NURS 2513 MATERNAL CHILD NURSING EXAM WITH
CLEAR AND ELABORATE QUESTIONS AND NASWERS
FOR GUARANTEED PASS GRADED A+
A nurse is caring for a client who is prescribed Rho immune globulin standard dose IM
(Rhogam). The nurse should understand the action of this medication as which of the
following?
Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative
Foetal movement that is noted by the mother is a very important assessment factor to
determine foetal well- being. If the nurse is to ask the client if she has "felt her baby
move", when is the best time for a primigravid client to note the first foetal activity?
18 - 20 weeks.
The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure
fundal height. Identify where the nurse will find the uterine fundus?
At or near the umbilicus
A woman asks the nurse: "What protects my baby's umbilical cord from being pinched
while the baby's inside". The nurse's best response is?
"Your baby's umbilical cord is surrounded by connective tissue called Wharton's Jelly, which
prevents compression of the blood vessels and ensures continued nourishment and oxygen to
your baby."
A 20-year-old client calls the clinic to report that she has found a lump in her breast.
The nurse's best response to her is which of the following?
"Many women have benign lumps and bumps in their breasts. However, to make sure that it
is benign, you should come in for an examination by your physician"
,Activity is an important component of prenatal teaching. Activity that is considered safe
for a client that states she does not participate in any activity or exercise program at this
time would be?
Walking
During her annual gynaecologic check, up a 17 year-old woman states that recently she
has been experiencing cramping and pain during her menstrual periods. The nurse
would document this complaint as?
Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing
foetus. Within the first trimester what lab tests are normally obtained? (Select all that
apply)
Blood type and Rh factor
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as?
10-12 weeks gestation
Common Complaints of Pregnancy
Nausea and vomiting Lower back pain
Heart burn Urinary frequency
Constipation Varicosities
Haemorrhoids Leg cramps
Fatigue Round ligament pain
Warning Signs
Persistent vomiting
Vaginal bleeding
, Edema of face/hands
Temp >101.0
Persistent abdominal pain/epigastric pain
Dysuria
Intermittent back pain/pelvic pain
Visual changes
Changes in foetal movement
Leaking of fluid from vagina
Prenatal Visit Intake
Medical history: Demographics, personal, and family history.
Obstetrical history: Gravida and para (TPAL), previous pregnancy outcomes, relative
gynecological history.
Assess risk factors: Environmental and genetic.
A common discomfort of pregnancy can be managed by changing nutritional intake and
some OTC medications. In reviewing information with the patient after her first
prenatal visit the nurse is confident that this woman understands the management of
constipation when she makes which of the following statements?
"In addition to increasing my dietary fibre, I can use fibre supplements, drink more water and
increase my activity if I have no restrictions"
At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are
administered and she is placed on bed rest, she continues to experience regular
contractions and her cervix is beginning to dilate and efface. What additional
medication should be considered to assist the development of the foetus?
Betamethasone
CLEAR AND ELABORATE QUESTIONS AND NASWERS
FOR GUARANTEED PASS GRADED A+
A nurse is caring for a client who is prescribed Rho immune globulin standard dose IM
(Rhogam). The nurse should understand the action of this medication as which of the
following?
Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative
Foetal movement that is noted by the mother is a very important assessment factor to
determine foetal well- being. If the nurse is to ask the client if she has "felt her baby
move", when is the best time for a primigravid client to note the first foetal activity?
18 - 20 weeks.
The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure
fundal height. Identify where the nurse will find the uterine fundus?
At or near the umbilicus
A woman asks the nurse: "What protects my baby's umbilical cord from being pinched
while the baby's inside". The nurse's best response is?
"Your baby's umbilical cord is surrounded by connective tissue called Wharton's Jelly, which
prevents compression of the blood vessels and ensures continued nourishment and oxygen to
your baby."
A 20-year-old client calls the clinic to report that she has found a lump in her breast.
The nurse's best response to her is which of the following?
"Many women have benign lumps and bumps in their breasts. However, to make sure that it
is benign, you should come in for an examination by your physician"
,Activity is an important component of prenatal teaching. Activity that is considered safe
for a client that states she does not participate in any activity or exercise program at this
time would be?
Walking
During her annual gynaecologic check, up a 17 year-old woman states that recently she
has been experiencing cramping and pain during her menstrual periods. The nurse
would document this complaint as?
Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing
foetus. Within the first trimester what lab tests are normally obtained? (Select all that
apply)
Blood type and Rh factor
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as?
10-12 weeks gestation
Common Complaints of Pregnancy
Nausea and vomiting Lower back pain
Heart burn Urinary frequency
Constipation Varicosities
Haemorrhoids Leg cramps
Fatigue Round ligament pain
Warning Signs
Persistent vomiting
Vaginal bleeding
, Edema of face/hands
Temp >101.0
Persistent abdominal pain/epigastric pain
Dysuria
Intermittent back pain/pelvic pain
Visual changes
Changes in foetal movement
Leaking of fluid from vagina
Prenatal Visit Intake
Medical history: Demographics, personal, and family history.
Obstetrical history: Gravida and para (TPAL), previous pregnancy outcomes, relative
gynecological history.
Assess risk factors: Environmental and genetic.
A common discomfort of pregnancy can be managed by changing nutritional intake and
some OTC medications. In reviewing information with the patient after her first
prenatal visit the nurse is confident that this woman understands the management of
constipation when she makes which of the following statements?
"In addition to increasing my dietary fibre, I can use fibre supplements, drink more water and
increase my activity if I have no restrictions"
At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are
administered and she is placed on bed rest, she continues to experience regular
contractions and her cervix is beginning to dilate and efface. What additional
medication should be considered to assist the development of the foetus?
Betamethasone
