MATERNAL AND CHILD HEALTH NURSING
CARE 100 QUESTIONS WITH CORRECT
ANSWERS 2024
1. 1. A pregnant woman who is at term is admitted to the birthing unit
in active labour. The client has only progressed from 2cm to 3 cm in 8
hours. She is diagnosed with hypotonic dystocia and the physician
ordered Oxytocin (Pitocin) to augment her contractions. Which of the
following is the most important aspect of nursing intervention at this
time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging.: A. The oxytocic effect of Pitocin
increases the intensity and durations of contractions; prolonged
contractions will jeopardize the safetyof the fetus and necessitate
discontinuing the drug
2. 2. A client who hallucinates is not in touch with reality. It is
important for the nurse to:
,A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship.: B. It is of paramount importance to
prevent the client from hurting himself or herself or others.
3. 3. The nurse is caring to a child client who has had a tonsillectomy.
The child complains of having dryness of the throat. Which of the
following would the nurse give to the child?
A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk: B. After tonsillectomy, clear, cool liquids should be
given. Citrus, carbonated, and hot or cold liquids should be avoided
because they may irritate the throat. Red liquids should be avoided
because they give the appearance of blood if the child vomits. Milk
and milk products including pudding are avoided because they coat
the throat, cause the child to clear the throat, and increase the risk of
bleeding. 4. 4. The physician ordered Phenylephrine (Neo-
Synephrine) nasal spray to a 13-year-old client. The nurse caring to
, the client provides instructions that the nasal spray must be used
exactly as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia.: A. Phenylephrine, with frequent and
continued use, can cause rebound congestion of mucous membranes.
5. 5. A client with tuberculosis is to be admitted in the hospital. The
nurse who will be assigned to care for the client must institute
appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room.: B.
The N 95 respirator is a high-particulate filtration mask that meets the
CDC performance criteria for a tuberculosis respirator.
6. 6. Which of the following is the most frequent cause of
noncompliance to the medical treatment of open-angle glaucoma?
, A. The frequent nausea and vomiting accompanying use of miotic
drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic
effects of pilocarpine.
D. The painful and insidious progression of this type of glaucoma.:
7. 7. In the morning shift, the nurse is making rounds in the nursing
care units. The nurse enters in a client's room and notes that the
client's tube has become disconnected from the Pleurovac. What would
be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac.:
8. 8. Which of the following complications during a breech birth the
nurse needs to be alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse.:
CARE 100 QUESTIONS WITH CORRECT
ANSWERS 2024
1. 1. A pregnant woman who is at term is admitted to the birthing unit
in active labour. The client has only progressed from 2cm to 3 cm in 8
hours. She is diagnosed with hypotonic dystocia and the physician
ordered Oxytocin (Pitocin) to augment her contractions. Which of the
following is the most important aspect of nursing intervention at this
time?
A. Timing and recording length of contractions.
B. Monitoring.
C. Preparing for an emergency cesarean birth.
D. Checking the perineum for bulging.: A. The oxytocic effect of Pitocin
increases the intensity and durations of contractions; prolonged
contractions will jeopardize the safetyof the fetus and necessitate
discontinuing the drug
2. 2. A client who hallucinates is not in touch with reality. It is
important for the nurse to:
,A. Isolate the client from other patients.
B. Maintain a safe environment.
C. Orient the client to time, place, and person.
D. Establish a trusting relationship.: B. It is of paramount importance to
prevent the client from hurting himself or herself or others.
3. 3. The nurse is caring to a child client who has had a tonsillectomy.
The child complains of having dryness of the throat. Which of the
following would the nurse give to the child?
A. Cola with ice
B. Yellow noncitrus Jello
C. Cool cherry Kool-Aid
D. A glass of milk: B. After tonsillectomy, clear, cool liquids should be
given. Citrus, carbonated, and hot or cold liquids should be avoided
because they may irritate the throat. Red liquids should be avoided
because they give the appearance of blood if the child vomits. Milk
and milk products including pudding are avoided because they coat
the throat, cause the child to clear the throat, and increase the risk of
bleeding. 4. 4. The physician ordered Phenylephrine (Neo-
Synephrine) nasal spray to a 13-year-old client. The nurse caring to
, the client provides instructions that the nasal spray must be used
exactly as directed to prevent the development of:
A. Increased nasal congestion.
B. Nasal polyps.
C. Bleeding tendencies.
D. Tinnitus and diplopia.: A. Phenylephrine, with frequent and
continued use, can cause rebound congestion of mucous membranes.
5. 5. A client with tuberculosis is to be admitted in the hospital. The
nurse who will be assigned to care for the client must institute
appropriate precautions. The nurse should:
A. Place the client in a private room.
B. Wear an N 95 respirator when caring for the client.
C. Put on a gown every time when entering the room.
D. Don a surgical mask with a face shield when entering the room.: B.
The N 95 respirator is a high-particulate filtration mask that meets the
CDC performance criteria for a tuberculosis respirator.
6. 6. Which of the following is the most frequent cause of
noncompliance to the medical treatment of open-angle glaucoma?
, A. The frequent nausea and vomiting accompanying use of miotic
drug.
B. Loss of mobility due to severe driving restrictions.
C. Decreased light and near-vision accommodation due to miotic
effects of pilocarpine.
D. The painful and insidious progression of this type of glaucoma.:
7. 7. In the morning shift, the nurse is making rounds in the nursing
care units. The nurse enters in a client's room and notes that the
client's tube has become disconnected from the Pleurovac. What would
be the initial nursing action?
A. Apply pressure directly over the incision site.
B. Clamp the chest tube near the incision site.
C. Clamp the chest tube closer to the drainage system.
D. Reconnect the chest tube to the Pleurovac.:
8. 8. Which of the following complications during a breech birth the
nurse needs to be alarmed?
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
D. Umbilical cord prolapse.:
