CHILDBEARING UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔A client gives birth to a healthy girl. Her husband expresses delight but appears
anxious and tends to avoid physical contact with his newborn. Later he says to the
nurse, "My wife seems so wrapped up in the baby—I hope she has time for me." How
should the nurse respond? - ✔✔"You feel that you'll have to fend for yourself. Tell me
more about your concerns."
✔✔A nurse is assessing a postpartum client for signs of hemorrhage by evaluating the
degree of perineal pad saturation. What other parameter can the nurse use to estimate
blood loss in a postpartum client? - ✔✔Time elapsed between pad changes
✔✔A mother is concerned that her newborn will be exposed to communicable diseases
when she goes home. While teaching the mother ways to decrease the risk of infection,
what type of immunity should the nurse explain was transferred to her baby through the
placenta? - ✔✔Passive natural
✔✔A client who is visiting the prenatal clinic for the first time has a serology test for
toxoplasmosis. What information about the client's activities in the history indicates to
the nurse that there is a need for this test? - ✔✔The client takes care of a cat.
✔✔The plan of care for a client with osteoporosis includes active and passive exercises,
calcium supplements, and daily vitamins. How does a nurse determine that the desired
effect of therapy has been achieved? - ✔✔Mobility increases.
✔✔A nurse is counseling a pregnant client with iron-deficiency anemia about when and
how to take supplemental iron. What time of day and with what drink is iron absorption
most efficient? - ✔✔Before breakfast with orange juice
✔✔A pregnant client tells the nurse that her husband is a chain smoker. What
information should the nurse's teaching include? - ✔✔Continued exposure to
secondhand smoke is related to fetal growth restriction.
✔✔A couple at the prenatal clinic for a first visit tells the nurse that their 2-year-old child
has just been found to have cystic fibrosis. They state there is no family history of this
disorder. They ask the nurse about the chances of their having another child with cystic
fibrosis. Knowing that this disorder has an autosomal recessive mode of inheritance,
how should the nurse respond? - ✔✔"There is a 25% chance the baby will be affected
and a 50% chance that the baby will be a carrier.
✔✔A nurse is teaching breast care to a client who is breastfeeding. Which statement by
the client indicates that the teaching has been effective? - ✔✔"I should air-dry my
nipples after each feeding."
, ✔✔A nurse is caring for a client who is being given intravenous magnesium sulfate to
treat preeclampsia. Which adverse side effect alerts the nurse to notify the health care
provider? - ✔✔Urine output of less than 100 mL in 4 hours
✔✔A 39-year-old woman who is Rh negative is seen by her primary health care
provider during the first trimester of pregnancy. At which week of gestation should the
nurse explain to the client that Rho(D) immune globulin (RhoGAM) will be
administered? - ✔✔28 weeks
✔✔Cancer of the breast is diagnosed in a 37-year-old woman. She decides on a
modified radical mastectomy followed by a combination therapy protocol that includes
DOXOrubicin (Adriamycin). What toxic effect is most important for the nurse to monitor
and report? - ✔✔Cardiac dysrhythmias
✔✔A nurse is teaching a class of premenopausal women how to perform breast self-
examination correctly. What is the best time of the month for breast self-examination? -
✔✔About a week after menses ends
✔✔An older female client tells the nurse in the clinic that she has a cystocele that was
diagnosed a year ago. She has urinary frequency and burning on urination. The client
asks, "The doctor wanted me to have surgery for the cystocele last year, but I can
manage with peripads. It won't hurt not to have surgery, will it?" How should the nurse
respond? - ✔✔"Yes, you're risking kidney damage."
✔✔A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do
first when repetitive late decelerations of the fetal heart rate are observed? -
✔✔Discontinue the oxytocin infusion.
✔✔A nurse is obtaining a health history from a client with newly diagnosed cervical
cancer. What aspect of the client's life is most important for the nurse to explore at this
time? - ✔✔Support system
✔✔Immediately after a client has completed the third stage of labor, the nurse adds the
prescribed 10 units of oxytocin (Pitocin) to the IV. What is the desired response to this
medication? - ✔✔Prevention of the occurrence of profuse bleeding after placental
separation
✔✔A client who has syphilis tells the nurse that it must have been contracted from a
toilet seat. The nurse knows that this cannot be true because the causative agent of
syphilis is: - ✔✔Inactivated when exposed to a dry environment
AND ANSWERS GUARANTEE A+
✔✔A client gives birth to a healthy girl. Her husband expresses delight but appears
anxious and tends to avoid physical contact with his newborn. Later he says to the
nurse, "My wife seems so wrapped up in the baby—I hope she has time for me." How
should the nurse respond? - ✔✔"You feel that you'll have to fend for yourself. Tell me
more about your concerns."
✔✔A nurse is assessing a postpartum client for signs of hemorrhage by evaluating the
degree of perineal pad saturation. What other parameter can the nurse use to estimate
blood loss in a postpartum client? - ✔✔Time elapsed between pad changes
✔✔A mother is concerned that her newborn will be exposed to communicable diseases
when she goes home. While teaching the mother ways to decrease the risk of infection,
what type of immunity should the nurse explain was transferred to her baby through the
placenta? - ✔✔Passive natural
✔✔A client who is visiting the prenatal clinic for the first time has a serology test for
toxoplasmosis. What information about the client's activities in the history indicates to
the nurse that there is a need for this test? - ✔✔The client takes care of a cat.
✔✔The plan of care for a client with osteoporosis includes active and passive exercises,
calcium supplements, and daily vitamins. How does a nurse determine that the desired
effect of therapy has been achieved? - ✔✔Mobility increases.
✔✔A nurse is counseling a pregnant client with iron-deficiency anemia about when and
how to take supplemental iron. What time of day and with what drink is iron absorption
most efficient? - ✔✔Before breakfast with orange juice
✔✔A pregnant client tells the nurse that her husband is a chain smoker. What
information should the nurse's teaching include? - ✔✔Continued exposure to
secondhand smoke is related to fetal growth restriction.
✔✔A couple at the prenatal clinic for a first visit tells the nurse that their 2-year-old child
has just been found to have cystic fibrosis. They state there is no family history of this
disorder. They ask the nurse about the chances of their having another child with cystic
fibrosis. Knowing that this disorder has an autosomal recessive mode of inheritance,
how should the nurse respond? - ✔✔"There is a 25% chance the baby will be affected
and a 50% chance that the baby will be a carrier.
✔✔A nurse is teaching breast care to a client who is breastfeeding. Which statement by
the client indicates that the teaching has been effective? - ✔✔"I should air-dry my
nipples after each feeding."
, ✔✔A nurse is caring for a client who is being given intravenous magnesium sulfate to
treat preeclampsia. Which adverse side effect alerts the nurse to notify the health care
provider? - ✔✔Urine output of less than 100 mL in 4 hours
✔✔A 39-year-old woman who is Rh negative is seen by her primary health care
provider during the first trimester of pregnancy. At which week of gestation should the
nurse explain to the client that Rho(D) immune globulin (RhoGAM) will be
administered? - ✔✔28 weeks
✔✔Cancer of the breast is diagnosed in a 37-year-old woman. She decides on a
modified radical mastectomy followed by a combination therapy protocol that includes
DOXOrubicin (Adriamycin). What toxic effect is most important for the nurse to monitor
and report? - ✔✔Cardiac dysrhythmias
✔✔A nurse is teaching a class of premenopausal women how to perform breast self-
examination correctly. What is the best time of the month for breast self-examination? -
✔✔About a week after menses ends
✔✔An older female client tells the nurse in the clinic that she has a cystocele that was
diagnosed a year ago. She has urinary frequency and burning on urination. The client
asks, "The doctor wanted me to have surgery for the cystocele last year, but I can
manage with peripads. It won't hurt not to have surgery, will it?" How should the nurse
respond? - ✔✔"Yes, you're risking kidney damage."
✔✔A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do
first when repetitive late decelerations of the fetal heart rate are observed? -
✔✔Discontinue the oxytocin infusion.
✔✔A nurse is obtaining a health history from a client with newly diagnosed cervical
cancer. What aspect of the client's life is most important for the nurse to explore at this
time? - ✔✔Support system
✔✔Immediately after a client has completed the third stage of labor, the nurse adds the
prescribed 10 units of oxytocin (Pitocin) to the IV. What is the desired response to this
medication? - ✔✔Prevention of the occurrence of profuse bleeding after placental
separation
✔✔A client who has syphilis tells the nurse that it must have been contracted from a
toilet seat. The nurse knows that this cannot be true because the causative agent of
syphilis is: - ✔✔Inactivated when exposed to a dry environment
