MATERNAL CHILD UPDATED TEST PAPER ANSWERS
AND QUESTIONS SET A+
✔✔The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance. - ✔✔A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
✔✔The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - ✔✔A. Terbutaline (Brethine) 0.25
mg subcutaneously q15 minutes x 3
✔✔In preparing a gravid client for a triple screen analysis, which action should the
nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - ✔✔A. Prepare to draw blood for
analysis.
✔✔During a routine first trimester prenatal exam, a pregnant client tells the nurse that
she has noticed an increase in vaginal discharge that is white, thin, and watery. What
action should the nurse implement?
, A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - ✔✔A. Inform her that this is a
normal physiological change.
✔✔Following a precipitous labor, a postpartum client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are within normal limits.
The nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder. - ✔✔B. Laceration on the cervix
✔✔A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - ✔✔A.
"This is called caput succedaneum. It will absorb and cause no problems."
✔✔The parents of a male newborn have signed an informed consent for circumcision.
What priority intervention should the nurse implement upon completion of the
circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - ✔✔C. Place petrolatum gauze dressing
on the site.
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
AND QUESTIONS SET A+
✔✔The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as an objective signs of
depression? (Select all that apply.)
A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
E. Has a disheveled appearance. - ✔✔A. Avoids eye contact.
B. Interacts with a flat affect.
C. Reports feeling sad.
D. Expresses suicidal thoughts.
✔✔The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor.
A. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3
B. Ampicillin 1 gram IV push q8h.
C. Betamethasone (Celestone) 12 mg deep IM
D. Butorphanol (Stadol) 1 mg IV push q2h PRN pain - ✔✔A. Terbutaline (Brethine) 0.25
mg subcutaneously q15 minutes x 3
✔✔In preparing a gravid client for a triple screen analysis, which action should the
nurse take?
A. Prepare to draw blood for analysis.
B. Encourage the client to drink 8 oz of water.
C. Assist the client to left lateral tilt position.
D. Apply an external fetal monitor to the abdomen. - ✔✔A. Prepare to draw blood for
analysis.
✔✔During a routine first trimester prenatal exam, a pregnant client tells the nurse that
she has noticed an increase in vaginal discharge that is white, thin, and watery. What
action should the nurse implement?
, A. Inform her that this is a normal physiological change.
B. Notify the healthcare provider of the complaint.
C. Recommend an over-the-counter yeast medication.
D. Prepare the client for a sterile speculum exam. - ✔✔A. Inform her that this is a
normal physiological change.
✔✔Following a precipitous labor, a postpartum client has a continuous trickling of bright
red blood from her vagina. Her uterus is firm and her vital signs are within normal limits.
The nurse determines that this sign may indicate which condition?
A. Early postpartum hemorrhage.
B. Laceration on the cervix
C. Expected course in the fourth stage of labor.
D. A full urinary bladder. - ✔✔B. Laceration on the cervix
✔✔A new mother asks the nurse about an area of swelling on her baby's head near the
posterior fontanel that lies across the suture line. How should the nurse respond?
A. "This is called caput succedaneum. It will absorb and cause no problems."
B. "This is called caput succedaneum. It will have to be drained."
C. "This is called a cephalhematoma. It will cause no problems."
D. "This is called cephalhematome. It can cause jaundice as it is absorbed." - ✔✔A.
"This is called caput succedaneum. It will absorb and cause no problems."
✔✔The parents of a male newborn have signed an informed consent for circumcision.
What priority intervention should the nurse implement upon completion of the
circumcision?
A. Offer a pacifier dipped in glucose water.
B. Give PRN dose of liquid acetaminophen.
C. Place petrolatum gauze dressing on the site.
D. Wrap the infant in warm receiving blankets. - ✔✔C. Place petrolatum gauze dressing
on the site.
✔✔The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
A. Hyperthermia
B. Hyperbilirubinemia
C. Polycythemia
D. Hypoglycemia - ✔✔D. Hypoglycemia
✔✔A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the
client for the procedure, the nurse should explain that the primary reason for conducting
this diagnostic study is to obtain which information?
A. Sex and size of the infant.
B. Fetal growth and gestational age.
