NURS 2513 MATERNAL CHILD NURSING
EXAM PREP QUESTIONS WITH THE
BEST SOLUTIONS STUDY GUIDE
a 22 year-old G2PO presents to the labor and delivery unit at 33 weeks gestation and
reports of pressure and cramping in her lower back as well as decreased fetal
movement. The nurse in labor and delievery triage anticipates orders for which of the
following test? (SATA)
1. fetal fibronectin
2. amnicentesis
3. UA
4. nonstress test
5. CMP - -fetal fibronectin
-UA
-nonstress test
a newly married young women tells the nurse she hopes to become pregnant soon.
What should the nurse recommend to this client to support the 2020 national health
goals for pregnancy? (SATA)
1. smoking cessation
2. no need to see prenatal provider until fetal movement is noted
3. take 400 mcg of folic acid daily
4. reduce work hours
5. no alcohol intake - -smoking cessation
-take 400 mcg of folic acid daily
-no alcohol
a 22-year-old G2P0 at 33 weeks gestation is admitted for preterm labor and magnesium
sulfate is initiated via IV infusion. Which of the following will the nurse include in her
care of this client? (SATA)
1. ensure that the magnesium is infusing via gravity through the main line IV
2. ensure that calcium gluconate is at the bedside
3. assess respirations every hour
4. continuous monitoring for contractions and fetal heart rate
5. assess DTR every hour - -ensure that calcium gluconate is at the bedside
-assess respirations every hour
-continuous monitoring for contractions and fetal heart rate
-assess DTR every hour
, the labor nurse assesses the fetal heart rate pattern below immediately following an
epidural procedure. in response to her assessment, which of the following actions would
be appropriate (SATA)
1. turn the client to her left side
2. admin oxytocin
3. admin oxygen
4. admin an IV fluid bolus - -turn the client to her left side
-admin oxygen
-admin an IV fluid bolus
the nurse has noticed a change in the type of care to support maternal and child health
issues. which of the following type of changes have occurred un health care for
maternal and child health? (SATA)
1. increased mobility of families
2. less domestic violence
3. more employed mothers
4. stable home environments
5. more single-parent families - -increased mobility of families
-more employed mothers
-more single-parent families
the nurse is planning to instruct a client who is 12 weeks pregnant on interventions to
stop smoking. what should the nurse include in these instructions (SATA)
1. purchase nicotine chewing gum
2. follow a smoking cessation plan
3. utilize a support system while attempting to stop smoking
4. apply a nicotine patch when the cravings become aware
5. have the client switch to using an vape - -follow a smoking cessation plan
-utilize a support system while attempting to stop smoking
the nurse understands that which of the following are important functions of amniotic
fluid for fetal well-being (SATA)
1. providing oxygen to the lungs
2. cushioning of the baby from minor trauma
3. temp control
4. nutrition for the baby
5. permits free movement of the baby - -cushioning of the baby from minor trauma
- temp control
-permits free movement of the baby
which of the following routine tests would the nurse anticipate the provider to order
during the first trimester (SATA)
1. blood type and Rh factor
2. group b strep vaginal culture
3. amniocentesis
4. CBC
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