MCH Final Exam
1. A nurse is caring for a child who is on clear liquid diet. Lunch, the child consumed .5 cup
of juice and 3oz of jello 1 oz ice pop and 20 ml of ginger ale with medications. How
many ml should the nurse chart as the child’s intake?
- 260
2. Nurse planning care of infant. Most appropriate site to assess pulse?
- Apex of the heart
3. Teaching parent of a toddler about nutrition. What should be included?
- Decreased interest in eating
4. Born with spina bifida. Instructor asks student what other condition may be present
with spina bifida. She is accurate with which answer?
- Hydrocephalus
5. Pedi hotline receives call from mother how plans to admin ASA to toddler for a fever
and what to know the dosage
- Give her acetaminophen not ASA
6. Caring for child who has been physically abused by a family member. Appropriate
statement for the nurse to say to the child?
- It is not your fault that this happened
7. Type of play is noted in all children at time but this remains the primary form of play for
a child it may be sign of developmental delays
, - Onlooker play
8. Hearing impaired children are at risk for which of the following
- Speech impairments
9. Caring for an adolescent who has a newly applied fiberglass cast for fractured tibia.
Immediately following application of the cast the nurse should recognize that the
priority action is to do...
- Perform a neurovascular assessment
10. An infant has an elevated bilirubin and the provider has requested phototherapy at the
mother's bedside. What education should the nurse provide to the mother regarding
use of the bili lights? Select all.
- Use an eye shield on infant
Increase oral intake to the infant
Keep infant supine
Protect genital area from bili lights
11. Client in labor has external fetal monitor. Nurse nots late decels and interprets them as
indicating which of the following?
- Delivery of fetus is imminent
12. The nurse knows that all women should perform self breast exams to ID changes. If a
woman telephones your clinic and reports a lump in her breast what is the nurse's best
response to her?
- Please make an apt to come to the clinic. The provider will see you and discuss options
after an exam.
, 13. Pregnant client presents to L&D with no prenatal care and it is quickly determined to
ultrasound that she is 39wks gest. What lab specimens must the nurse obtain which will
direct the care given to the client. Select all.
- Group b strep
CBC
Blood type
Rh
14. 6wks. She has had previous spontaneous abortion at 14wks and pregnancy that she
delivered vaginally at 39wks. What is her gravidity and parity using the GTPAL system?
- 3-1-0-1-1
15. A woman arrives at the clinical for pregnancy test. The first day of her last menstrual
period was July 21, 2015. What is her EDD using Naegele's Rule?
- Apr. 28, 2016
16. Woman presents to the ED with complaints of unilateral LQ ab pain and some vaginal
bleeding. She relates having a positive home pregnancy test 1 wk ago. What should the
nurse be concerned about with this patient?
- She may be experiencing an ectopic pregnancy
17. 30wk pregnant client is receiving mg sulfate for preeclampsia. Nursing interventions
that a nurse will complete while administering mg sulfate to this patient. Select all
- provide continuous fetal monitoring, Foley catheter for urinary output
18. For what medical issues is mg sulfate administered to pregnant women
- Preterm labor and preeclampsia
1. A nurse is caring for a child who is on clear liquid diet. Lunch, the child consumed .5 cup
of juice and 3oz of jello 1 oz ice pop and 20 ml of ginger ale with medications. How
many ml should the nurse chart as the child’s intake?
- 260
2. Nurse planning care of infant. Most appropriate site to assess pulse?
- Apex of the heart
3. Teaching parent of a toddler about nutrition. What should be included?
- Decreased interest in eating
4. Born with spina bifida. Instructor asks student what other condition may be present
with spina bifida. She is accurate with which answer?
- Hydrocephalus
5. Pedi hotline receives call from mother how plans to admin ASA to toddler for a fever
and what to know the dosage
- Give her acetaminophen not ASA
6. Caring for child who has been physically abused by a family member. Appropriate
statement for the nurse to say to the child?
- It is not your fault that this happened
7. Type of play is noted in all children at time but this remains the primary form of play for
a child it may be sign of developmental delays
, - Onlooker play
8. Hearing impaired children are at risk for which of the following
- Speech impairments
9. Caring for an adolescent who has a newly applied fiberglass cast for fractured tibia.
Immediately following application of the cast the nurse should recognize that the
priority action is to do...
- Perform a neurovascular assessment
10. An infant has an elevated bilirubin and the provider has requested phototherapy at the
mother's bedside. What education should the nurse provide to the mother regarding
use of the bili lights? Select all.
- Use an eye shield on infant
Increase oral intake to the infant
Keep infant supine
Protect genital area from bili lights
11. Client in labor has external fetal monitor. Nurse nots late decels and interprets them as
indicating which of the following?
- Delivery of fetus is imminent
12. The nurse knows that all women should perform self breast exams to ID changes. If a
woman telephones your clinic and reports a lump in her breast what is the nurse's best
response to her?
- Please make an apt to come to the clinic. The provider will see you and discuss options
after an exam.
, 13. Pregnant client presents to L&D with no prenatal care and it is quickly determined to
ultrasound that she is 39wks gest. What lab specimens must the nurse obtain which will
direct the care given to the client. Select all.
- Group b strep
CBC
Blood type
Rh
14. 6wks. She has had previous spontaneous abortion at 14wks and pregnancy that she
delivered vaginally at 39wks. What is her gravidity and parity using the GTPAL system?
- 3-1-0-1-1
15. A woman arrives at the clinical for pregnancy test. The first day of her last menstrual
period was July 21, 2015. What is her EDD using Naegele's Rule?
- Apr. 28, 2016
16. Woman presents to the ED with complaints of unilateral LQ ab pain and some vaginal
bleeding. She relates having a positive home pregnancy test 1 wk ago. What should the
nurse be concerned about with this patient?
- She may be experiencing an ectopic pregnancy
17. 30wk pregnant client is receiving mg sulfate for preeclampsia. Nursing interventions
that a nurse will complete while administering mg sulfate to this patient. Select all
- provide continuous fetal monitoring, Foley catheter for urinary output
18. For what medical issues is mg sulfate administered to pregnant women
- Preterm labor and preeclampsia
