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BOOKLI TCODE:011 SUBMECT CODE 101 da mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervix is scan dilated. Miter an hour, the cervis became fully dilated, fetal heart heal is 90 min and there is thrue rogular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure" (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 II of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved . After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 20-year-old primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pair secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother

BOOKLITCODE: 011 w) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for five hours. On evaluation she had three regular uterine contractions and cervis is 8cm dilated After an hour, the cervis became fully dilated fetal heart beat is 90 min and there is three regular uterine contractions The nurse decided to deliver the fetus using vacuum What is the most likely indication for the above procedure? (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 IU of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drup per minute and increased every 30 minutes till adequate uterine contraction is achieved After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation, the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy, What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 93. A 20-year-ol primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pain secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother 22 SUBJECT CODE: 01

nookl.cold multi-gravido evaluation, she had pelvis with vertex presentation. a) 14-year for eight dilated with 3 mild uterine contractions After four hours she has thehanged cervical dilation with two mild uterine contractions. a complaint of What is the most likely management for this mother? (C) Prepare the mother for CS A) Induction of labor (B) Start using partograph (D) Start augmentation protocol CODE: 011 95. A 19-year-old woman came to a hospital with vaginal bleeding and lower abdominal pain for has history of fall before 12 hours and she was amenorrhic for the past two month. Her blood pressure is 70/40mmHg and pulse rate 100/min She is in emergency unit priority nursing diagnosis is fluid volume deficit. What is the most appropriate outcome criterion for the identified nursing diagnosis? (A) Blood loss will by 500ml/day B) urine output will increase by 30ml/day C) Patient will walk safely for short distance D) Fluid volume will be maintainec at factional level mother visited a postnatal clinic on the fifth day of postpartum with a complaint of breast in for one day On evaluation, the left breast is tender, dry , swollen and red with wedge ped area. Her pulse rate is 88/min respiratory rate is 22/min and temperature is 38^circ C at is the most likely diagnosis of this mother? Superficial cellulites (C) Acute mastitis Breast engorgement (D) Breast abscess

mother is admitted in labor ward with a complaint of nushing ad 14-year for eight dilated with 3 mild uterine contraction After four hours she has 1. 14-year-old multi-gravid on evaluation, she had pelvis with vertex presentation. thehanged cervical dilation with two mild uterine contractions. What is the most likely management for this mother? (C) Prepare the mother for CS (A) Induction of labor (B) Start using pariograph (D) Start augmentation protocol 011 95. A 19-year-old woman came to a hospital with vaginal bleeding and lower abdominal pain for has history of fall before 12 hours and she was amenorrhic for the past two month. Her blood pressure is 70/40mmHg and pulse rate 100/min She is in emergency unit and her priority nursing diagnosis is fluid volume deficit. What is the most appropriate outcome criterion for the identified nursing diagnosis? (A) Blood loss will by 500ml/day (B) urine output will increase by 30ml/day (C) Patient will walk safely for short distance D) Fluid volume will be maintained at factional level mother visited a postnatal clinic on the fifth day of postpartum with a complaint of breast in for one day On evaluation, the left breast is tender, dry swollen and red with wedge. ped area. Her pulse rate is 88/min respiratory rate is 22/min and temperature is 38^circ C at is the most likely diagnosis of this mother? Superficial cellulites (C) Acute mastitis Breast engorgement (D) Breast abscess

: 011 92. A nurse working in a surgeical inpatient unit has planned not to discuss assessment revult. diagnostic test information of the patient with friends working in administration What is the most likely charting and documentation principle applied by the nurse? (A) Timing (C)Accountability (B) Content (D) Confidentiality 53. A 56-year-old patient has been newly enrolled to chronic illness clinic for follow Immediately on arrival to the clinic a nurse started to take vital signs where the environ is noisy due to re-innovation activity which makes the environment stressful. What is the most likely abnorma finding expected of the patient? (A) Decreased pulse rate (C) Increased blood pressure (B) Increased temperature (D) Decreased respiratory rate 54. A 25-year-ol patient was presented to an emergency medical unit with complain of headache and blurring of vision The nurse noticed blood pressure of 190/126mml reported the result to the physician and they both agreed on the need for immediate act What is the most likely type of medication order in the above case? (A) Stat-Order (C) Verbal Order (B) PRN-Order (D) Standing protocol 55. A physician decided to discharge a 26-year-old mother who gave normal birth after of follow-up. The head nurse requested the nurse in charge to facilitate the process a Ethiopian National Maternal Discharge Protocol. What is the most likely initial nursing consideration to be taken? (A) Insuring clinician criteria for discharge (B)Communicating the planned discharge (C) Documenting Discharge checklist (D) Complete a discharge summary