NUR 2513 MATERNAL CHILD NURSING EXAM
The nurse is evaluating the FHR rhythm strip and determines the heart rate
amplitude varies with a rate 15 to 20 bpm. What does this assessment finding
indicate to the nurse about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked - ANSWER C. Variability is moderate
What is the most effective way for a nurse to assess a woman's usual food intake
during her pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours - ANSWER D. Ask her to
describe her intake for the last 24 hours
The nurse is teaching a client on the use of a diaphragm for contraception. Which of
the following client statement indiciates the client needs for further teaching.
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using a diaphragm if i get an infection of my cervix
D. I need to have the diaphragm checked if my weight changes by 30lb - ANSWER
D. I need to have the diaphragm checked if my weight changes by 30lb
A nurse is caring for the following clients on the obstetrical unit. The nurse
recognizes it is safe to administer tocolytic therapy to which of the following clients?
A. Client that is experiencing fetal death at 34 weeks gestation
B. Client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-hicks contractions at 37 weeks gestation
D. A client who has a post-term pregnancy at 41 weeks gesttation - ANSWER B.
Client who is experiencing preterm labor at 29 weeks gestation
A prenatal nurse is caring for a woman who desires an unmedicated birth. Which of
the following options for non-phamacologic methods of pain control in labor.
A. Epidural
B. Hydrotherapy
C. Massage
D. Birthball
E. Prudendal block
F. Breathing patterns - ANSWER B. Hydrotherapy
C. Massage
D. Birthball
F. Breathing patterns
, The nurse is reviewing the results of an abnormal pap smear with a 27-year old
female. When explaining to the client the risk for and causes of cervical cancer,
which of the following statements should be included in her teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approx. 70% of cervical cancers result from HPV
C. You have a bacterial infection that will require 14 days of antibiotics
D. Cervical cancer is cause by HPV, we can treat the infection with a course of
antiviral medications - ANSWER B. Approx. 70% of cervical cancers result from
HPV
Tbe nurse in labor and delivery is reviewing frequently used medications in the OB
setting. Which of the following medications would be used for tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin - ANSWER B. Terbutaline
The nurse is reviewing the health record of a pregnant client. Her Hx includes
deliveries of live babies at 39 weeks, 40 weeks and 35 weeks, a spontaneous
abortion at 17 weeks. According to the GTPAL system, which of the following
described the patient.
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3 - ANSWER A. 4-2-1-1-3
The nurse provided care to a client with hyperemesis gravidarum. Which outcome
indicates that the nursing interventions have been effective?
A. Vomiting episodes are only in the morning
B. Tolerating soft foods after episodes of vomiting
C. Ingesting clear liquids between episodes of vomiting
D. Advancing from clear liquids, to soft, to a regular diet - ANSWER D. Advancing
from clear liquids, to soft, to a regular diet
Frequent urination results from which of the following causes during the third
trimester of pregnancy?
A. Pressure on the bladder from the uterus
B. Increased concentration of urine
C. Addition of fetal urine to maternal urine
D. Decreased Glomerular selectivity - ANSWER A. Pressure on the bladder from
the uterus
Which of the following routine tests would the nurse anticipate the provider to order
during her first trimester? SATA
A. Blood type and RH factor
B. Group B strep vaginal culture
C. Amniocentesis
D. CBC
E. HIV - ANSWER A. Blood type and RH factor
D. CBC
The nurse is evaluating the FHR rhythm strip and determines the heart rate
amplitude varies with a rate 15 to 20 bpm. What does this assessment finding
indicate to the nurse about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked - ANSWER C. Variability is moderate
What is the most effective way for a nurse to assess a woman's usual food intake
during her pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours - ANSWER D. Ask her to
describe her intake for the last 24 hours
The nurse is teaching a client on the use of a diaphragm for contraception. Which of
the following client statement indiciates the client needs for further teaching.
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using a diaphragm if i get an infection of my cervix
D. I need to have the diaphragm checked if my weight changes by 30lb - ANSWER
D. I need to have the diaphragm checked if my weight changes by 30lb
A nurse is caring for the following clients on the obstetrical unit. The nurse
recognizes it is safe to administer tocolytic therapy to which of the following clients?
A. Client that is experiencing fetal death at 34 weeks gestation
B. Client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-hicks contractions at 37 weeks gestation
D. A client who has a post-term pregnancy at 41 weeks gesttation - ANSWER B.
Client who is experiencing preterm labor at 29 weeks gestation
A prenatal nurse is caring for a woman who desires an unmedicated birth. Which of
the following options for non-phamacologic methods of pain control in labor.
A. Epidural
B. Hydrotherapy
C. Massage
D. Birthball
E. Prudendal block
F. Breathing patterns - ANSWER B. Hydrotherapy
C. Massage
D. Birthball
F. Breathing patterns
, The nurse is reviewing the results of an abnormal pap smear with a 27-year old
female. When explaining to the client the risk for and causes of cervical cancer,
which of the following statements should be included in her teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approx. 70% of cervical cancers result from HPV
C. You have a bacterial infection that will require 14 days of antibiotics
D. Cervical cancer is cause by HPV, we can treat the infection with a course of
antiviral medications - ANSWER B. Approx. 70% of cervical cancers result from
HPV
Tbe nurse in labor and delivery is reviewing frequently used medications in the OB
setting. Which of the following medications would be used for tocolysis?
A. Methylergometrine
B. Terbutaline
C. Betamethasone
D. Oxytocin - ANSWER B. Terbutaline
The nurse is reviewing the health record of a pregnant client. Her Hx includes
deliveries of live babies at 39 weeks, 40 weeks and 35 weeks, a spontaneous
abortion at 17 weeks. According to the GTPAL system, which of the following
described the patient.
A. 4-2-1-1-3
B. 4-1-2-1-3
C. 5-2-1-1-3
D. 5-2-0-2-3 - ANSWER A. 4-2-1-1-3
The nurse provided care to a client with hyperemesis gravidarum. Which outcome
indicates that the nursing interventions have been effective?
A. Vomiting episodes are only in the morning
B. Tolerating soft foods after episodes of vomiting
C. Ingesting clear liquids between episodes of vomiting
D. Advancing from clear liquids, to soft, to a regular diet - ANSWER D. Advancing
from clear liquids, to soft, to a regular diet
Frequent urination results from which of the following causes during the third
trimester of pregnancy?
A. Pressure on the bladder from the uterus
B. Increased concentration of urine
C. Addition of fetal urine to maternal urine
D. Decreased Glomerular selectivity - ANSWER A. Pressure on the bladder from
the uterus
Which of the following routine tests would the nurse anticipate the provider to order
during her first trimester? SATA
A. Blood type and RH factor
B. Group B strep vaginal culture
C. Amniocentesis
D. CBC
E. HIV - ANSWER A. Blood type and RH factor
D. CBC
