NURS 2513 MATERNAL CHILD NURSING FINAL EXAM
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
The nurse is evaluating the FHR rhythm strip and determines the heart rate
amplitude varies with a rate 15 to 20 bpm. What does this assessment
finding indicate to the nurse about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked - ANSWER C. Variability is moderate
What is the most effective way for a nurse to assess a woman's usual food
intake during her pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours - ANSWER D. Ask
her to describe her intake for the last 24 hours
The nurse is teaching a client on the use of a diaphragm for contraception.
Which of the following client statement indiciates the client needs for further
teaching.
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using a diaphragm if i get an infection of my cervix
D. I need to have the diaphragm checked if my weight changes by 30lb -
ANSWER D. I need to have the diaphragm checked if my weight changes
by 30lb
A nurse is caring for the following clients on the obstetrical unit. The nurse
recognizes it is safe to administer tocolytic therapy to which of the following
clients?
A. Client that is experiencing fetal death at 34 weeks gestation
B. Client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-hicks contractions at 37 weeks
gestation
,D. A client who has a post-term pregnancy at 41 weeks gesttation -
ANSWER B. Client who is experiencing preterm labor at 29 weeks
gestation
A prenatal nurse is caring for a woman who desires an unmedicated birth.
Which of the following options for non-phamacologic methods of pain
control in labor.
A. Epidural
B. Hydrotherapy
C. Massage
D. Birthball
E. Prudendal block
F. Breathing patterns - ANSWER B. Hydrotherapy
C. Massage
D. Birthball
F. Breathing patterns
The nurse is reviewing the results of an abnormal pap smear with a 27-year
old female. When explaining to the client the risk for and causes of cervical
cancer, which of the following statements should be included in her
teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approx. 70% of cervical cancers result from HPV
C. You have a bacterial infection that will require 14 days of antibiotics
D. Cervical cancer is cause by HPV, we can treat the infection with a
course of antiviral medications - ANSWER B. Approx. 70% of cervical
cancers result from HPV
The nurse in labor and delivery is reviewing frequently used medications in
the OB setting. Which of the following medications would be used for
tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin - ANSWER B. Terbutaline
The nurse is reviewing the health record of a pregnant client. Her Hx
includes deliveries of live babies at 39 weeks, 40 weeks and 35 weeks, a
spontaneous abortion at 17 weeks. According to the GTPAL system, which
of the following described the patient.
,A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3 - ANSWER A. 4-2-1-1-3
The nurse provided care to a client with hyperemesis gravidarum. Which
outcome indicates that the nursing interventions have been effective?
A. Vomiting episodes are only in the morning
B. Tolerating soft foods after episodes of vomiting
C. Ingesting clear liquids between episodes of vomiting
D. Advancing from clear liquids, to soft, to a regular diet - ANSWER D.
Advancing from clear liquids, to soft, to a regular diet
Frequent urination results from which of the following causes during the
third trimester of pregnancy?
A. Pressure on the bladder from the uterus
B. Increased concentration of urine
C. Addition of fetal urine to maternal urine
D. Decreased Glomerular selectivity - ANSWER A. Pressure on the bladder
from the uterus
Which of the following routine tests would the nurse anticipate the provider
to order during her first trimester? SATA
A. Blood type and RH factor
B. Group B strep vaginal culture
C. Amniocentesis
D. CBC
E. HIV - ANSWER A. Blood type and RH factor
D. CBC
E. HIV
A nurse is measuring the fundal height of a client is at 21 weeks gestation.
At which location should the nurse expect to palpate the fundus?
A. 3cm above the umbilicus
B. Slightly about the umbilicus
C. 3cm below the umbilicus
D. Halfway between the symphysis pubis and umbilicus - ANSWER B.
Slightly about the umbilicus
, The nurse is teaching a client the importance of folic acid in the diet and
how folic acid supplements might be beneficial in her first trimester or
pregnancy. For what reason is the nurse teaching the client about this
vitamin?
A. Maintains energy throughout the pregnancy
B. Controls the risk of hypertension while pregnant
C. Prevents neural tube disorders in the developing fetus
D. Sustains a slow and steady weight gain while pregnant. - ANSWER C.
prevents neural tub disorders in the developing fetus
The nurse is examining a client at a routine prenatal visit who is at 32
weeks gestational age. The assessment findings include the fundal heigh
at 28cm & FHR of 115 bpm. During the visit the mother states the babys
movements have decreased . What might the nurse expect with these
findings.
A. Fetus has stopped growing due to the limited uterine growth.
B. Client should return in 2 weeks to reevaluate the fetal well-being
C. Possible intrauterine growth restriction (IUGR) and the nurse should
assess for risk factors and notify the physician
D. Possible macrosomia, the nurse should check blood glucose and notify
physician. - ANSWER C. Possible intrauterine growth (IUGR) and the
nurse should assess for risk factors and notify the physician
A woman who is 4 months pregnant has pyrosis (heartburn). Which of the
following suggestion would the nurse provide the client.
A. Take 30mL of milk of magnesia after every meal
B. Eat small meals and do not lie down after meals
C. Try to include complex carbohydrates in meals
D. Increase vitamin intake by adding more citrus fruit - ANSWER B. Eat
small meals and do not lie down after meals
A pregnant woman is admitted to the hospital with a diagnosis of placenta
previa. Which of the following actions would the nurse expect to perform for
this woman on admission?
A. Performing an internal sterile vaginal examination to assess the extent of
the bleeding
B. Helping the women ambulatory to reduce bleeding
C. Assessing fetal heart tones by use of an external monitor
D. Assessing uterine contractions by an internal pressure gauge. -
ANSWER C. Assessing fetal heart tones by use of an external monitor
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
The nurse is evaluating the FHR rhythm strip and determines the heart rate
amplitude varies with a rate 15 to 20 bpm. What does this assessment
finding indicate to the nurse about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked - ANSWER C. Variability is moderate
What is the most effective way for a nurse to assess a woman's usual food
intake during her pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours - ANSWER D. Ask
her to describe her intake for the last 24 hours
The nurse is teaching a client on the use of a diaphragm for contraception.
Which of the following client statement indiciates the client needs for further
teaching.
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using a diaphragm if i get an infection of my cervix
D. I need to have the diaphragm checked if my weight changes by 30lb -
ANSWER D. I need to have the diaphragm checked if my weight changes
by 30lb
A nurse is caring for the following clients on the obstetrical unit. The nurse
recognizes it is safe to administer tocolytic therapy to which of the following
clients?
A. Client that is experiencing fetal death at 34 weeks gestation
B. Client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-hicks contractions at 37 weeks
gestation
,D. A client who has a post-term pregnancy at 41 weeks gesttation -
ANSWER B. Client who is experiencing preterm labor at 29 weeks
gestation
A prenatal nurse is caring for a woman who desires an unmedicated birth.
Which of the following options for non-phamacologic methods of pain
control in labor.
A. Epidural
B. Hydrotherapy
C. Massage
D. Birthball
E. Prudendal block
F. Breathing patterns - ANSWER B. Hydrotherapy
C. Massage
D. Birthball
F. Breathing patterns
The nurse is reviewing the results of an abnormal pap smear with a 27-year
old female. When explaining to the client the risk for and causes of cervical
cancer, which of the following statements should be included in her
teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approx. 70% of cervical cancers result from HPV
C. You have a bacterial infection that will require 14 days of antibiotics
D. Cervical cancer is cause by HPV, we can treat the infection with a
course of antiviral medications - ANSWER B. Approx. 70% of cervical
cancers result from HPV
The nurse in labor and delivery is reviewing frequently used medications in
the OB setting. Which of the following medications would be used for
tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin - ANSWER B. Terbutaline
The nurse is reviewing the health record of a pregnant client. Her Hx
includes deliveries of live babies at 39 weeks, 40 weeks and 35 weeks, a
spontaneous abortion at 17 weeks. According to the GTPAL system, which
of the following described the patient.
,A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3 - ANSWER A. 4-2-1-1-3
The nurse provided care to a client with hyperemesis gravidarum. Which
outcome indicates that the nursing interventions have been effective?
A. Vomiting episodes are only in the morning
B. Tolerating soft foods after episodes of vomiting
C. Ingesting clear liquids between episodes of vomiting
D. Advancing from clear liquids, to soft, to a regular diet - ANSWER D.
Advancing from clear liquids, to soft, to a regular diet
Frequent urination results from which of the following causes during the
third trimester of pregnancy?
A. Pressure on the bladder from the uterus
B. Increased concentration of urine
C. Addition of fetal urine to maternal urine
D. Decreased Glomerular selectivity - ANSWER A. Pressure on the bladder
from the uterus
Which of the following routine tests would the nurse anticipate the provider
to order during her first trimester? SATA
A. Blood type and RH factor
B. Group B strep vaginal culture
C. Amniocentesis
D. CBC
E. HIV - ANSWER A. Blood type and RH factor
D. CBC
E. HIV
A nurse is measuring the fundal height of a client is at 21 weeks gestation.
At which location should the nurse expect to palpate the fundus?
A. 3cm above the umbilicus
B. Slightly about the umbilicus
C. 3cm below the umbilicus
D. Halfway between the symphysis pubis and umbilicus - ANSWER B.
Slightly about the umbilicus
, The nurse is teaching a client the importance of folic acid in the diet and
how folic acid supplements might be beneficial in her first trimester or
pregnancy. For what reason is the nurse teaching the client about this
vitamin?
A. Maintains energy throughout the pregnancy
B. Controls the risk of hypertension while pregnant
C. Prevents neural tube disorders in the developing fetus
D. Sustains a slow and steady weight gain while pregnant. - ANSWER C.
prevents neural tub disorders in the developing fetus
The nurse is examining a client at a routine prenatal visit who is at 32
weeks gestational age. The assessment findings include the fundal heigh
at 28cm & FHR of 115 bpm. During the visit the mother states the babys
movements have decreased . What might the nurse expect with these
findings.
A. Fetus has stopped growing due to the limited uterine growth.
B. Client should return in 2 weeks to reevaluate the fetal well-being
C. Possible intrauterine growth restriction (IUGR) and the nurse should
assess for risk factors and notify the physician
D. Possible macrosomia, the nurse should check blood glucose and notify
physician. - ANSWER C. Possible intrauterine growth (IUGR) and the
nurse should assess for risk factors and notify the physician
A woman who is 4 months pregnant has pyrosis (heartburn). Which of the
following suggestion would the nurse provide the client.
A. Take 30mL of milk of magnesia after every meal
B. Eat small meals and do not lie down after meals
C. Try to include complex carbohydrates in meals
D. Increase vitamin intake by adding more citrus fruit - ANSWER B. Eat
small meals and do not lie down after meals
A pregnant woman is admitted to the hospital with a diagnosis of placenta
previa. Which of the following actions would the nurse expect to perform for
this woman on admission?
A. Performing an internal sterile vaginal examination to assess the extent of
the bleeding
B. Helping the women ambulatory to reduce bleeding
C. Assessing fetal heart tones by use of an external monitor
D. Assessing uterine contractions by an internal pressure gauge. -
ANSWER C. Assessing fetal heart tones by use of an external monitor
