MATERNAL CHILD NURSING EXAM
QUESTIONS AND CORRECT
ANSWERS
a 22 year-
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old G2PO presents to the labor and delivery unit at 33 weeks gestation and repor
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ts of pressure and cramping in her lower back as well as decreased fetal movem
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ent. The nurse in labor and delievery triage anticipates orders for which of the foll
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owing test? (SATA)
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1. fetal fibronectin
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2. amnicentesis
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3. UA
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4. nonstress test
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5. CMP - ans--fetal fibronectin
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-UA
-nonstress test ww
a newly married young women tells the nurse she hopes to become pregnant soo
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n. What should the nurse recommend to this client to support the 2020 national h
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ealth goals for pregnancy? (SATA)
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1. smoking cessation
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2. no need to see prenatal provider until fetal movement is noted
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3. take 400 mcg of folic acid daily
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4. reduce work hours
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5. no alcohol intake - ans--smoking cessation
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-take 400 mcg of folic acid daily
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-no alcohol
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a 22-year-
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old G2P0 at 33 weeks gestation is admitted for preterm labor and magnesium sulf
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ate is initiated via IV infusion. Which of the following will the nurse include in her
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
care of this client? (SATA)
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1. ensure that the magnesium is infusing via gravity through the main line IV
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2. ensure that calcium gluconate is at the bedside
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3. assess respirations every hour
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4. continuous monitoring for contractions and fetal heart rate
ww ww ww ww ww ww ww ww
5. assess DTR every hour - ans--ensure that calcium gluconate is at the bedside
ww ww ww ww ww ww ww ww ww ww ww ww ww
-assess respirations every hour
ww ww ww
-continuous monitoring for contractions and fetal heart rate
ww ww ww ww ww ww ww
, -assess DTR every hour ww ww ww
the labor nurse assesses the fetal heart rate pattern below immediately following a
ww ww ww ww ww ww ww ww ww ww ww ww
n epidural procedure. in response to her assessment, which of the following action
ww ww ww ww ww ww ww ww ww ww ww ww
s would be appropriate (SATA)
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1. turn the client to her left side
ww ww ww ww ww ww ww
2. admin oxytocin
ww ww
3. admin oxygen
ww ww
4. admin an IV fluid bolus - ans--turn the client to her left side
ww ww ww ww ww ww ww ww ww ww ww ww ww
-admin oxygen ww
-admin an IV fluid bolus
ww ww ww ww
the nurse has noticed a change in the type of care to support maternal and child
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health issues. which of the following type of changes have occurred un health car
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e for maternal and child health? (SATA)
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1. increased mobility of families
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2. less domestic violence
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3. more employed mothers
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4. stable home environments
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5. more single-parent families - ans--increased mobility of families
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-more employed mothers
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-more single-parent families
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the nurse is planning to instruct a client who is 12 weeks pregnant on intervention
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s to stop smoking. what should the nurse include in these instructions (SATA)
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1. purchase nicotine chewing gum
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2. follow a smoking cessation plan
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3. utilize a support system while attempting to stop smoking
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4. apply a nicotine patch when the cravings become aware
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5. have the client switch to using an vape - ans--follow a smoking cessation plan
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-utilize a support system while attempting to stop smoking
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the nurse understands that which of the following are important functions of amniot
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ic fluid for fetal well-being (SATA)
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1. providing oxygen to the lungs
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2. cushioning of the baby from minor trauma
ww ww ww ww ww ww ww
3. temp control
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4. nutrition for the baby
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5. permits free movement of the baby - ans--
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cushioning of the baby from minor trauma
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- temp control
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-permits free movement of the baby
ww ww ww ww ww
which of the following routine tests would the nurse anticipate the provider to orde
ww ww ww ww ww ww ww ww ww ww ww ww ww
r during the first trimester (SATA)
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1. blood type and Rh factor
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QUESTIONS AND CORRECT
ANSWERS
a 22 year-
ww ww
old G2PO presents to the labor and delivery unit at 33 weeks gestation and repor
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ts of pressure and cramping in her lower back as well as decreased fetal movem
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ent. The nurse in labor and delievery triage anticipates orders for which of the foll
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
owing test? (SATA)
ww ww
1. fetal fibronectin
ww ww
2. amnicentesis
ww
3. UA
ww
4. nonstress test
ww ww
5. CMP - ans--fetal fibronectin
ww ww ww ww
-UA
-nonstress test ww
a newly married young women tells the nurse she hopes to become pregnant soo
ww ww ww ww ww ww ww ww ww ww ww ww ww
n. What should the nurse recommend to this client to support the 2020 national h
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ealth goals for pregnancy? (SATA)
ww ww ww ww
1. smoking cessation
ww ww
2. no need to see prenatal provider until fetal movement is noted
ww ww ww ww ww ww ww ww ww ww ww
3. take 400 mcg of folic acid daily
ww ww ww ww ww ww ww
4. reduce work hours
ww ww ww
5. no alcohol intake - ans--smoking cessation
ww ww ww ww ww ww
-take 400 mcg of folic acid daily
ww ww ww ww ww ww
-no alcohol
ww
a 22-year-
ww
old G2P0 at 33 weeks gestation is admitted for preterm labor and magnesium sulf
ww ww ww ww ww ww ww ww ww ww ww ww ww
ate is initiated via IV infusion. Which of the following will the nurse include in her
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
care of this client? (SATA)
ww ww ww ww
1. ensure that the magnesium is infusing via gravity through the main line IV
ww ww ww ww ww ww ww ww ww ww ww ww ww
2. ensure that calcium gluconate is at the bedside
ww ww ww ww ww ww ww ww
3. assess respirations every hour
ww ww ww ww
4. continuous monitoring for contractions and fetal heart rate
ww ww ww ww ww ww ww ww
5. assess DTR every hour - ans--ensure that calcium gluconate is at the bedside
ww ww ww ww ww ww ww ww ww ww ww ww ww
-assess respirations every hour
ww ww ww
-continuous monitoring for contractions and fetal heart rate
ww ww ww ww ww ww ww
, -assess DTR every hour ww ww ww
the labor nurse assesses the fetal heart rate pattern below immediately following a
ww ww ww ww ww ww ww ww ww ww ww ww
n epidural procedure. in response to her assessment, which of the following action
ww ww ww ww ww ww ww ww ww ww ww ww
s would be appropriate (SATA)
ww ww ww ww
1. turn the client to her left side
ww ww ww ww ww ww ww
2. admin oxytocin
ww ww
3. admin oxygen
ww ww
4. admin an IV fluid bolus - ans--turn the client to her left side
ww ww ww ww ww ww ww ww ww ww ww ww ww
-admin oxygen ww
-admin an IV fluid bolus
ww ww ww ww
the nurse has noticed a change in the type of care to support maternal and child
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
health issues. which of the following type of changes have occurred un health car
ww ww ww ww ww ww ww ww ww ww ww ww ww
e for maternal and child health? (SATA)
ww ww ww ww ww ww
1. increased mobility of families
ww ww ww ww
2. less domestic violence
ww ww ww
3. more employed mothers
ww ww ww
4. stable home environments
ww ww ww
5. more single-parent families - ans--increased mobility of families
ww ww ww ww ww ww ww ww
-more employed mothers
ww ww
-more single-parent families
ww ww
the nurse is planning to instruct a client who is 12 weeks pregnant on intervention
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
s to stop smoking. what should the nurse include in these instructions (SATA)
ww ww ww ww ww ww ww ww ww ww ww ww
1. purchase nicotine chewing gum
ww ww ww ww
2. follow a smoking cessation plan
ww ww ww ww ww
3. utilize a support system while attempting to stop smoking
ww ww ww ww ww ww ww ww ww
4. apply a nicotine patch when the cravings become aware
ww ww ww ww ww ww ww ww ww
5. have the client switch to using an vape - ans--follow a smoking cessation plan
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
-utilize a support system while attempting to stop smoking
ww ww ww ww ww ww ww ww
the nurse understands that which of the following are important functions of amniot
ww ww ww ww ww ww ww ww ww ww ww ww
ic fluid for fetal well-being (SATA)
ww ww ww ww ww
1. providing oxygen to the lungs
ww ww ww ww ww
2. cushioning of the baby from minor trauma
ww ww ww ww ww ww ww
3. temp control
ww ww
4. nutrition for the baby
ww ww ww ww
5. permits free movement of the baby - ans--
ww ww ww ww ww ww ww ww
cushioning of the baby from minor trauma
ww ww ww ww ww ww
- temp control
ww ww
-permits free movement of the baby
ww ww ww ww ww
which of the following routine tests would the nurse anticipate the provider to orde
ww ww ww ww ww ww ww ww ww ww ww ww ww
r during the first trimester (SATA)
ww ww ww ww ww
1. blood type and Rh factor
ww ww ww ww ww
