Zenithstudyhub1
,Zenithstudyhub1
1. A nurse is teaching a client about the purpose of amniocentesis. Which statement by the
client indicates understanding?
A. “It will measure my amniotic fluid volume.”
B. “It helps detect chromosomal abnormalities.”
C. “It determines my due date exactly.”
D. “It prevents preterm labor.”
Ans: B
Rationale: Amniocentesis is used primarily to detect genetic and chromosomal disorders
by sampling amniotic fluid. It does not accurately date pregnancy, measure fluid volume
beyond basic assessment, or prevent preterm labor.
Chapter: 6
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 128, Diagnostic Procedures
Cognitive Level: Understand
2. During labor, a client’s cervical dilation stalls at 4 cm for 3 hours. The nurse recognizes
this as which type of labor dystocia?
A. Arrest of dilation
B. Arrest of descent
C. Protracted active phase
D. Protracted descent
Ans: A
Rationale: Arrest of dilation is defined as no cervical change during the active phase for
,Zenithstudyhub1
two hours or more. Protracted active phase implies slower dilation, while arrest of
descent and protracted descent refer to the fetal station.
Chapter: 13
Client Needs: Safe and Effective Care Environment
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 316, Labor Complications
Cognitive Level: Apply
3. A postpartum client asks why she is experiencing chills immediately after delivery. The
nurse’s best response is:
A. “You may be developing an infection.”
B. “It’s a normal response to fluid shifts.”
C. “Your baby’s cold environment caused it.”
D. “Your blood sugar is probably low.”
Ans: B
Rationale: The postpartum chill is common due to vasomotor changes and fluid shifts and
is not indicative of infection if afebrile.
Chapter: 18
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 472, Postpartum Adaptations
Cognitive Level: Understand
4. A nurse assesses a newborn’s reflexes. Which finding requires intervention?
A. Rooting present at birth
, Zenithstudyhub1
B. Moro reflex at 4 months
C. Palmar grasp at 2 weeks
D. Stepping reflex at birth
Ans: B
Rationale: The Moro reflex should disappear by 3–4 months. Persistence beyond this
may indicate neurological issues. Other reflex timelines are appropriate.
Chapter: 20
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 540, Newborn Assessment
Cognitive Level: Analyze
5. A toddler demonstrates ritualistic behavior during hospitalization. The nurse should:
A. Discourage it to promote flexibility.
B. Provide choices within the ritual.
C. Ignore it as irrelevant to care.
D. Explain that rituals won’t help recovery.
Ans: B
Rationale: Allowing limited choices within rituals supports the toddler’s need for control
and security without disrupting care.
Chapter: 26
Client Needs: Psychosocial Integrity
Title: Canadian Maternity and Pediatric Nursing, 2e
,Zenithstudyhub1
1. A nurse is teaching a client about the purpose of amniocentesis. Which statement by the
client indicates understanding?
A. “It will measure my amniotic fluid volume.”
B. “It helps detect chromosomal abnormalities.”
C. “It determines my due date exactly.”
D. “It prevents preterm labor.”
Ans: B
Rationale: Amniocentesis is used primarily to detect genetic and chromosomal disorders
by sampling amniotic fluid. It does not accurately date pregnancy, measure fluid volume
beyond basic assessment, or prevent preterm labor.
Chapter: 6
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 128, Diagnostic Procedures
Cognitive Level: Understand
2. During labor, a client’s cervical dilation stalls at 4 cm for 3 hours. The nurse recognizes
this as which type of labor dystocia?
A. Arrest of dilation
B. Arrest of descent
C. Protracted active phase
D. Protracted descent
Ans: A
Rationale: Arrest of dilation is defined as no cervical change during the active phase for
,Zenithstudyhub1
two hours or more. Protracted active phase implies slower dilation, while arrest of
descent and protracted descent refer to the fetal station.
Chapter: 13
Client Needs: Safe and Effective Care Environment
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 316, Labor Complications
Cognitive Level: Apply
3. A postpartum client asks why she is experiencing chills immediately after delivery. The
nurse’s best response is:
A. “You may be developing an infection.”
B. “It’s a normal response to fluid shifts.”
C. “Your baby’s cold environment caused it.”
D. “Your blood sugar is probably low.”
Ans: B
Rationale: The postpartum chill is common due to vasomotor changes and fluid shifts and
is not indicative of infection if afebrile.
Chapter: 18
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 472, Postpartum Adaptations
Cognitive Level: Understand
4. A nurse assesses a newborn’s reflexes. Which finding requires intervention?
A. Rooting present at birth
, Zenithstudyhub1
B. Moro reflex at 4 months
C. Palmar grasp at 2 weeks
D. Stepping reflex at birth
Ans: B
Rationale: The Moro reflex should disappear by 3–4 months. Persistence beyond this
may indicate neurological issues. Other reflex timelines are appropriate.
Chapter: 20
Client Needs: Physiological Integrity: Reduction of Risk Potential
Title: Canadian Maternity and Pediatric Nursing, 2e
Page: 540, Newborn Assessment
Cognitive Level: Analyze
5. A toddler demonstrates ritualistic behavior during hospitalization. The nurse should:
A. Discourage it to promote flexibility.
B. Provide choices within the ritual.
C. Ignore it as irrelevant to care.
D. Explain that rituals won’t help recovery.
Ans: B
Rationale: Allowing limited choices within rituals supports the toddler’s need for control
and security without disrupting care.
Chapter: 26
Client Needs: Psychosocial Integrity
Title: Canadian Maternity and Pediatric Nursing, 2e
