NU171 | NU171 Maternal Child Nursing Exam 1 v2 |
Questions with Correct Answers and Expert
Explanation for Each Question | Galen
1. A nurse is assessing a pregnant client in her second trimester. Which of the
following findings should be reported to the provider as a potential complication?
A. Periodic numbness in the fingers
B. Frequent leg cramps at night
C. Increased vaginal discharge (leukorrhea)
D. Swelling of the face and sacral area
Correct Answer: D
Expert Explanation: Facial and sacral edema are potential indicators of gestational
hypertension or preeclampsia. While dependent edema in the ankles is common in
late pregnancy, generalized edema requires further investigation. The nurse should
immediately assess the client’s blood pressure and check for protein in the urine.
2. A client is at 10 weeks of gestation and reports frequent nausea and vomiting.
Which recommendation should the nurse provide?
A. Eat dry crackers or toast before rising from bed
B. Drink a large glass of water with every meal
C. Increase intake of high-fat foods for energy
,D. Skip breakfast and eat a large lunch instead
Correct Answer: A
Expert Explanation: Eating dry carbohydrates like crackers or toast before getting
out of bed helps stabilize blood sugar and absorb gastric acid. The nurse should also
advise the client to eat small, frequent meals throughout the day. Avoiding large
amounts of fluids during meals can also prevent gastric distention and further
nausea.
3. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose
last menstrual period (LMP) began on February 14th?
A. November 21st
B. November 7th
C. December 21st
D. May 21st
Correct Answer: A
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract 3 months
from the first day of the LMP and add 7 days and 1 year. Subtracting 3 months from
February 14th goes back to November 14th. Adding 7 days results in November
21st.
,4. A nurse is teaching a group of prenatal clients about the functions of the placenta.
Which statement by a client indicates an understanding of the teaching?
A. The placenta produces hormones like estrogen and progesterone
B. The placenta cushions my baby from physical trauma
C. The placenta acts as a barrier to all drugs and alcohol
D. The placenta keeps my baby warm during the winter
Correct Answer: A
Expert Explanation: The placenta is a temporary endocrine organ that produces
essential hormones to maintain the pregnancy. It also facilitates gas exchange and
provides nutrients to the fetus while removing waste products. It is important to
note that many drugs and alcohol can cross the placental barrier easily.
5. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Auscultation of fetal heart tones
C. A positive pregnancy test
D. Chadwick’s sign
Correct Answer: B
, Expert Explanation: Positive signs of pregnancy are objective findings that can
only be attributed to the presence of a fetus. These include fetal heart sounds,
visualization of the fetus by ultrasound, and fetal movement palpated by an
examiner. Signs like amenorrhea are subjective (presumptive), and pregnancy tests
are objective but not definitive (probable).
6. A nurse is assessing a newborn and notes a bluish-black pigmented area on the
sacrum. How should the nurse document this?
A. Child abuse bruises
B. Erythema toxicum
C. Congenital dermal melanocytosis (Mongolian spots)
D. Telangiectatic nevi
Correct Answer: C
Expert Explanation: Mongolian spots are flat, bluish-gray patches commonly found
on the lower back or buttocks of newborns with darker skin tones. They are benign
and typically fade by school age. It is important to document these carefully so they
are not mistaken for bruises in the future.
7. A client is in the first stage of labor and is in the transition phase. Which of the
following behaviors should the nurse expect?
A. Excitement and talkativeness
Questions with Correct Answers and Expert
Explanation for Each Question | Galen
1. A nurse is assessing a pregnant client in her second trimester. Which of the
following findings should be reported to the provider as a potential complication?
A. Periodic numbness in the fingers
B. Frequent leg cramps at night
C. Increased vaginal discharge (leukorrhea)
D. Swelling of the face and sacral area
Correct Answer: D
Expert Explanation: Facial and sacral edema are potential indicators of gestational
hypertension or preeclampsia. While dependent edema in the ankles is common in
late pregnancy, generalized edema requires further investigation. The nurse should
immediately assess the client’s blood pressure and check for protein in the urine.
2. A client is at 10 weeks of gestation and reports frequent nausea and vomiting.
Which recommendation should the nurse provide?
A. Eat dry crackers or toast before rising from bed
B. Drink a large glass of water with every meal
C. Increase intake of high-fat foods for energy
,D. Skip breakfast and eat a large lunch instead
Correct Answer: A
Expert Explanation: Eating dry carbohydrates like crackers or toast before getting
out of bed helps stabilize blood sugar and absorb gastric acid. The nurse should also
advise the client to eat small, frequent meals throughout the day. Avoiding large
amounts of fluids during meals can also prevent gastric distention and further
nausea.
3. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose
last menstrual period (LMP) began on February 14th?
A. November 21st
B. November 7th
C. December 21st
D. May 21st
Correct Answer: A
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract 3 months
from the first day of the LMP and add 7 days and 1 year. Subtracting 3 months from
February 14th goes back to November 14th. Adding 7 days results in November
21st.
,4. A nurse is teaching a group of prenatal clients about the functions of the placenta.
Which statement by a client indicates an understanding of the teaching?
A. The placenta produces hormones like estrogen and progesterone
B. The placenta cushions my baby from physical trauma
C. The placenta acts as a barrier to all drugs and alcohol
D. The placenta keeps my baby warm during the winter
Correct Answer: A
Expert Explanation: The placenta is a temporary endocrine organ that produces
essential hormones to maintain the pregnancy. It also facilitates gas exchange and
provides nutrients to the fetus while removing waste products. It is important to
note that many drugs and alcohol can cross the placental barrier easily.
5. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Auscultation of fetal heart tones
C. A positive pregnancy test
D. Chadwick’s sign
Correct Answer: B
, Expert Explanation: Positive signs of pregnancy are objective findings that can
only be attributed to the presence of a fetus. These include fetal heart sounds,
visualization of the fetus by ultrasound, and fetal movement palpated by an
examiner. Signs like amenorrhea are subjective (presumptive), and pregnancy tests
are objective but not definitive (probable).
6. A nurse is assessing a newborn and notes a bluish-black pigmented area on the
sacrum. How should the nurse document this?
A. Child abuse bruises
B. Erythema toxicum
C. Congenital dermal melanocytosis (Mongolian spots)
D. Telangiectatic nevi
Correct Answer: C
Expert Explanation: Mongolian spots are flat, bluish-gray patches commonly found
on the lower back or buttocks of newborns with darker skin tones. They are benign
and typically fade by school age. It is important to document these carefully so they
are not mistaken for bruises in the future.
7. A client is in the first stage of labor and is in the transition phase. Which of the
following behaviors should the nurse expect?
A. Excitement and talkativeness
