1. Which trend is currently influencing maternal and child healthcare?
*A. An expansion of community based services
B. Closure of regionalized healthcare centers
C. The availability of additional family support
D. A reduction in the number of latch key kids
2. A client with a gestational age of 32 weeks arrives at the clinic for a routine prenatal visit. When
measuring fundal height and listening to fetal heart tones, the nurse finds fundal height to be 28 cm
and fetal heart tones at 115 bpm, and mother states fetal movements have slowed. What may the
nurse conclude with this finding?
A. Fetus has stopped growing due to the limited uterine growth.
B. The client should return in two weeks to reevaluate the fetal well-being.
*C. Possible IUGR and the nurse should identify risk factors and notify the physician.
D. Possible macrosomia, the nurse should check blood glucose and notify the physician.
3. A nurse is caring for several clients on a busy floor. The nurse should recognize that it is safe
to administer tocolytic therapy to which of the following client?
A. A client that is experiencing fetal death at 34 weeks gestation
*B. A client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation
D. A client who has a post term pregnancy at 41-week gestation
4. The nurse is planning an educational session for community members to address the issue of
school- age child mortality. Which topic should the nurse identify as the highest priority for this
population?
A. Cancer
B. Assault
C. Suicide
*D. Accidents
5. A nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she
can expect to experience quickening. Which of the following responses should the nurse make?
A. This will occur in the last trimester of pregnancy
*B. This will occur between the sixteenth to twenty weeks of pregnancy
C. This will occur at the end of the first trimester of pregnancy
D. This will occur when the uterus begins to rise out of the pelvis
, Type: MR
6. The nurse has noticed a change in the type of care needed to support maternal and child
health issues. What does the nurse realize as reasons for the changes in care? Select all that
apply.
*A. Smaller families
B. Less domestic violence
*C. More employed mothers
D. Stable home environments
*E. More single-parent families
7. After assessing a client, a nurse determines that an IUD as a method of contraceptive would
be contraindicated based on a history of which finding?
A. Smoking
B. Hypertension
*C. Abnormal uterine shape
D. Thromboembolic disease
8. The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient
statement indicates that the client needs further teaching?
A. “I need to use my finger to remove the diaphragm.”
B. “I should remove the diaphragm 6 hours after intercourse.”
C. “I should stop using a diaphragm if I get an infection of my cervix.”
*D. “I need to have the diaphragm checked if my weight changes by 30 lb.”
9. An Rh-negative woman at 6 weeks' gestation is scheduled for a medically induced termination.
Which outcome should the nurse identify as appropriate for this patient?
*A. Received Rh o (D) immune globulin
B. Denied need for contraceptive counseling
C. Avoided strenuous activity for 3 weeks
D. Experienced a menstrual cycle in 2 months
10. At 32 weeks gestation a woman experiences preterm labor. The nurse administered tocolytics
and the client is placed on bedrest. The client continues to experience regular contractions, her
cervix is beginning to dilate and efface. What additional medication should be considered to assist
the development of the fetus?
A. Pitocin
*A. An expansion of community based services
B. Closure of regionalized healthcare centers
C. The availability of additional family support
D. A reduction in the number of latch key kids
2. A client with a gestational age of 32 weeks arrives at the clinic for a routine prenatal visit. When
measuring fundal height and listening to fetal heart tones, the nurse finds fundal height to be 28 cm
and fetal heart tones at 115 bpm, and mother states fetal movements have slowed. What may the
nurse conclude with this finding?
A. Fetus has stopped growing due to the limited uterine growth.
B. The client should return in two weeks to reevaluate the fetal well-being.
*C. Possible IUGR and the nurse should identify risk factors and notify the physician.
D. Possible macrosomia, the nurse should check blood glucose and notify the physician.
3. A nurse is caring for several clients on a busy floor. The nurse should recognize that it is safe
to administer tocolytic therapy to which of the following client?
A. A client that is experiencing fetal death at 34 weeks gestation
*B. A client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation
D. A client who has a post term pregnancy at 41-week gestation
4. The nurse is planning an educational session for community members to address the issue of
school- age child mortality. Which topic should the nurse identify as the highest priority for this
population?
A. Cancer
B. Assault
C. Suicide
*D. Accidents
5. A nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she
can expect to experience quickening. Which of the following responses should the nurse make?
A. This will occur in the last trimester of pregnancy
*B. This will occur between the sixteenth to twenty weeks of pregnancy
C. This will occur at the end of the first trimester of pregnancy
D. This will occur when the uterus begins to rise out of the pelvis
, Type: MR
6. The nurse has noticed a change in the type of care needed to support maternal and child
health issues. What does the nurse realize as reasons for the changes in care? Select all that
apply.
*A. Smaller families
B. Less domestic violence
*C. More employed mothers
D. Stable home environments
*E. More single-parent families
7. After assessing a client, a nurse determines that an IUD as a method of contraceptive would
be contraindicated based on a history of which finding?
A. Smoking
B. Hypertension
*C. Abnormal uterine shape
D. Thromboembolic disease
8. The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient
statement indicates that the client needs further teaching?
A. “I need to use my finger to remove the diaphragm.”
B. “I should remove the diaphragm 6 hours after intercourse.”
C. “I should stop using a diaphragm if I get an infection of my cervix.”
*D. “I need to have the diaphragm checked if my weight changes by 30 lb.”
9. An Rh-negative woman at 6 weeks' gestation is scheduled for a medically induced termination.
Which outcome should the nurse identify as appropriate for this patient?
*A. Received Rh o (D) immune globulin
B. Denied need for contraceptive counseling
C. Avoided strenuous activity for 3 weeks
D. Experienced a menstrual cycle in 2 months
10. At 32 weeks gestation a woman experiences preterm labor. The nurse administered tocolytics
and the client is placed on bedrest. The client continues to experience regular contractions, her
cervix is beginning to dilate and efface. What additional medication should be considered to assist
the development of the fetus?
A. Pitocin
