NUR 2513 MATERNAL CHILD NURSING 207
CERTIFICATION PREPARATION 2026
◉ The nurse is completing health history for a client who is at 6
weeks of gestation. The client informs the nurse that she smokes one
pack of cigarettes per day. The nurse should advise the client that
smoking places the clients newborn at risk for the following?
A. Hearing loss
B. DM1
C. Intrauterine growth restriction
D. Congenital heart disease. Answer: C. Intrauterine growth
restriction
◉ Which of the following potential negative outcomes is not
associated with gestational diabetes.
A. Macrosomia
B. Delayed lung maturity
C. Neonatal hypoglycemia
D. Oligohydramnios. Answer: D. Oligohydramnios
◉ A woman developes HELLP syndrome during labor and has
thrombocytopenia. Which of the following orders by the HCP would
the nurse questions?
,A. Prepare her for epidural anesthesia
B. Assess her blood pressure every 15 min
C. Assess the urine output every hour
D. Urge her to like on her left side during labor. Answer: A. Prepare
her for epidural anesthesia
◉ A woman who is 32 weeks gestation is experiencing preterm
labor. Which of the following is an inappropriate nursing
intervention for this client?
A. Ambulate the client for comfort
B. Administer IV fluid with 500 mL bolus as prescribed
C. Initiate fetal (tocodynamometer) monitoring
D. Obtain a urine speciment. Answer: A. Ambulate the client for
comfort
◉ The nurse is providing teaching to a group of student nurses
regarding the menstrual cycle. When discussing the thickening of
the endometrium. The nurse correctly identifies this occurs during
which phase of the menstrual cycle?
A. Luteal
B. Proliferative
C. Secretory
D. Prodromal. Answer: B. Proliferative
, ◉ The nurse encourages a woman with gestational diabetes to
maintain an active exercise plan during pregnancy. Prior to
exercising, the nurse advises her to take which action?
A. inject a bolus of insulin
B. Eat a high carb snack
C. Eat complex carb and protein
D. Add bolus of long actin insulin. Answer: C. Eat complex carb and
protein
◉ A client with HTN who is receiving intravenous magnesium
sulfate therapy has requested epidural anesthetic. The perinatal
nurse should first review the clients CBC for which of the following
A. Decreased platelet count
B. Elevated glucose
C. Decreased protein level
D. Absence of sodium. Answer: A. Decreased platelet count
◉ The perinatal nurse prepared the laboring woman for the an
epidural anesthesia insertion. The nurse knows that which of the
following is done to prevent maternal hypotension.
A. Assisting the woman to lie down in a supine position
B. Adminstering rapid IV infusion 500 mL of LR solution.
C. Assessing blood pressure and pulse every 5 minutes, three times,
before the epidural insertion
CERTIFICATION PREPARATION 2026
◉ The nurse is completing health history for a client who is at 6
weeks of gestation. The client informs the nurse that she smokes one
pack of cigarettes per day. The nurse should advise the client that
smoking places the clients newborn at risk for the following?
A. Hearing loss
B. DM1
C. Intrauterine growth restriction
D. Congenital heart disease. Answer: C. Intrauterine growth
restriction
◉ Which of the following potential negative outcomes is not
associated with gestational diabetes.
A. Macrosomia
B. Delayed lung maturity
C. Neonatal hypoglycemia
D. Oligohydramnios. Answer: D. Oligohydramnios
◉ A woman developes HELLP syndrome during labor and has
thrombocytopenia. Which of the following orders by the HCP would
the nurse questions?
,A. Prepare her for epidural anesthesia
B. Assess her blood pressure every 15 min
C. Assess the urine output every hour
D. Urge her to like on her left side during labor. Answer: A. Prepare
her for epidural anesthesia
◉ A woman who is 32 weeks gestation is experiencing preterm
labor. Which of the following is an inappropriate nursing
intervention for this client?
A. Ambulate the client for comfort
B. Administer IV fluid with 500 mL bolus as prescribed
C. Initiate fetal (tocodynamometer) monitoring
D. Obtain a urine speciment. Answer: A. Ambulate the client for
comfort
◉ The nurse is providing teaching to a group of student nurses
regarding the menstrual cycle. When discussing the thickening of
the endometrium. The nurse correctly identifies this occurs during
which phase of the menstrual cycle?
A. Luteal
B. Proliferative
C. Secretory
D. Prodromal. Answer: B. Proliferative
, ◉ The nurse encourages a woman with gestational diabetes to
maintain an active exercise plan during pregnancy. Prior to
exercising, the nurse advises her to take which action?
A. inject a bolus of insulin
B. Eat a high carb snack
C. Eat complex carb and protein
D. Add bolus of long actin insulin. Answer: C. Eat complex carb and
protein
◉ A client with HTN who is receiving intravenous magnesium
sulfate therapy has requested epidural anesthetic. The perinatal
nurse should first review the clients CBC for which of the following
A. Decreased platelet count
B. Elevated glucose
C. Decreased protein level
D. Absence of sodium. Answer: A. Decreased platelet count
◉ The perinatal nurse prepared the laboring woman for the an
epidural anesthesia insertion. The nurse knows that which of the
following is done to prevent maternal hypotension.
A. Assisting the woman to lie down in a supine position
B. Adminstering rapid IV infusion 500 mL of LR solution.
C. Assessing blood pressure and pulse every 5 minutes, three times,
before the epidural insertion
