Maternal Child Nursing Latest Exam
2024
A 22-year-old gravida 2, para 0 is in the doctor's office for a checkup at 36 weeks gestation. Which
comment by the woman indicates that she needs additional information about pain relief during
labor?
a. "I have discussed pain relief options with the doctor and my childbirth educator."
b. "I'm so glad that I won't have any pain because I'm going to have an epidural."
c. "I've been practicing the relaxation exercises I learned in my childbirth class."
d. "I want to have medications through the IV if the pain gets so bad that I can't handle it." -
ANSWER-b
A 32-year-old woman is dilated 4 cm. The health care provider states that she has a roomy pelvis and
the baby is in a right occiput anterior (ROA) position at a +1 station. Her contractions are occurring
every 10 minutes, lasting 30 to 40 seconds, and palpate mild in intensity. She is calm and relaxed.
Given these data, which essential component of labor is unexpected and likely to slow the progress
of labor at this time?
a. Passageway
b. Passenger
c. Powers
d. Psyche - ANSWER-c
A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is
extremely uncomfortable and upset because she never had this type of pain with her other labors.
What interventions are most likely to help in this situation?
a. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is
temporary
b. Counterpressure with a fist or tennis ball to the lower back and intradermal water injections
,Maternal Child Nursing Latest Exam
2024
c. Effleurage, ambulation, and frequent position changes
d. Hypnosis, imagery, and slow chest breathing - ANSWER-b
A G1 at 20 weeks' gestation is at the clinic for a prenatal visit. She tells the nurse that she has been
reading about "group B strep disease" on the internet. She asks when she can expect to be checked
for the bacteria. How does the nurse best reply?
a. "I'm glad that you asked. You will be getting the culture done today."
b. "The obstetrician normally cultures for group B strep after 35 weeks and before delivery."
c. "You are only checked for group B strep if you have risk factors for the infection."
d. "You were checked during your first prenatal visit. Let me get those results for you." - ANSWER-
A G1 P0 is in the active phase of labor. She is a low-risk client. The nurse evaluates the fetal monitor
strip at 10 AM. Moderate variability is present. The FHR is in the 130s with occasional accelerations,
no decelerations. At what time does the nurse need to reevaluate the FHR?
a. 10:05 AM
b. 10:15 AM
c. 10:30 AM
d. 11:00 AM - ANSWER-c
A G3 P2 has just delivered a healthy infant 30 minutes ago. Which of the following nursing
interventions will the nurse perform? Select all that apply.
a. Have her dangle her legs before assisting her to the toilet to void.
, Maternal Child Nursing Latest Exam
2024
b. Palpate the fundus to make sure it is firm and midline.
c. Perform an in-and-out catheterization.
d. Encourage her to send the infant to the nursery so she can rest.
e. Take maternal vital signs every 15 minutes. - ANSWER-a
A new mother says, "I think something is wrong with my baby. She looks like she is having a
menstrual period!" What is the nurse's best response?
a. "I don't know. Let me have the charge nurse check the baby."
b. "It's nothing to worry about. That's a normal finding."
c. "This is a normal occurrence. You may clean her with a damp washcloth, and it will go away in a
few days."
d. "This means the baby was exposed to an infection during birth. I'll notify the doctor at once!" -
ANSWER-
A newborn's axillary temperature is 97.4°F. His T-shirt is damp with spit-up milk. His blanket is loosely
applied, and several children are in the room running around his crib. The room is comfortably warm,
and the bassinet is beside the mother's bed away from the window and doors. What are the most
likely mechanisms of heat loss for this newborn?
a. Conduction and evaporation
b. Conduction and radiation
c. Convection and radiation
d. Convection and evaporation - ANSWER-
2024
A 22-year-old gravida 2, para 0 is in the doctor's office for a checkup at 36 weeks gestation. Which
comment by the woman indicates that she needs additional information about pain relief during
labor?
a. "I have discussed pain relief options with the doctor and my childbirth educator."
b. "I'm so glad that I won't have any pain because I'm going to have an epidural."
c. "I've been practicing the relaxation exercises I learned in my childbirth class."
d. "I want to have medications through the IV if the pain gets so bad that I can't handle it." -
ANSWER-b
A 32-year-old woman is dilated 4 cm. The health care provider states that she has a roomy pelvis and
the baby is in a right occiput anterior (ROA) position at a +1 station. Her contractions are occurring
every 10 minutes, lasting 30 to 40 seconds, and palpate mild in intensity. She is calm and relaxed.
Given these data, which essential component of labor is unexpected and likely to slow the progress
of labor at this time?
a. Passageway
b. Passenger
c. Powers
d. Psyche - ANSWER-c
A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is
extremely uncomfortable and upset because she never had this type of pain with her other labors.
What interventions are most likely to help in this situation?
a. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is
temporary
b. Counterpressure with a fist or tennis ball to the lower back and intradermal water injections
,Maternal Child Nursing Latest Exam
2024
c. Effleurage, ambulation, and frequent position changes
d. Hypnosis, imagery, and slow chest breathing - ANSWER-b
A G1 at 20 weeks' gestation is at the clinic for a prenatal visit. She tells the nurse that she has been
reading about "group B strep disease" on the internet. She asks when she can expect to be checked
for the bacteria. How does the nurse best reply?
a. "I'm glad that you asked. You will be getting the culture done today."
b. "The obstetrician normally cultures for group B strep after 35 weeks and before delivery."
c. "You are only checked for group B strep if you have risk factors for the infection."
d. "You were checked during your first prenatal visit. Let me get those results for you." - ANSWER-
A G1 P0 is in the active phase of labor. She is a low-risk client. The nurse evaluates the fetal monitor
strip at 10 AM. Moderate variability is present. The FHR is in the 130s with occasional accelerations,
no decelerations. At what time does the nurse need to reevaluate the FHR?
a. 10:05 AM
b. 10:15 AM
c. 10:30 AM
d. 11:00 AM - ANSWER-c
A G3 P2 has just delivered a healthy infant 30 minutes ago. Which of the following nursing
interventions will the nurse perform? Select all that apply.
a. Have her dangle her legs before assisting her to the toilet to void.
, Maternal Child Nursing Latest Exam
2024
b. Palpate the fundus to make sure it is firm and midline.
c. Perform an in-and-out catheterization.
d. Encourage her to send the infant to the nursery so she can rest.
e. Take maternal vital signs every 15 minutes. - ANSWER-a
A new mother says, "I think something is wrong with my baby. She looks like she is having a
menstrual period!" What is the nurse's best response?
a. "I don't know. Let me have the charge nurse check the baby."
b. "It's nothing to worry about. That's a normal finding."
c. "This is a normal occurrence. You may clean her with a damp washcloth, and it will go away in a
few days."
d. "This means the baby was exposed to an infection during birth. I'll notify the doctor at once!" -
ANSWER-
A newborn's axillary temperature is 97.4°F. His T-shirt is damp with spit-up milk. His blanket is loosely
applied, and several children are in the room running around his crib. The room is comfortably warm,
and the bassinet is beside the mother's bed away from the window and doors. What are the most
likely mechanisms of heat loss for this newborn?
a. Conduction and evaporation
b. Conduction and radiation
c. Convection and radiation
d. Convection and evaporation - ANSWER-
