Maternal & Child Practice
Exam 2 QUESTIONS AND
VERIFIED ANSWER
For the client who is using oral contraceptives, the nurse informs the client about the need to
take the pill at the same time each day to accomplish which of the following?
A Prevent drug interactions
B Decrease the incidence of nausea
C Maintain hormonal levels
D Reduce side effects - correct answer Regular timely ingestion of oral contraceptives is
necessary to maintain hormonal levels of the drugs to suppress the action of the hypothalamus
and anterior pituitary leading to inappropriate secretion of FSH and LH. Therefore, follicles do
not mature, ovulation is inhibited, and pregnancy is prevented. The estrogen content of the oral
site contraceptive may cause the nausea, regardless of when the pill is taken. Side effects and
drug interactions may occur withoral contraceptives regardless of the time the pill is taken.
A patient is in labor and has just been told she has a breech presentation. The nurse should be
particularly alert for which of the following?
A Ophthalmia neonatorum
B Pica
C Prolapsed umbilical cord
D Quickening - correct answer In a breech position, because of the space between the
presenting part and the cervix, prolapse of the umbilical cord is common. Quickening is the
woman's first perception of fetal movement. Ophthalmia neonatorum usually results from
maternal gonorrhea and is conjunctivitis. Pica refers to the oral intake of nonfood substances
,Which of the following would be the priority nursing diagnosis for a client with an ectopic
pregnancy?
A Anticipatory Grieving
B Knowledge Deficit
C Pain
D Risk for infection - correct answer For the client with an ectopic pregnancy, lower abdominal
pain, usually unilateral, is the primary symptom. Thus, pain is the priority. Although the
potential for infection is always present, the risk is low in ectopic pregnancy because pathogenic
microorganisms have not been introduced from external sources. The client may have a limited
knowledge of the pathology and treatment of the condition and will most likely experience
grieving, but this is not the priority at this time.
A client at 8 weeks' gestation calls complaining of slight nausea in the morning hours. Which of
the following client interventions should the nurse question?
A Eating six small meals a day instead of thee large meals
B Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water
C Eating a few low-sodium crackers before getting out of bed
D Avoiding the intake of liquids in the morning hours - correct answer Using bicarbonate would
increase the amount of sodium ingested, which can cause complications. Eating low-sodium
crackers would be appropriate. Since liquids can increase nausea avoiding them in the morning
hours when nausea is usually the strongest is appropriate. Eating six small meals a day would
keep the stomach full, which often decrease nausea.
The nurse understands that the fetal head is in which of the following positions with a face
presentation?
A Partially extended
B Completely extended
C Completely flexed
D Partially flexed - correct answer With a face presentation, the head is completely extended.
With a vertex presentation, the head is completely or partially flexed. With a brow (forehead)
presentation, the head would be partially extended.
, A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle
accident as a teenager. The nurse is aware that this could prevent a fetus from passing through
or around which structure during childbirth?
A Sacral promontory
B Ischial spines
C Symphysis pubis
D Pubic arch - correct answer The ischial spines are located in the mid-pelvic region and could
be narrowed due to the previous pelvic injury. The symphysis pubis, sacral promontory, and
pubic arch are not part of the mid-pelvis.
When teaching a group of adolescents about male hormone production, which of the following
would the nurse include as being produced by the Leydig cells?
A Leuteinizing hormone
B Follicle-stimulating hormone
C Testosterone
D Gonadotropin releasing hormone - correct answer Testosterone is produced by the Leyding
cells in the seminiferous tubules. Follicle-stimulating hormone and leuteinzing hormone are
released by the anterior pituitary gland. The hypothalamus is responsible for releasing
gonadotropin-releasing hormone.
A newborn weighing 3000 grams and feeding every 4 hours needs 120 calories/kg of body
weight every 24 hours for proper growth and development. How many ounces of 20 cal/oz
formula should this newborn receive at each feeding to meet nutritional needs?
A 2 ounces
B 4 ounces
C 3 ounces
D 6 ounces - correct answer To determine the amount of formula needed, do the following
mathematical calculation. 3 kg x 120 cal/kg per day = 360 calories/day feeding q 4 hours = 6
Exam 2 QUESTIONS AND
VERIFIED ANSWER
For the client who is using oral contraceptives, the nurse informs the client about the need to
take the pill at the same time each day to accomplish which of the following?
A Prevent drug interactions
B Decrease the incidence of nausea
C Maintain hormonal levels
D Reduce side effects - correct answer Regular timely ingestion of oral contraceptives is
necessary to maintain hormonal levels of the drugs to suppress the action of the hypothalamus
and anterior pituitary leading to inappropriate secretion of FSH and LH. Therefore, follicles do
not mature, ovulation is inhibited, and pregnancy is prevented. The estrogen content of the oral
site contraceptive may cause the nausea, regardless of when the pill is taken. Side effects and
drug interactions may occur withoral contraceptives regardless of the time the pill is taken.
A patient is in labor and has just been told she has a breech presentation. The nurse should be
particularly alert for which of the following?
A Ophthalmia neonatorum
B Pica
C Prolapsed umbilical cord
D Quickening - correct answer In a breech position, because of the space between the
presenting part and the cervix, prolapse of the umbilical cord is common. Quickening is the
woman's first perception of fetal movement. Ophthalmia neonatorum usually results from
maternal gonorrhea and is conjunctivitis. Pica refers to the oral intake of nonfood substances
,Which of the following would be the priority nursing diagnosis for a client with an ectopic
pregnancy?
A Anticipatory Grieving
B Knowledge Deficit
C Pain
D Risk for infection - correct answer For the client with an ectopic pregnancy, lower abdominal
pain, usually unilateral, is the primary symptom. Thus, pain is the priority. Although the
potential for infection is always present, the risk is low in ectopic pregnancy because pathogenic
microorganisms have not been introduced from external sources. The client may have a limited
knowledge of the pathology and treatment of the condition and will most likely experience
grieving, but this is not the priority at this time.
A client at 8 weeks' gestation calls complaining of slight nausea in the morning hours. Which of
the following client interventions should the nurse question?
A Eating six small meals a day instead of thee large meals
B Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water
C Eating a few low-sodium crackers before getting out of bed
D Avoiding the intake of liquids in the morning hours - correct answer Using bicarbonate would
increase the amount of sodium ingested, which can cause complications. Eating low-sodium
crackers would be appropriate. Since liquids can increase nausea avoiding them in the morning
hours when nausea is usually the strongest is appropriate. Eating six small meals a day would
keep the stomach full, which often decrease nausea.
The nurse understands that the fetal head is in which of the following positions with a face
presentation?
A Partially extended
B Completely extended
C Completely flexed
D Partially flexed - correct answer With a face presentation, the head is completely extended.
With a vertex presentation, the head is completely or partially flexed. With a brow (forehead)
presentation, the head would be partially extended.
, A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle
accident as a teenager. The nurse is aware that this could prevent a fetus from passing through
or around which structure during childbirth?
A Sacral promontory
B Ischial spines
C Symphysis pubis
D Pubic arch - correct answer The ischial spines are located in the mid-pelvic region and could
be narrowed due to the previous pelvic injury. The symphysis pubis, sacral promontory, and
pubic arch are not part of the mid-pelvis.
When teaching a group of adolescents about male hormone production, which of the following
would the nurse include as being produced by the Leydig cells?
A Leuteinizing hormone
B Follicle-stimulating hormone
C Testosterone
D Gonadotropin releasing hormone - correct answer Testosterone is produced by the Leyding
cells in the seminiferous tubules. Follicle-stimulating hormone and leuteinzing hormone are
released by the anterior pituitary gland. The hypothalamus is responsible for releasing
gonadotropin-releasing hormone.
A newborn weighing 3000 grams and feeding every 4 hours needs 120 calories/kg of body
weight every 24 hours for proper growth and development. How many ounces of 20 cal/oz
formula should this newborn receive at each feeding to meet nutritional needs?
A 2 ounces
B 4 ounces
C 3 ounces
D 6 ounces - correct answer To determine the amount of formula needed, do the following
mathematical calculation. 3 kg x 120 cal/kg per day = 360 calories/day feeding q 4 hours = 6
