Maternal and Child Health
1. For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill
at the same time each day to accomplish which of the following?
A. Decrease the incidence of nausea
B. Maintain hormonal levels
C. Reduce side effects
D. Prevent drug interactions
2. When teaching a client about contraception. Which of the following would the nurse include as the most
effective method for preventing sexually transmitted infections?
A. Spermicides
B. Diaphragm
C. Condoms
D. Vasectomy
3. When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the
following contraceptive methods would be avoided?
A. Diaphragm
B. Female condom
C. Oral contraceptives
D. Rhythm method
4. For which of the following clients would the nurse expect that an intrauterine device would not be
recommended?
A. Woman over age 35
B. Nulliparous woman
C. Promiscuous young adult
D. Postpartum client
5. A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following
should the nurse recommend?
A. Daily enemas
B. Laxatives
C. Increased fiber intake
D. Decreased fluid intake
6. Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant
teenager concerned about gaining too much weight during pregnancy?
A. 10 pounds per trimester
B. 1 pound per week for 40 weeks
C. ½ pound per week for 40 weeks
D. A total gain of 25 to 30 pounds
7. The client tells the nurse that her last menstrual period started on January 14 and ended on January 20.
Using Nagele’s rule, the nurse determines her EDD to be which of the following?
, A. September 27
B. October 21
C. November 7
D. December 27
8. When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks
gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,” the nurse should record
her obstetrical history as which of the following?
A. G2 T2 P0 A0 L2
B. G3 T1 P1 A0 L2
C. G3 T2 P0 A0 L2
D. G4 T1 P1 A1 L2
9. When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the
following?
A. Stethoscope placed midline at the umbilicus
B. Doppler placed midline at the suprapubic region
C. Fetoscope placed midway between the umbilicus and the xiphoid process
D. External electronic fetal monitor placed at the umbilicus
10.When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the
following instructions would be the priority?
A. Dietary intake
B. Medication
C. Exercise
D. Glucose monitoring
11.A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the
priority when assessing the client?
A. Glucosuria
B. Depression
C. Hand/face edema
D. Dietary intake
12. A client 12 weeks’ pregnant come to the emergency department with abdominal cramping and moderate
vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation. The nurse would document
these findings as which of the following?
A. Threatened abortion
B. Imminent abortion
C. Complete abortion
D. Missed abortion
13.Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
A. Risk for infection
B. Pain
C. Knowledge Deficit
D. Anticipatory Grieving
1. For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill
at the same time each day to accomplish which of the following?
A. Decrease the incidence of nausea
B. Maintain hormonal levels
C. Reduce side effects
D. Prevent drug interactions
2. When teaching a client about contraception. Which of the following would the nurse include as the most
effective method for preventing sexually transmitted infections?
A. Spermicides
B. Diaphragm
C. Condoms
D. Vasectomy
3. When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the
following contraceptive methods would be avoided?
A. Diaphragm
B. Female condom
C. Oral contraceptives
D. Rhythm method
4. For which of the following clients would the nurse expect that an intrauterine device would not be
recommended?
A. Woman over age 35
B. Nulliparous woman
C. Promiscuous young adult
D. Postpartum client
5. A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following
should the nurse recommend?
A. Daily enemas
B. Laxatives
C. Increased fiber intake
D. Decreased fluid intake
6. Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant
teenager concerned about gaining too much weight during pregnancy?
A. 10 pounds per trimester
B. 1 pound per week for 40 weeks
C. ½ pound per week for 40 weeks
D. A total gain of 25 to 30 pounds
7. The client tells the nurse that her last menstrual period started on January 14 and ended on January 20.
Using Nagele’s rule, the nurse determines her EDD to be which of the following?
, A. September 27
B. October 21
C. November 7
D. December 27
8. When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks
gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,” the nurse should record
her obstetrical history as which of the following?
A. G2 T2 P0 A0 L2
B. G3 T1 P1 A0 L2
C. G3 T2 P0 A0 L2
D. G4 T1 P1 A1 L2
9. When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the
following?
A. Stethoscope placed midline at the umbilicus
B. Doppler placed midline at the suprapubic region
C. Fetoscope placed midway between the umbilicus and the xiphoid process
D. External electronic fetal monitor placed at the umbilicus
10.When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the
following instructions would be the priority?
A. Dietary intake
B. Medication
C. Exercise
D. Glucose monitoring
11.A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the
priority when assessing the client?
A. Glucosuria
B. Depression
C. Hand/face edema
D. Dietary intake
12. A client 12 weeks’ pregnant come to the emergency department with abdominal cramping and moderate
vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation. The nurse would document
these findings as which of the following?
A. Threatened abortion
B. Imminent abortion
C. Complete abortion
D. Missed abortion
13.Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
A. Risk for infection
B. Pain
C. Knowledge Deficit
D. Anticipatory Grieving
