Maternal and Child Health Nursing Pract
] ] ] ] ]
ice Questions
] ]
( CHP,3,1,2,4,5,) with Correct Answers
] ] ] ] ]
Which ]behaviors ]would ]be ]exhibited ]during ]the ]letting-
go ]phase ]of ]maternal ]role ]adaptation. ]Select ]all ]that ]apply. ]- ]correct ]answer: ]Emergence ]of ]famil
y ]unit
Sexual ]intimacy ]relationship ]continuing
Defining ]one's ]individual ]roles
While ]making ]a ]visit ]to ]the ]home ]of ]a ]postpartum ]woman ]1 ]week ]after ]birth, ]the ]nurse ]should ]r
ecognize ]that ]the ]woman ]would ]characteristically: ]- ]correct ]answer: ]Vacillate ]between ]the ]desir
e ]to ]have ]her ]own ]nurturing ]needs ]met ]and ]the ]need ]to ]take ]charge ]of ]her ]own ]care ]and ]that ]of ]
her ]newborn.
Which ]of ]the ]following ]is ]the ]most ]common ]kind ]of ]placental ]adherence ]seen ]in ]pregnant ]wome
n? ]- ]correct ]answer: ]Accreta
A ]40-year-old ]woman ]with ]a ]high ]body ]mass ]index ](BMI) ]is ]10 ]weeks ]pregnant. ]Which ]diagnostic
]tool ]is ]appropriate ]to ]suggest ]to ]her ]at ]this ]time? ]- ]correct ]answer: ]Transvaginal ]ultrasound
A ]nurse ]providing ]care ]for ]the ]antepartum ]woman ]should ]understand ]that ]the ]contraction ]stress
]test ]
(CST): ]- ]correct ]answer: ]Is ]considered ]to ]have ]a ]negative ]result ]if ]no ]late ]decelerations ]are ]obser
ved ]with ]the ]contractions.
In ]the ]past, ]factors ]to ]determine ]whether ]a ]woman ]was ]likely ]to ]have ]a ]high-
risk ]pregnancy ]were ]evaluated ]primarily ]from ]a ]medical ]point ]of ]view. ]A ]broader, ]more ]compreh
ensive ]approach ]to ]high-
,risk ]pregnancy ]has ]been ]adopted. ]There ]are ]now ]four ]categories ]based ]on ]threats ]to ]the ]health ]
of ]the ]woman ]and ]the ]outcome ]of ]pregnancy. ]Which ]of ]the ]options ]listed ]here ]is ]not ]included ]as
]a ]category? ]- ]correct ]answer: ]Geographic
A ]woman ]who ]is ]at ]36 ]weeks ]of ]gestation ]is ]having ]a ]nonstress ]test. ]Which ]statement ]indicates ]
her ]correct ]understanding ]of ]the ]test? ]- ]correct ]answer: ]"This ]test ]observes ]for ]fetal ]activity ]and ]
an ]acceleration ]of ]the ]fetal ]heart ]rate ]to ]determine ]the ]well-being ]of ]the ]baby."
What ]is ]an ]appropriate ]indicator ]for ]performing ]a ]contraction ]stress ]test? ]- ]correct ]answer: ]Mat
ernal ]diabetes ]mellitus ]and ]postmaturity
The ]nurse ]sees ]a ]woman ]for ]the ]first ]time ]when ]she ]is ]30 ]weeks ]pregnant. ]The ]woman ]has ]smok
ed ]throughout ]the ]pregnancy, ]and ]fundal ]height ]measurements ]now ]are ]suggestive ]of ]growth ]re
striction ]in ]the ]fetus. ]In ]addition ]to ]ultrasound ]to ]measure ]fetal ]size, ]what ]would ]be ]another ]tool
]useful ]in ]confirming ]the ]diagnosis? ]- ]correct ]answer: ]Doppler ]blood ]flow ]analysis
A ]nurse ]is ]providing ]instruction ]for ]an ]obstetrical ]patient ]to ]perform ]a ]daily ]fetal ]movement ]cou
nt ]
(DFMC). ]Which ]instructions ]could ]be ]included ]in ]the ]plan ]of ]care? ]Select ]all ]that ]apply. ]- ]correct ]
answer: ]-The ]patient ]can ]monitor ]fetal ]activity ]once ]daily ]for ]a ]60-
minute ]period ]and ]note ]activity.
-Monitor ]fetal ]activity ]two ]times ]a ]day ]either ]after ]meals ]or ]before ]bed ]for ]a ]period ]of ]2 ]hours ]or
]until ]10 ]fetal ]movements ]are ]noted.
-Count ]all ]fetal ]movements ]in ]a ]12-hour ]period ]daily ]until ]10 ]fetal ]movements ]are ]noted.
A ]patient ]has ]undergone ]an ]amniocentesis ]for ]evaluation ]of ]fetal ]well-
being. ]Which ]intervention ]would ]be ]included ]in ]the ]nurse's ]plan ]of ]care ]after ]the ]procedure? ]Sel
ect ]all ]that ]apply. ]- ]correct ]answer: ]Observe ]the ]patient ]for ]possible ]uterine ]contractions.
Administer ]RhoGAM ]to ]the ]patient ]if ]she ]is ]Rh ]negative.
, With ]regard ]to ]small-for-gestational-age ](SGA) ]infants ]and ]intrauterine ]growth ]restriction ]
(IUGR), ]nurses ]should ]be ]aware ]that: ]- ]correct ]answer: ]Infants ]with ]asymmetric ]IUGR ]have ]the ]p
otential ]for ]normal ]growth ]and ]development.
A ]client ]who ]delivered ]by ]cesarean ]section ]24 ]hours ]ago ]is ]using ]a ]patient-controlled ]analgesia ]
(PCA) ]pump ]for ]pain ]control. ]Her ]oral ]intake ]has ]been ]ice ]chips ]only ]since ]surgery. ]She ]is ]now ]co
mplaining ]of ]nausea ]and ]bloating, ]and ]states ]that ]because ]she ]had ]nothing ]to ]eat, ]she ]is ]too ]we
ak ]to ]breastfeed ]her ]infant. ]Which ]nursing ]diagnosis ]has ]the ]highest ]priority? ]- ]correct ]answer: ]I
mpaired ]bowel ]motility ]related ]to ]pain ]medication ]and ]immobility
The ]nurse ]is ]teaching ]care ]of ]the ]newborn ]to ]a ]childbirth ]preparation ]class ]and ]describes ]the ]ne
ed ]for ]administering ]antibiotic ]ointment ]into ]the ]eyes ]of ]the ]newborn. ]An ]expectant ]father ]asks,
]"What ]type ]of ]disease ]causes ]infections ]in ]babies ]that ]can ]be ]prevented ]by ]using ]this ]ointment?
" ]Which ]response ]by ]the ]nurse ]is ]accurate? ]- ]correct ]answer: ]Gonorrhea
A ]new ]mother ]is ]having ]trouble ]breastfeeding ]her ]newborn. ]The ]child ]is ]making ]frantic ]rooting ]
motions ]and ]will ]not ]grasp ]the ]nipple. ]Which ]intervention ]should ]the ]nurse ]implement? ]- ]correc
t ]answer: ]Encourage ]the ]mother ]to ]stop ]feeding ]for ]a ]few ]minutes ]and ]comfort ]the ]infant.
The ]nurse ]is ]counseling ]a ]couple ]who ]has ]sought ]information ]about ]conceiving. ]The ]couple ]asks ]
the ]nurse ]to ]explain ]when ]ovulation ]usually ]occurs. ]Which ]statement ]by ]the ]nurse ]is ]correct? ]- ]c
orrect ]answer: ]Two ]weeks ]before ]menstruation
The ]nurse ]instructs ]a ]laboring ]client ]to ]use ]accelerated ]blow ]breathing. ]The ]client ]begins ]to ]com
plain ]of ]tingling ]fingers ]and ]dizziness. ]Which ]action ]should ]the ]nurse ]take? ]- ]correct ]answer: ]Hav
e ]the ]client ]breathe ]into ]her ]cupped ]hands.
When ]assessing ]a ]client ]at ]12 ]weeks ]of ]gestation, ]the ]nurse ]recommends ]that ]she ]and ]her ]husba
nd ]consider ]attending ]childbirth ]preparation ]classes. ]When ]is ]the ]best ]time ]for ]the ]couple ]to ]att
end ]these ]classes? ]- ]correct ]answer: ]At ]30 ]weeks ]of ]gestation
] ] ] ] ]
ice Questions
] ]
( CHP,3,1,2,4,5,) with Correct Answers
] ] ] ] ]
Which ]behaviors ]would ]be ]exhibited ]during ]the ]letting-
go ]phase ]of ]maternal ]role ]adaptation. ]Select ]all ]that ]apply. ]- ]correct ]answer: ]Emergence ]of ]famil
y ]unit
Sexual ]intimacy ]relationship ]continuing
Defining ]one's ]individual ]roles
While ]making ]a ]visit ]to ]the ]home ]of ]a ]postpartum ]woman ]1 ]week ]after ]birth, ]the ]nurse ]should ]r
ecognize ]that ]the ]woman ]would ]characteristically: ]- ]correct ]answer: ]Vacillate ]between ]the ]desir
e ]to ]have ]her ]own ]nurturing ]needs ]met ]and ]the ]need ]to ]take ]charge ]of ]her ]own ]care ]and ]that ]of ]
her ]newborn.
Which ]of ]the ]following ]is ]the ]most ]common ]kind ]of ]placental ]adherence ]seen ]in ]pregnant ]wome
n? ]- ]correct ]answer: ]Accreta
A ]40-year-old ]woman ]with ]a ]high ]body ]mass ]index ](BMI) ]is ]10 ]weeks ]pregnant. ]Which ]diagnostic
]tool ]is ]appropriate ]to ]suggest ]to ]her ]at ]this ]time? ]- ]correct ]answer: ]Transvaginal ]ultrasound
A ]nurse ]providing ]care ]for ]the ]antepartum ]woman ]should ]understand ]that ]the ]contraction ]stress
]test ]
(CST): ]- ]correct ]answer: ]Is ]considered ]to ]have ]a ]negative ]result ]if ]no ]late ]decelerations ]are ]obser
ved ]with ]the ]contractions.
In ]the ]past, ]factors ]to ]determine ]whether ]a ]woman ]was ]likely ]to ]have ]a ]high-
risk ]pregnancy ]were ]evaluated ]primarily ]from ]a ]medical ]point ]of ]view. ]A ]broader, ]more ]compreh
ensive ]approach ]to ]high-
,risk ]pregnancy ]has ]been ]adopted. ]There ]are ]now ]four ]categories ]based ]on ]threats ]to ]the ]health ]
of ]the ]woman ]and ]the ]outcome ]of ]pregnancy. ]Which ]of ]the ]options ]listed ]here ]is ]not ]included ]as
]a ]category? ]- ]correct ]answer: ]Geographic
A ]woman ]who ]is ]at ]36 ]weeks ]of ]gestation ]is ]having ]a ]nonstress ]test. ]Which ]statement ]indicates ]
her ]correct ]understanding ]of ]the ]test? ]- ]correct ]answer: ]"This ]test ]observes ]for ]fetal ]activity ]and ]
an ]acceleration ]of ]the ]fetal ]heart ]rate ]to ]determine ]the ]well-being ]of ]the ]baby."
What ]is ]an ]appropriate ]indicator ]for ]performing ]a ]contraction ]stress ]test? ]- ]correct ]answer: ]Mat
ernal ]diabetes ]mellitus ]and ]postmaturity
The ]nurse ]sees ]a ]woman ]for ]the ]first ]time ]when ]she ]is ]30 ]weeks ]pregnant. ]The ]woman ]has ]smok
ed ]throughout ]the ]pregnancy, ]and ]fundal ]height ]measurements ]now ]are ]suggestive ]of ]growth ]re
striction ]in ]the ]fetus. ]In ]addition ]to ]ultrasound ]to ]measure ]fetal ]size, ]what ]would ]be ]another ]tool
]useful ]in ]confirming ]the ]diagnosis? ]- ]correct ]answer: ]Doppler ]blood ]flow ]analysis
A ]nurse ]is ]providing ]instruction ]for ]an ]obstetrical ]patient ]to ]perform ]a ]daily ]fetal ]movement ]cou
nt ]
(DFMC). ]Which ]instructions ]could ]be ]included ]in ]the ]plan ]of ]care? ]Select ]all ]that ]apply. ]- ]correct ]
answer: ]-The ]patient ]can ]monitor ]fetal ]activity ]once ]daily ]for ]a ]60-
minute ]period ]and ]note ]activity.
-Monitor ]fetal ]activity ]two ]times ]a ]day ]either ]after ]meals ]or ]before ]bed ]for ]a ]period ]of ]2 ]hours ]or
]until ]10 ]fetal ]movements ]are ]noted.
-Count ]all ]fetal ]movements ]in ]a ]12-hour ]period ]daily ]until ]10 ]fetal ]movements ]are ]noted.
A ]patient ]has ]undergone ]an ]amniocentesis ]for ]evaluation ]of ]fetal ]well-
being. ]Which ]intervention ]would ]be ]included ]in ]the ]nurse's ]plan ]of ]care ]after ]the ]procedure? ]Sel
ect ]all ]that ]apply. ]- ]correct ]answer: ]Observe ]the ]patient ]for ]possible ]uterine ]contractions.
Administer ]RhoGAM ]to ]the ]patient ]if ]she ]is ]Rh ]negative.
, With ]regard ]to ]small-for-gestational-age ](SGA) ]infants ]and ]intrauterine ]growth ]restriction ]
(IUGR), ]nurses ]should ]be ]aware ]that: ]- ]correct ]answer: ]Infants ]with ]asymmetric ]IUGR ]have ]the ]p
otential ]for ]normal ]growth ]and ]development.
A ]client ]who ]delivered ]by ]cesarean ]section ]24 ]hours ]ago ]is ]using ]a ]patient-controlled ]analgesia ]
(PCA) ]pump ]for ]pain ]control. ]Her ]oral ]intake ]has ]been ]ice ]chips ]only ]since ]surgery. ]She ]is ]now ]co
mplaining ]of ]nausea ]and ]bloating, ]and ]states ]that ]because ]she ]had ]nothing ]to ]eat, ]she ]is ]too ]we
ak ]to ]breastfeed ]her ]infant. ]Which ]nursing ]diagnosis ]has ]the ]highest ]priority? ]- ]correct ]answer: ]I
mpaired ]bowel ]motility ]related ]to ]pain ]medication ]and ]immobility
The ]nurse ]is ]teaching ]care ]of ]the ]newborn ]to ]a ]childbirth ]preparation ]class ]and ]describes ]the ]ne
ed ]for ]administering ]antibiotic ]ointment ]into ]the ]eyes ]of ]the ]newborn. ]An ]expectant ]father ]asks,
]"What ]type ]of ]disease ]causes ]infections ]in ]babies ]that ]can ]be ]prevented ]by ]using ]this ]ointment?
" ]Which ]response ]by ]the ]nurse ]is ]accurate? ]- ]correct ]answer: ]Gonorrhea
A ]new ]mother ]is ]having ]trouble ]breastfeeding ]her ]newborn. ]The ]child ]is ]making ]frantic ]rooting ]
motions ]and ]will ]not ]grasp ]the ]nipple. ]Which ]intervention ]should ]the ]nurse ]implement? ]- ]correc
t ]answer: ]Encourage ]the ]mother ]to ]stop ]feeding ]for ]a ]few ]minutes ]and ]comfort ]the ]infant.
The ]nurse ]is ]counseling ]a ]couple ]who ]has ]sought ]information ]about ]conceiving. ]The ]couple ]asks ]
the ]nurse ]to ]explain ]when ]ovulation ]usually ]occurs. ]Which ]statement ]by ]the ]nurse ]is ]correct? ]- ]c
orrect ]answer: ]Two ]weeks ]before ]menstruation
The ]nurse ]instructs ]a ]laboring ]client ]to ]use ]accelerated ]blow ]breathing. ]The ]client ]begins ]to ]com
plain ]of ]tingling ]fingers ]and ]dizziness. ]Which ]action ]should ]the ]nurse ]take? ]- ]correct ]answer: ]Hav
e ]the ]client ]breathe ]into ]her ]cupped ]hands.
When ]assessing ]a ]client ]at ]12 ]weeks ]of ]gestation, ]the ]nurse ]recommends ]that ]she ]and ]her ]husba
nd ]consider ]attending ]childbirth ]preparation ]classes. ]When ]is ]the ]best ]time ]for ]the ]couple ]to ]att
end ]these ]classes? ]- ]correct ]answer: ]At ]30 ]weeks ]of ]gestation
