Staff Nursing Test Series
1. A mother with 39+3 weeks period of gestation is in her second stage of labor. During this stage how frequently the contractions need to be monitored?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes
Ans. (c) 15 minutes
Explanation: Second stage of labor starts with fully dilated cervix to the delivery of the baby. In this stage nurse needs to monitor strength, frequency, and duration of contraction every 15 minutes. If any maternal or child issue is detected, monitoring needs to be done more frequently.
2. While doing antenatal examination to a client in her first trimester doctor identified her fundal height is more than the actual period of gestation. He diagnosed it as gestational trophoblastic disease and ordered ultrasound. What will be the finding in ultrasound?
a. Empty gestational sac
b. Grape like structures
c. Fetus with congenital abnormalities
d. Ectopic pregnancy
Ans. (b) Grape like structures
Explanation: Gestational trophoblastic disease is a condition in which abnormal trophoblast cells grow inside the uterus after conception. It includes hydatidiform mole, invasive mole. Abnormal vaginal bleeding and a uterus that is larger than normal period of gestation are the common findings of this condition. On ultrasound it shows deformity like structures.
3. Client admitted with labor pain and nurse did vaginal examination for the client. The findings of the PV are cervix8 cm dilated, 70% effaced and position is +1. Based upon the findings one should understand that presenting part of the fetus is at:
a. 1 cm above the ischial spine
b. At the level of ischial spine
c. 1 cm below the ischial spine
d. At the vagina
Ans. (c) 1 cm below the ischial spine
Explanation: Presenting part location is determined in relation with ischial spine. If the presenting part is at ischial spine then station is zero, if the presenting part is above the ischial spine it is recorded as –1,–2, –3, etc. If the presenting part is below the ischial spine then +1, +2, +3. Client Lucy received her biophysical profile test result for her fetus and the score is
4. Client asked the nurse how to interpret the result. Most appropriate response from the nurse is:
a. Its normal finding and fetus is healthy
b. Need to repeat test after 24 hours
c. High risk for fetal hypoxia
d. Indicates IUD
Ans. (b) Need to repeat test after 24 hours
Explanation: Biophysical profile measures the health status of a fetus. It measures 5 components such as baby’s heart rate, muscle tone, movement, breathing, and the amount of amniotic fluid around the baby. Each parameter has a maximum score of 2 and minimum score of zero. So total score for the test is 10 and
minimum score for the test is zero. Interpretation of score is as follows, a score of 8 or 10 points means that baby is healthy. A score of 6 or 8 points means that need to be retested in 24 hours. A score of 4 or less may mean the baby is having problems.
5. Obstetrician ordered magnesium sulfate injection to a woman with preeclampsia. Nurse should identify that the purpose of this injection in this client is:
a. To reduce blood pressure
b. To reduce proteinuria
c. To prevent seizure
d. To prevent preterm labor
Ans. (c) To prevent seizure
Explanation: Main aim of administering magnesium sulfate injection is to prevent seizure. Magnesium will act like calcium and interrupt signal transmission in hyper stimulated neurological system.
6. Nurse was assessing a primipara mother following vaginal delivery in the immediate post-partum period. One of the nursing students asked the nurse why she is using both hands. Which of the following responses is correct from the nurse?
a. To prevent PPH
b. To prevent involution
c. To prevent inversion
d. To prevent uterine atony
Ans. (c) To prevent inversion
Explanation: Using both hands during the post-partum period to palpate the uterus will help to prevent uterine inversion.
BSC Nursing Exam Preparation
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