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Maternal Child Health Nursing (NUR 2633) With Complete Updated Solutions

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Maternal Child Health Nursing (NUR 2633) With Complete Updated Solutions

Institution
Maternal Child
Course
Maternal Child











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Institution
Maternal Child
Course
Maternal Child

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Uploaded on
January 28, 2025
Number of pages
38
Written in
2024/2025
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Maternal Child Health Nursing
(NUR 2633) With Complete Updated
Solutions

Maternal Child ATI

Chapter 1: Contraception

1. A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the
following client statements demonstrates understanding?

A. “A water-soluble lubricant should be used with condoms.”

B. “A diaphragm should be removed 2 hours after intercourse.”

C. “Oral contraceptives can worsen a case of acne.”

D. “A contraceptive patch is replaced once a month.”



2. A nurse is instructing a client who is taking an oral contraceptive about manifestations to report
to the provider. Which of the following manifestations should the nurse include?

A. Reduced menstrual flow

B. Breast tenderness

C. Shortness of breath

D. Increased appetite



3. A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which
of the following statements by the client indicates an understanding of the teaching?

A. “An IUD should be replaced annually during a pelvic exam.”

B. “I cannot get an IUD until after I’ve had a child.”

C. “I should plan on regaining fertility 5 months after the IUD is removed.”D. “I will check to be

sure the strings of the IUD are still present after my periods.”

,4. A nurse is teaching a client about potential adverse effects of implantable progestins. Which of
the following adverse effects should the nurse include? (Select all that apply.)

A. Tinnitus

B. Irregular vaginal bleeding

C. Weight gain

D. Nausea

E. Gingival hyperplasia

5. A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone. Which
of thefollowing information should the nurse include in the teaching? (Select all that apply.)

A. “Weight fluctuations can occur.”

B. “You are protected against STIs.”

C. “You should increase your intake of calcium.”

D. “You should avoid taking antibiotics.”

E. “Irregular vaginal spotting can occur.”



Chapter 2: Infertility

1. A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility.
Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?

A. A client whose sister has alopecia

B. A client whose partner has von Willebrand disease

C. A client who has an allergy to sulfa

D. A client who had rubella 3 months ago



2. A nurse is caring for a couple who is being evaluated for infertility. Which of the following
statements by the nurse indicates understanding of the infertility assessment process?

A. “You will need to see a genetic counselor as part of the assessment.”

B. “It is usually the female who is having trouble, so the male doesn’t have to be involved.”

C. “The male is the easiest to assess, and the provider will usually begin there.”D. “Think about

, adopting first because there are many babies that need good homes.”



3. A nurse in an infertility clinic is providing care to clients who have been unable to conceive for
18 months. Which of the following data should the nurse assess? (Select all that apply.)

A. Occupation

B. Menstrual history

C. Childhood infectious diseases

D. History of falls

E. Recent blood transfusions

4. A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to an
ectopic pregnancy. Which of the following statements by the client requires clarification?

A. “It is good to know that I won’t have a tubal pregnancy in the future.”

B. “The doctor said that this surgery can affect my ability to get pregnant again.”

C. “I understand that one of my fallopian tubes had to be removed.”

D. “Ovulation can still occur because my ovaries were not affected.”



5. A nurse is reviewing the medical record of a client who is to undergo hysterosalpingography.
Which of the following data alert the nurse that the client is at risk for a complication related to
this procedure?

VITAL SIGNS: Temperature 36.1° C (97° F)/Heart rate 60/min/

HISTORY AND PHYSICAL: Employed as a radiology technician Allergy to shrimp Tonsillectomy at age 18

LABORATORY FINDINGS/ Glucose 103 mg/dL Hgb 13.1 g/dL Total cholesterol 265 mg/dL

MEDICATIONS: Rosuvastatin, Magnesium oxide, Mafenide acetate

A. Vital signs

B. History and physical

C. Laboratory findings

D. Medications

, Chapter 3: Expected Physiological Changes During Pregnancy

1. A nurse is caring for a client who is pregnant and states

that their last menstrual period was April 1st. Which of the

following is the client’s estimated date of delivery?

A. January 8

B. January 15

C. February 8

D. February 15

2. A nurse in a prenatal clinic is caring for a client

who is in the first trimester of pregnancy.

The client’s health record includes this data: G3

T1 P0 A1 L1. How should the nurse interpret

this information? (Select all that apply.) A.

Client has delivered one newborn at term.

B. Client has experienced no preterm labor.

C. Client has been through active labor.

D. Client has had two prior pregnancies.

E. Client has one living child.

3. A nurse is reviewing the health record of a client who is

pregnant. The provider indicated the client exhibits

probable signs of pregnancy. Which of the following

findings should the nurse expect? (Select all that apply.)

A. Montgomery’s glands

B. Goodell’s sign

C. Ballottement

D. Chadwick’s sign

E. Quickening

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