CJE MATERNITY CORE REVIEW TIPS QUESTIONS
AND ANSWERS SURE A+
✔✔G2P1 client, BMI 35, no medical history. 26-week gestation prenatal visit.
Complaints of backache and feet swelling when standing for long periods. Physical
assessment WNL. Fetal heart rate assessed via doppler, WNL. 50 gram oral 1-hour
glucose tolerance test done before visit. Results reported-positive. Client to return for 3-
hour glucose tolerance test in 1 week.
7/15
G2P1 client, BMI 35. 27 weeks gestation. No new complaints. Assessment WNL. FHR
assessed via doppler, WNL. 100 gram oral 3-hour glucose tolerance test completed.
Results reported-positive. Education provided1 - hour glucose tolerance test
< 130-140 mg/dL
178
3 - hour glucose tolerance test
≤ 130-140 mg/dL
189 - ✔✔Gestational Diabetes Mellitus (GDM)
✔✔Hemoglobin (Hgb) 12 - 17 g/dL 6 Hematocrit (Hict) 36 - 51 % 35 Ferritin, serum 11 -
307 mcg/L 9 - ✔✔Iron injections
✔✔52 year-old woman in the perimenopausal period. Client does not drink milk. The
client walks 2-3 miles each day.
• Calcium 1500 mg PO daily
A client in the perimenopausal stage consults the nurse about bone health and
associated health recommendations. After reviewing the health care provider's orders
and nursing note, what concerns the nurse the most? - ✔✔Lack of a prescription for
Vitamin D.
, ✔✔A laboring complains of feeling dizzy. The nurse assesses that the clients blood
pressure is 92/56. Which initial nursing interventions are indicated? Select all that apply
- ✔✔Turn the client on her side, Place a wedge under the mother's hip and Continue to
monitor blood pressure
✔✔A client in labor receives an epidural block for pain management. In planning the
client's care, which component receives priority in the plan of care? - ✔✔Assess
frequently for maternal hypertension.
✔✔A client in active labor receives support from her partner. The partner states, "I am
really hungry; I am going to get something to eat." Which response would be most
appropriate for the nurse to make? Select all that apply. - ✔✔We have sandwiches on
the unit if you would like one." Tell me about your birth experience thus far." and How
about I get you a snack, and you can stay here."
✔✔A client experiencing menopause presents to the clinic and reports significant
dyspareunia. Which nursing intervention should the nurse initially share with the client to
address this problem? Select all that apply. - ✔✔Using water-soluble lubricant and
Hormone replacement therapy (HRT).
✔✔A client with primary dysmenorrhea reports taking ibuprofen one to two times per
day before menses and during menstrual bleeding. Which additional interventions can
the nurse add to the plan of care to assist with these symptoms? Select all that apply. -
✔✔Yoga postures and practice, Abdominal massage and Low salt, low sugar diet
✔✔The nurse cares for a family three hours post-delivery where the infant died while in
utero. The nurse teaches means to deal with their grief.
Which statement, if made by the parent, indicates the best understanding of the nurse's
teaching at this time? - ✔✔"I would like to dress my baby and have a photographer take
pictures.
✔✔The nurse cares for a client in labor being induced with oxytocin. The client is noted
to have 6 contractions in 10 minutes. The fetal monitor indicates fetal distress. Which
action should the nurse perform first? - ✔✔Stop the oxytocin.
✔✔The nurse teaches the client options for delivering an infant that is in breech
presentation. Which should be included in the teaching plan? Select all that apply. -
✔✔Most breech babies need to be delivered by cesarean section, There is a risk of
prolapsed cord with a vaginal breech delivery and The ability to deliver vaginally is
partly related to the size of the infant
AND ANSWERS SURE A+
✔✔G2P1 client, BMI 35, no medical history. 26-week gestation prenatal visit.
Complaints of backache and feet swelling when standing for long periods. Physical
assessment WNL. Fetal heart rate assessed via doppler, WNL. 50 gram oral 1-hour
glucose tolerance test done before visit. Results reported-positive. Client to return for 3-
hour glucose tolerance test in 1 week.
7/15
G2P1 client, BMI 35. 27 weeks gestation. No new complaints. Assessment WNL. FHR
assessed via doppler, WNL. 100 gram oral 3-hour glucose tolerance test completed.
Results reported-positive. Education provided1 - hour glucose tolerance test
< 130-140 mg/dL
178
3 - hour glucose tolerance test
≤ 130-140 mg/dL
189 - ✔✔Gestational Diabetes Mellitus (GDM)
✔✔Hemoglobin (Hgb) 12 - 17 g/dL 6 Hematocrit (Hict) 36 - 51 % 35 Ferritin, serum 11 -
307 mcg/L 9 - ✔✔Iron injections
✔✔52 year-old woman in the perimenopausal period. Client does not drink milk. The
client walks 2-3 miles each day.
• Calcium 1500 mg PO daily
A client in the perimenopausal stage consults the nurse about bone health and
associated health recommendations. After reviewing the health care provider's orders
and nursing note, what concerns the nurse the most? - ✔✔Lack of a prescription for
Vitamin D.
, ✔✔A laboring complains of feeling dizzy. The nurse assesses that the clients blood
pressure is 92/56. Which initial nursing interventions are indicated? Select all that apply
- ✔✔Turn the client on her side, Place a wedge under the mother's hip and Continue to
monitor blood pressure
✔✔A client in labor receives an epidural block for pain management. In planning the
client's care, which component receives priority in the plan of care? - ✔✔Assess
frequently for maternal hypertension.
✔✔A client in active labor receives support from her partner. The partner states, "I am
really hungry; I am going to get something to eat." Which response would be most
appropriate for the nurse to make? Select all that apply. - ✔✔We have sandwiches on
the unit if you would like one." Tell me about your birth experience thus far." and How
about I get you a snack, and you can stay here."
✔✔A client experiencing menopause presents to the clinic and reports significant
dyspareunia. Which nursing intervention should the nurse initially share with the client to
address this problem? Select all that apply. - ✔✔Using water-soluble lubricant and
Hormone replacement therapy (HRT).
✔✔A client with primary dysmenorrhea reports taking ibuprofen one to two times per
day before menses and during menstrual bleeding. Which additional interventions can
the nurse add to the plan of care to assist with these symptoms? Select all that apply. -
✔✔Yoga postures and practice, Abdominal massage and Low salt, low sugar diet
✔✔The nurse cares for a family three hours post-delivery where the infant died while in
utero. The nurse teaches means to deal with their grief.
Which statement, if made by the parent, indicates the best understanding of the nurse's
teaching at this time? - ✔✔"I would like to dress my baby and have a photographer take
pictures.
✔✔The nurse cares for a client in labor being induced with oxytocin. The client is noted
to have 6 contractions in 10 minutes. The fetal monitor indicates fetal distress. Which
action should the nurse perform first? - ✔✔Stop the oxytocin.
✔✔The nurse teaches the client options for delivering an infant that is in breech
presentation. Which should be included in the teaching plan? Select all that apply. -
✔✔Most breech babies need to be delivered by cesarean section, There is a risk of
prolapsed cord with a vaginal breech delivery and The ability to deliver vaginally is
partly related to the size of the infant
