PNLE II for Community Health Nursing and C
of the Mother and Child
1. May arrives at the health care clinic and tells the nurse that
t hat her la
menstrual period was 9 weeks ago. She also tells the nurse that a ho
pregnancy test was positive but she began to have mild cramps and
now having moderate vaginal bleeding. During the physical
p hysical examina
of the client, the nurse notes that May has a dilated cervix. The nurs
determines that May is experiencing which type of abortion?
A. Inevitable
B. Incomplete
C. Threatened
D. Septic
2. Nurse Reese is reviewing the record of a pregnant client for her fi
prenatal visit. Which of the following data, if noted on the client’s
record, would alert the nurse that the client is at risk for a spontane
abortion?
A. Age 36 years
B. History of syphilis
C. History of genital herpes
D. History of diabetes mellitus
3. Nurse Hazel is preparing to care for a client who is newly admitte
the hospital with a possible diagnosis of ectopic pregnancy. Nurse H
develops a plan of care for the client and determines that which of t
following nursing actions is the priority?
A. Monitoring weight
,4. Nurse Oliver is teaching a diabetic pregnant client about nutrition
insulin needs during pregnancy. The nurse determines that the clien
understands dietary and insulin needs if the client states that the se
half of pregnancy require:
A. Decreased caloric intake
B. Increased caloric intake
C. Decreased Insulin
D. Increase Insulin
5. Nurse Michelle is assessing a 24 year old client with a diagnosis o
hydatidiform mole. She is aware that one of the following is
unassociated with this condition?
A. Excessive fetal activity.
B. Larger than normal uterus for gestational age.
C. Vaginal bleeding
D. Elevated levels of human chorionic gonadotropin.
6. A pregnant client is receiving magnesium sulfate for severe pregn
induced hypertension (PIH). The clinical findings that would warrant
of the antidote , calcium gluconate is:
A. Urinary output 90 cc in 2 hours.
B. Absent patellar reflexes.
C. Rapid respiratory rate above 40/min.
D. Rapid rise in blood pressure.
7. During vaginal examination of Janah who is in labor, the presentin
part is at station plus two. Nurse, correctly interprets it as:
A. Presenting part is 2 cm above the plane of the ischial spines.
B. Biparietal diameter is at the level of the ischial spines.
C. Presenting part in 2 cm below the plane of the ischial spines.
D. Biparietal diameter is 2 cm above the ischial spines.
,A. Contractions every 1 ½ minutes lasting 70-80 seconds.
seconds.
B. Maternal temperature 101.2
C. Early decelerations in the fetal heart rate.
D. Fetal heart rate baseline 140-160 bpm.
9. Calcium gluconate is being administered to a client with pregnanc
induced hypertension (PIH). A nursing action that must be initiated
the plan of care throughout injection of the drug is:
A. Ventilator assistance
B. CVP readings
C. EKG tracings
D. Continuous CPR
10. A trial for vaginal delivery after an earlier caesareans, would like
be given to a gravida, who had:
A. First low transverse cesarean was for active herpes type 2
infections; vaginal culture at 39 weeks pregnancy was positive.
B. First and second caesareans were for cephalopelvic dispropor
C. First caesarean through a classic incision as a result of severe
distress.
D. First low transverse caesarean was for breech position. Fetus
this pregnancy is in a vertex presentation.
11.Nurse Ryan is aware that the best initial approach when trying to
a crying toddler’s temperature is:
A. Talk to the mother first and then to the toddler.
B. Bring extra help so it can be done quickly.
C. Encourage the mother to hold the child.
D. Ignore the crying and screaming.
, B. Place the baby in prone position.
C. Give the baby a pacifier.
D. Place the infant’s arms in soft elbow restraints.
13. Which action should nurse Marian include in the care plan for a
month old with heart failure?
A. Feed the infant when he cries.
B. Allow the infant to rest before feeding.
C. Bathe the infant and administer medications
medications before feeding.
D. Weigh and bathe the infant before feeding.
14.Nurse Hazel is teaching a mother who plans to discontinue breas
feeding after 5 months. The nurse should advise her to include whic
foods in her infant’s diet?
A. Skim milk and baby food.
B. Whole milk and baby food.
C. Iron-rich formula only.
D. Iron-rich formula and baby food.
15.Mommy Linda is playing with her infant, who is sitting securely a
on the floor of the clinic. The mother hides a toy behind her back an
the infant looks for it. The nurse is aware that estimated age of the
infant would be:
A. 6 months
B. 4 months
C. 8 months
D. 10 months
of the Mother and Child
1. May arrives at the health care clinic and tells the nurse that
t hat her la
menstrual period was 9 weeks ago. She also tells the nurse that a ho
pregnancy test was positive but she began to have mild cramps and
now having moderate vaginal bleeding. During the physical
p hysical examina
of the client, the nurse notes that May has a dilated cervix. The nurs
determines that May is experiencing which type of abortion?
A. Inevitable
B. Incomplete
C. Threatened
D. Septic
2. Nurse Reese is reviewing the record of a pregnant client for her fi
prenatal visit. Which of the following data, if noted on the client’s
record, would alert the nurse that the client is at risk for a spontane
abortion?
A. Age 36 years
B. History of syphilis
C. History of genital herpes
D. History of diabetes mellitus
3. Nurse Hazel is preparing to care for a client who is newly admitte
the hospital with a possible diagnosis of ectopic pregnancy. Nurse H
develops a plan of care for the client and determines that which of t
following nursing actions is the priority?
A. Monitoring weight
,4. Nurse Oliver is teaching a diabetic pregnant client about nutrition
insulin needs during pregnancy. The nurse determines that the clien
understands dietary and insulin needs if the client states that the se
half of pregnancy require:
A. Decreased caloric intake
B. Increased caloric intake
C. Decreased Insulin
D. Increase Insulin
5. Nurse Michelle is assessing a 24 year old client with a diagnosis o
hydatidiform mole. She is aware that one of the following is
unassociated with this condition?
A. Excessive fetal activity.
B. Larger than normal uterus for gestational age.
C. Vaginal bleeding
D. Elevated levels of human chorionic gonadotropin.
6. A pregnant client is receiving magnesium sulfate for severe pregn
induced hypertension (PIH). The clinical findings that would warrant
of the antidote , calcium gluconate is:
A. Urinary output 90 cc in 2 hours.
B. Absent patellar reflexes.
C. Rapid respiratory rate above 40/min.
D. Rapid rise in blood pressure.
7. During vaginal examination of Janah who is in labor, the presentin
part is at station plus two. Nurse, correctly interprets it as:
A. Presenting part is 2 cm above the plane of the ischial spines.
B. Biparietal diameter is at the level of the ischial spines.
C. Presenting part in 2 cm below the plane of the ischial spines.
D. Biparietal diameter is 2 cm above the ischial spines.
,A. Contractions every 1 ½ minutes lasting 70-80 seconds.
seconds.
B. Maternal temperature 101.2
C. Early decelerations in the fetal heart rate.
D. Fetal heart rate baseline 140-160 bpm.
9. Calcium gluconate is being administered to a client with pregnanc
induced hypertension (PIH). A nursing action that must be initiated
the plan of care throughout injection of the drug is:
A. Ventilator assistance
B. CVP readings
C. EKG tracings
D. Continuous CPR
10. A trial for vaginal delivery after an earlier caesareans, would like
be given to a gravida, who had:
A. First low transverse cesarean was for active herpes type 2
infections; vaginal culture at 39 weeks pregnancy was positive.
B. First and second caesareans were for cephalopelvic dispropor
C. First caesarean through a classic incision as a result of severe
distress.
D. First low transverse caesarean was for breech position. Fetus
this pregnancy is in a vertex presentation.
11.Nurse Ryan is aware that the best initial approach when trying to
a crying toddler’s temperature is:
A. Talk to the mother first and then to the toddler.
B. Bring extra help so it can be done quickly.
C. Encourage the mother to hold the child.
D. Ignore the crying and screaming.
, B. Place the baby in prone position.
C. Give the baby a pacifier.
D. Place the infant’s arms in soft elbow restraints.
13. Which action should nurse Marian include in the care plan for a
month old with heart failure?
A. Feed the infant when he cries.
B. Allow the infant to rest before feeding.
C. Bathe the infant and administer medications
medications before feeding.
D. Weigh and bathe the infant before feeding.
14.Nurse Hazel is teaching a mother who plans to discontinue breas
feeding after 5 months. The nurse should advise her to include whic
foods in her infant’s diet?
A. Skim milk and baby food.
B. Whole milk and baby food.
C. Iron-rich formula only.
D. Iron-rich formula and baby food.
15.Mommy Linda is playing with her infant, who is sitting securely a
on the floor of the clinic. The mother hides a toy behind her back an
the infant looks for it. The nurse is aware that estimated age of the
infant would be:
A. 6 months
B. 4 months
C. 8 months
D. 10 months
