NUR 4467C Care for Women, Children &
Families
Comprehensive Final Exam (Qns & Ans)
2025
Multiple Choice (MCQ)
1. A postpartum client presents with a temperature of 38.5°C,
tachycardia, and purulent lochia three days after delivery. Which
is the most likely diagnosis?
A. Uterine atony
B. Endometritis
C. Mastitis
D. Urinary tract infection
ANS: B. Endometritis
©2025
,Rationale: The clinical signs indicate uterine infection
(endometritis), commonly presenting with fever, tachycardia, and
foul-smelling lochia postpartum.
2. A 36-week pregnant woman with chronic hypertension is
experiencing severe headache and visual disturbances. What is the
primary nursing intervention?
A. Initiate magnesium sulfate
B. Encourage ambulation
C. Discontinue antihypertensive medications
D. Increase oral fluid intake
ANS: A. Initiate magnesium sulfate
Rationale: These symptoms suggest severe preeclampsia.
Magnesium sulfate is the anticonvulsant of choice to prevent
seizures.
3. In the care of a neonate with hypoglycemia, which assessment
finding warrants immediate intervention?
A. Jitteriness
B. Apnea
C. Tachypnea
D. Grimacing
©2025
,ANS: B. Apnea
Rationale: Apnea is a sign of severe hypoglycemia and can be
life-threatening, requiring prompt intervention.
4. Which statement best describes trauma-informed care for
pediatric clients with a history of abuse?
A. Focusing mainly on physical injuries
B. Minimizing discussions about the trauma
C. Ensuring a safe, predictable environment
D. Ignoring behavioral issues
ANS: C. Ensuring a safe, predictable environment
Rationale: Trauma-informed care emphasizes safety,
empowerment, and avoidance of triggers.
5. A client with sickle cell disease is admitted in vaso-occlusive
crisis. Which medication is most important to include in the care
plan?
A. Digoxin
B. Morphine
C. Acetaminophen
©2025
, D. Labetalol
ANS: B. Morphine
Rationale: Opioids such as morphine effectively manage the
intense pain experienced during crisis.
6. Which finding indicates a positive Chadwick’s sign in early
pregnancy?
A. Softening of the cervix
B. Bluish discoloration of the vaginal mucosa
C. Fetal heart sounds
D. Palpable fetal movement
ANS: B. Bluish discoloration of the vaginal mucosa
Rationale: Chadwick’s sign refers to the bluish color due to
increased vascularity.
7. A 4-year-old is brought with a barking cough and inspiratory
stridor. What should the nurse do first?
A. Start an IV
B. Prepare for intubation
C. Position in high Fowler’s and provide humidified air
©2025
Families
Comprehensive Final Exam (Qns & Ans)
2025
Multiple Choice (MCQ)
1. A postpartum client presents with a temperature of 38.5°C,
tachycardia, and purulent lochia three days after delivery. Which
is the most likely diagnosis?
A. Uterine atony
B. Endometritis
C. Mastitis
D. Urinary tract infection
ANS: B. Endometritis
©2025
,Rationale: The clinical signs indicate uterine infection
(endometritis), commonly presenting with fever, tachycardia, and
foul-smelling lochia postpartum.
2. A 36-week pregnant woman with chronic hypertension is
experiencing severe headache and visual disturbances. What is the
primary nursing intervention?
A. Initiate magnesium sulfate
B. Encourage ambulation
C. Discontinue antihypertensive medications
D. Increase oral fluid intake
ANS: A. Initiate magnesium sulfate
Rationale: These symptoms suggest severe preeclampsia.
Magnesium sulfate is the anticonvulsant of choice to prevent
seizures.
3. In the care of a neonate with hypoglycemia, which assessment
finding warrants immediate intervention?
A. Jitteriness
B. Apnea
C. Tachypnea
D. Grimacing
©2025
,ANS: B. Apnea
Rationale: Apnea is a sign of severe hypoglycemia and can be
life-threatening, requiring prompt intervention.
4. Which statement best describes trauma-informed care for
pediatric clients with a history of abuse?
A. Focusing mainly on physical injuries
B. Minimizing discussions about the trauma
C. Ensuring a safe, predictable environment
D. Ignoring behavioral issues
ANS: C. Ensuring a safe, predictable environment
Rationale: Trauma-informed care emphasizes safety,
empowerment, and avoidance of triggers.
5. A client with sickle cell disease is admitted in vaso-occlusive
crisis. Which medication is most important to include in the care
plan?
A. Digoxin
B. Morphine
C. Acetaminophen
©2025
, D. Labetalol
ANS: B. Morphine
Rationale: Opioids such as morphine effectively manage the
intense pain experienced during crisis.
6. Which finding indicates a positive Chadwick’s sign in early
pregnancy?
A. Softening of the cervix
B. Bluish discoloration of the vaginal mucosa
C. Fetal heart sounds
D. Palpable fetal movement
ANS: B. Bluish discoloration of the vaginal mucosa
Rationale: Chadwick’s sign refers to the bluish color due to
increased vascularity.
7. A 4-year-old is brought with a barking cough and inspiratory
stridor. What should the nurse do first?
A. Start an IV
B. Prepare for intubation
C. Position in high Fowler’s and provide humidified air
©2025
