AND 2026-2027 2 LATEST VERSIONS|MATERNITY
OB VERSION 3 ACTUAL EXAM EACH EXAM
CONTAINS 264 QUESTIONS AND CORRECT
ANSWERS|AGRADE
A 3-month-old with myelomeningocele and atonic bladder is catheterized
every 4hrs to prevent
urinary retention. The home health nurse notes that the child has developed
episodes of sneezing, urticarial, watery eyes, and a rash in the diaper area.
What action is most
important for
the nurse to take?
a. Auscultate the lungs for respiratory pneumonia.
b. Change to latex-free gloves when handling infant.
c. Draw blood to analyze forstreptococcal infection.
d. Apply zinc oxide to perineum with each diaper change.
b. Change to latex-free gloves when handling infant.
The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a
child who weighs 22
pounds. The available suspension is labeled, Amoxicillin Suspension
250mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many
mlshould the nurse administer in a
single dose based on the child's weight? (Enter numerical value only. If
rounding is required,
round to the whole number.)
10 ml
,The nurse is caring for a female client, a primigravida with preeclampsia.
Findings include +2
proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry
vision and a sever
frontal headache. Which medication should the nurse anticipate for this client?
a. Clonidine hydrochloride.
b. Carbamazepine
c. Furosemide
d. Magnesium sulfate.
d. Magnesium sulfate.
A client at 35 weeks gestation complains of a "pain whenever the baby moves."
On assessment,
the nurse notes the client'stemperature to be 101.2 F (38.4 C), with severe
abdominal or uterine
tenderness on palpation. The nurse knows that these findings are indicative of
what condition?
a. Round ligamentstrain.
b. Chorioamnionitis.
c. Abruptio placenta.
d. Viral infection.
b. Chorioamnionitis.
,A 4-year-old boy wasrecently diagnosed with Duchenne muscular dystrophy
(DMD).
Which
characteristic of the disease is most important for the nurse to focus on during
the initial teaching?
a. Lower legs become progressively weaker, causing a waddling, unsteady gait.
b. Growth and development have been abnormal since birth.
c. Muscularstrength can be regained with physical exercise and therapy.
d. Respiratory dysfunction and aspiration are prime concerns at this stage of
disease.
a. Lower legs become progressively weaker, causing a waddling, unsteady gait.
A male infant with a 2-day- history of fever and diarrhea is brought to the clinic
by his mother
who tells the nurse that the child refuses to drink anything. The nurse determines
that the child
has a weak cry with no tears. Which prescription is more important to implement?
a. Provide a bottle of electrolyte solution.
b. Infuse normalsaline intravenously.
c. Administer an antipyretic rectally.
d. Apply external cooling blanket.
b. Infuse normalsaline intravenously.
After administering varicella vaccine to a 5-year-old child, which instruction
should the nurse
provide the child's parent?
a. Chewable children's aspirin will help prevent inflammation.
b. Keep the child home from daycare for the next two days.
c. Any level of fever is serious and should be reported right away.
d. Apply a cool pack to the injection site to reduce discomfort.
d. Apply a cool pack to the injection site to reduce discomfort.
, The nurse is planning care for a 4-year-old girl who is diagnosed as having a
developmental
disability. What should be the primary focus of treatment for this child?
a. Teach hersocialskills.
b. Assist in preventing further disability.
c. Ensure her participation in group activities.
d. Help her achieve her maximum potential.
d. Help her achieve her maximum potential.
A 6-month-old child who had a cleft-lip repair has elbow restraints in place.
What nursing
intervention should the nurse plan to implement?
a. Obtain the healthcare provider's advice as to when the restraintsshould be
removed.
b. Remove restraints one at a time to provide range of motion exercises.
c. Record observation of the restraints q2h and ensure that they are in place at all
times.
d. Remove restraints q4h for 30 minutes and place gloves on the child's hands.
b. Remove restraints one at a time to provide range of motion exercises.
A new mother calls the nurse stating that she wants to start feeding her 6-
month-old child
something besides breast milk, but is concerned that the infant is too young to
start eating solid
foods. How should the nurse respond?
a. Advise the mother to wait at least another month before starting any solid
foods.
b. Instruct the mother to offer a few spoons of 2 or 3 pureed fruits at each meal.
c. Reassure the mother that the infant is old enough to eat iron-fortified cereal.
d. Encourage the mother to schedule a developmental assessment of the infant.
c. Reassure the mother that the infant is old enough to eat iron-fortified cereal.