MOTHER BABY EXAM 1 QUESTIONS AND ANSWERS
A woman arrives in the emergency department with abrupt, sharp right-sided lower
quadrant abdominal pain and bright red vaginal spotting. She has missed one menstrual
cycle. She tells the nurse that she cannot be pregnant because she has been using an
intrauterine device. The nurse should suspect that which of the following? - Answers -
ectopic pregnancy
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a
result of folic acid deficiency? - Answers - Neural tube defects
A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the
following medications should the nurse anticipate administering if magnesium sulfate
toxicity is suspected? - Answers - Calcium gluconate
A nurse is caring for a woman who is 32 weeks pregnant. The nurse provides
anticipatory guidance regarding danger signs of pregnancy. What is the most
appropriate information for the nurse to include in the teaching session? - Answers -
Miscarriage/spontaneous abortion
Low birth weight
The nurse knows that management of primary dysmenorrhea often requires a
multifaceted approach. The nurse who provides care for a client with this condition
should be aware that which of the following is the optimal pharmacological therapy for
pain relief of dysmenorrhea? - Answers - Nonsteroidal anti-inflammatory drugs
(NSAIDs)
A nurse is caring for a woman who is 32 weeks pregnant. The nurse provides
anticipatory guidance regarding danger signs of pregnancy. What is the most
appropriate information for the nurse to include in the teaching session? - Answers -
Changes in the pattern of fetal activity.
The nurse is assessing a client in her second trimester at the prenatal clinic. The client
has questions regarding how her baby can breathe in the presence of the amniotic fluid.
What is the best response by the nurse? - Answers - Your baby's lungs are unaffected
by the presence of the amniotic fluid.
The perinatal nurse is providing care to a 25-year-old woman hospitalized with severe
hypertension at 32 weeks' gestation. The nurse is preparing to administer the second
dose of Betamethasone prescribed by the physician. The client asks: "What is this
injection for again?" What would be the nurse's best response? - Answers - "This is to
help your baby's lungs to mature."
, A nurse is assessing a client who desires an effective contraceptive method. Which
assessment finding would contraindicate the use of a hormonal contraceptive by the
client? - Answers - History of deep vein thrombosis
Magnesium sulfate is given to a pregnant client for which of the following reasons?
(Select all that apply.) - Answers - Prevent seizures
Stop/decrease uterine contractions
The provider prescribes the following for Group B strep prophylaxis:
Order: Clindamycin 900 mg IVPB to infuse over 30 minutes
Supply: Clindamycin 900 mg in 100 mL D5W
What would the nurse set the infusion pump at in mL/hr?
(Record answer as a whole number. Do not use a trailing zero.) - Answers - 200
A 29-year-old woman presents to the prenatal clinic for her first prenatal visit. The
woman's obstetrical history is as follows:
In 2010 she delivered a son at 35 weeks gestation
In 2012 her daughter was born at 40 weeks gestation
In 2014 she had a "miscarriage" at 8 weeks gestation
In 2016 she delivered a second son at 38 weeks gestation
What is her GTPAL? - Answers - G4T2P1A0L3
The prenatal clinic nurse is providing information to a primigravida at 15 weeks
gestation. The client asks when she should expect to feel fetal movement. The most
appropriate gestational age that a woman will first experience fetal movement is which
of the following? - Answers - 18-20 weeks
A pregnant client at 30 weeks gestation presents to the labor unit with complaints of
contractions and pressure. What medications can the nurse expect the provider to order
for administration for clients experiencing preterm labor? (Select all that apply.) -
Answers - Magnesium sulfate
Indomethacin
A nurse is completing a health history for a client who is at 6 weeks gestation. The client
informs the nurse that she smokes one pack of cigarettes per day. The nurse should
advise the client that smoking places the client's newborn at risk for what complication?
- Answers - Intrauterine growth restriction
During preconception counseling, the nurse explains the time-period as when the fetus
is most vulnerable to the effects of teratogens occurs is which of the following? -
Answers - 2 to 8 weeks
A woman presents for her first prenatal visit. She states her last menstrual period
started on June 9 and ended on June 14. Using Naegle's rule, what is her estimated
date of delivery? - Answers - March 21
A woman arrives in the emergency department with abrupt, sharp right-sided lower
quadrant abdominal pain and bright red vaginal spotting. She has missed one menstrual
cycle. She tells the nurse that she cannot be pregnant because she has been using an
intrauterine device. The nurse should suspect that which of the following? - Answers -
ectopic pregnancy
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a
result of folic acid deficiency? - Answers - Neural tube defects
A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the
following medications should the nurse anticipate administering if magnesium sulfate
toxicity is suspected? - Answers - Calcium gluconate
A nurse is caring for a woman who is 32 weeks pregnant. The nurse provides
anticipatory guidance regarding danger signs of pregnancy. What is the most
appropriate information for the nurse to include in the teaching session? - Answers -
Miscarriage/spontaneous abortion
Low birth weight
The nurse knows that management of primary dysmenorrhea often requires a
multifaceted approach. The nurse who provides care for a client with this condition
should be aware that which of the following is the optimal pharmacological therapy for
pain relief of dysmenorrhea? - Answers - Nonsteroidal anti-inflammatory drugs
(NSAIDs)
A nurse is caring for a woman who is 32 weeks pregnant. The nurse provides
anticipatory guidance regarding danger signs of pregnancy. What is the most
appropriate information for the nurse to include in the teaching session? - Answers -
Changes in the pattern of fetal activity.
The nurse is assessing a client in her second trimester at the prenatal clinic. The client
has questions regarding how her baby can breathe in the presence of the amniotic fluid.
What is the best response by the nurse? - Answers - Your baby's lungs are unaffected
by the presence of the amniotic fluid.
The perinatal nurse is providing care to a 25-year-old woman hospitalized with severe
hypertension at 32 weeks' gestation. The nurse is preparing to administer the second
dose of Betamethasone prescribed by the physician. The client asks: "What is this
injection for again?" What would be the nurse's best response? - Answers - "This is to
help your baby's lungs to mature."
, A nurse is assessing a client who desires an effective contraceptive method. Which
assessment finding would contraindicate the use of a hormonal contraceptive by the
client? - Answers - History of deep vein thrombosis
Magnesium sulfate is given to a pregnant client for which of the following reasons?
(Select all that apply.) - Answers - Prevent seizures
Stop/decrease uterine contractions
The provider prescribes the following for Group B strep prophylaxis:
Order: Clindamycin 900 mg IVPB to infuse over 30 minutes
Supply: Clindamycin 900 mg in 100 mL D5W
What would the nurse set the infusion pump at in mL/hr?
(Record answer as a whole number. Do not use a trailing zero.) - Answers - 200
A 29-year-old woman presents to the prenatal clinic for her first prenatal visit. The
woman's obstetrical history is as follows:
In 2010 she delivered a son at 35 weeks gestation
In 2012 her daughter was born at 40 weeks gestation
In 2014 she had a "miscarriage" at 8 weeks gestation
In 2016 she delivered a second son at 38 weeks gestation
What is her GTPAL? - Answers - G4T2P1A0L3
The prenatal clinic nurse is providing information to a primigravida at 15 weeks
gestation. The client asks when she should expect to feel fetal movement. The most
appropriate gestational age that a woman will first experience fetal movement is which
of the following? - Answers - 18-20 weeks
A pregnant client at 30 weeks gestation presents to the labor unit with complaints of
contractions and pressure. What medications can the nurse expect the provider to order
for administration for clients experiencing preterm labor? (Select all that apply.) -
Answers - Magnesium sulfate
Indomethacin
A nurse is completing a health history for a client who is at 6 weeks gestation. The client
informs the nurse that she smokes one pack of cigarettes per day. The nurse should
advise the client that smoking places the client's newborn at risk for what complication?
- Answers - Intrauterine growth restriction
During preconception counseling, the nurse explains the time-period as when the fetus
is most vulnerable to the effects of teratogens occurs is which of the following? -
Answers - 2 to 8 weeks
A woman presents for her first prenatal visit. She states her last menstrual period
started on June 9 and ended on June 14. Using Naegle's rule, what is her estimated
date of delivery? - Answers - March 21
