MATERNAL CHILD PRACTICE 2027 ANSWERS AND
QUESTIONS SET A+
✔✔A multigravida full term , laboring client complains of back labor. Vaginal examine
reveals that the client is 3cm with 50% effacement , and the fetal head is at -1 station.
What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions - ✔✔A. Apply counter - pressure to the
sacral area
✔✔A postpartal client complains that she has the urge to urinate every hour but is only
able to void a small amount. What interventions provides the nurse with the most useful
information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern - ✔✔B. Catheterize for residual urine
after next voiding
✔✔During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - ✔✔B. Lie on the left or right side
when sleeping or resting
✔✔Artifical rupture of the membrane of laboring client reveals meconium stained fluid.
What is the priority?
A. Clean perineal area to prevent infection
B. Assess the mothers blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for development of sepsis
, D. Have meconium aspirator available at delivery - ✔✔D. Have meconium aspirator
available at delivery
✔✔A toddler with a history of acyanotic defect is admitted to the pediatric intensive
care. Respiration rate 60 beats / min and heart 150 beats/ min.What action should the
nurse take first?
A. Obtain a pulse ox reading
B. Assess childs blood pressure
C. Perform a neurological assessment
D. Initiate peripheral intravenous access - ✔✔A. Obtain a pulse ox reading
✔✔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 complaining of nausea and bloating, and states that
because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing
diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant - ✔✔C.
Impaired bowel motility related to pain medication and immobility
✔✔The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need 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?
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis - ✔✔C. 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?
A. Encourage frequent use of a pacifier so that the infant becomes accustomed to
sucking.
B. Hold the infant's head firmly against the breast until he latches onto the nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the infant.
D. Provide formula for the infant until he becomes calm, and then offer the breast again.
- ✔✔C. 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?
A. Two weeks before menstruation
QUESTIONS SET A+
✔✔A multigravida full term , laboring client complains of back labor. Vaginal examine
reveals that the client is 3cm with 50% effacement , and the fetal head is at -1 station.
What action should the nurse implement first?
A. Apply counter - pressure to the sacral area
B. Turn the client lateral position
C. Notify the scrub nurse to prepare the OR
D. Ambulate the client between contractions - ✔✔A. Apply counter - pressure to the
sacral area
✔✔A postpartal client complains that she has the urge to urinate every hour but is only
able to void a small amount. What interventions provides the nurse with the most useful
information?
A. Initiate a perineal pad count
B. Catheterize for residual urine after next voiding
C. Assess for perineal hematoma
D. Determine the clients usual voiding pattern - ✔✔B. Catheterize for residual urine
after next voiding
✔✔During a 26 week gestation prenatal exam, a client reports occasional dizziness.
What intervention is best for the nurse to recommend the client?
A. Elevate the head with two pillows while sleeping
B. Lie on the left or right side when sleeping or resting
C. Increase intake of foods that are high in iron
D. Decrease the amount of carbohydrates in the diet - ✔✔B. Lie on the left or right side
when sleeping or resting
✔✔Artifical rupture of the membrane of laboring client reveals meconium stained fluid.
What is the priority?
A. Clean perineal area to prevent infection
B. Assess the mothers blood pressure to check for signs of preclampsia
C. Assess mothers temperature to check for development of sepsis
, D. Have meconium aspirator available at delivery - ✔✔D. Have meconium aspirator
available at delivery
✔✔A toddler with a history of acyanotic defect is admitted to the pediatric intensive
care. Respiration rate 60 beats / min and heart 150 beats/ min.What action should the
nurse take first?
A. Obtain a pulse ox reading
B. Assess childs blood pressure
C. Perform a neurological assessment
D. Initiate peripheral intravenous access - ✔✔A. Obtain a pulse ox reading
✔✔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 complaining of nausea and bloating, and states that
because she had nothing to eat, she is too weak to breastfeed her infant. Which nursing
diagnosis has the highest priority?
A. Altered nutrition, less than body requirements for lactation
B. Alteration in comfort related to nausea and abdominal distention
C. Impaired bowel motility related to pain medication and immobility
D. Fatigue related to cesarean delivery and physical care demands of infant - ✔✔C.
Impaired bowel motility related to pain medication and immobility
✔✔The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need 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?
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis - ✔✔C. 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?
A. Encourage frequent use of a pacifier so that the infant becomes accustomed to
sucking.
B. Hold the infant's head firmly against the breast until he latches onto the nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the infant.
D. Provide formula for the infant until he becomes calm, and then offer the breast again.
- ✔✔C. 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?
A. Two weeks before menstruation
