MATERNAL AND CHILD NURSING EXAM QUESTIONS AND ANSWERS .
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Course
RN nursing
Institution
RN Nursing
MATERNAL AND CHILD NURSING EXAM QUESTIONS AND ANSWERS . MATERNAL AND CHILD NURSING EXAM QUESTIONS AND ANSWERS . MATERNAL AND CHILD NURSING EXAM QUESTIONS AND ANSWERS . MATERNAL AND CHILD NURSING EXAM QUESTIONS AND ANSWERS .
MATERNAL AND CHILD
NURSING EXAM
QUESTIONS AND
ANSWERS 2023 2024
,1. 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?
A. Endometritis
B.2 Endometriosis
C. Salpingitis
D. Pelvic thrombophlebitis
RATIONALE: Endometritis is an infection of the uterine lining and can occur after
prolonged rupture of membranes. Symptoms include swelling of the abdomen,
abnormal vaginal bleeding or discharge, fever, discomfort with bowel movement,
and pain in the lower abdomen or pelvic region.
2. A client at 36 weeks gestation is scheduled for a routine ultrasound prior to
amniocentesis. After teaching the client about the purpose of the ultrasound,
which of the following client statements would indicate to the nurse in charge
that the client needs further instruction?
A. The ultrasound will help to locate the placenta.
B. The ultrasound identifies blood flow through the umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid.
RATIONALE: Before amniocentesis, a routine ultrasound is valuable in locating
the placenta, locating a pool of amniotic fluid, and showing the physician where
to insert the needle. Color Doppler imaging ultrasonography identifies blood flow
through the umbilical cord. A routine ultrasound does not accomplish this.
3. While the postpartum client is receiving heparin for thrombophlebitis, which
of the following drugs would the nurse expect to administer if the client
develops complications related to heparin therapy?
, A. Calcium gluconate
B. Protamine sulfate
C. Methylergonovine (Methergine)
D. Nitrofurantoin (Macrodantin)
Protamine sulfate is a heparin antagonist given intravenously to counteract
bleeding complications caused by heparin overdose.
4. When caring for a 3-day-old neonate who is receiving phototherapy to treat
jaundice, the nurse in charge would expect to do which of the following?
A. Turn the neonate every 6 hours
B. Encourage the mother to discontinue breastfeeding.
C. Notify the physician if the skin becomes bronze in color.
D. Check the vital signs every 2 to 4 hours.
RATIONALE: While caring for an infant receiving phototherapy for treatment of
jaundice, vital signs are checked every 2 to 4 hours because hyperthermia can
occur due to the phototherapy lights.
5. A primigravida in active labor is about 9 days post-term. The client desires a
bilateral pudendal block anesthesia before delivery. After the nurse explains
this type of anesthesia to the client, which of the following locations identified
by the client as the area of relief would indicate to the nurse that the teaching
was effective?
A. Back
B. Abdomen
C. Fundus
D. Perineum
, 6. The nurse is caring for a primigravida at about 2 months and 1-week gestation.
After explaining self-care measures for common discomforts of pregnancy, the
nurse determines that the client understands the instructions when she says:
A. “Nausea and vomiting can be decreased if I eat a few crackers before
rising.”
B. “If I start to leak colostrum, I should cleanse my nipples with soap
and water.”
C. “If I have a vaginal discharge, I should wear nylon underwear.”
D. “Leg cramps can be alleviated if I put an ice pack on the area.”
RATIONALE: Eating dry crackers before arising can assist in decreasing the
common discomfort of nausea and vomiting. Avoiding strong food odors and
eating a high-protein snack before bedtime can also help.
7. Forty-eight hours after delivery, the nurse in charge plans discharge teaching
for the client about infant care. By this time, the nurse expects that the phase
of postpartum psychological adaptation that the client would be in would be
termed which of the following?
A. Taking in
B. Letting go
C. Taking hold
D. Resolution
RATIONALE: Beginning after completion of the taking-in phase, the taking-hold
phase lasts about 10 days. During this phase, the client is concerned with her need
to resume control of all facets of her life in a competent manner. At this time, she
is ready to learn self-care and infant care skills.
8. A pregnant client is diagnosed with partial placenta previa. In explaining the
diagnosis, the nurse tells the client that the usual treatment for partial placenta
previa is which of the following?
A. Activity limited to bed rest.
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