Pre-term: 1 Abortion= 1 Living = 3
• Gravida= 4 Full term= 2 Pre-term: 0 Abortion= 1 Living = 2
• Gravida= 4 Full term= 3 Pre-term: 0 Abortion= 1 Living = 3

The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is classified as a

• Stress point
• Health deficit
• Health threat
• Foreseeable crisis

A hormone secreted by the pituitary which stimulates the activities of the gonads.

• Gonadotropin

The mons pubis is ___________.

• Both of the above.
• The fleshy area located above the top of the vag*nal opening.
• Two pairs of skin flaps the surround the vag*nal opening.

From the beginning of contraction until it increases

• Increment or Crescendo

What are the main parts of a penis?

• Prepuce and eggs
• Shaft and glans
• Foreskin and hair

Conjugal, nuclear, extended are classifications of family based on which of the following?

• Authority
• Family Descent
• Residence
• Internal Organization

The following are classifications of family based on internal organization EXCEPT:

• Conjugal Family
• Extended Family
• Nuclear Family
• Patriarchal Family

Softening of the cervix

• GOODELL’S SIGN

The first main factor that prevent women from receiving or seeking care during pregnancy is:

• Poverty
• Cultural beliefs and practices
• teral
• Lack of information
• Distance to facilities

assess the home and community environment

• D

LABIA MINORA

• FEMALE GENITALIA

The expulsion of a fetus from the uterus before it has reached the stage of viability

• abortion

Delivery of the shoulders and fetal body

• Expulsion

Oogenesis, ovulation and hormone production

• OVARIES

Bearing or adopting children, adding new members by marriage, and allowing members to leave is under what function of the family?

• Socialization
• Allocation
• Reproduction
• Provision of physical needs

From the height of contraction until it decreases

• Decrement or Decrescendo

Painless, irregular contractions that are usually relieved with walking

• BRAXTON HICKS

SCROTUM

• MALE GENITALIA

Head undergoes Restitution-rotation of the head back to its original position

• External Rotation

Dome shaped upper portion of Uterus between the pints of insertion of the uterine tube.

• fundus

Provision of food, shelter, clothing, safety and healthcare is under what function of the family?

• Allocation
• Division of labor
• Provision of physical needs
• Socialization

The body organ that produces sex cells.

• gonads

What are vulva?

• External parts of a female’s reproductive organ.
• The holes in the sex area.
• The correct answer is: External parts of a female’s reproductive organ.
• The flaps of skin the cover the vag*nal opening.

With the chin tucked, it is easier for the baby's head to pass through the pelvis.

• Flexion

Sac like structure that contains the testes

• SCROTUM

While the male has the _____ chromosomes

• XY

Relationship of presenting fetal part to a line measuring the degree of descent.

• Station

Which of the following is an example of a Potential Diagnosis?

• Self-Care Deficit Related to Lack of Materials
• Breeding of Rodents/Insects Related to Unhygienic Surroundings
• Hyperthermia (Fever) Related to Infection
• Sleep Pattern Disturbance Related to Presence of Mosquitoes

The following are examples of accident hazards EXCEPT

• Broken stairs
• Stagnant water in the flower vase
• Medicine improperly kept
• Fire hazards

FACTORS AFFECTING LABOR AND DELIVERY : Psychology

• Patient extremely anxious.

One of the guidelines for data collection in Family Nursing Process is ensuring confidentiality. This is one of the ethical principles which means?

• Telling the truth
• The obligation to do or cause no harm to another
• The duty to do what one has promised
• Restricting the sharing of sensitive client information

CLITOR*S

• FEMALE GENITALIA

One of the stages of family development that can be most emotionally difficult for parents as they now need to accept a multitude of exits and entries into the family is:

• Families in later life
• Launching children and moving on
• Families with young children
• Families with adolescents

Thinning and shortening of the cervix.

• effacement

Is the downward movement of the fetus in the birth canal.

• Fetal descent

Calculate for the age of gestation in weeks using Mc Donald’s rule. If the fundic height is 21cm., what is the AOG in weeks?

• 21 weeks (AOG)
• 24 weeks (AOG)
• 32 weeks (AOG)
• 28 weeks (AOG)

Cervical secretion, blood-tinged mucus, and the mucous plug that blocked the cervix during pregnancy.

• bloody

Foreseeable crisis is best described as:

• Presence of illness in one family member
• Conditions that are conducive to disease
• Instances of failure in health maintenance
• Conditions that can be predicted or anticipated

Community Diagnosis is divided into two types, the Actual Diagnosis and the Potential Diagnosis. Potential Diagnosis is:

• One in which a patient has a high risk that may occur in the future
• No signs and symptoms present at the time of assessment
• Those are present in the patient at the time of assessment
• Complaints of the patient at the time of assessment

A woman who has completed two or more pregnancies or has given birth several times to 20 weeks or more gestation.

• multip

The term that refers to Softening and compressibility of the lower uterus

• HEGAR’S SIGN

Under stimulation of the hypothalamus the _____ gland releases hormones

• GANADOTROPIN

Refers to the unmarried individuals in a committed partnership living together with or without children

• Gay or Lesbian Family
• Foster Family
• Cohabitation Family
• Communal Family

MATCHING TYPE. STRUCTURE AND FUNCTIONS OF THE FEMALE AND MALE REPRODUCTIVE ORGANS

• AMPULLA

Which of the following is an example of a health deficit?

• Pregnancy of a teen-age daughter
• Failure to thrive
• Presence of hereditary disease like diabetes
• Loss of job of the father

To prevent infection after childbirth, which of the following should be practiced?

• Good hygiene and recognize early signs of infection
• Administering antibiotics
• Not taking a bath for 14 days
• Injecting oxytocics

Beginning of one contraction to the beginning of the next contraction

• Frequency

Evaluation is the last step in Family Nursing Process. Outcome Evaluation is:

• Conclude progress or lack of progress towards the goal after several actions are implemented
• Tends to evaluate the total care plan
• Relate to evaluations of implementation whether it is carried out properly or whether any
• intervention left

examine the client

• B

Is a plug that fills and seals the cervical canal during pregnancy. It is formed by a small amount of cervical mucus.

• Operculum

A whitish viscid discharge from the vag*na resulting from inflammation or congestion of the mucous membrane

• Leukorrhea

Health Deficit is described as conditions that are conducive to disease

• True
• False

What family structure is characterized as intimate partners of the same sex living together or own property together?

• Communal Family
• Extended Family
• Nuclear Family
• Gay or Lesbian Family

Enumerate the four methods done during Physical examination in chronological order : INSPECTION

• 1

Which of the following is a classification of family based on family descent?

• Matrilocal Family
• Matriarchal Family
• Conjugal Family
• Matrilineal Family

A woman who had two or more pregnancies.

• fraternal twinning

The Seminal Vesicle is:

• Controls temperature of testes.
• A sac-like structure attached to the vas deferens and to the side of the bladder
• A muscular tube that passes upward alongside the testes and transports sem*n.

FACTORS AFFECTING LABOR AND DELIVERY : Placenta

• Site of implantation

The following are examples of accident hazards EXCEPT:

• Broken stairs
• Fire hazards
• Medicine improperly kept
• Stagnant water in the flower vase

At this point, the birth canal curves upward, and the baby's head must extend back. It rotates under and around the pubic bone.

• Extension

LABIA MAJORA

• FEMALE GENITALIA

obtain a health history from the client

• A

Strength of contraction

• Intensity

VAS DEFERENS

• MALE GENITALIA

Health Deficit is described as:

• A crisis that may happen in the future
• Instances of failure in health maintenance
• Conditions that are conducive to disease
• Stress provoking factors

The final step of the Family Nursing Process carried out by the nurse on subsequent visits, observing the same parameters assessed on the initial home visit and relating findings to the expected outcomes or goals.

• Evaluation
• Implementation
• Assessment
• Diagnosis

Two or more adult generations and one that includes grandparents and grandchildren living in the same household is what type of family?

• Extended/multigenerational
• Nuclear
• SINGLE FAMILY
• Blended/reconstituted

PENIS

• MALE GENITALIA

Purplish hue to the cervix and vag*nal mucosa

• CHADWICK’S SIGN

Little lobes of placenta

• COTYLEDONS

One of the purposes of family health care nursing is to cure any family illness

• True
• False

What is the foreskin?

• The skin covering entire penis.
• The skin covering the testes.
• A fold of skin at the end of the penis hat can be removed to cultural or religious beliefs.

SKENE’S GLANDS

• FEMALE GENITALIA

A long coiled tube approximately 20 feet long at which the sperm travels for 12 to 20 days

• EPIDIDYMIS

This is the fourth step in Family Nursing Process wherein the initiation and completion of actions necessary to achieve the objectives takes place.

• Implementation
• Planning
• Assessment
• Evaluating

The chromosomal sex or biologic sex is formed at fertilization. The female has the _____ chromosomes.

• XX

Defined as the continuous process of observing, recording and reporting day to day activities during the implementation phase.

• Planning
• Evaluating
• Assessing
• Monitoring

According to World Health Organization, women die as a result of complications during and following pregnancy and childbirth. The major complications account for how many percent of all maternal deaths?

• 50%
• 100%
• 95%
• 75%

What is the pituitary gland?

• Located near the brain, and secretes hormones.
• Located near penis, and secretes hormones.
• Located near testes, and secretes hormones.

In family health nursing, if the patient resides in a substandard house, this could delay his recovery. True or False?

• True
• False

Also called “after birth”, specialized vascular disc shaped organ responsible for maternal fetal gas and nutrient exchange.

• Maternal-fetal exchange

Pair of glands that are also known as vulvovag*nal gland or Paravag*nal gland

• BARTHOLIN’S GLAND

Refers to a group of people united by ties of marriage, blood or adoption, living together under one roof and constitute a single housekeeping unit.

• Individual
• Family
• Nation
• Community

One of the disadvantages of family health nursing is that it requires the nurse to carry portable laboratory machinery to the patient’s home. True or False?

• False
• True

What is the urethra?

• The area that makes the stench in sex.
• The entrance to the womb.
• Cannal that carries sem*n and urine through the penis to the outside of the body.

Enumerate the four methods done during Physical examination in chronological order : PERCUSSION

• 3

FACTORS AFFECTING LABOR AND DELIVERY : Passage

• Birth Canal

The decent of the fetus into the pelvis.

• Fetal station

When sem*n is pushed through and out of a male’s body through the urethra is a process called_______.

• Menstruation
• Erection
• Ejac*lation

This is when the baby's head moves down further through the pelvis.

• C

Which of the following describes Health threat?

• Stress provoking factors
• A crisis that may happen in the future
• Conditions that is conducive to disease

A woman pregnant for the first time.

• primigravida

When the ovaries release eggs into the fallopian tubes, this process is called ovulation.

• Vulvas
• Menstruation
• Ovulation

Other form of family structure based on residence is which of the following:

• Bilateral
• Nuclear
• Bilocal
• Egalitarian

Lowest and narrow end of Uterus also called the "neck".

• cervix

Which of the following is an example of an Actual Diagnosis?

• Decubitus ulcer may develop in bedridden patients
• Severe abdominal pain as complained by the patient
• Accident or fall because of broken stairway
• Development of Cardiac problems because of obesity

End of contraction to the beginning of next contraction

• Interval

What is puberty?

• When a man starts to grow hair on their body.
• When the reproductive system starts to produce sex hormones, and a man’s sex organs start to function.
• A muscular tube that passes upward alongside the testes and transports sem*n.

If the germ cell are XX the gonads become the

• ovaries

The male organ of copulation

• PENIS

These are small glands inferior to the prostate gland that secretes alkaline fluid

• COWPER’S GLAND

Organ of implantation/menstruation, receives ova from fallopian tube and furnishes protection for growing fetus.

• uterus

Family Health Nursing Process is defined as:

• The Nursing Process that considers the family, not the individual, as the unit of care
• None of the above
• A dynamic, systematic, organized method of critical thinking about the family
• Nursing that considers health of the family as a unit in addition to the health of the individual family members

Defined as a systematic way to plan, implement, and evaluate care for individuals, families, groups and communities.

• Nursing Education
• Nursing Process
• Nursing
• Nursing Audit

The stage of life at which secondary sex changes begins.

• puberty

Sperm transport route to egg, site of fertilization, transports egg from ovary.

• Fallopian tube

Another purpose of family health care nursing is to restore family health.

• True
• False

A bacteria that is normally present in the vag*nal mucus

• DODERLEIN BACILLI

Two generations of family, parents, and their own or adopted children residing in the same household-

• SINGLE FAMILY
• Blended/reconstituted
• Extended/multigenerational
• NUCLEAR

Release of egg from woman's ovaries which takes place 14 days before next period.

• ovulation

Living alone, never married

• Blended/reconstituted
• Extended/multigenerational
• NUCLEAR
• SINGLE FAMILY

FACTORS AFFECTING LABOR AND DELIVERY : Passenger

• Fetus

The hypothalamus serves as _____ or is set to turn on gonad functioning.

• CONNECTOR

This is when the widest part of the baby's head has entered the pelvis.

• Engagement

Sharing of important roles is one of the traits of a healthy family

• True
• False

The length of one contraction, from the beginning of the increment to the conclusion of the decrement.

• 30 seconds

The first step in Family Nursing process is which of the following?

• Planning
• Evaluation
• Assessment
• Diagnosis

Usually, the baby will be face down toward the mother’s spine or boarder of the sacrum

• Internal Rotation

Actual Diagnosis is defined as:

• Those are present in the patient at the time of assessment
• No signs and symptoms present at the time of assessment
• Those that may possibly occur if not corrected early
• One in which a patient has a high risk that may occur in the future

Foreseeable crisis in Family Health Nursing is defined as:

• Anticipated period of unusual demand on individual or family in terms of adjustment
• Refers to condition of health breakdown or illness in the family
• An adverse event or negative health consequence due to specific disease or condition
• Presence of actual health problems

PROSTATE GLAND

• MALE GENITALIA

Transverse folds of skin in the vag*nal wall

• BARTHOLIN’S GLAND

Considered as the neck of the uterus

• CERVIX

Barbara: pregnant now, had a set of twins 2 years ago, had an abortion at 16, miscarried at age 18. What is her GTPAL?

• Gravida (pregnancy #)= 5 Full term= 1 (twins or more count as 1) Pre-term= 0 Abortions= 2 (miscarriage = abortion) Living= 2
• Gravida (pregnancy #)= 4 Full term= 1 (twins or more count as 1) Pre-term= 0 Abortions= 2 (miscarriage = abortion) Living= 2
• Gravida (pregnancy #)= 4 Full term= 1 (twins or more count as 1) Pre-term= 1 Abortions= 1 Living= 2
• Gravida (pregnancy #)= 5 Full term= 2 (twins or more count as 2) Pre-term= 1 Abortions= 2 (miscarriage = abortion) Living= 2

HYMEN

• FEMALE GENITALIA

Which of the following is the synonym of health threat?

• Health risk
• Foreseeable crisis
• Actual nursing problem
• Health deficit

A supine position with the legs separated, flexed, and supported in raised stirrups.

• Lithotomy position

If the germ cell are XY the gonads become the _____

• testes

The following are parts of a Community Diagnosis Except:

• Evaluation
• Factors
• Manifestations
• Boundaries