NUR 2513 MATERNAL CHILD NURSING EXAM 1- WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS| GRADED A+
1. What are current trends in maternal child healthcare?(ANSWER) Families are
not as extended as in previous generations, containing fewer members requiring more
support
The number of single parent households is increasing indicating less financial resources
@#$%^&*()_
90% of families in the U.S. work outside the home and many women are main wage carriers
the family
Families are having children later in life
More mobile families and those without a home Increase
in child and intimate partner violence
Families are more health conscious but utilize websites to monitor and ask health questions
Easy for families to feel lost in healthcare system and need more advocacy Increasing
technology exposure to children
2. What are the Healthy People 2030 goals for maternal health?(ANSWER) Increase
rate of infants who are breastfed until 6 months from 43.5% to 60.6%
Family centered nursing
Respect cultural diversity and individuality
3. What are the 6 QSEN core competencies?(ANSWER) 1. Patient-centered care
2. Informatics and Technology
3. Evidence-based practice
4. Quality improvement
5. Safety
6. Teamwork and collaboration
4. What is the primary goal of maternal child nursing?(ANSWER) promotion and
mainte- nance of optimal family health that extends from preconception to menopause
5. How is fundal height measured?(ANSWER) Measured in cm from symphysis pubis
(top of pubic bone) to the top of the uterus
Use a tape measure for accuracy
6. What is a normal fundal height for each week?(ANSWER) centimeters should match
the weeks gestation +/- 2
during weeks 20-31- should match exactly (Mcdonald's
rule)
7. Where should the fundal height be at 16 weeks gestation?(ANSWER) about
halfway between the pubic bone and umbilicus
8. Where should the fundal height be at 12 weeks gestation?(ANSWER) At the level of
the pubic bone
9. Where should the fundal height be at 20 weeks gestation?(ANSWER) at the umbilicu
,10. Where should the fundal height be at 36 weeks gestation?(ANSWER) at the
xiphoid process
11. What can cause inaccuracies in fundal height measurement?(ANSWER)
obesity history of fibroids
carrying multiples
12. What does a below average fundal measurement indicate?(ANSWER) fetus
failing to thrive (Intrauterine growth restriction)
poor nutrition
anomaly interfering with fetal growth development (oligohydramnios)
13. What does a above average fundal measurement indicate?(ANSWER) multiple
preg- nancy
miscalculated due date
fetal macrosomia (large for gestational age)
polyhydramnios (too much amniotic fluid) gestational
trophoblastic disease (molar pregnancy)
14. What are tocolytics?(ANSWER) meds that produce uterine relaxation and
suppress uterine activity (stop contractions)
15. What medications are tocolytic medications?(ANSWER) MNeumonic(ANSWER)
It's Not My Time Indomethacin (NSAID)
Nifedipine (calcium channel blocker) Magnesium
Sulfate
Terbutaline (adrenergic agent)
16. When do we administer tocolytic medications, for what type of patients?-
(ANSWER) For patients experiencing preterm labor contractions prior to 34 weeks to delay
preterm birth
17. What are absolute contraindications for tocolytics?(ANSWER) severe
preeclampsia severe abruption
severe bleeding
chorioamnionitis
fetal death
fetal anomaly incompatible with life
severe fetal growth restriction
18. What are relative contraindications for tocolytics?(ANSWER) mild chronic
hyperten- sion
mild abruption
stable placenta previa
maternal diseases such as cardia, hyperthyroid or uncontrolled DM fetal
distress
mild fetal growth restriction
, cervix> 5 cm
fetal anomaly
19. What is the most common cause of mortality in adolescents?(ANSWER)
Unintentional injuries such as MVC, due to risk taking and poor judgement
20. What is quickening?(ANSWER) fetal movements felt by the mother
21. When is quickening usually occur?(ANSWER) 16-20 weeks
22. How much does a healthy fetus move?(ANSWER) consistently at about 10x/hour
23. What are contraindications for combination oral birth control?(ANSWER)
Breastfeed- ing and less than 6 weeks PP
Age 35+ and smoking
patients with risk factors such as arterial CVD, older age, smoking, DM, and mod- erate to
severe HTN
current of Hx of DVT or PE
Major surgery requiring prolonged immobilization
current or Hx of ischemic heart disease of CVA
complicated valvular heart disease
migraine with focal neuro symptoms (aura) current
breast cancer
Current DM with nephropathy, retinopathy, neuropathy, vascular disease, or have had it >
20 years
Severe liver cirrhosis or liver tumors
patients taking certain seizure meds (phenobarbital, phenytoin) patients
taking rifabutin for TB
patients prescribed broad spectrum antibiotics (tetracycline)
24. What are contraindications for IUDs?(ANSWER) Distorted uterine
shape uterine anomaly
multiple large fibroids
severe dysmenorrhea or menorrhagia (painful or heavy) anemia
25. What is a diaphragm?(ANSWER) A circular rubber disk placed over the cervix to
serve as a barrier to halt sperm passage
26. What patient teaching should be provided with diaphragms?(ANSWER) Proper
inser- tion= apply spermicide jelly to rim, pinch diaphragm between 2 fingers, insert into
vagina and push as far as it will go
check for proper positioning by feeling that the cervix is covered
to remove= finger hooked under forward rim and pulled down and out
The diaphragm should remain in place for 6 hours after intercourse because sperm can rema
viable in vagina for that time
Do not leave the diaphragm in longer than 6 hours because it can cause inflamma-
VERIFIED ANSWERS| GRADED A+
1. What are current trends in maternal child healthcare?(ANSWER) Families are
not as extended as in previous generations, containing fewer members requiring more
support
The number of single parent households is increasing indicating less financial resources
@#$%^&*()_
90% of families in the U.S. work outside the home and many women are main wage carriers
the family
Families are having children later in life
More mobile families and those without a home Increase
in child and intimate partner violence
Families are more health conscious but utilize websites to monitor and ask health questions
Easy for families to feel lost in healthcare system and need more advocacy Increasing
technology exposure to children
2. What are the Healthy People 2030 goals for maternal health?(ANSWER) Increase
rate of infants who are breastfed until 6 months from 43.5% to 60.6%
Family centered nursing
Respect cultural diversity and individuality
3. What are the 6 QSEN core competencies?(ANSWER) 1. Patient-centered care
2. Informatics and Technology
3. Evidence-based practice
4. Quality improvement
5. Safety
6. Teamwork and collaboration
4. What is the primary goal of maternal child nursing?(ANSWER) promotion and
mainte- nance of optimal family health that extends from preconception to menopause
5. How is fundal height measured?(ANSWER) Measured in cm from symphysis pubis
(top of pubic bone) to the top of the uterus
Use a tape measure for accuracy
6. What is a normal fundal height for each week?(ANSWER) centimeters should match
the weeks gestation +/- 2
during weeks 20-31- should match exactly (Mcdonald's
rule)
7. Where should the fundal height be at 16 weeks gestation?(ANSWER) about
halfway between the pubic bone and umbilicus
8. Where should the fundal height be at 12 weeks gestation?(ANSWER) At the level of
the pubic bone
9. Where should the fundal height be at 20 weeks gestation?(ANSWER) at the umbilicu
,10. Where should the fundal height be at 36 weeks gestation?(ANSWER) at the
xiphoid process
11. What can cause inaccuracies in fundal height measurement?(ANSWER)
obesity history of fibroids
carrying multiples
12. What does a below average fundal measurement indicate?(ANSWER) fetus
failing to thrive (Intrauterine growth restriction)
poor nutrition
anomaly interfering with fetal growth development (oligohydramnios)
13. What does a above average fundal measurement indicate?(ANSWER) multiple
preg- nancy
miscalculated due date
fetal macrosomia (large for gestational age)
polyhydramnios (too much amniotic fluid) gestational
trophoblastic disease (molar pregnancy)
14. What are tocolytics?(ANSWER) meds that produce uterine relaxation and
suppress uterine activity (stop contractions)
15. What medications are tocolytic medications?(ANSWER) MNeumonic(ANSWER)
It's Not My Time Indomethacin (NSAID)
Nifedipine (calcium channel blocker) Magnesium
Sulfate
Terbutaline (adrenergic agent)
16. When do we administer tocolytic medications, for what type of patients?-
(ANSWER) For patients experiencing preterm labor contractions prior to 34 weeks to delay
preterm birth
17. What are absolute contraindications for tocolytics?(ANSWER) severe
preeclampsia severe abruption
severe bleeding
chorioamnionitis
fetal death
fetal anomaly incompatible with life
severe fetal growth restriction
18. What are relative contraindications for tocolytics?(ANSWER) mild chronic
hyperten- sion
mild abruption
stable placenta previa
maternal diseases such as cardia, hyperthyroid or uncontrolled DM fetal
distress
mild fetal growth restriction
, cervix> 5 cm
fetal anomaly
19. What is the most common cause of mortality in adolescents?(ANSWER)
Unintentional injuries such as MVC, due to risk taking and poor judgement
20. What is quickening?(ANSWER) fetal movements felt by the mother
21. When is quickening usually occur?(ANSWER) 16-20 weeks
22. How much does a healthy fetus move?(ANSWER) consistently at about 10x/hour
23. What are contraindications for combination oral birth control?(ANSWER)
Breastfeed- ing and less than 6 weeks PP
Age 35+ and smoking
patients with risk factors such as arterial CVD, older age, smoking, DM, and mod- erate to
severe HTN
current of Hx of DVT or PE
Major surgery requiring prolonged immobilization
current or Hx of ischemic heart disease of CVA
complicated valvular heart disease
migraine with focal neuro symptoms (aura) current
breast cancer
Current DM with nephropathy, retinopathy, neuropathy, vascular disease, or have had it >
20 years
Severe liver cirrhosis or liver tumors
patients taking certain seizure meds (phenobarbital, phenytoin) patients
taking rifabutin for TB
patients prescribed broad spectrum antibiotics (tetracycline)
24. What are contraindications for IUDs?(ANSWER) Distorted uterine
shape uterine anomaly
multiple large fibroids
severe dysmenorrhea or menorrhagia (painful or heavy) anemia
25. What is a diaphragm?(ANSWER) A circular rubber disk placed over the cervix to
serve as a barrier to halt sperm passage
26. What patient teaching should be provided with diaphragms?(ANSWER) Proper
inser- tion= apply spermicide jelly to rim, pinch diaphragm between 2 fingers, insert into
vagina and push as far as it will go
check for proper positioning by feeling that the cervix is covered
to remove= finger hooked under forward rim and pulled down and out
The diaphragm should remain in place for 6 hours after intercourse because sperm can rema
viable in vagina for that time
Do not leave the diaphragm in longer than 6 hours because it can cause inflamma-
