Maternity and Women's Health Nursing
Exam Questions With 100% Complete
Solution Graded A+
On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response? - ANSWER-"Have you ever had
an internal examination done before?"
During prenatal classes the nurse teaches the difference between true labor and false
labor. How does the nurse explain the difference? - ANSWER-Cervix effaces and
dilates during true labor.
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F
(36.7° C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76
mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated
with the vertex presenting at 2+ station. The client is complaining of pain and asks for
medication. Which medication should be avoided because it may cause respiratory
depression in the newborn? - ANSWER-Meperidine (Demerol)
A woman has just received the news that she is pregnant. She is ambivalent about the
pregnancy because she had planned to go back to work when her youngest child
started school next year. What developmental task of pregnancy must the woman
accomplish in the first trimester of pregnancy? - ANSWER-Accept that she is pregnant
A nurse understands the stages of parental adjustment that follow the birth of an at-risk
infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse
bases observations and assessments on the recognition that the: - ANSWER-Mother
should be reunited with her infant as soon as possible to enhance adjustment
,A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the
nurse include in the explanation of this procedure? - ANSWER-The Pap smear can
detect cancer of the cervix.
A nurse caring for a client who gave birth to a healthy neonate evaluates the client's
uterine tone 8 hours later. How does the nurse determine that the uterus is
demonstrating appropriate involution? - ANSWER-The amount of lochia rubra is
moderate.
A client at 39 weeks' gestation arrives in the birthing suite reporting that she is having
regular contractions. A vaginal examination reveals that the presentation is a double-
footling breech. The practitioner decides to proceed to a cesarean birth under regional
anesthesia. What is an important intervention to help prevent postoperative maternal
complications? - ANSWER-Maintaining adequate hydration
A nurse is providing nutritional counseling to a low-income pregnant client who has iron-
deficiency anemia. What food should the nurse encourage the client to include in her
diet each day to best address this problem? - ANSWER-½ cup of red kidney beans
What is the nurse's initial action immediately after assisting with a precipitous birth in the
triage area of the emergency department? - ANSWER-Warming the newborn
After being transported to the hospital by the ambulance, a pregnant woman is brought
into the emergency department on a stretcher. The nurse notes that the fetus' head has
emerged. How should the nurse assist the mother in the birth of the fetus' anterior
shoulder? - ANSWER-Gently guiding the head downward
A woman in active labor arrives at the birthing unit. She tells the nurse that she was
found to have a chlamydial infection the last time she visited the clinic but that she
stopped taking the antibiotic after 3 days because she "felt better." What would the
nurse anticipate as part of the plan of care, in light of this history? - ANSWER-
Administration of antibiotics before delivery
, A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - ANSWER-An injury to the brachial plexus
during birth
A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and swelling
in her right calf. What should the nurse instruct the client to do? - ANSWER-Call an
ambulance to go to the emergency department.
A client whose membranes have ruptured is admitted to the birthing unit. Her cervix is
dilated 3 cm and 50% effaced. The amniotic fluid is clear and the fetal heart rate is
stable. What does the nurse anticipate? - ANSWER-Birth of the fetus within a day
The mother of a neonate with Down syndrome visits the clinic 1 week after delivery. She
explains to the nurse that she is having problems feeding her baby. What is the
probable cause of these feeding difficulties? - ANSWER-Tongue thrust
A client is admitted to the high-risk prenatal unit with the diagnosis of placenta previa.
What should the nurse instruct the client to do? - ANSWER-Lie on her side to avoid
putting pressure on the vena cava
A client has a cesarean birth. What is the most important nursing intervention to prevent
thromboembolism on the client's first postpartum day? - ANSWER-Encouraging
frequent ambulation
At a client's first prenatal visit, the healthcare provider performs a pelvic examination,
stating that the client's cervix is bluish purple, which is known as the Chadwick sign. The
client becomes concerned and asks whether something is wrong. The best response is
"This is expected; it: - ANSWER-Is caused by increased blood flow to the uterus during
pregnancy"
Exam Questions With 100% Complete
Solution Graded A+
On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response? - ANSWER-"Have you ever had
an internal examination done before?"
During prenatal classes the nurse teaches the difference between true labor and false
labor. How does the nurse explain the difference? - ANSWER-Cervix effaces and
dilates during true labor.
A multipara is admitted to the birthing room in active labor. Her temperature is 98° F
(36.7° C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76
mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated
with the vertex presenting at 2+ station. The client is complaining of pain and asks for
medication. Which medication should be avoided because it may cause respiratory
depression in the newborn? - ANSWER-Meperidine (Demerol)
A woman has just received the news that she is pregnant. She is ambivalent about the
pregnancy because she had planned to go back to work when her youngest child
started school next year. What developmental task of pregnancy must the woman
accomplish in the first trimester of pregnancy? - ANSWER-Accept that she is pregnant
A nurse understands the stages of parental adjustment that follow the birth of an at-risk
infant who is in the neonatal intensive care unit. To better plan nursing care, the nurse
bases observations and assessments on the recognition that the: - ANSWER-Mother
should be reunited with her infant as soon as possible to enhance adjustment
,A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the
nurse include in the explanation of this procedure? - ANSWER-The Pap smear can
detect cancer of the cervix.
A nurse caring for a client who gave birth to a healthy neonate evaluates the client's
uterine tone 8 hours later. How does the nurse determine that the uterus is
demonstrating appropriate involution? - ANSWER-The amount of lochia rubra is
moderate.
A client at 39 weeks' gestation arrives in the birthing suite reporting that she is having
regular contractions. A vaginal examination reveals that the presentation is a double-
footling breech. The practitioner decides to proceed to a cesarean birth under regional
anesthesia. What is an important intervention to help prevent postoperative maternal
complications? - ANSWER-Maintaining adequate hydration
A nurse is providing nutritional counseling to a low-income pregnant client who has iron-
deficiency anemia. What food should the nurse encourage the client to include in her
diet each day to best address this problem? - ANSWER-½ cup of red kidney beans
What is the nurse's initial action immediately after assisting with a precipitous birth in the
triage area of the emergency department? - ANSWER-Warming the newborn
After being transported to the hospital by the ambulance, a pregnant woman is brought
into the emergency department on a stretcher. The nurse notes that the fetus' head has
emerged. How should the nurse assist the mother in the birth of the fetus' anterior
shoulder? - ANSWER-Gently guiding the head downward
A woman in active labor arrives at the birthing unit. She tells the nurse that she was
found to have a chlamydial infection the last time she visited the clinic but that she
stopped taking the antibiotic after 3 days because she "felt better." What would the
nurse anticipate as part of the plan of care, in light of this history? - ANSWER-
Administration of antibiotics before delivery
, A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - ANSWER-An injury to the brachial plexus
during birth
A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and swelling
in her right calf. What should the nurse instruct the client to do? - ANSWER-Call an
ambulance to go to the emergency department.
A client whose membranes have ruptured is admitted to the birthing unit. Her cervix is
dilated 3 cm and 50% effaced. The amniotic fluid is clear and the fetal heart rate is
stable. What does the nurse anticipate? - ANSWER-Birth of the fetus within a day
The mother of a neonate with Down syndrome visits the clinic 1 week after delivery. She
explains to the nurse that she is having problems feeding her baby. What is the
probable cause of these feeding difficulties? - ANSWER-Tongue thrust
A client is admitted to the high-risk prenatal unit with the diagnosis of placenta previa.
What should the nurse instruct the client to do? - ANSWER-Lie on her side to avoid
putting pressure on the vena cava
A client has a cesarean birth. What is the most important nursing intervention to prevent
thromboembolism on the client's first postpartum day? - ANSWER-Encouraging
frequent ambulation
At a client's first prenatal visit, the healthcare provider performs a pelvic examination,
stating that the client's cervix is bluish purple, which is known as the Chadwick sign. The
client becomes concerned and asks whether something is wrong. The best response is
"This is expected; it: - ANSWER-Is caused by increased blood flow to the uterus during
pregnancy"
