NUR 2633/NUR2633 Exam 1 V3 | Maternal
Child Health Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is assessing a client who is at 12 weeks of gestation and reports frequent nausea.
Which of the following instructions should the nurse provide?
A. Eat a high-fat snack before bedtime.
B. Drink 240 mL of water with every meal.
C. Consume dry crackers before getting out of bed in the morning.
D. Brush teeth immediately after eating to reduce the aftertaste.
Correct Answer: C
Rationale: Consuming dry crackers or toast 30 to 60 minutes before rising can help
alleviate morning sickness by absorbing gastric acid. Fluids should be consumed between
meals rather than with meals to prevent overdistension of the stomach. This intervention is
a standard nursing recommendation for managing first-trimester gastrointestinal
discomforts.
2. A nurse is reviewing the medical record of a client who is pregnant and has a prescription
for an alpha-fetoprotein (AFP) screening. The nurse should explain that this test is used to
screen for which of the following?
A. Neural tube defects
,B. Fetal lung maturity
C. Gestational diabetes
D. Group B streptococcus
Correct Answer: A
Rationale: The alpha-fetoprotein screening is typically performed between 15 and 22
weeks of gestation to detect potential neural tube defects like spina bifida. High levels of
AFP in the maternal serum are associated with open neural tube defects, while low levels
can indicate Down syndrome. This test serves as a screening tool that requires further
diagnostic follow-up if results are abnormal.
3. A client at 32 weeks of gestation is admitted with a diagnosis of preeclampsia. Which of the
following findings should the nurse identify as a priority to report to the provider?
A. 1+ dependent edema in the lower extremities
B. Urinary output of 20 mL/hr
C. Deep tendon reflexes of 2+
D. Report of a mild headache relieved by rest
Correct Answer: B
Rationale: A urinary output of less than 30 mL/hr indicates decreased renal perfusion and
is a sign of worsening preeclampsia or impending renal failure. While edema is common in
pregnancy, oliguria is a critical indicator of systemic involvement in hypertensive
, disorders. The nurse must monitor intake and output strictly to prevent fluid overload and
assess for magnesium toxicity if the client is being treated.
4. A nurse is calculating the estimated date of delivery (EDD) for a client using Naegele’s rule.
The client’s last menstrual period (LMP) began on November 27. What is the EDD?
A. August 20
B. September 6
C. September 3
D. August 27
Correct Answer: C
Rationale: According to Naegele’s rule, the EDD is calculated by subtracting 3 months from
the first day of the LMP and adding 7 days and 1 year. Subtracting 3 months from
November results in August, and adding 7 days to the 27th results in September 3. This
calculation assumes a standard 28-day menstrual cycle for accuracy.
5. A nurse is teaching a client who is at 10 weeks of gestation about nutrition. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will take 400 to 800 mcg of folic acid every day.
B. I should double my calorie intake now that I am eating for two.
C. I should limit my protein intake to 40 grams per day.
D. I will stop taking my prenatal vitamins if they make me constipated.
Child Health Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is assessing a client who is at 12 weeks of gestation and reports frequent nausea.
Which of the following instructions should the nurse provide?
A. Eat a high-fat snack before bedtime.
B. Drink 240 mL of water with every meal.
C. Consume dry crackers before getting out of bed in the morning.
D. Brush teeth immediately after eating to reduce the aftertaste.
Correct Answer: C
Rationale: Consuming dry crackers or toast 30 to 60 minutes before rising can help
alleviate morning sickness by absorbing gastric acid. Fluids should be consumed between
meals rather than with meals to prevent overdistension of the stomach. This intervention is
a standard nursing recommendation for managing first-trimester gastrointestinal
discomforts.
2. A nurse is reviewing the medical record of a client who is pregnant and has a prescription
for an alpha-fetoprotein (AFP) screening. The nurse should explain that this test is used to
screen for which of the following?
A. Neural tube defects
,B. Fetal lung maturity
C. Gestational diabetes
D. Group B streptococcus
Correct Answer: A
Rationale: The alpha-fetoprotein screening is typically performed between 15 and 22
weeks of gestation to detect potential neural tube defects like spina bifida. High levels of
AFP in the maternal serum are associated with open neural tube defects, while low levels
can indicate Down syndrome. This test serves as a screening tool that requires further
diagnostic follow-up if results are abnormal.
3. A client at 32 weeks of gestation is admitted with a diagnosis of preeclampsia. Which of the
following findings should the nurse identify as a priority to report to the provider?
A. 1+ dependent edema in the lower extremities
B. Urinary output of 20 mL/hr
C. Deep tendon reflexes of 2+
D. Report of a mild headache relieved by rest
Correct Answer: B
Rationale: A urinary output of less than 30 mL/hr indicates decreased renal perfusion and
is a sign of worsening preeclampsia or impending renal failure. While edema is common in
pregnancy, oliguria is a critical indicator of systemic involvement in hypertensive
, disorders. The nurse must monitor intake and output strictly to prevent fluid overload and
assess for magnesium toxicity if the client is being treated.
4. A nurse is calculating the estimated date of delivery (EDD) for a client using Naegele’s rule.
The client’s last menstrual period (LMP) began on November 27. What is the EDD?
A. August 20
B. September 6
C. September 3
D. August 27
Correct Answer: C
Rationale: According to Naegele’s rule, the EDD is calculated by subtracting 3 months from
the first day of the LMP and adding 7 days and 1 year. Subtracting 3 months from
November results in August, and adding 7 days to the 27th results in September 3. This
calculation assumes a standard 28-day menstrual cycle for accuracy.
5. A nurse is teaching a client who is at 10 weeks of gestation about nutrition. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will take 400 to 800 mcg of folic acid every day.
B. I should double my calorie intake now that I am eating for two.
C. I should limit my protein intake to 40 grams per day.
D. I will stop taking my prenatal vitamins if they make me constipated.
