Maternal and Child Health Nursing
Practice Quiz (3,1,2,4,5, Exam Questions
and Answers
Which behaviors would be exhibited during the letting-go phase of maternal role
adaptation. Select all that apply. - ANSWER-Emergence of family unit
Sexual intimacy relationship continuing
Defining one's individual roles
While making a visit to the home of a postpartum woman 1 week after birth, the nurse
should recognize that the woman would characteristically: - ANSWER-Vacillate between
the desire to have her own nurturing needs met and the need to take charge of her own
care and that of her newborn.
Which of the following is the most common kind of placental adherence seen in
pregnant women? - ANSWER-Accreta
A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which
diagnostic tool is appropriate to suggest to her at this time? - ANSWER-Transvaginal
ultrasound
A nurse providing care for the antepartum woman should understand that the
contraction stress test (CST): - ANSWER-Is considered to have a negative result if no
late decelerations are observed with the contractions.
In the past, factors to determine whether a woman was likely to have a high-risk
pregnancy were evaluated primarily from a medical point of view. A broader, more
comprehensive approach to high-risk pregnancy has been adopted. There are now four
categories based on threats to the health of the woman and the outcome of pregnancy.
Which of the options listed here is not included as a category? - ANSWER-Geographic
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement
indicates her correct understanding of the test? - ANSWER-"This test observes for fetal
activity and an acceleration of the fetal heart rate to determine the well-being of the
baby."
,What is an appropriate indicator for performing a contraction stress test? - ANSWER-
Maternal diabetes mellitus and postmaturity
The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman
has smoked throughout the pregnancy, and fundal height measurements now are
suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal
size, what would be another tool useful in confirming the diagnosis? - ANSWER-
Doppler blood flow analysis
A nurse is providing instruction for an obstetrical patient to perform a daily fetal
movement count (DFMC). Which instructions could be included in the plan of care?
Select all that apply. - ANSWER--The patient can monitor fetal activity once daily for a
60-minute period and note activity.
-Monitor fetal activity two times a day either after meals or before bed for a period of 2
hours or until 10 fetal movements are noted.
-Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.
A patient has undergone an amniocentesis for evaluation of fetal well-being. Which
intervention would be included in the nurse's plan of care after the procedure? Select all
that apply. - ANSWER-Observe the patient for possible uterine contractions.
Administer RhoGAM to the patient if she is Rh negative.
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction
(IUGR), nurses should be aware that: - ANSWER-Infants with asymmetric IUGR have
the potential for normal growth and development.
A client who delivered by cesarean section 24 hours ago is using a patient-controlled
analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since
surgery. She is now complaining of nausea and bloating, and states that because she
had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis
has the highest priority? - ANSWER-Impaired bowel motility related to pain medication
and immobility
The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need for administering antibiotic ointment into the eyes of the newborn.
, An expectant father asks, "What type of disease causes infections in babies that can be
prevented by using this ointment?" Which response by the nurse is accurate? -
ANSWER-Gonorrhea
A new mother is having trouble breastfeeding her newborn. The child is making frantic
rooting motions and will not grasp the nipple. Which intervention should the nurse
implement? - ANSWER-Encourage the mother to stop feeding for a few minutes and
comfort the infant.
The nurse is counseling a couple who has sought information about conceiving. The
couple asks the nurse to explain when ovulation usually occurs. Which statement by the
nurse is correct? - ANSWER-Two weeks before menstruation
The nurse instructs a laboring client to use accelerated blow breathing. The client
begins to complain of tingling fingers and dizziness. Which action should the nurse
take? - ANSWER-Have the client breathe into her cupped hands.
When assessing a client at 12 weeks of gestation, the nurse recommends that she and
her husband consider attending childbirth preparation classes. When is the best time for
the couple to attend these classes? - ANSWER-At 30 weeks of gestation
One hour following a normal vaginal delivery, a newborn infant boy's axillary
temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro
reflex, the boy's hands shake. Which intervention should the nurse implement first? -
ANSWER-Obtain a serum glucose level
Which statement made by the client indicates that the mother understands the
limitations of breastfeeding her newborn? - ANSWER-"Breastfeeding my infant
consistently every 3 to 4 hours stops ovulation and my period.
A postpartum patient was in labor for 30 hours and had ruptured membranes for 24
hours. For which of the following would the nurse be alert? - ANSWER-Endometritis
A client at 36 weeks gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound, which of
the following client statements would indicate to the nurse in charge that the client
Practice Quiz (3,1,2,4,5, Exam Questions
and Answers
Which behaviors would be exhibited during the letting-go phase of maternal role
adaptation. Select all that apply. - ANSWER-Emergence of family unit
Sexual intimacy relationship continuing
Defining one's individual roles
While making a visit to the home of a postpartum woman 1 week after birth, the nurse
should recognize that the woman would characteristically: - ANSWER-Vacillate between
the desire to have her own nurturing needs met and the need to take charge of her own
care and that of her newborn.
Which of the following is the most common kind of placental adherence seen in
pregnant women? - ANSWER-Accreta
A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which
diagnostic tool is appropriate to suggest to her at this time? - ANSWER-Transvaginal
ultrasound
A nurse providing care for the antepartum woman should understand that the
contraction stress test (CST): - ANSWER-Is considered to have a negative result if no
late decelerations are observed with the contractions.
In the past, factors to determine whether a woman was likely to have a high-risk
pregnancy were evaluated primarily from a medical point of view. A broader, more
comprehensive approach to high-risk pregnancy has been adopted. There are now four
categories based on threats to the health of the woman and the outcome of pregnancy.
Which of the options listed here is not included as a category? - ANSWER-Geographic
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement
indicates her correct understanding of the test? - ANSWER-"This test observes for fetal
activity and an acceleration of the fetal heart rate to determine the well-being of the
baby."
,What is an appropriate indicator for performing a contraction stress test? - ANSWER-
Maternal diabetes mellitus and postmaturity
The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman
has smoked throughout the pregnancy, and fundal height measurements now are
suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal
size, what would be another tool useful in confirming the diagnosis? - ANSWER-
Doppler blood flow analysis
A nurse is providing instruction for an obstetrical patient to perform a daily fetal
movement count (DFMC). Which instructions could be included in the plan of care?
Select all that apply. - ANSWER--The patient can monitor fetal activity once daily for a
60-minute period and note activity.
-Monitor fetal activity two times a day either after meals or before bed for a period of 2
hours or until 10 fetal movements are noted.
-Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.
A patient has undergone an amniocentesis for evaluation of fetal well-being. Which
intervention would be included in the nurse's plan of care after the procedure? Select all
that apply. - ANSWER-Observe the patient for possible uterine contractions.
Administer RhoGAM to the patient if she is Rh negative.
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction
(IUGR), nurses should be aware that: - ANSWER-Infants with asymmetric IUGR have
the potential for normal growth and development.
A client who delivered by cesarean section 24 hours ago is using a patient-controlled
analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since
surgery. She is now complaining of nausea and bloating, and states that because she
had nothing to eat, she is too weak to breastfeed her infant. Which nursing diagnosis
has the highest priority? - ANSWER-Impaired bowel motility related to pain medication
and immobility
The nurse is teaching care of the newborn to a childbirth preparation class and
describes the need for administering antibiotic ointment into the eyes of the newborn.
, An expectant father asks, "What type of disease causes infections in babies that can be
prevented by using this ointment?" Which response by the nurse is accurate? -
ANSWER-Gonorrhea
A new mother is having trouble breastfeeding her newborn. The child is making frantic
rooting motions and will not grasp the nipple. Which intervention should the nurse
implement? - ANSWER-Encourage the mother to stop feeding for a few minutes and
comfort the infant.
The nurse is counseling a couple who has sought information about conceiving. The
couple asks the nurse to explain when ovulation usually occurs. Which statement by the
nurse is correct? - ANSWER-Two weeks before menstruation
The nurse instructs a laboring client to use accelerated blow breathing. The client
begins to complain of tingling fingers and dizziness. Which action should the nurse
take? - ANSWER-Have the client breathe into her cupped hands.
When assessing a client at 12 weeks of gestation, the nurse recommends that she and
her husband consider attending childbirth preparation classes. When is the best time for
the couple to attend these classes? - ANSWER-At 30 weeks of gestation
One hour following a normal vaginal delivery, a newborn infant boy's axillary
temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro
reflex, the boy's hands shake. Which intervention should the nurse implement first? -
ANSWER-Obtain a serum glucose level
Which statement made by the client indicates that the mother understands the
limitations of breastfeeding her newborn? - ANSWER-"Breastfeeding my infant
consistently every 3 to 4 hours stops ovulation and my period.
A postpartum patient was in labor for 30 hours and had ruptured membranes for 24
hours. For which of the following would the nurse be alert? - ANSWER-Endometritis
A client at 36 weeks gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound, which of
the following client statements would indicate to the nurse in charge that the client
