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Nur2513 Maternal-Child Exam Study Questions.
Latest 2024-2025
1. Because of increased estrogen during pregnancy, what breast changes would the
nurse expect to assess in the client.
A. Slack, soft breast tissue
B. Deeply fissured nipples
C. Enlarged lymph nodes
D. Darkened breast areolae: D. Darkened breast areolae
2. A newly married young woman tells the nurse she hopes to become pregnant
soon. What should the nurse recommend to this client to support
the 2020 national health goals for pregnancy? SATA
A. Smoking cessation
B. No need to see prenatal provider until fetal movement is noted
C. Take 400 mcg of folic acid daily
D. Reduce work hours
E. No alcohol: A. Smoking cessation
C. Take 400 mcg of folic acid daily
E. No alcohol
3. A client makes an appointment at the prenatal clinic because she think she might
be pregnant. Which assessment is a positive sign of pregnancy.
A. Amenorrhea
B. Audible fetal heart tones with a doppler
C. Nausea and vomiting
D. Positive pregnancy test: B. Audible fetal heart tones with a doppler
4. A health care provider has recommended that a pregnant client have an
amniocentesis. Which genetic condition should the nurse teach the client this
diagnostic test will detect?
A. Rh sensitization
B. Trisomy 21 (down syndrome)
C. Diabetes
D. Breast cancer: B. Trisomy 21 (down syndrome)
5. A Rh-negative woman who is 6 weeks gestation plans a medically induced
termination. Which outcome should the nurse identify as appropriate for this
client ?
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A. Receive Rho(D) immune globulin
B. No need for Rho(D) immune globulin since the amount of fetal blood is so
minimal
C. Rho(D) immune globulin will be given if testing on the fetus shows Rh+ blood
D. Receive Rho(D) immune globulin if the father of the baby has Rh-positive blood:
A. Receive Rho(D) immune globulin
6. The nurse understands that which of the following are important functions of
amniotic fluid for fetal well-being? SATA
A. Providing oxygen to the lungs
B. Cushioning of the baby from minor trauma
C. Temperature control
D. Nutrition for the baby
E. Permit free movement of the baby: B. Cushioning of the baby from minor trauma
C. Temperature control
E. Permit free movement of the baby
7. A pregnant client is concerned her baby is going to drown in the uterus because of
the fluid. How should the nurse respond about fetal respiration?
A. Your baby receives oxygen from the amniotic fluid
B. The baby does not have breathing movements until delivery
C. The amniotic fluid does not enter the babys lungs during pregnancy
D. Oxygen is provided to the baby through the placenta.: D. Oxygen is provided to
the baby through the placenta.
8. The nurse is providing information on the contraceptive options to a 25yr old F
who reports she has a bicornate uterus. Which of the following options would be
contraindicated for this client.
A. Combination oral contraceptive pills
B. Depo provera injections
C. Intrauterine device
D. NuvaRina: C. Intrauterine device
9. A woman who professes to be a strict vegan voices concern about her ability to
meet the nutritional needs of her fetus. Which concerns should be addressed in this
session?
A. Her diet will need to have an increase in fruits and vegetables to meet the
nutritional requirements of her baby
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B. The supplementation of vitamin B12 should be addressed
C. There are not special concerns for vegans as they can easily meet the dietary
needs without violating their "no meat" rule
D. She should be advised to forgo her beliefs during the pregnancy to ade-quately
provide the nutritional requirements for her pregnancy.: B. The supplementation
of vitamin B12 should be addressed
10. The nurse is completing health history for a client who is at 6 weeks of gestation.
The client informs the nurse that she smokes one pack of cigarettes per day. The
nurse should advise the client that smoking places the clients newborn at risk for the
following?
A. Hearing loss
B. DM1
C. Intrauterine growth restriction
D. Congenital heart disease: C. Intrauterine growth restriction
11. Which of the following potential negative outcomes is not associated with
gestational diabetes. A. Macrosomia
B. Delayed lung maturity
C. Neonatal hypoglycemia
D. Oligohydramnios: D. Oligohydramnios
12. A woman developes HELLP syndrome during labor and has thrombocytopenia.
Which of the following orders by the HCP would the nurse questions?
A. Prepare her for epidural anesthesia
B. Assess her blood pressure every 15 min
C. Assess the urine output every hour
D. Urge her to like on her left side during labor: A. Prepare her for epidural
anesthesia
13. A woman who is 32 weeks gestation is experiencing preterm labor. Which of the
following is an inappropriate nursing intervention for this client?
A. Ambulate the client for comfort
B. Administer IV fluid with 500 mL bolus as prescribed
C. Initiate fetal (tocodynamometer) monitoring
D. Obtain a urine speciment: A. Ambulate the client for comfort
14. The nurse is providing teaching to a group of student nurses regarding the
menstrual cycle. When discussing the thickening of the endometrium. The nurse
correctly identifies this occurs during which phase of the menstrual cycle? A. Luteal
B. Proliferative