PN 3003 Mat Ped Exam Questions
with Correct Answers
The nurse is working the triage area of OB when a client calls to ask about vaginal
discharge. The patient is 25 weeks gestation and had been in her OB office that
morning, where the provider did a vaginal exam. She reports to the nurse that she
noticed a clear mucus discharge in the toilet after using the restroom. What is the
appropriate explanation to the patient?
A. "It might be nothing; if it happens again, call the provider who is on-call."
B. "If the provider did an exam, it might be just normal vaginal secretions, don't worry
about it."
C. "A one-time discharge of clear mucus in the toilet might have been your mucus plug."
D. "Clear mucus is a sure sign of labour; come to the hospital right away." - Answer- D.
"Clear mucus is a sure sign of labour; come to the hospital right away."
Upon arriving at the labour and delivery unit, a pregnant woman advises the LPN that
she is 42 weeks pregnant. She is not sure if she is in true labour or false labour. The
nurse would explain that true labour can be differentiated from false labour by which of
the following?
A. True labour occurs immediately after the membranes rupture.
B. True labour stops when the client walks around.
C. True labour is less uncomfortable in a side-lying position.
D. True labour brings about progressive cervical dilation. - Answer- B. True labour stops
when the client walks around.
What psychological changes contribute to pain in the first stage of labour?
A. Stretching the perineum
B. Contracting the cervix
C. Postpartum depression
Pelvicbonemovement - Answer- C. Postpartum depression
Take her iron supplement every other day, increase fluid intake and consumption of
high-fiber foods, and exercise more - Answer- Advice to give to a patient experiencing
constipation due to iron supplements. This advice suggests adjusting the frequency of
iron supplement intake, increasing fluid intake, consuming high-fiber foods, and
engaging in regular exercise to relieve constipation.
, Meals high in iron - Answer- A substance to take with supplemental iron to increase
absorption. Consuming meals that are high in iron content can enhance the absorption
of supplemental iron and optimize its effectiveness.
Rubella - Answer- The 'R' in TORCH, diseases that may cause harm to the fetus.
Rubella, also known as German measles, is an infectious disease that can lead to
severe birth defects if contracted during pregnancy.
Reducing maternal health risks - Answer- A goal in pre-conception care. It involves
identifying and addressing potential health risks in women before they become pregnant
to optimize maternal well-being and promote a healthy pregnancy.
Reducing fetal health risks - Answer- A goal in pre-conception care. It focuses on
identifying and addressing potential health risks in the fetus before conception to
optimize fetal well-being and promote a healthy pregnancy.
Identifying possible genetic concerns - Answer- A goal in pre-conception care. It
involves assessing and addressing potential genetic risks and conditions that may affect
the health and development of the offspring.
Multipara - Answer- The medical term for May Ling. It refers to a woman who has given
birth to two or more children.
Hydatidiform Mole - Answer- A suspected cause of Lisa's pain. It is a rare abnormal
growth of placental tissue that can cause symptoms such as pelvic pain, vaginal
bleeding, and enlarged uterus.
The cervix produces a mucous plug early in pregnancy to prevent infection transmission
- Answer- A change observed in the cervix due to pregnancy. The cervix produces a
thick mucous plug that seals the cervical canal, acting as a protective barrier against
infection and preventing the entry of harmful microorganisms into the uterus.
Ketones - Answer- An indicator of pre-eclampsia in urine tests. The presence of ketones
in urine can indicate a metabolic imbalance, which may be associated with pre-
eclampsia, a serious pregnancy complication characterized by high blood pressure and
organ damage.
130/80 - Answer- The degree of elevated blood pressure before it is cause for concern.
A blood pressure reading of 130/80 or higher may indicate hypertension and should be
closely monitored and evaluated by healthcare professionals.
Abdominal ultrasound - Answer- An examination to assist with the diagnosis of sudden
bright red vaginal bleeding. An abdominal ultrasound can help visualize the uterus and
identify potential causes of bleeding, such as placental abnormalities or uterine rupture.
with Correct Answers
The nurse is working the triage area of OB when a client calls to ask about vaginal
discharge. The patient is 25 weeks gestation and had been in her OB office that
morning, where the provider did a vaginal exam. She reports to the nurse that she
noticed a clear mucus discharge in the toilet after using the restroom. What is the
appropriate explanation to the patient?
A. "It might be nothing; if it happens again, call the provider who is on-call."
B. "If the provider did an exam, it might be just normal vaginal secretions, don't worry
about it."
C. "A one-time discharge of clear mucus in the toilet might have been your mucus plug."
D. "Clear mucus is a sure sign of labour; come to the hospital right away." - Answer- D.
"Clear mucus is a sure sign of labour; come to the hospital right away."
Upon arriving at the labour and delivery unit, a pregnant woman advises the LPN that
she is 42 weeks pregnant. She is not sure if she is in true labour or false labour. The
nurse would explain that true labour can be differentiated from false labour by which of
the following?
A. True labour occurs immediately after the membranes rupture.
B. True labour stops when the client walks around.
C. True labour is less uncomfortable in a side-lying position.
D. True labour brings about progressive cervical dilation. - Answer- B. True labour stops
when the client walks around.
What psychological changes contribute to pain in the first stage of labour?
A. Stretching the perineum
B. Contracting the cervix
C. Postpartum depression
Pelvicbonemovement - Answer- C. Postpartum depression
Take her iron supplement every other day, increase fluid intake and consumption of
high-fiber foods, and exercise more - Answer- Advice to give to a patient experiencing
constipation due to iron supplements. This advice suggests adjusting the frequency of
iron supplement intake, increasing fluid intake, consuming high-fiber foods, and
engaging in regular exercise to relieve constipation.
, Meals high in iron - Answer- A substance to take with supplemental iron to increase
absorption. Consuming meals that are high in iron content can enhance the absorption
of supplemental iron and optimize its effectiveness.
Rubella - Answer- The 'R' in TORCH, diseases that may cause harm to the fetus.
Rubella, also known as German measles, is an infectious disease that can lead to
severe birth defects if contracted during pregnancy.
Reducing maternal health risks - Answer- A goal in pre-conception care. It involves
identifying and addressing potential health risks in women before they become pregnant
to optimize maternal well-being and promote a healthy pregnancy.
Reducing fetal health risks - Answer- A goal in pre-conception care. It focuses on
identifying and addressing potential health risks in the fetus before conception to
optimize fetal well-being and promote a healthy pregnancy.
Identifying possible genetic concerns - Answer- A goal in pre-conception care. It
involves assessing and addressing potential genetic risks and conditions that may affect
the health and development of the offspring.
Multipara - Answer- The medical term for May Ling. It refers to a woman who has given
birth to two or more children.
Hydatidiform Mole - Answer- A suspected cause of Lisa's pain. It is a rare abnormal
growth of placental tissue that can cause symptoms such as pelvic pain, vaginal
bleeding, and enlarged uterus.
The cervix produces a mucous plug early in pregnancy to prevent infection transmission
- Answer- A change observed in the cervix due to pregnancy. The cervix produces a
thick mucous plug that seals the cervical canal, acting as a protective barrier against
infection and preventing the entry of harmful microorganisms into the uterus.
Ketones - Answer- An indicator of pre-eclampsia in urine tests. The presence of ketones
in urine can indicate a metabolic imbalance, which may be associated with pre-
eclampsia, a serious pregnancy complication characterized by high blood pressure and
organ damage.
130/80 - Answer- The degree of elevated blood pressure before it is cause for concern.
A blood pressure reading of 130/80 or higher may indicate hypertension and should be
closely monitored and evaluated by healthcare professionals.
Abdominal ultrasound - Answer- An examination to assist with the diagnosis of sudden
bright red vaginal bleeding. An abdominal ultrasound can help visualize the uterus and
identify potential causes of bleeding, such as placental abnormalities or uterine rupture.
