NUR 335 CHAPTER 2 QUESTIONS
AND ANSWRS WITH COMPLETE
SOLUTIONS ALREADY PASSED!!!
Question 1
A pregnant client at 6 weeks of gestation who is of Northern European descent
undergoes routine prenatal genetic screening and is identified as a carrier for the
autosomal recessive disorder, cystic fibrosis. After disclosing this finding, what is
the immediate next clinical action the nurse should recommend?
✔✔ Obtain a blood sample from the biological father to determine his cystic
fibrosis carrier status.
Clinical Rationale: Cystic fibrosis is an autosomal recessive condition, meaning
an offspring must inherit two mutated genes (one from each parent) to manifest the
disease. Because the maternal carrier status is confirmed, the biological father must
be tested next. If he is also a carrier, the fetus has a 25% (1 in 4) chance of
inheriting the disease, prompting a referral for advanced genetic counseling and
potential prenatal diagnostic testing (like chorionic villus sampling or
amniocentesis).
Question 2
A routine rectovaginal screening culture at 35 to 37 weeks of gestation reveals that
a pregnant client is colonized with Group B Streptococcus (GBS). The client asks
the clinic nurse how this bacterial colonization will be managed to protect her
baby. What is the correct, evidence-based nursing response?
✔✔ "You do not need treatment right now, but you will be given intravenous
(IV) antibiotics continuously once your active labor begins or your
membranes rupture."
Clinical Rationale: Treating GBS colonization with oral antibiotics during
pregnancy is ineffective because the bacteria routinely re-colonize the vaginal
tract. To effectively prevent vertical transmission (passing the bacteria to the
newborn during delivery, which can cause neonatal sepsis, pneumonia, or
meningitis), intrapartum antibiotic prophylaxis (typically IV Penicillin G or
Ampicillin) must be administered while the mother is in active labor.
, Question 3
During a prenatal visit, a client complains of experiencing irregular, tightening
abdominal sensations. The nurse identifies these as Braxton Hicks contractions.
Which non-pharmacological comfort strategy should the nurse recommend to help
alleviate this specific discomfort?
✔✔ Drink two large glasses of water to fully rehydrate and rest.
Clinical Rationale: Braxton Hicks contractions are frequently triggered or
exacerbated by maternal dehydration. When a client is inadequately hydrated, a
relative decrease in blood volume causes the uterus to become hyper-irritable,
triggering intermittent tightening. Consuming oral fluids and resting frequently
resolves this false labor pattern by restoring uterine perfusion.
Question 4
A client presents to the labor and delivery triage area complaining of abdominal
tightening occurring at highly irregular intervals ranging anywhere from 4 to 25
minutes apart. The provider evaluates the client and diagnoses Braxton Hicks
contractions. When educating the client about the physiological purpose of these
contractions, which statement by the nurse is most accurate?
✔✔ "These are normal 'practice' contractions that help increase blood flow to
the placenta and assist in gradually softening and ripening your cervix for
labor."
Clinical Rationale: Unlike true labor contractions, Braxton Hicks contractions are
irregular, do not increase predictably in intensity or frequency, and do not cause
progressive cervical effacement or dilation. However, they are not completely
without purpose; they help tone the uterine muscle, enhance intervillous placental
blood flow, and aid in early cervical "ripening" (the softening of collagen fibers)
prior to the onset of true labor.
Question 5
A postpartum nurse is providing bedside education to a new mother regarding
newborn feeding patterns. Which of the following behavior patterns should the
nurse instruct the mother to recognize as early, reliable indicators of infant feeding
readiness? (Select all that apply.)
✔✔ Signs include:
AND ANSWRS WITH COMPLETE
SOLUTIONS ALREADY PASSED!!!
Question 1
A pregnant client at 6 weeks of gestation who is of Northern European descent
undergoes routine prenatal genetic screening and is identified as a carrier for the
autosomal recessive disorder, cystic fibrosis. After disclosing this finding, what is
the immediate next clinical action the nurse should recommend?
✔✔ Obtain a blood sample from the biological father to determine his cystic
fibrosis carrier status.
Clinical Rationale: Cystic fibrosis is an autosomal recessive condition, meaning
an offspring must inherit two mutated genes (one from each parent) to manifest the
disease. Because the maternal carrier status is confirmed, the biological father must
be tested next. If he is also a carrier, the fetus has a 25% (1 in 4) chance of
inheriting the disease, prompting a referral for advanced genetic counseling and
potential prenatal diagnostic testing (like chorionic villus sampling or
amniocentesis).
Question 2
A routine rectovaginal screening culture at 35 to 37 weeks of gestation reveals that
a pregnant client is colonized with Group B Streptococcus (GBS). The client asks
the clinic nurse how this bacterial colonization will be managed to protect her
baby. What is the correct, evidence-based nursing response?
✔✔ "You do not need treatment right now, but you will be given intravenous
(IV) antibiotics continuously once your active labor begins or your
membranes rupture."
Clinical Rationale: Treating GBS colonization with oral antibiotics during
pregnancy is ineffective because the bacteria routinely re-colonize the vaginal
tract. To effectively prevent vertical transmission (passing the bacteria to the
newborn during delivery, which can cause neonatal sepsis, pneumonia, or
meningitis), intrapartum antibiotic prophylaxis (typically IV Penicillin G or
Ampicillin) must be administered while the mother is in active labor.
, Question 3
During a prenatal visit, a client complains of experiencing irregular, tightening
abdominal sensations. The nurse identifies these as Braxton Hicks contractions.
Which non-pharmacological comfort strategy should the nurse recommend to help
alleviate this specific discomfort?
✔✔ Drink two large glasses of water to fully rehydrate and rest.
Clinical Rationale: Braxton Hicks contractions are frequently triggered or
exacerbated by maternal dehydration. When a client is inadequately hydrated, a
relative decrease in blood volume causes the uterus to become hyper-irritable,
triggering intermittent tightening. Consuming oral fluids and resting frequently
resolves this false labor pattern by restoring uterine perfusion.
Question 4
A client presents to the labor and delivery triage area complaining of abdominal
tightening occurring at highly irregular intervals ranging anywhere from 4 to 25
minutes apart. The provider evaluates the client and diagnoses Braxton Hicks
contractions. When educating the client about the physiological purpose of these
contractions, which statement by the nurse is most accurate?
✔✔ "These are normal 'practice' contractions that help increase blood flow to
the placenta and assist in gradually softening and ripening your cervix for
labor."
Clinical Rationale: Unlike true labor contractions, Braxton Hicks contractions are
irregular, do not increase predictably in intensity or frequency, and do not cause
progressive cervical effacement or dilation. However, they are not completely
without purpose; they help tone the uterine muscle, enhance intervillous placental
blood flow, and aid in early cervical "ripening" (the softening of collagen fibers)
prior to the onset of true labor.
Question 5
A postpartum nurse is providing bedside education to a new mother regarding
newborn feeding patterns. Which of the following behavior patterns should the
nurse instruct the mother to recognize as early, reliable indicators of infant feeding
readiness? (Select all that apply.)
✔✔ Signs include:
