1. A nurse is reviewing the Healthy People 2030 goals related to maternal and child
health. Which research topic is most relevant to explore to advance evidence-based
practice in this area?
The effectiveness of prenatal care in reducing maternal mortality rates.
2. A nurse is caring for a child with a chronic illness who is experiencing frequent
hospitalizations. What strategy should the nurse implement to improve the child's
quality of life?
Encourage the child to participate in normal daily activities as much as possible.
3. The nurse is assessing a client who is considering using a diaphragm for
contraception. Which client cue is most concerning to the nurse?
The client has a history of frequent and recurrent urinary tract infections (UTIs).
4. During a prenatal visit, a nurse measures the fundal height of a client at 28 weeks
gestation and finds it to be 24 cm. What does the nurse suspect is the most likely
cause of this finding?
The pregnancy length was previously miscalculated.
5. The nurse is educating a client in their first trimester about the importance of folic
acid intake. Which teaching point does the nurse emphasize?
Folic acid prevents neural tube defects in the fetus.
6. A client in their second trimester is experiencing increased vaginal discharge and is
concerned about its significance. Which question is most important for the nurse to
ask to gather further cues?
"What is the color and consistency of the discharge?"
7. The nurse is reviewing the laboratory results of a client who is pregnant and notes a
positive rubella titer. What is the most appropriate nursing action?
Reassure the client this is normal and that they are immune to rubella.
8. The nurse is conducting a prenatal assessment and notes that the client has a history
of gestational diabetes. What is the most appropriate nursing action?
Schedule the client for an early glucose tolerance test.
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Maternal Final Exam Winter “2 6 ”
, 9. During a prenatal visit, a client reports persistent vomiting beyond the 12th week of
pregnancy. What should the nurse analyze as the most likely cause and the most
appropriate action?
Suspect hyperemesis gravidarum which requires further evaluation and possible
hospitalization.
10. A client is laboring and experiencing intense discomfort and expresses a feeling of loss
of control. What stage of labor is the client in?
The transition stage of labor
11. A client with a history of a previous cesarean section presents to the emergency
department in labor and is experiencing signs of uterine rupture. What is the nurse's
priority action?
Prepare for an emergency cesarean section.
12. A couple is developing a birth plan and wants to include their older child in the birth
experience. What should the nurse analyze to ensure this is a positive experience for
the family?
The child's developmental level and ability to handle the birth experience.
13. A nurse is evaluating a postpartum client's understanding of self-care after discharge.
Which statement by the client indicates a need for further teaching?
"I can use tampons to manage my lochia flow."
14. The nurse cares for a G4P4 postpartum client who delivered a macrocosmic term
infant 2 hours ago via cesarean section. The client's pregnancy was complicated by
gestational diabetes controlled with diet. What initial assessment does the nurse
prioritize?
Fundal height and tone.
15. A client who had a cesarean birth is having trouble voiding after the removal of the
indwelling urinary catheter. Which action by the nurse is most appropriate?
Perform a bladder scan and notify the healthcare provider if the bladder is
distended.
16. After a cesarean birth, a client is reluctant to ambulate due to pain. Which action by
the nurse is most appropriate?
Explain the importance of ambulation and provide adequate pain relief.
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Maternal Final Exam Winter “2 6 ”
health. Which research topic is most relevant to explore to advance evidence-based
practice in this area?
The effectiveness of prenatal care in reducing maternal mortality rates.
2. A nurse is caring for a child with a chronic illness who is experiencing frequent
hospitalizations. What strategy should the nurse implement to improve the child's
quality of life?
Encourage the child to participate in normal daily activities as much as possible.
3. The nurse is assessing a client who is considering using a diaphragm for
contraception. Which client cue is most concerning to the nurse?
The client has a history of frequent and recurrent urinary tract infections (UTIs).
4. During a prenatal visit, a nurse measures the fundal height of a client at 28 weeks
gestation and finds it to be 24 cm. What does the nurse suspect is the most likely
cause of this finding?
The pregnancy length was previously miscalculated.
5. The nurse is educating a client in their first trimester about the importance of folic
acid intake. Which teaching point does the nurse emphasize?
Folic acid prevents neural tube defects in the fetus.
6. A client in their second trimester is experiencing increased vaginal discharge and is
concerned about its significance. Which question is most important for the nurse to
ask to gather further cues?
"What is the color and consistency of the discharge?"
7. The nurse is reviewing the laboratory results of a client who is pregnant and notes a
positive rubella titer. What is the most appropriate nursing action?
Reassure the client this is normal and that they are immune to rubella.
8. The nurse is conducting a prenatal assessment and notes that the client has a history
of gestational diabetes. What is the most appropriate nursing action?
Schedule the client for an early glucose tolerance test.
Page 1 of 13
Maternal Final Exam Winter “2 6 ”
, 9. During a prenatal visit, a client reports persistent vomiting beyond the 12th week of
pregnancy. What should the nurse analyze as the most likely cause and the most
appropriate action?
Suspect hyperemesis gravidarum which requires further evaluation and possible
hospitalization.
10. A client is laboring and experiencing intense discomfort and expresses a feeling of loss
of control. What stage of labor is the client in?
The transition stage of labor
11. A client with a history of a previous cesarean section presents to the emergency
department in labor and is experiencing signs of uterine rupture. What is the nurse's
priority action?
Prepare for an emergency cesarean section.
12. A couple is developing a birth plan and wants to include their older child in the birth
experience. What should the nurse analyze to ensure this is a positive experience for
the family?
The child's developmental level and ability to handle the birth experience.
13. A nurse is evaluating a postpartum client's understanding of self-care after discharge.
Which statement by the client indicates a need for further teaching?
"I can use tampons to manage my lochia flow."
14. The nurse cares for a G4P4 postpartum client who delivered a macrocosmic term
infant 2 hours ago via cesarean section. The client's pregnancy was complicated by
gestational diabetes controlled with diet. What initial assessment does the nurse
prioritize?
Fundal height and tone.
15. A client who had a cesarean birth is having trouble voiding after the removal of the
indwelling urinary catheter. Which action by the nurse is most appropriate?
Perform a bladder scan and notify the healthcare provider if the bladder is
distended.
16. After a cesarean birth, a client is reluctant to ambulate due to pain. Which action by
the nurse is most appropriate?
Explain the importance of ambulation and provide adequate pain relief.
Page 2 of 13
Maternal Final Exam Winter “2 6 ”
