,GCN|NU171/NU 171 Maternal Child Nursing
1. A nurse is reviewing a client's obstetric history which is recorded as G4 T2 P1 A1 L3. Which
interpretation of this record is correct?
A) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 3 living children
B) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 1 living child
C) The client has had 4 pregnancies, 2 term births, 1 abortion, and 1 living child
D) The client has had 4 pregnancies, 2 term births, 1 preterm birth, and 3 abortions
Correct Answer: A) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 3
living children
Rationale: The GTPAL system stands for Gravida (total pregnancies), Term (births at 37+ weeks),
Preterm (births from 20-36.6 weeks), Abortions (pregnancy losses before 20 weeks), and Living
children. G4 T2 P1 A1 L3 accurately indicates four pregnancies, two term births, one preterm birth,
one abortion, and three living children. The other options misinterpret one or more of these
components.
2. A client at 38 weeks' gestation reports irregular contractions that subside with walking. The nurse
identifies these as:
A) True labor
B) Braxton Hicks contractions
C) Active labor
D) Preterm labor
Correct Answer: B) Braxton Hicks contractions
Rationale: Braxton Hicks contractions, often called false labor, are irregular, do not increase in
intensity or frequency, and typically subside with ambulation or rest. True labor contractions are
regular, progressive, and intensify with activity. Active labor is characterized by regular, strong
contractions with cervical dilation.
,3. A client is admitted to the labor and delivery unit with ruptured membranes. The nurse notes that
the amniotic fluid is greenish-brown. This finding indicates:
A) Normal amniotic fluid
B) Meconium-stained fluid
C) Bloody show
D) A urinary tract infection
Correct Answer: B) Meconium-stained fluid
Rationale: Greenish-brown or green-tinged amniotic fluid indicates the presence of meconium, the
infant's first stool, which can be a sign of fetal distress. Normal amniotic fluid is clear and odorless.
Bloody show is blood-tinged mucus, and a urinary tract infection would not change the color of the
amniotic fluid.
4. A nurse is assessing a child with suspected acute otitis media. Which finding is most consistent with
this diagnosis?
A) Clear drainage from the ear
B) Erythema and bulging of the tympanic membrane
C) Normal tympanic membrane appearance
D) Absence of fever
Correct Answer: B) Erythema and bulging of the tympanic membrane
Rationale: Acute otitis media is characterized by inflammation and infection of the middle ear,
resulting in erythema (redness), bulging, and decreased mobility of the tympanic membrane on
otoscopic examination. Clear drainage is not typical, and fever is often present.
5. A child is diagnosed with acute post-streptococcal glomerulonephritis. The nurse understands this
condition is most commonly associated with a prior:
A) Viral upper respiratory infection
B) Streptococcal infection
C) Parasitic infection
, D) Fungal infection
Correct Answer: B) Streptococcal infection
Rationale: Acute post-streptococcal glomerulonephritis typically occurs 1-2 weeks after a
streptococcal infection, such as strep throat or impetigo. The condition results from immune complex
deposition in the glomeruli, leading to inflammation, hematuria, proteinuria, and edema.
6. A nurse is teaching parents about preventing urinary tract infections (UTIs) in their preschool-age
child. Which instruction should the nurse include?
A) Encourage bubble baths to promote hygiene
B) Wipe from front to back after toileting
C) Limit fluid intake to reduce urinary frequency
D) Use tight-fitting underwear to prevent irritation
Correct Answer: B) Wipe from front to back after toileting
Rationale: Wiping from front to back after toileting prevents the spread of bacteria from the anal area
to the urethra, significantly reducing the risk of UTIs. Bubble baths, tight-fitting underwear, and fluid
restriction can increase the risk of UTIs.
7. A child is diagnosed with intussusception. Which assessment finding is most characteristic of this
condition?
A) Projectile vomiting and metabolic alkalosis
B) Currant jelly stools and a palpable abdominal mass
C) Bilious emesis and a scaphoid abdomen
D) Watery diarrhea and perianal excoriation
Correct Answer: B) Currant jelly stools and a palpable abdominal mass
1. A nurse is reviewing a client's obstetric history which is recorded as G4 T2 P1 A1 L3. Which
interpretation of this record is correct?
A) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 3 living children
B) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 1 living child
C) The client has had 4 pregnancies, 2 term births, 1 abortion, and 1 living child
D) The client has had 4 pregnancies, 2 term births, 1 preterm birth, and 3 abortions
Correct Answer: A) The client has had 4 pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 3
living children
Rationale: The GTPAL system stands for Gravida (total pregnancies), Term (births at 37+ weeks),
Preterm (births from 20-36.6 weeks), Abortions (pregnancy losses before 20 weeks), and Living
children. G4 T2 P1 A1 L3 accurately indicates four pregnancies, two term births, one preterm birth,
one abortion, and three living children. The other options misinterpret one or more of these
components.
2. A client at 38 weeks' gestation reports irregular contractions that subside with walking. The nurse
identifies these as:
A) True labor
B) Braxton Hicks contractions
C) Active labor
D) Preterm labor
Correct Answer: B) Braxton Hicks contractions
Rationale: Braxton Hicks contractions, often called false labor, are irregular, do not increase in
intensity or frequency, and typically subside with ambulation or rest. True labor contractions are
regular, progressive, and intensify with activity. Active labor is characterized by regular, strong
contractions with cervical dilation.
,3. A client is admitted to the labor and delivery unit with ruptured membranes. The nurse notes that
the amniotic fluid is greenish-brown. This finding indicates:
A) Normal amniotic fluid
B) Meconium-stained fluid
C) Bloody show
D) A urinary tract infection
Correct Answer: B) Meconium-stained fluid
Rationale: Greenish-brown or green-tinged amniotic fluid indicates the presence of meconium, the
infant's first stool, which can be a sign of fetal distress. Normal amniotic fluid is clear and odorless.
Bloody show is blood-tinged mucus, and a urinary tract infection would not change the color of the
amniotic fluid.
4. A nurse is assessing a child with suspected acute otitis media. Which finding is most consistent with
this diagnosis?
A) Clear drainage from the ear
B) Erythema and bulging of the tympanic membrane
C) Normal tympanic membrane appearance
D) Absence of fever
Correct Answer: B) Erythema and bulging of the tympanic membrane
Rationale: Acute otitis media is characterized by inflammation and infection of the middle ear,
resulting in erythema (redness), bulging, and decreased mobility of the tympanic membrane on
otoscopic examination. Clear drainage is not typical, and fever is often present.
5. A child is diagnosed with acute post-streptococcal glomerulonephritis. The nurse understands this
condition is most commonly associated with a prior:
A) Viral upper respiratory infection
B) Streptococcal infection
C) Parasitic infection
, D) Fungal infection
Correct Answer: B) Streptococcal infection
Rationale: Acute post-streptococcal glomerulonephritis typically occurs 1-2 weeks after a
streptococcal infection, such as strep throat or impetigo. The condition results from immune complex
deposition in the glomeruli, leading to inflammation, hematuria, proteinuria, and edema.
6. A nurse is teaching parents about preventing urinary tract infections (UTIs) in their preschool-age
child. Which instruction should the nurse include?
A) Encourage bubble baths to promote hygiene
B) Wipe from front to back after toileting
C) Limit fluid intake to reduce urinary frequency
D) Use tight-fitting underwear to prevent irritation
Correct Answer: B) Wipe from front to back after toileting
Rationale: Wiping from front to back after toileting prevents the spread of bacteria from the anal area
to the urethra, significantly reducing the risk of UTIs. Bubble baths, tight-fitting underwear, and fluid
restriction can increase the risk of UTIs.
7. A child is diagnosed with intussusception. Which assessment finding is most characteristic of this
condition?
A) Projectile vomiting and metabolic alkalosis
B) Currant jelly stools and a palpable abdominal mass
C) Bilious emesis and a scaphoid abdomen
D) Watery diarrhea and perianal excoriation
Correct Answer: B) Currant jelly stools and a palpable abdominal mass
