Maternity and Pediatric Nursing Exam P a g e | 1
Maternity and Pediatric Nursing Test Bank for
5th Edition by SUSAN RICCI, TERRI KYLE and
SUSAN CARMAN isbn-9781975220419
small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute
and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1.
What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription –
Correct Answer :d. Call the healthcare provider to question the prescription
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, Maternity and Pediatric Nursing Exam P a g e | 2
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription (D).
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse
knows that the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly –
Correct Answer :c. a persistent cold
Respiratory tract infections commonly occur in the pediatric population. However, the child
iwth AIDS has a decreased ability to defend the body against these infections and often the
presenting symptom of a child with AIDS is a persistent cold (C).
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is
coming to the unit with suspected abruptio placentae. What findings should the charge nurse
expect the client to demonstrate? (Select all that apply)
a. Dark, red vaginal bleeding
b. Lower back pain
c. Premature rupture of membranes
d. Increased uterine irritability
e. Bilateral pitting edema
f. A rigid abdomen –
P a g e 2 | 269
, Maternity and Pediatric Nursing Exam P a g e | 3
Correct Answer :a. Dark, red vaginal bleeding
d. Increased uterine irritability
f. A rigid abdomen
The symptoms of abruptio placentae include dark red vaginal bleeding (A), increased uterine
irritability (D), and a rigid abdomen (F).
The nurse assesses a client admitted to the labor and delivery unit and obtains the following
data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR
110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings,
what intervention should the nurse implement?
a. Insert an internal fetal monitor
b. Assess for cervical changes q1h
c. Monitor bleeding from IV sites
d. Perform Leopold's maneuvers –
Correct Answer :c. Monitor bleeding from IV sites
Monitoring bleeding from peripheral sites (C) is the priority intervention. This client is
presenting with signs of placental abruption. Disseminated intravascular coagulation (DIC) is a
complication of placental abruption, characterized by abnormal bleeding.
A client who is attending antepartum classes asks the nurse why her healthcare provider has
prescribed iron tablets. The nurse's response is based on what knowledge?
P a g e 3 | 269
, Maternity and Pediatric Nursing Exam P a g e | 4
a. Supplementary iron is more efficiently utilized during pregnancy
b. It it difficult to consume 18 mg of additional iron by diet alone
c. Iron absorption is decreased in the GI tract during pregnancy
d. Iron is needed to prevent megaloblastic anemia in the last trimester –
Correct Answer :b. It is difficult to consume 18 mg of additional iron by diet alone
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to
meet the demands of pregnancy is difficult (B) so iron supplements are often recommended.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of
contractions?
a. Transition labor with contractions every 2 minutes, lasting 90 seconds each
a. Early labor with contractions every 5 minutes, lasting 40 seconds each
c. Active labor with contractions every 31 minutes, lasting 60 seconds each
d. Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each –
Correct Answer :a. Transition labor with contractions every 2 minutes, lasting 90 seconds
each
Contractions pattern (A) describes hyperstimulation and an inadequate resting time between
contractions to allow for placental perfusion. The oxytocin infusion should be discontinued.
Which maternal behavior is the nurse most likely to see when a new mother receives her
infant for the first time?
P a g e 4 | 269
Maternity and Pediatric Nursing Test Bank for
5th Edition by SUSAN RICCI, TERRI KYLE and
SUSAN CARMAN isbn-9781975220419
small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute
and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1.
What action should the nurse take immediately?
a. Give the medication as prescribed and monitor for efficacy
b. Encourage the client to breastfeed rather than bottle feed
c. Have the client empty her bladder and massage the fundus
d. Call the healthcare provider to question the prescription –
Correct Answer :d. Call the healthcare provider to question the prescription
P a g e 1 | 269
, Maternity and Pediatric Nursing Exam P a g e | 2
Methergine is contraindicated for clients with elevated blood pressure, so the nurse should
contact the healthcare provider and question the prescription (D).
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse
knows that the most likely presenting symptom for a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organomegaly –
Correct Answer :c. a persistent cold
Respiratory tract infections commonly occur in the pediatric population. However, the child
iwth AIDS has a decreased ability to defend the body against these infections and often the
presenting symptom of a child with AIDS is a persistent cold (C).
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is
coming to the unit with suspected abruptio placentae. What findings should the charge nurse
expect the client to demonstrate? (Select all that apply)
a. Dark, red vaginal bleeding
b. Lower back pain
c. Premature rupture of membranes
d. Increased uterine irritability
e. Bilateral pitting edema
f. A rigid abdomen –
P a g e 2 | 269
, Maternity and Pediatric Nursing Exam P a g e | 3
Correct Answer :a. Dark, red vaginal bleeding
d. Increased uterine irritability
f. A rigid abdomen
The symptoms of abruptio placentae include dark red vaginal bleeding (A), increased uterine
irritability (D), and a rigid abdomen (F).
The nurse assesses a client admitted to the labor and delivery unit and obtains the following
data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR
110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings,
what intervention should the nurse implement?
a. Insert an internal fetal monitor
b. Assess for cervical changes q1h
c. Monitor bleeding from IV sites
d. Perform Leopold's maneuvers –
Correct Answer :c. Monitor bleeding from IV sites
Monitoring bleeding from peripheral sites (C) is the priority intervention. This client is
presenting with signs of placental abruption. Disseminated intravascular coagulation (DIC) is a
complication of placental abruption, characterized by abnormal bleeding.
A client who is attending antepartum classes asks the nurse why her healthcare provider has
prescribed iron tablets. The nurse's response is based on what knowledge?
P a g e 3 | 269
, Maternity and Pediatric Nursing Exam P a g e | 4
a. Supplementary iron is more efficiently utilized during pregnancy
b. It it difficult to consume 18 mg of additional iron by diet alone
c. Iron absorption is decreased in the GI tract during pregnancy
d. Iron is needed to prevent megaloblastic anemia in the last trimester –
Correct Answer :b. It is difficult to consume 18 mg of additional iron by diet alone
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to
meet the demands of pregnancy is difficult (B) so iron supplements are often recommended.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of
contractions?
a. Transition labor with contractions every 2 minutes, lasting 90 seconds each
a. Early labor with contractions every 5 minutes, lasting 40 seconds each
c. Active labor with contractions every 31 minutes, lasting 60 seconds each
d. Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each –
Correct Answer :a. Transition labor with contractions every 2 minutes, lasting 90 seconds
each
Contractions pattern (A) describes hyperstimulation and an inadequate resting time between
contractions to allow for placental perfusion. The oxytocin infusion should be discontinued.
Which maternal behavior is the nurse most likely to see when a new mother receives her
infant for the first time?
P a g e 4 | 269
