CJE MATERNITY ACTUAL MAIN QUESTIONS AND
ANSWERS SURE A+
✔✔A pregnant client asks the nurse about childbirth education. The nurse teaches the
client breathing techniques. Which techniques are included in childbirth education?
Select all that apply. - ✔✔Moderate-paced breathing, Pant-blow breathing, Slow-paced
breathing and Cleansing breaths
✔✔The nurse assesses a client for presumptive signs of pregnancy. Which signs are
considered presumptive signs of pregnancy? Select all that apply. - ✔✔Quickening,
Fatigue and Amenorrhea
✔✔A client in labor is undergoing continuous monitoring for fetal heart rate and uterine
activity. The nurse detects late decelerations on the fetal monitor.
Which assessment finding concerns the nurse most? - ✔✔The intravenous access
device is infiltrated.
✔✔• Calcium 1000 mg/day PO with Vitamin D • Premarin/conjugated estrogen PO 0.9
mg/day • Age 56 • No history of cardiovascular disease or hypertension • Smokes 1
pack per day for 38 years • Bone density study demonstrates marked demineralization •
Client's mother died of breast cancer; client had breast cancer at 42 years old • Treated
with radiation with no recurrence • Reports dyspareunia and hot flashes - ✔✔The risk of
breast cancer associated with hormone replacement therapy.
✔✔G1P0 client, 8 weeks gestation. Pregnancy presumed based on amenorrhea, breast
tenderness and fatigue. Positive pregnancy test at home. Pregnancy confirmed with
ultrasound visualization of single fetus and fetal heart tones. Fetal heart rate 148
beats/min. Client with no other complaints. Initial prenatal labs obtained. Education
provided
2/4
G1P0 client, 12 weeks gestation. FHR assessed via doppler, 152 beats/min. Client with
complaints of nausea, mild headache, and fatigue. Assessment otherwise WNL
3/18
, G1PO client, 18 weeks gestation. Complaints of headaches that are somewhat relieved
by medications and rest. Assessment otherwise WNL. FHRassessed via doppler, 150
beats/min.
4/15
G1P0 client, 22 weeks gestation. Comes to clinic with complaints of blurry vision and
headache for past 3 days not relieved by medications or rest. +1 pitting edema to
bilateral lower extremities noted on assessment. FHR assessed via doppl - ✔✔The
nurse understands the client is most likely experiencing preeclampsia and prepares to
assess blood pressure, obtain laboratory studies, and notify the provider next.
✔✔The nurse cares for a client with chronic hypertension who is six months pregnant.
Which information should be included in the teaching plan? Select all that apply. -
✔✔The levels of methyldopa in breast milk are considered safe and Chronic
hypertension during pregnancy may lead to complications following pregnancy
✔✔A client at risk for preterm labor is being taught the strategies to implement to
prevent early labor. Which strategies should be included in the teaching? - ✔✔Refrain
from nipple stimulation
✔✔A client undergoes a contraction stress test using nipple stimulation. The test results
show no decelerations in response to contractions. How should the nurse interpret this
test? - ✔✔No decelerations, indicating a negative test
✔✔A postpartum client is assessed one hour after birth. The client continues to have
heavy bleeding. The client's fundus has been massaged twice with several clots
expressed. Which assessment indicates that this intervention is effective? - ✔✔The
uterus is firm to palpation.
✔✔A laboring client reports that she needs to urinate. The nurse assists the client to the
bathroom, and the client is unable to void. The nurse provides interventions to
encourage voiding. Which interventions should be included? Select all that apply. -
✔✔Allow the client to hear running water from the sink, Promote relaxation techniques,
Allow the client time on the toilet to void, Place the client's hand in warm water and use
a squirt bottle to spray water over the perineum.
✔✔The nurse counsels a client at risk for preterm labor on methods to slow down or
stop labor if it occurs during the preterm period. Which interventions should the nurse
plan to include in the teaching plan? Select all that apply. - ✔✔To drink water liberally
throughout the day, Demonstrate how to palpate for contractions, To lie on the side for
one hour, Engage in stress management strategies, Frequently empty the bladder. and
Call the provider immediately upon sensing contractions.
ANSWERS SURE A+
✔✔A pregnant client asks the nurse about childbirth education. The nurse teaches the
client breathing techniques. Which techniques are included in childbirth education?
Select all that apply. - ✔✔Moderate-paced breathing, Pant-blow breathing, Slow-paced
breathing and Cleansing breaths
✔✔The nurse assesses a client for presumptive signs of pregnancy. Which signs are
considered presumptive signs of pregnancy? Select all that apply. - ✔✔Quickening,
Fatigue and Amenorrhea
✔✔A client in labor is undergoing continuous monitoring for fetal heart rate and uterine
activity. The nurse detects late decelerations on the fetal monitor.
Which assessment finding concerns the nurse most? - ✔✔The intravenous access
device is infiltrated.
✔✔• Calcium 1000 mg/day PO with Vitamin D • Premarin/conjugated estrogen PO 0.9
mg/day • Age 56 • No history of cardiovascular disease or hypertension • Smokes 1
pack per day for 38 years • Bone density study demonstrates marked demineralization •
Client's mother died of breast cancer; client had breast cancer at 42 years old • Treated
with radiation with no recurrence • Reports dyspareunia and hot flashes - ✔✔The risk of
breast cancer associated with hormone replacement therapy.
✔✔G1P0 client, 8 weeks gestation. Pregnancy presumed based on amenorrhea, breast
tenderness and fatigue. Positive pregnancy test at home. Pregnancy confirmed with
ultrasound visualization of single fetus and fetal heart tones. Fetal heart rate 148
beats/min. Client with no other complaints. Initial prenatal labs obtained. Education
provided
2/4
G1P0 client, 12 weeks gestation. FHR assessed via doppler, 152 beats/min. Client with
complaints of nausea, mild headache, and fatigue. Assessment otherwise WNL
3/18
, G1PO client, 18 weeks gestation. Complaints of headaches that are somewhat relieved
by medications and rest. Assessment otherwise WNL. FHRassessed via doppler, 150
beats/min.
4/15
G1P0 client, 22 weeks gestation. Comes to clinic with complaints of blurry vision and
headache for past 3 days not relieved by medications or rest. +1 pitting edema to
bilateral lower extremities noted on assessment. FHR assessed via doppl - ✔✔The
nurse understands the client is most likely experiencing preeclampsia and prepares to
assess blood pressure, obtain laboratory studies, and notify the provider next.
✔✔The nurse cares for a client with chronic hypertension who is six months pregnant.
Which information should be included in the teaching plan? Select all that apply. -
✔✔The levels of methyldopa in breast milk are considered safe and Chronic
hypertension during pregnancy may lead to complications following pregnancy
✔✔A client at risk for preterm labor is being taught the strategies to implement to
prevent early labor. Which strategies should be included in the teaching? - ✔✔Refrain
from nipple stimulation
✔✔A client undergoes a contraction stress test using nipple stimulation. The test results
show no decelerations in response to contractions. How should the nurse interpret this
test? - ✔✔No decelerations, indicating a negative test
✔✔A postpartum client is assessed one hour after birth. The client continues to have
heavy bleeding. The client's fundus has been massaged twice with several clots
expressed. Which assessment indicates that this intervention is effective? - ✔✔The
uterus is firm to palpation.
✔✔A laboring client reports that she needs to urinate. The nurse assists the client to the
bathroom, and the client is unable to void. The nurse provides interventions to
encourage voiding. Which interventions should be included? Select all that apply. -
✔✔Allow the client to hear running water from the sink, Promote relaxation techniques,
Allow the client time on the toilet to void, Place the client's hand in warm water and use
a squirt bottle to spray water over the perineum.
✔✔The nurse counsels a client at risk for preterm labor on methods to slow down or
stop labor if it occurs during the preterm period. Which interventions should the nurse
plan to include in the teaching plan? Select all that apply. - ✔✔To drink water liberally
throughout the day, Demonstrate how to palpate for contractions, To lie on the side for
one hour, Engage in stress management strategies, Frequently empty the bladder. and
Call the provider immediately upon sensing contractions.
