Maternal Child Exam 1 with 50 complete
solutions graded A+.
Maternal Child Exam 1 with 50 complete
solutions graded A+.
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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER "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."
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? - ANSWER "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? - ANSWER
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? - ANSWER Dysmenorrhea
, Maternal Child Exam 1 with 50 complete
solutions graded A+.
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) - ANSWER Blood type and Rh
factor
Complete blood count (CBC)
HIV
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as? -
ANSWER 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? - ANSWER "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? - ANSWER 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) - ANSWER 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? - ANSWER
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? - ANSWER She has vomiting severe and persistent enough to
cause weight loss, dehydration and electrolyte imbalance.
solutions graded A+.
Maternal Child Exam 1 with 50 complete
solutions graded A+.
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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER "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."
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? - ANSWER "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? - ANSWER
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? - ANSWER Dysmenorrhea
, Maternal Child Exam 1 with 50 complete
solutions graded A+.
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) - ANSWER Blood type and Rh
factor
Complete blood count (CBC)
HIV
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as? -
ANSWER 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? - ANSWER "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? - ANSWER 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) - ANSWER 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? - ANSWER
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? - ANSWER She has vomiting severe and persistent enough to
cause weight loss, dehydration and electrolyte imbalance.
