NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
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.
3. 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
4. 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
5. 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
6. 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
,NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
7. 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
8. 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
9. Cervical softening and uterine souffle are classified as which of the following?
a. Diagnostic signs
b. Presumptive
signs c. Probable
signs
d. Positive signs
10. 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
11. 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
12. 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
13. Which of the following would be disadvantage of breast feeding?
a. Involution occurs more rapidly
,NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
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
, NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
14. 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
15. 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
16. 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
17. 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
18. Which of the following danger signs should be reported promptly during the
antepartum period?
a. Constipation
b. Breast tenderness
c. Nasal stuffiness
d. Leaking amniotic fluid
19. Which of the following prenatal laboratory test values would the nurse consider
as significant?
a. Hematocrit 33.5%
b. Rubella titer less than 1:8
c. White blood cells 8,000/mm3
d. One hour glucose challenge test 110 g/dL
20. Which of the following characteristics of contractions would the nurse expect to find in a
client experiencing true labor?
a. Occurring at irregular intervals
b. Starting mainly in the abdomen
c. Gradually increasing intervals
d. Increasing intensity with walking
MATERNAL AND CHILD HEALTH NUSING
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.
3. 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
4. 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
5. 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
6. 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
,NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
7. 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
8. 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
9. Cervical softening and uterine souffle are classified as which of the following?
a. Diagnostic signs
b. Presumptive
signs c. Probable
signs
d. Positive signs
10. 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
11. 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
12. 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
13. Which of the following would be disadvantage of breast feeding?
a. Involution occurs more rapidly
,NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
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
, NURS194 EXAM QUESTIONS WITH ANSWERS –
MATERNAL AND CHILD HEALTH NUSING
14. 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
15. 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
16. 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
17. 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
18. Which of the following danger signs should be reported promptly during the
antepartum period?
a. Constipation
b. Breast tenderness
c. Nasal stuffiness
d. Leaking amniotic fluid
19. Which of the following prenatal laboratory test values would the nurse consider
as significant?
a. Hematocrit 33.5%
b. Rubella titer less than 1:8
c. White blood cells 8,000/mm3
d. One hour glucose challenge test 110 g/dL
20. Which of the following characteristics of contractions would the nurse expect to find in a
client experiencing true labor?
a. Occurring at irregular intervals
b. Starting mainly in the abdomen
c. Gradually increasing intervals
d. Increasing intensity with walking
