Maternal Child Exam 1 Questions with Answers
1. 1. A nurse is caring for a client who is prescribed Rho immune globulin standard
dose IM (Rhogam). The nurse should understand the action of this medication as
which of the following?: Rhogam prevents the formation of Rh antibodies in
mothers who are Rh negative
2. 1. Fetal movement that is noted by the mother is a very important assess- ment
factor to determine fetal well- being. If the nurse is to ask the client if she has "felt her
baby move", when is the best time for a primigravid client to note the first fetal
activity?: 18 - 20 weeks.
3. 1. The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure
fundal height. Identify where the nurse will find the uterine fundus?-
: At or near the umbilicus
4. 1. A woman asks the nurse: "What protects my baby's umbilical cord from being
pinched while the baby's inside". The nurse's best response is?: "Your baby's
umbilical cord is surrounded by connective tissue called Wharton's Jelly, which
prevents compression of the blood vessels and ensures continued nourish- ment
and oxygen to your baby."
5. 1. A 20 year -old client calls the clinic to report that she has found a lump in her
breast. The nurse's best response to her is which of the following?: "Many women
have benign lumps and bumps in their breasts. However to make sure that it is
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, benign, you should come in for an examination by your physician"
6. Activity is an important component of prenatal teaching. Activity that is considered
safe for a client that states she does not participate in any activity or exercise program
at this time would be?: Walking
7. During her annual gynecologic check up a 17 year-old woman states that recently
she has been experiencing cramping and pain during her menstrual periods. The nurse
would document this complaint as?: Dysmenorrhea
8. Prenatal testing is done to identify health issues that may interfere with the
developing fetus. Within the first trimester what lab tests are normally obtained?
(select all that apply): Blood type and Rh factor
Complete blood count (CBC)
HIV
9. The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as?: 10-12 weeks gestation
10.A common discomfort of pregnancy can be managed by changing nutri- tional
intake and some OTC medications. In reviewing information with the patient after her
first prenatal visit the nurse is confident that this woman understand the management
of constipation when she makes which of the following statements?: "In addition to
increasing my dietary fiber, I can use fiber supplements, drink more water and
increase my activity if I have no restrictions"
11.At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics
2/
11
1. 1. A nurse is caring for a client who is prescribed Rho immune globulin standard
dose IM (Rhogam). The nurse should understand the action of this medication as
which of the following?: Rhogam prevents the formation of Rh antibodies in
mothers who are Rh negative
2. 1. Fetal movement that is noted by the mother is a very important assess- ment
factor to determine fetal well- being. If the nurse is to ask the client if she has "felt her
baby move", when is the best time for a primigravid client to note the first fetal
activity?: 18 - 20 weeks.
3. 1. The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure
fundal height. Identify where the nurse will find the uterine fundus?-
: At or near the umbilicus
4. 1. A woman asks the nurse: "What protects my baby's umbilical cord from being
pinched while the baby's inside". The nurse's best response is?: "Your baby's
umbilical cord is surrounded by connective tissue called Wharton's Jelly, which
prevents compression of the blood vessels and ensures continued nourish- ment
and oxygen to your baby."
5. 1. A 20 year -old client calls the clinic to report that she has found a lump in her
breast. The nurse's best response to her is which of the following?: "Many women
have benign lumps and bumps in their breasts. However to make sure that it is
1/
11
, benign, you should come in for an examination by your physician"
6. Activity is an important component of prenatal teaching. Activity that is considered
safe for a client that states she does not participate in any activity or exercise program
at this time would be?: Walking
7. During her annual gynecologic check up a 17 year-old woman states that recently
she has been experiencing cramping and pain during her menstrual periods. The nurse
would document this complaint as?: Dysmenorrhea
8. Prenatal testing is done to identify health issues that may interfere with the
developing fetus. Within the first trimester what lab tests are normally obtained?
(select all that apply): Blood type and Rh factor
Complete blood count (CBC)
HIV
9. The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as?: 10-12 weeks gestation
10.A common discomfort of pregnancy can be managed by changing nutri- tional
intake and some OTC medications. In reviewing information with the patient after her
first prenatal visit the nurse is confident that this woman understand the management
of constipation when she makes which of the following statements?: "In addition to
increasing my dietary fiber, I can use fiber supplements, drink more water and
increase my activity if I have no restrictions"
11.At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics
2/
11
