NU 170 – EXAM 1 | MATERNAL–CHILD
NURSING|ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1.
A nurse is caring for a client at 10 weeks’ gestation who reports nausea and
vomiting every morning. Which nursing action is most appropriate?
A. Encourage the client to drink water with meals
B. Recommend eating dry crackers before rising
C. Advise avoiding all carbohydrate foods
D. Encourage three large meals daily
Correct Answer: B
Rationale:
Eating dry crackers before rising helps stabilize blood glucose and reduces
morning nausea. Fluids should be taken between meals, not with meals, to
decrease gastric distension.
2.
A client at 36 weeks’ gestation reports a sudden gush of fluid. Which finding
confirms rupture of membranes?
A. Maternal temperature 99.0°F
B. Fetal heart rate 150 bpm
C. Positive nitrazine test
D. Irregular contractions
Correct Answer: C
Rationale:
A nitrazine test detects alkaline amniotic fluid and confirms rupture of
membranes. Temperature and contractions do not confirm membrane rupture.
, 3.
Which laboratory result is expected during normal pregnancy?
A. Increased hematocrit
B. Decreased blood volume
C. Increased white blood cell count
D. Decreased plasma volume
Correct Answer: C
Rationale:
Mild leukocytosis occurs in pregnancy due to physiologic stress. Plasma
volume increases, causing dilutional anemia and decreased hematocrit.
4.
A nurse assesses a pregnant client with severe headache, visual changes, and
epigastric pain. Which complication should be suspected?
A. Hyperemesis gravidarum
B. Gestational diabetes
C. Preeclampsia
D. Placenta previa
Correct Answer: C
Rationale:
Headache, visual disturbances, and epigastric pain are warning signs of
preeclampsia and require immediate evaluation.
5.
Which fetal heart rate pattern requires immediate nursing intervention?
A. Baseline 135 bpm
B. Moderate variability
C. Late decelerations
D. Accelerations with fetal movement
Correct Answer: C
NURSING|ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1.
A nurse is caring for a client at 10 weeks’ gestation who reports nausea and
vomiting every morning. Which nursing action is most appropriate?
A. Encourage the client to drink water with meals
B. Recommend eating dry crackers before rising
C. Advise avoiding all carbohydrate foods
D. Encourage three large meals daily
Correct Answer: B
Rationale:
Eating dry crackers before rising helps stabilize blood glucose and reduces
morning nausea. Fluids should be taken between meals, not with meals, to
decrease gastric distension.
2.
A client at 36 weeks’ gestation reports a sudden gush of fluid. Which finding
confirms rupture of membranes?
A. Maternal temperature 99.0°F
B. Fetal heart rate 150 bpm
C. Positive nitrazine test
D. Irregular contractions
Correct Answer: C
Rationale:
A nitrazine test detects alkaline amniotic fluid and confirms rupture of
membranes. Temperature and contractions do not confirm membrane rupture.
, 3.
Which laboratory result is expected during normal pregnancy?
A. Increased hematocrit
B. Decreased blood volume
C. Increased white blood cell count
D. Decreased plasma volume
Correct Answer: C
Rationale:
Mild leukocytosis occurs in pregnancy due to physiologic stress. Plasma
volume increases, causing dilutional anemia and decreased hematocrit.
4.
A nurse assesses a pregnant client with severe headache, visual changes, and
epigastric pain. Which complication should be suspected?
A. Hyperemesis gravidarum
B. Gestational diabetes
C. Preeclampsia
D. Placenta previa
Correct Answer: C
Rationale:
Headache, visual disturbances, and epigastric pain are warning signs of
preeclampsia and require immediate evaluation.
5.
Which fetal heart rate pattern requires immediate nursing intervention?
A. Baseline 135 bpm
B. Moderate variability
C. Late decelerations
D. Accelerations with fetal movement
Correct Answer: C
