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MATERNAL AND CHILD NURSING

MATERNAL AND CHILD NURSING

1. A pregnant client reports to a health care clinic complaining loss of appetite, weight loss, and
fatigue. Following the assessment of the client, tuberculosis is suspected. A sputum culture is
obtained and identifies Mycobacterium tuberculosis. The nurse provides instructions to the client
regarding therapeutic management of the tuberculosis and the nurse tells the client that
A. Therapeutic abortion is required
B. She will have to stay at home until treatment is completed
C. Medication will not be started until after delivery of fetus
D. Isoniazid plus rifampin will be required
2. A pregnant client tells a nurse that she has been craving unusual foods. The nurse gathers
additional data and discovers that the client has been ingesting daily amounts of white clay dirt
from her backyard. Laboratory studies are performed on the client. The nurse reviews the
laboratory results and determines that which of the following indicates a physiological
consequence of this clients practice
A. Hematocrit 38%
B. Glucose 86 mg/dl
C. Hemoglobin 9.1 g/dl
D. WBC 8,000/mm3
3. In Leopolds maneuver step #1, you palpated a soft broad mass that moves with the rest of the
mass. The correct interpretation of this finding is
A. The mass palpated at the fundal part is the head part.
B. The presentation is breech.
C. The mass palpated is the back
D. The mass palpated is the buttocks.
4. Which of the following is a positive sign of pregnancy?
A. Fetal movement felt by mother
B. Enlargement of the uterus
C. (+) pregnancy test
D. (+) ultrasound
5. What event occurring in the second trimester helps the expectant mother to accept the
pregnancy?
A. Lightening
B. Ballotment
C. Pseudocyesis
D. Quickening
6. Which of the following signs will require a mother to seek immediate medical attention?
A. When the first fetal movement is felt
B. No fetal movement is felt on the 6th month
C. Mild uterine contraction
D. Slight dyspnea on the last month of gestation
7. A home care nurse visits a pregnant client who has a diagnosis of mild pre-eclampsia and is
being monitored for gestational hypertension. Which assessment finding indicates a worsening
of the pre-eclampsia and the need to notify the physician
Prepared by: Archie D. Alviz, R.N., R.M. | manofsteel_archie@yahoo.com| facebook fan page: Sir

Archie D. Alviz

MATERNAL AND CHILD NURSING

A. Urinary output has increased

B. Dependent edema has resolved
C. Blood pressure reading is at the pre-natal baseline
D. The clients complains of headache and blurred vision
8. The preferred manner of delivering the baby in a gravido-cardiac is vaginal delivery assisted by
forceps under epidural anesthesia. The main rationale for this is
A. To allow atraumatic delivery of the baby
B. To allow a gradual shifting of the blood into the maternal circulation
C. To make the delivery effort free and the mother does not need to push with contractions
D. To prevent perineal laceration with the expulsion of the fetal head
9. To monitor the frequency of the uterine contraction during labor, the right technique is to time
the contraction
A. From the beginning of one contraction to the end of the same contraction
B. From the beginning of one contraction to the beginning of the next contraction
C. From the end of one contraction to the beginning of the next contraction
D. From the deceleration of one contraction to the acme of the next contraction
10. When the bag of waters ruptures spontaneously, the nurse should inspect the vaginal introitus
for possible cord prolapse. If there is part of the cord that has prolapsed into the vaginal
opening, the correct nursing intervention is:
A. Push back the prolapse cord into the vaginal canal
B. Place the mother on semifowlers position to improve circulation
C. Cover the prolapse cord with sterile gauze wet with sterile NSS and place the woman on
trendellenberg position
D. Push back the cord into the vagina and place the woman on Sims position

Prepared by: Archie D. Alviz, R.N., R.M. | manofsteel_archie@yahoo.com| facebook fan page: Sir

Archie D. Alviz