COMPLETE TEST BANK MATERNAL CHILD NURSING 6TH
EDITION CURRENT TESTING QUESTIONS ANSWERS|TOP-
RATED A+.
1.A pregnant client at 10 weeks' gestation reports persistent nausea and
vomiting. Which finding requires the nurse's most immediate attention?
A. Mild nausea primarily occurring in the morning
B. Food aversions that began during the previous week
C. Inability to retain fluids with decreased urine output
D. Occasional vomiting after eating fatty foods
ANSWER: C
Rationale: Inability to retain fluids accompanied by decreased urine output
suggests significant dehydration and possible hyperemesis gravidarum. The
client requires prompt assessment of hydration status, electrolytes, weight, and
nutritional status. Mild morning nausea and occasional vomiting are common
during early pregnancy.
2.
A client asks why folic acid is particularly important during the first weeks of
pregnancy. Which response by the nurse is most appropriate?
A. “It prevents gestational diabetes.”
,B. “It reduces the risk of neural tube defects.”
C. “It prevents maternal hypertension.”
D. “It eliminates nausea and vomiting.”
ANSWER: B
Rationale: Adequate folic acid before conception and during early pregnancy
decreases the risk of neural tube defects such as spina bifida. It does not
specifically prevent gestational diabetes, hypertension, or nausea.
3.
During a prenatal visit, which finding should the nurse recognize as a possible
warning sign of preeclampsia?
A. Mild ankle edema at the end of the day
B. Increased appetite
C. Severe headache with visual disturbances
D. Urinary frequency during the first trimester
ANSWER: C
Rationale: Severe headache, visual changes, epigastric/right-upper-quadrant
pain, and elevated blood pressure may indicate severe preeclampsia. These
symptoms require prompt evaluation. Mild dependent edema and urinary
frequency can occur normally during pregnancy.
,4.
A pregnant client is receiving magnesium sulfate for severe preeclampsia. Which
assessment finding is most concerning?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Warmth and flushing
D. Mild lethargy
ANSWER: A
Rationale: Magnesium sulfate depresses neuromuscular activity. Respiratory
depression is a potentially serious sign of magnesium toxicity. Reflexes,
respiratory rate, urine output, and level of consciousness should be monitored
closely. Calcium gluconate is the antidote for significant magnesium toxicity.
5.
A client receiving magnesium sulfate has absent deep-tendon reflexes and a
respiratory rate of 8/min. What is the nurse's priority action?
A. Increase the magnesium infusion
B. Place the client in a supine position
C. Stop the magnesium infusion and notify the provider
, D. Encourage oral fluids
ANSWER: C
Rationale: Absent reflexes and marked respiratory depression are signs of
magnesium toxicity. The infusion should be stopped and emergency
management initiated according to protocol. Airway and respiratory support
may be required, and calcium gluconate may be prescribed as the antidote.
6.
A pregnant client reports painless, bright-red vaginal bleeding at 32 weeks'
gestation. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
ANSWER: B
Rationale: Placenta previa classically presents with painless, bright-red vaginal
bleeding during the second half of pregnancy. Placental abruption more
commonly produces painful bleeding accompanied by uterine tenderness or
rigidity. Vaginal examination should be avoided until placenta previa has been
excluded.
EDITION CURRENT TESTING QUESTIONS ANSWERS|TOP-
RATED A+.
1.A pregnant client at 10 weeks' gestation reports persistent nausea and
vomiting. Which finding requires the nurse's most immediate attention?
A. Mild nausea primarily occurring in the morning
B. Food aversions that began during the previous week
C. Inability to retain fluids with decreased urine output
D. Occasional vomiting after eating fatty foods
ANSWER: C
Rationale: Inability to retain fluids accompanied by decreased urine output
suggests significant dehydration and possible hyperemesis gravidarum. The
client requires prompt assessment of hydration status, electrolytes, weight, and
nutritional status. Mild morning nausea and occasional vomiting are common
during early pregnancy.
2.
A client asks why folic acid is particularly important during the first weeks of
pregnancy. Which response by the nurse is most appropriate?
A. “It prevents gestational diabetes.”
,B. “It reduces the risk of neural tube defects.”
C. “It prevents maternal hypertension.”
D. “It eliminates nausea and vomiting.”
ANSWER: B
Rationale: Adequate folic acid before conception and during early pregnancy
decreases the risk of neural tube defects such as spina bifida. It does not
specifically prevent gestational diabetes, hypertension, or nausea.
3.
During a prenatal visit, which finding should the nurse recognize as a possible
warning sign of preeclampsia?
A. Mild ankle edema at the end of the day
B. Increased appetite
C. Severe headache with visual disturbances
D. Urinary frequency during the first trimester
ANSWER: C
Rationale: Severe headache, visual changes, epigastric/right-upper-quadrant
pain, and elevated blood pressure may indicate severe preeclampsia. These
symptoms require prompt evaluation. Mild dependent edema and urinary
frequency can occur normally during pregnancy.
,4.
A pregnant client is receiving magnesium sulfate for severe preeclampsia. Which
assessment finding is most concerning?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Warmth and flushing
D. Mild lethargy
ANSWER: A
Rationale: Magnesium sulfate depresses neuromuscular activity. Respiratory
depression is a potentially serious sign of magnesium toxicity. Reflexes,
respiratory rate, urine output, and level of consciousness should be monitored
closely. Calcium gluconate is the antidote for significant magnesium toxicity.
5.
A client receiving magnesium sulfate has absent deep-tendon reflexes and a
respiratory rate of 8/min. What is the nurse's priority action?
A. Increase the magnesium infusion
B. Place the client in a supine position
C. Stop the magnesium infusion and notify the provider
, D. Encourage oral fluids
ANSWER: C
Rationale: Absent reflexes and marked respiratory depression are signs of
magnesium toxicity. The infusion should be stopped and emergency
management initiated according to protocol. Airway and respiratory support
may be required, and calcium gluconate may be prescribed as the antidote.
6.
A pregnant client reports painless, bright-red vaginal bleeding at 32 weeks'
gestation. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
ANSWER: B
Rationale: Placenta previa classically presents with painless, bright-red vaginal
bleeding during the second half of pregnancy. Placental abruption more
commonly produces painful bleeding accompanied by uterine tenderness or
rigidity. Vaginal examination should be avoided until placenta previa has been
excluded.
