MATERNAL CHILD NURSING UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● A primipara has delivered a stillborn fetus at 30 weeks gestation. To
asses the parents in the grieving process which intervention is most for
the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
Answer: B. provide a time for the parents to hold their infant in privacy
●● What is the priority nursing assessment immediately following the
birth of an infant with esophageal atresia and a tracheoesophageal (the)
fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
Answer: A. body temperature
,●● What is the most important assessment for the nurse to conduct
following the administration of epidural anesthesia to a client who is at
40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
Answer: D. Maternal blood pressure
●● A 34-week primigravida with pregnancy induced hypertension (PIH)
is receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at
the rate of 3 grams/hour. How many ml/hour should the nurse program
the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
Answer: D. 75
●● A mother of a 3-year-old boy has just given birth to a new baby girl.
The little boy asks the nurse, "Why is my baby sister eating my
mommy's breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
,C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
Answer: A. Explain that newborns get milk from their mothers in this
way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
●● The nurse is examining an infant for possible cryptorchidism. Which
exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
Answer: D. Place the infant in warm room and use a calm approach
●● The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory distress
syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
, D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
Answer: A. Betamethasone (Celestone) 12 mg deep IM
●● A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The home health
nurse notes that the child has developed episodes of sneezing, urticaria,
watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
Answer: C. Change to latex-free gloves when handling infant
●● The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg,
facial and hand swelling, complaints of blurry vision and a severe frontal
headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
Answer: D. Magnesium sulfate
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● A primipara has delivered a stillborn fetus at 30 weeks gestation. To
asses the parents in the grieving process which intervention is most for
the nurse to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
Answer: B. provide a time for the parents to hold their infant in privacy
●● What is the priority nursing assessment immediately following the
birth of an infant with esophageal atresia and a tracheoesophageal (the)
fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
Answer: A. body temperature
,●● What is the most important assessment for the nurse to conduct
following the administration of epidural anesthesia to a client who is at
40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
Answer: D. Maternal blood pressure
●● A 34-week primigravida with pregnancy induced hypertension (PIH)
is receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at
the rate of 3 grams/hour. How many ml/hour should the nurse program
the infusion pump? (Enter numeric value only)
A. 120
B. 70
C. 65
D. 75
Answer: D. 75
●● A mother of a 3-year-old boy has just given birth to a new baby girl.
The little boy asks the nurse, "Why is my baby sister eating my
mommy's breast?" How should the nurse respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
,C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice
Answer: A. Explain that newborns get milk from their mothers in this
way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
●● The nurse is examining an infant for possible cryptorchidism. Which
exam technique should be used?
A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach
Answer: D. Place the infant in warm room and use a calm approach
●● The nurse is planning care for a client at 30-weeks gestation who is
experiencing preterm labor. What maternal prescription is most
important in preventing this fetus from developing respiratory distress
syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
, D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3
Answer: A. Betamethasone (Celestone) 12 mg deep IM
●● A 3-month-old with myelomeningocele and atonic bladder is
catheterized every 4 hours to prevent urinary retention. The home health
nurse notes that the child has developed episodes of sneezing, urticaria,
watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change
Answer: C. Change to latex-free gloves when handling infant
●● The nurse is caring for a female client, a primigravida, with
preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg,
facial and hand swelling, complaints of blurry vision and a severe frontal
headache. Which medication should the nurse anticipate for this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate
Answer: D. Magnesium sulfate
