Maternal
Child
Exam
1
1.
A
nurse
is
caring
for
a
client
who
is
prescribed
Rho
immune
globulin
standard
dose
IM
(Rhogam).
The
nurse
should
understand
the
action
of
this
medication
as
which
of
the
following?
Rhogam
prevents
the
formation
of
Rh
antibodies
in
mothers
who
are
Rh
negative
1.
Fetal
movement
that
is
noted
by
the
mother
is
a
very
important
assessment
factor
to
determine
fetal
well-
being.
If
the
nurse
is
to
ask
the
client
if
she
has
"felt
her
baby
move",
when
is
the
best
time
for
a
primigravid
client
to
note
the
first
fetal
activity?
18
-
20
weeks.
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1.
The
nurse
is
palpating
the
uterus
of
a
client
who
is
20
weeks
pregnant
to
measure
fundal
height.
Identify
where
the
nurse
will
find
the
uterine
fundus?
At
or
near
the
umbilicus
1.
A
woman
asks
the
nurse:
"What
protects
my
baby's
umbilical
cord
from
being
pinched
while
the
baby's
inside".
The
nurse's
best
response
is?
"Your
baby's
umbilical
cord
is
surrounded
by
connective
tissue
called
Wharton's
Jelly ,
which
prevents
compression
of
the
blood
vessels
and
ensures
continued
nourishment
and
oxygen
to
your
baby ."
1.
A
20
year
-old
client
calls
the
clinic
to
report
that
she
has
found
a
lump
in
her
breast.
The
nurse's
best
response
to
her
is
which
of
the
following?
"Many
women
have
benign
lumps
and
bumps
in
their
breasts.
However
to
make
sure
that
it
is
benign,
you
should
come
in
for
an
examination
by
your
physician"
Activity
is
an
important
component
of
prenatal
teaching.
Activity
that
is
considered
safe
for
a
client
that
states
she
does
not
participate
in
any
activity
or
exercise
program
at
this
time
would
be?
Walking
During
her
annual
gynecologic
check
up
a
17
year-old
woman
states
that
recently
she
has
been
experiencing
cramping
and
pain
during
her
menstrual
periods.
The
nurse
would
document
this
complaint
as?
Dysmenorrhea
Prenatal
testing
is
done
to
identify
health
issues
that
may
interfere
with
the
developing
fetus.
Within
the
first
trimester
what
lab
tests
are
normally
obtained?
(select
all
that
apply)
Blood
type
and
Rh
factor
Complete
blood
count
(CBC)
HIV The
normal
parameter
of
Fetal
heart
tones
is
110
-
160
and
can
be
heard
by
a
doppler
as
early
as?
10-12
weeks
gestation
A
common
discomfort
of
pregnancy
can
be
managed
by
changing
nutritional
intake
and
some
OTC
medications.
In
reviewing
information
with
the
patient
after
her
first
prenatal
visit
the
nurse
is
confident
that
this
woman
understand
the
management
of
constipation
when
she
makes
which
of
the
following
statements?
"In
addition
to
increasing
my
dietary
fiber ,
I
can
use
fiber
supplements,
drink
more
water
and
increase
my
activity
if
I
have
no
restrictions"
At
32
weeks
of
pregnancy
a
woman
experiences
preterm
labor .
Although
tocolytics
are
administered
and
she
is
placed
on
bed
rest,
she
continues
to
experience
regular
contractions
and
her
cervix
is
beginning
to
dilate
and
efface.
What
additional
medication
should
be
considered
to
assist
the
development
of
the
fetus?
Betamethasone
A
30
week
gestational
age
pregnant
client
presents
to
the
labor
suite
with
complaints
of
contractions
and
pressure.
What
medications
can
the
nurse
expect
the
provider
to
order
for
administration?
(select
all
that
apply)
Magnesium
sulfate
Terbutaline
(Brethine)
Betamethasone
Hormonal
shifts
in
pregnancy
and
the
physiological
changes
that
occur
affect
every
body
system.
As
the
nurse,
which
of
the
following
symptoms
or
presentation
would
you
consider
abnormal?
Headaches
occurring
in
the
third
trimester
A
women
with
the
diagnosis
of
hyperemesis
gravidarum
requires
hospitalization.
In
addition
to
her
need
to
be
hospitalized
what
else
is
significant?
She
has
vomiting
severe
and
persistent
enough
to
cause
weight
loss,
dehydration
and
electrolyte
imbalance.
A
woman
is
39
weeks
gestation
with
severe
abdominal
pain
that
remains
constant
is
being
admitted
to
the
labor
and
delivery
unit.
She
suddenly
experiences
increased
contraction
frequency
of
every
1
to
2
minutes,
has
dark
red
vaginal
bleeding
and
a
tense
rigid
abdomen.
What
should
the
nurse
suspect
at
this
time?
Placenta
abruption
Magnesium
sulfate
is
given
to
a
pregnant
client
with
pre-eclampsia
and
eclampsia
for
which
of
the
following
reasons?
Prevent
and
treat
seizures
A
nurse
is
caring
for
a
client
who
has
a
possible
ectopic
pregnancy
at
8
weeks
gestation.
Which
of
the
following
manifestations
should
the
nurse
expect
to
identify
as
consistent
with
this
diagnosis?
Unilateral
abdominal
pain
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