MATERNAL CHILD EXAM 1 QUESTIONS & ANSWERS
1. 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? - Answers - Rhogam prevents the formation of Rh antibodies in mothers
who are Rh negative
1. Fetal movement that is noted by the mother is a very important assessment factor to
determine fetal 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 fetal activity? -
Answers - 18 - 20 weeks.
1. 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? - Answers - At or
near the umbilicus
1. 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? - Answers - "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."
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as? - Answers - 10-12 weeks gestation
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 understand the management of constipation
when she makes which of the following statements? - Answers - "In addition to
increasing my dietary fiber, I can use fiber 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 fetus? - Answers -
Betamethasone
A 30 week gestational age pregnant client presents to the labor suite with complaints of
contractions and pressure. What medications can the nurse expect the provider to order
for administration? (select all that apply) - Answers - Magnesium sulfate
Terbutaline (Brethine)
Betamethasone
, Hormonal shifts in pregnancy and the physiological changes that occur affect every
body system. As the nurse, which of the following symptoms or presentation would you
consider abnormal? - Answers - Headaches occurring in the third trimester
A women with the diagnosis of hyperemesis gravidarum requires hospitalization. In
addition to her need to be hospitalized what else is significant? - Answers - She has
vomiting severe and persistent enough to cause weight loss, dehydration and
electrolyte imbalance.
A woman is 39 weeks gestation with severe abdominal pain that remains constant is
being admitted to the labor and delivery unit. She suddenly experiences increased
contraction frequency of every 1 to 2 minutes, has dark red vaginal bleeding and a
tense rigid abdomen. What should the nurse suspect at this time? - Answers - Placenta
abruption
Magnesium sulfate is given to a pregnant client with pre-eclampsia and eclampsia for
which of the following reasons? - Answers - Prevent and treat seizures
1. 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? - Answers - "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? - Answers - Walking
During her annual gynecologic 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? - Answers - Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing
fetus. Within the first trimester what lab tests are normally obtained? (select all that
apply) - Answers - Blood type and Rh factor
Complete blood count (CBC)
HIV
A nurse is caring for a client who has a possible ectopic pregnancy at 8 weeks
gestation. Which of the following manifestations should the nurse expect to identify as
consistent with this diagnosis? - Answers - Unilateral abdominal pain
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of
pregnancy could be which of the following? - Answers - changes in the pattern of fetal
activity
1. 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? - Answers - Rhogam prevents the formation of Rh antibodies in mothers
who are Rh negative
1. Fetal movement that is noted by the mother is a very important assessment factor to
determine fetal 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 fetal activity? -
Answers - 18 - 20 weeks.
1. 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? - Answers - At or
near the umbilicus
1. 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? - Answers - "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."
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler
as early as? - Answers - 10-12 weeks gestation
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 understand the management of constipation
when she makes which of the following statements? - Answers - "In addition to
increasing my dietary fiber, I can use fiber 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 fetus? - Answers -
Betamethasone
A 30 week gestational age pregnant client presents to the labor suite with complaints of
contractions and pressure. What medications can the nurse expect the provider to order
for administration? (select all that apply) - Answers - Magnesium sulfate
Terbutaline (Brethine)
Betamethasone
, Hormonal shifts in pregnancy and the physiological changes that occur affect every
body system. As the nurse, which of the following symptoms or presentation would you
consider abnormal? - Answers - Headaches occurring in the third trimester
A women with the diagnosis of hyperemesis gravidarum requires hospitalization. In
addition to her need to be hospitalized what else is significant? - Answers - She has
vomiting severe and persistent enough to cause weight loss, dehydration and
electrolyte imbalance.
A woman is 39 weeks gestation with severe abdominal pain that remains constant is
being admitted to the labor and delivery unit. She suddenly experiences increased
contraction frequency of every 1 to 2 minutes, has dark red vaginal bleeding and a
tense rigid abdomen. What should the nurse suspect at this time? - Answers - Placenta
abruption
Magnesium sulfate is given to a pregnant client with pre-eclampsia and eclampsia for
which of the following reasons? - Answers - Prevent and treat seizures
1. 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? - Answers - "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? - Answers - Walking
During her annual gynecologic 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? - Answers - Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing
fetus. Within the first trimester what lab tests are normally obtained? (select all that
apply) - Answers - Blood type and Rh factor
Complete blood count (CBC)
HIV
A nurse is caring for a client who has a possible ectopic pregnancy at 8 weeks
gestation. Which of the following manifestations should the nurse expect to identify as
consistent with this diagnosis? - Answers - Unilateral abdominal pain
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of
pregnancy could be which of the following? - Answers - changes in the pattern of fetal
activity
