CJE MATERNITY EVALUATION TEST QUESTIONS
AND ANSWERS SURE A+
✔✔Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having the desired
effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema - ✔✔D. Reduction of edema
✔✔The nurse is conducting postpartum teaching with a mother who is breastfeeding
here infant. When discussing birth control, which method should the nurse recommend
to this client as beneficial for her to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. - ✔✔B. Condoms and
contraceptive foam or gel
✔✔One day after a vaginal delivery of a full-term baby, a postpartum client's white blood
cell count is 15,000/mm2. What action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma. - ✔✔A. Check he
differential, since the WBC is normal for this client.
✔✔The parents of a newborn tell the nurse that their baby is already trying to walk. How
should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
,D. Explain the newborn's normal stepping reflex. - ✔✔D. Explain the newborn's normal
stepping reflex.
✔✔A breastfeeding infant, screened for congenital hypothyroidism, is found to have low
levels of thyroxine (t4) and high levels of thyroid stimulating hormone (TSH)/ What is the
best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for several weeks after
birth
D. The TSH is high because of the low production of T4 by the thyroid. - ✔✔D. The TSH
is high because of the low production of T4 by the thyroid.
✔✔The nurse is assessing a 2-hour-old infant born by cesarean delivery at 39-weeks
gestation. Which assessment finding should receive the highest priority when planning
this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl - ✔✔C. Respiratory rate 76 breaths/min
✔✔At 20-weeks gestation, a client who has gained 20 pounds during this pregnancy
tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm,
and the clients only complaint is that her breasts are leaking clear fluid. Which
assessment finding warrants further evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts - ✔✔B. Gestational weight gain
✔✔The nurse is planning discharge teaching for a client who had an evacuation of
gestational
trophoblastic disease (GTD) two days ago. Which information is most important for the
nurse to
include in this client's teaching plan? - ✔✔Oral contraceptive use for at least one year.
✔✔A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1%. What food should the nurse encourage this client to include
in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese - ✔✔B. Chicken
, ✔✔The newborn nursery admission protocol includes a prescption for phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
provides 2 mg/ml. How
many ml should the nurse administer? - ✔✔0.3
✔✔The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant.
Which information
should the nurse provide the client about this finding? - ✔✔Both the lower uterine
segment and the fundus must be massaged.
✔✔The nurse is preparing to administer methylergonovine maleate (Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign - ✔✔C. Blood pressure 149/90
✔✔At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When
is the best time
to administer a rubella vaccine to this client? - ✔✔Early postpartum, within 72 hours of
delivery.
✔✔A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased?
A. Pain level
B. Blood pressure
C. Infusion site
D. Contraction pattern - ✔✔D. Contraction pattern.
✔✔A client delivers a viable infant , but begins to have excessive uncontrolled vaginal ..
notifying the healthcare provider of the clients condition ,What information is most
important
A. Maternal blood pressure
B. Maternal apical pulse
C. Time pitocin infusion completed
D. Total amount of pitocin infused - ✔✔A. Maternal blood pressure.
✔✔A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when
supporting the parents of a child with this anomaly?
AND ANSWERS SURE A+
✔✔Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having the desired
effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema - ✔✔D. Reduction of edema
✔✔The nurse is conducting postpartum teaching with a mother who is breastfeeding
here infant. When discussing birth control, which method should the nurse recommend
to this client as beneficial for her to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives. - ✔✔B. Condoms and
contraceptive foam or gel
✔✔One day after a vaginal delivery of a full-term baby, a postpartum client's white blood
cell count is 15,000/mm2. What action should the nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of infection
D. Assess the clients perineal area for signs of a perineal hematoma. - ✔✔A. Check he
differential, since the WBC is normal for this client.
✔✔The parents of a newborn tell the nurse that their baby is already trying to walk. How
should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
,D. Explain the newborn's normal stepping reflex. - ✔✔D. Explain the newborn's normal
stepping reflex.
✔✔A breastfeeding infant, screened for congenital hypothyroidism, is found to have low
levels of thyroxine (t4) and high levels of thyroid stimulating hormone (TSH)/ What is the
best explanation for this finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for several weeks after
birth
D. The TSH is high because of the low production of T4 by the thyroid. - ✔✔D. The TSH
is high because of the low production of T4 by the thyroid.
✔✔The nurse is assessing a 2-hour-old infant born by cesarean delivery at 39-weeks
gestation. Which assessment finding should receive the highest priority when planning
this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl - ✔✔C. Respiratory rate 76 breaths/min
✔✔At 20-weeks gestation, a client who has gained 20 pounds during this pregnancy
tells the nurse that she is feeling fetal movement. Fundal height measurement is 20 cm,
and the clients only complaint is that her breasts are leaking clear fluid. Which
assessment finding warrants further evaluation?
A. Presence of fetal movements.
B. Gestational weight gain
C. Fundal height measurement
D. Leakage from breasts - ✔✔B. Gestational weight gain
✔✔The nurse is planning discharge teaching for a client who had an evacuation of
gestational
trophoblastic disease (GTD) two days ago. Which information is most important for the
nurse to
include in this client's teaching plan? - ✔✔Oral contraceptive use for at least one year.
✔✔A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1%. What food should the nurse encourage this client to include
in her diet?
A. Carrots
B. Chicken
C. Yogurt
D. Cheese - ✔✔B. Chicken
, ✔✔The newborn nursery admission protocol includes a prescption for phytonadione
(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule
provides 2 mg/ml. How
many ml should the nurse administer? - ✔✔0.3
✔✔The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client
whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant.
Which information
should the nurse provide the client about this finding? - ✔✔Both the lower uterine
segment and the fundus must be massaged.
✔✔The nurse is preparing to administer methylergonovine maleate (Methergine)
to a postpartum client. Based on what assessment finding should the nurse
withhold the drug?
A. Respiratory rate of 22 breaths/min
B. A large amount of lochia rubra
C. Blood pressure 149/90
D. Positive Homan's sign - ✔✔C. Blood pressure 149/90
✔✔At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When
is the best time
to administer a rubella vaccine to this client? - ✔✔Early postpartum, within 72 hours of
delivery.
✔✔A client receiving oxytocin (Pitocin) to augment early labor. Which
assessment is most important for the nurse to obtain each time the infusion rate
is increased?
A. Pain level
B. Blood pressure
C. Infusion site
D. Contraction pattern - ✔✔D. Contraction pattern.
✔✔A client delivers a viable infant , but begins to have excessive uncontrolled vaginal ..
notifying the healthcare provider of the clients condition ,What information is most
important
A. Maternal blood pressure
B. Maternal apical pulse
C. Time pitocin infusion completed
D. Total amount of pitocin infused - ✔✔A. Maternal blood pressure.
✔✔A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous
genitalia. What is the primary nursing consideration when
supporting the parents of a child with this anomaly?
