2024 RASMUSSEN UNIVERSITY MATERNAL CHILD HEALTH NURSING (NUR 2633) MCH EXAM 1 MODULES 1 - 2 (CHAPTERS 1, 2, 5, 8, 9, 10, 11, 12, 13, 20, 21) FULLY SOLVED AND VERIFIED 100%

2024 RASMUSSEN UNIVERSITY MATERNAL CHILD HEALTH NURSING (NUR 2633) MCH EXAM 1 MODULES 1 - 2 (CHAPTERS 1, 2, 5, 8, 9, 10, 11, 12, 13, 20, 21) FULLY SOLVED AND VERIFIED 100% A nurse is caring for a client who is prescribed Rho immune globulin standard dose IM (Rhogam). The nurse should understand the action of this medication as which of the following? Selected Answer: Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative • Question 2 Fetal movement that is noted by the mother is a very important assessment factor to determine fetal well being. If the nurse is to ask the client if she has "felt her baby move", when is the best time for a primigravid client to note the first fetal activity? Selected Answer: 18 - 20 weeks. • Question 3 The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal height. Identify where the nurse will find the uterine fundus? Selected Answer: At or near the umbilicus • Question 4 A woman asks the nurse: "What protects my baby's umbilical cord from being pinched while the baby's inside". The nurse's best response is? Selected Answer: "Your baby's umbilical cord is surounded by connective tissue called Wharton's Jelly, which prevents compression of the blood vessels and ensures continued nourishment and oxygen to your baby." • Question 5 A 20 year -old client calls the clinic to report that she has found a lump in her breast. The nurse's best response to her is which of the following? Selected Answer: "Many women have benign lumps and bumps in their breasts. However to make sure that it is benign, you should come in for an examination by your physician" • Question 6 Activity is an important component of prenatal teaching. Activity that is considered safe for a client that states she does not participate in any activity or exercise program at this time would be? Selected Answer: Walking • Question 7 During her annual gynecologic check up a 17 year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as? Selected Answer: Dysmenorrhea • Question 8 Prenatal testing is done to identify health issues that may interfere with the developing fetus. Within the first trimester what lab tests are normally obtained? (select all that apply) Selected Answers: Blood type and Rh factor Group Beta Strep vaginal culture Amniocentesis • Question 9 The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as? Selected Answer: 10-12 weeks gestation • Question 10 A common discomfort of pregnancy can be managed by changing nutritional intake and some OTC medications. In reviewing information with the patient after her first prenatal visit the nurse is confident that this woman understand the management of constipation when she makes which of the following statements? Selected Answer: "In addition to increasing my dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have no restrictions" • Question 11 At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are administered and she is placed on bed rest, she continues to experiences regular contractions and her cervix is beginning to dilate and efface. What additional medication should be considered to assist the development of the fetus? Selected Answer: Terbutaline (brethine) • Question 12 A 30 week gestational age pregnant client presents to the labor suite with complaints of contractions and pressure. What medications can the nurse expect the provider to order for administration? (select all that apply) Selected Answers: Terbutaline (Brethine) Pitocin Betamethasone • Question 13 Hormonal shifts in pregnancy and the physiological changes that occur affect every body system. As the nurse which of the following symptoms or ..................................................