Maternal and Child Health Nursing Exam
Questions and Answers 100% Solved
1. A 17-year-old client, who is at 38 weeks gestation, is being prepared for an
emergency cesarean birth because there is an abruption placentae and severe fetal
compromise. The client received Nalbupine (Nubain) 10mg IV 30 minutes ago. Because
the client is too sedated to sign the consent form, the nurse should:
a.Call the client's mother and request a verbal consent
b.Proceed with the preparation and omit written consent
c.Have the surgeon and attending physician sign the consent form
d.Sign the consent form and have the nurse manager countersign the form - ANSWER-
c. Have the surgeon and attending physician sign the consent form
2. A 45-year-old woman, with large intramural leiomyomas, has been advised to have
an abdominal hysterectomy. She asks the nurse whether there is any surgery other
than an abdominal hysterectomy available. The nurse should respond
a."Sorry, there are no other options."
b."You should ask your gynecologist."
c."You seem uncertain about having the hysterectomy."
d."A vaginal hysterectomy is a possible alternative for you." - ANSWER-c. "You seem
uncertain about having the hysterectomy."
3. A client had a mastectomy because of breast cancer. She is now receiving
chemotherapy, which caused hair loss. The client states, "I feel like I have lost my
sense of power." The nurse's bets response is:
a."Hair does not empower a person."
b."Losing power seems important to you."
c."Knowledge is power; I will give you some pamphlets to read."
, d."Losing hair is common; it will grow back so you should not worry." - ANSWER-b.
"Losing power seems important to you."
4. A client, visiting the family planning clinic, has an oral contraceptive prescribed. As
part of teaching, the nurse plans to inform the client of the possibility of developing:
a.Cervicitis
b.Ovarian cysts
c.Fibrocystic disease
d.Breakthrough bleeding - ANSWER-d. Breakthrough bleeding
5. A client at her first visit to the prenatal clinic states that she has missed three
menstrual periods and thinks she is carrying twins because her abdomen is so large,
but has started to have brownish vaginal discharge. Her blood pressure is elevated,
indicating that she may have gestational hypertension. The nurse must perform a
further assessment because the client may have:
a.Renal failure
b.Placenta previa
c.Hydatidiform mole
d.Abruptio placentas - ANSWER-c. Hydatidiform mole
6. A 16-year-old primigravida, who appears to be at or close to term, arrives at the
emergency department stating that she is in labor and is complaining of pain continuing
between contractions. The nurse palpates the abdomen, which is firm with no signs of
relaxation. The nurse concludes that the:
a.Fetus' birth may be imminent
b.Client may have placenta previa
c.Client may have abruptio placentae
d.Fetus may be in the breech presentation - ANSWER-c. Client may have abruptio
placentae
Questions and Answers 100% Solved
1. A 17-year-old client, who is at 38 weeks gestation, is being prepared for an
emergency cesarean birth because there is an abruption placentae and severe fetal
compromise. The client received Nalbupine (Nubain) 10mg IV 30 minutes ago. Because
the client is too sedated to sign the consent form, the nurse should:
a.Call the client's mother and request a verbal consent
b.Proceed with the preparation and omit written consent
c.Have the surgeon and attending physician sign the consent form
d.Sign the consent form and have the nurse manager countersign the form - ANSWER-
c. Have the surgeon and attending physician sign the consent form
2. A 45-year-old woman, with large intramural leiomyomas, has been advised to have
an abdominal hysterectomy. She asks the nurse whether there is any surgery other
than an abdominal hysterectomy available. The nurse should respond
a."Sorry, there are no other options."
b."You should ask your gynecologist."
c."You seem uncertain about having the hysterectomy."
d."A vaginal hysterectomy is a possible alternative for you." - ANSWER-c. "You seem
uncertain about having the hysterectomy."
3. A client had a mastectomy because of breast cancer. She is now receiving
chemotherapy, which caused hair loss. The client states, "I feel like I have lost my
sense of power." The nurse's bets response is:
a."Hair does not empower a person."
b."Losing power seems important to you."
c."Knowledge is power; I will give you some pamphlets to read."
, d."Losing hair is common; it will grow back so you should not worry." - ANSWER-b.
"Losing power seems important to you."
4. A client, visiting the family planning clinic, has an oral contraceptive prescribed. As
part of teaching, the nurse plans to inform the client of the possibility of developing:
a.Cervicitis
b.Ovarian cysts
c.Fibrocystic disease
d.Breakthrough bleeding - ANSWER-d. Breakthrough bleeding
5. A client at her first visit to the prenatal clinic states that she has missed three
menstrual periods and thinks she is carrying twins because her abdomen is so large,
but has started to have brownish vaginal discharge. Her blood pressure is elevated,
indicating that she may have gestational hypertension. The nurse must perform a
further assessment because the client may have:
a.Renal failure
b.Placenta previa
c.Hydatidiform mole
d.Abruptio placentas - ANSWER-c. Hydatidiform mole
6. A 16-year-old primigravida, who appears to be at or close to term, arrives at the
emergency department stating that she is in labor and is complaining of pain continuing
between contractions. The nurse palpates the abdomen, which is firm with no signs of
relaxation. The nurse concludes that the:
a.Fetus' birth may be imminent
b.Client may have placenta previa
c.Client may have abruptio placentae
d.Fetus may be in the breech presentation - ANSWER-c. Client may have abruptio
placentae
