MATERNAL AND AND
MATERNAL CHILD HEALTH
CHILD NURSING
HEALTH NURSING PRACTICE
PRACTICE QUESTIONS
QUESTIONS
WITH RATIONALE
WITH RATIONALE
1. When assessing the adequacy of sperm for conception to occur, which of the following is
the most useful criterion?
a. Sperm count
b. Sperm motility
c. Sperm maturity
d. Semen volume
2. A couple who wants to conceive but has been unsuccessful during the last 2 years has
undergone many diagnostic procedures. When discussing the situation with the nurse, one
partner states, “We know several friends in our age group and all of them have their own
child already, Why can’t we have one?”. Which of the following would be the most
pertinent nursing diagnosis for this couple?
a. Fear related to the unknown
b. Pain related to numerous procedures.
c. Ineffective family coping related to infertility.
d. Self-esteem disturbance related to infertility.
2 Which of the following urinary symptoms does the pregnant woman most frequently
experience during the first trimester?
a. Dysuria
b. Frequency
c. Incontinence
d. Burning
2 Heartburn and flatulence, common in the second trimester, are most likely the result of
which of the following?
a. Increased plasma HCG levels
b. Decreased intestinal motility
, c. Decreased gastric acidity
d. Elevated estrogen levels
2 On which of the following areas would the nurse expect to observe chloasma?
a. Breast, areola, and nipples
b. Chest, neck, arms, and legs
c. Abdomen, breast, and thighs
d. Cheeks, forehead, and nose
2 A pregnant client states that she “waddles” when she walks. The nurse’s explanation is
based on which of the following as the cause?
a. The large size of the newborn
b. Pressure on the pelvic muscles
c. Relaxation of the pelvic joints
d. Excessive weight gain
2 Which of the following represents the average amount of weight gained during
pregnancy?
a. 12 to 22 lb
b. 15 to 25 lb
c. 24 to 30 lb
d. 25 to 40 lb
2 When talking with a pregnant client who is experiencing aching swollen, leg veins, the
nurse would explain that this is most probably the result of which of the following?
a. Thrombophlebitis
b. Pregnancy-induced hypertension
c. Pressure on blood vessels from the enlarging uterus
d. The force of gravity pulling down on the uterus
,2 Cervical softening and uterine souffle are classified as which of the following?
a. Diagnostic signs
b. Presumptive signs
c. Probable signs
d. Positive signs
2 Which of the following would the nurse identify as a presumptive sign of pregnancy?
a. Hegar sign
b. Nausea and vomiting
c. Skin pigmentation changes
d. Positive serum pregnancy test
2 Which of the following common emotional reactions to pregnancy would the nurse
expect to occur during the first trimester?
a. Introversion, egocentrism, narcissism
b. Awkwardness, clumsiness, and unattractiveness
c. Anxiety, passivity, extroversion
d. Ambivalence, fear, fantasies
2 During which of the following would the focus of classes be mainly on physiologic
changes, fetal development, sexuality, during pregnancy, and nutrition?
a. Prepregnant period
b. First trimester
c. Second trimester
d. Third trimester
2 Which of the following would be disadvantage of breast feeding?
a. Involution occurs more rapidly
, b. The incidence of allergies increases due to maternal antibodies
c. The father may resent the infant’s demands on the mother’s body
d. There is a greater chance for error during preparation
2 Which of the following would cause a false-positive result on a pregnancy test?
a. The test was performed less than 10 days after an abortion
b. The test was performed too early or too late in the pregnancy
c. The urine sample was stored too long at room temperature
d. A spontaneous abortion or a missed abortion is impending
2 FHR can be auscultated with a fetoscope as early as which of the following?
a. 5 weeks gestation
b. 10 weeks gestation
c. 15 weeks gestation
d. 20 weeks gestation
2 A client LMP began July 5. Her EDD should be which of the following?
a. January 2
b. March 28
c. April 12
d. October 12
2 Which of the following fundal heights indicates less than 12 weeks’ gestation when the
date of the LMP is unknown?
a. Uterus in the pelvis
b. Uterus at the xiphoid
c. Uterus in the abdomen
d. Uterus at the umbilicus
MATERNAL CHILD HEALTH
CHILD NURSING
HEALTH NURSING PRACTICE
PRACTICE QUESTIONS
QUESTIONS
WITH RATIONALE
WITH RATIONALE
1. When assessing the adequacy of sperm for conception to occur, which of the following is
the most useful criterion?
a. Sperm count
b. Sperm motility
c. Sperm maturity
d. Semen volume
2. A couple who wants to conceive but has been unsuccessful during the last 2 years has
undergone many diagnostic procedures. When discussing the situation with the nurse, one
partner states, “We know several friends in our age group and all of them have their own
child already, Why can’t we have one?”. Which of the following would be the most
pertinent nursing diagnosis for this couple?
a. Fear related to the unknown
b. Pain related to numerous procedures.
c. Ineffective family coping related to infertility.
d. Self-esteem disturbance related to infertility.
2 Which of the following urinary symptoms does the pregnant woman most frequently
experience during the first trimester?
a. Dysuria
b. Frequency
c. Incontinence
d. Burning
2 Heartburn and flatulence, common in the second trimester, are most likely the result of
which of the following?
a. Increased plasma HCG levels
b. Decreased intestinal motility
, c. Decreased gastric acidity
d. Elevated estrogen levels
2 On which of the following areas would the nurse expect to observe chloasma?
a. Breast, areola, and nipples
b. Chest, neck, arms, and legs
c. Abdomen, breast, and thighs
d. Cheeks, forehead, and nose
2 A pregnant client states that she “waddles” when she walks. The nurse’s explanation is
based on which of the following as the cause?
a. The large size of the newborn
b. Pressure on the pelvic muscles
c. Relaxation of the pelvic joints
d. Excessive weight gain
2 Which of the following represents the average amount of weight gained during
pregnancy?
a. 12 to 22 lb
b. 15 to 25 lb
c. 24 to 30 lb
d. 25 to 40 lb
2 When talking with a pregnant client who is experiencing aching swollen, leg veins, the
nurse would explain that this is most probably the result of which of the following?
a. Thrombophlebitis
b. Pregnancy-induced hypertension
c. Pressure on blood vessels from the enlarging uterus
d. The force of gravity pulling down on the uterus
,2 Cervical softening and uterine souffle are classified as which of the following?
a. Diagnostic signs
b. Presumptive signs
c. Probable signs
d. Positive signs
2 Which of the following would the nurse identify as a presumptive sign of pregnancy?
a. Hegar sign
b. Nausea and vomiting
c. Skin pigmentation changes
d. Positive serum pregnancy test
2 Which of the following common emotional reactions to pregnancy would the nurse
expect to occur during the first trimester?
a. Introversion, egocentrism, narcissism
b. Awkwardness, clumsiness, and unattractiveness
c. Anxiety, passivity, extroversion
d. Ambivalence, fear, fantasies
2 During which of the following would the focus of classes be mainly on physiologic
changes, fetal development, sexuality, during pregnancy, and nutrition?
a. Prepregnant period
b. First trimester
c. Second trimester
d. Third trimester
2 Which of the following would be disadvantage of breast feeding?
a. Involution occurs more rapidly
, b. The incidence of allergies increases due to maternal antibodies
c. The father may resent the infant’s demands on the mother’s body
d. There is a greater chance for error during preparation
2 Which of the following would cause a false-positive result on a pregnancy test?
a. The test was performed less than 10 days after an abortion
b. The test was performed too early or too late in the pregnancy
c. The urine sample was stored too long at room temperature
d. A spontaneous abortion or a missed abortion is impending
2 FHR can be auscultated with a fetoscope as early as which of the following?
a. 5 weeks gestation
b. 10 weeks gestation
c. 15 weeks gestation
d. 20 weeks gestation
2 A client LMP began July 5. Her EDD should be which of the following?
a. January 2
b. March 28
c. April 12
d. October 12
2 Which of the following fundal heights indicates less than 12 weeks’ gestation when the
date of the LMP is unknown?
a. Uterus in the pelvis
b. Uterus at the xiphoid
c. Uterus in the abdomen
d. Uterus at the umbilicus
