Maternal Child Nursing Care
7th Edition
Author(s)Shannon Perry
PublisherPublished
by Mosby Copyright© 2023
ISBN: 9780323776714
TEST BANK
QUESTION 1 – Antepartum Assessment (MCQ)
Difficulty:
,Moderate
Cognitive Level:
Application
Nursing Process:
Assessment
Clinical Judgment:
Recognize Cues
A 30-year-old client at 32 weeks' gestation reports severe
headache, blurred vision, and epigastric pain. Which nursing
action is the priority?
A. Encourage oral fluids
B. Place the client in a supine position
C. Assess blood pressure immediately
D. Obtain a urine specimen for culture
Correct Answer:
✅ C. Assess blood pressure immediately
Rationale:
These symptoms suggest severe hypertensive disease of
pregnancy. Immediate assessment of blood pressure helps
,identify potential severe preeclampsia and determines urgency
of intervention.
Incorrect Options:
A: Fluid intake does not address the potential emergency.
B: Supine positioning may decrease uteroplacental
perfusion.
D: Urine testing may be needed but is not the immediate
priority.
QUESTION 2 – Prenatal Education (SATA)
A nurse teaches a pregnant client about warning signs that
require immediate reporting. Which statements indicate
understanding?
Select all that apply.
A. "I should report vaginal bleeding."
B. "I should call if my baby moves less."
C. "Mild ankle swelling is an emergency."
D. "Persistent severe headache should be reported."
E. "Blurred vision requires evaluation."
Correct Answers:
✅ A, B, D, E
, Rationale:
These findings may indicate complications such as placental
disorders or hypertensive disorders.
Incorrect Option:
C: Mild dependent edema commonly occurs in pregnancy.
QUESTION 3 – Gestational Diabetes (NGN Case)
Case:
A client at 28 weeks has the following findings:
Fasting glucose: 108 mg/dL
Reports excessive thirst
Fundal height greater than expected
Urine ketones negative
Which findings support gestational diabetes?
Finding Supports Does Not Support
Elevated fasting glucose ✔
Excessive thirst ✔
Large fundal height ✔
Negative ketones ✔
7th Edition
Author(s)Shannon Perry
PublisherPublished
by Mosby Copyright© 2023
ISBN: 9780323776714
TEST BANK
QUESTION 1 – Antepartum Assessment (MCQ)
Difficulty:
,Moderate
Cognitive Level:
Application
Nursing Process:
Assessment
Clinical Judgment:
Recognize Cues
A 30-year-old client at 32 weeks' gestation reports severe
headache, blurred vision, and epigastric pain. Which nursing
action is the priority?
A. Encourage oral fluids
B. Place the client in a supine position
C. Assess blood pressure immediately
D. Obtain a urine specimen for culture
Correct Answer:
✅ C. Assess blood pressure immediately
Rationale:
These symptoms suggest severe hypertensive disease of
pregnancy. Immediate assessment of blood pressure helps
,identify potential severe preeclampsia and determines urgency
of intervention.
Incorrect Options:
A: Fluid intake does not address the potential emergency.
B: Supine positioning may decrease uteroplacental
perfusion.
D: Urine testing may be needed but is not the immediate
priority.
QUESTION 2 – Prenatal Education (SATA)
A nurse teaches a pregnant client about warning signs that
require immediate reporting. Which statements indicate
understanding?
Select all that apply.
A. "I should report vaginal bleeding."
B. "I should call if my baby moves less."
C. "Mild ankle swelling is an emergency."
D. "Persistent severe headache should be reported."
E. "Blurred vision requires evaluation."
Correct Answers:
✅ A, B, D, E
, Rationale:
These findings may indicate complications such as placental
disorders or hypertensive disorders.
Incorrect Option:
C: Mild dependent edema commonly occurs in pregnancy.
QUESTION 3 – Gestational Diabetes (NGN Case)
Case:
A client at 28 weeks has the following findings:
Fasting glucose: 108 mg/dL
Reports excessive thirst
Fundal height greater than expected
Urine ketones negative
Which findings support gestational diabetes?
Finding Supports Does Not Support
Elevated fasting glucose ✔
Excessive thirst ✔
Large fundal height ✔
Negative ketones ✔
