NUR 254 EXAM 1
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1.) The nurse is teaching a client who is in the 10th week of pregnancy
about morning sickness. Which of the following should the nurse
include in the teaching?
A) Avoid all fluids during meals to prevent nausea
B) Eat small, frequent meals throughout the day
C) Increase intake of spicy and fatty foods to settle the stomach
D) Take antiemetic medication immediately upon waking
Correct Answer: B) Eat small, frequent meals throughout the day
Verified Explanation:
The nurse should teach the client to eat small, frequent meals, avoid spicy
and fatty foods, keep crackers at bedside to eat before rising, stay
hydrated, and avoid an empty stomach. Ginger and vitamin B6 may help,
and severe vomiting (hyperemesis gravidarum) should be reported.
---
2.) The nurse is teaching a client about symptoms to report during her
pregnancy. Which of the following statements by the client indicates a
correct understanding of the teaching?
A. “If I have any fluid leaking from my vagina, I must call the clinic
immediately”
B. “I’ll report increased frequency of urination”
C. “Nausea should be reported immediately”
D. “If I feel tired after resting, I should report it immediately”
,Correct Answer: A. “If I have any fluid leaking from my vagina, I must call
the clinic immediately”
Verified Explanation:
Sudden or continuous leakage of fluid may indicate rupture of membranes,
increasing the risk for infection or preterm labor, and requires prompt
evaluation. Increased urination and fatigue are common discomforts;
nausea is expected in the first trimester unless severe.
---
3.) The charge nurse is discussing probable signs of pregnancy with
a newly hired nurse. The newly hired nurse correctly identifies which
of the following as a probable sign of pregnancy?
A. Goodell sign
B. Breast tenderness
C. Fetal heart rate (FHR) detected on doppler
D. Negative serum pregnancy test
Correct Answer: A. Goodell sign
Verified Explanation:
A probable sign of pregnancy is an objective finding strongly suggestive of
pregnancy. Goodell sign (softening of the cervix) is a classic probable sign.
Breast tenderness is a presumptive sign, FHR detection is a positive sign,
and a negative pregnancy test rules out pregnancy.
,4.) The nurse is preparing to teach a client about the physiological
changes that occur during pregnancy. Which of the following should
the nurse teach as an increased physiological change?
A. Gastrointestinal (GI) contractility
B. Blood Pressure
C. Cardiac output
Correct Answer: C. Cardiac output
Verified Explanation:
During pregnancy, there is a significant increase in maternal cardiac output
to meet the metabolic demands of the mother and the developing fetus.
This physiological adaptation begins early in the first trimester, peaks in the
second trimester, and remains elevated until term. Gastrointestinal
contractility typically decreases, leading to symptoms like constipation,
whereas blood pressure remains the same or decreases slightly due to
decreased systemic vascular resistance.
---
5.) The nurse has provided dietary teaching for a pregnant client with
iron deficiency anemia. Which of the following meal options indicates
the client understood the teaching?
A. Chicken salad sandwich with almonds and raisins.
B. Toasted cheese sandwich with celery sticks.
C. Red beans with whole-grain and mixed greens
, D. Oatmeal, whole wheat toast and jelly.
Correct Answer: C. Red beans with whole-grain and mixed greens
Verified Explanation:
Red beans and mixed greens are rich sources of non-heme iron, and
pairing them with whole grains provides added fiber and essential nutrients,
promoting iron absorption. Vitamin C from greens enhances non-heme iron
absorption. The other options contain less iron or lack components to
enhance iron absorption.
---
6.) The nurse is talking to a client who is 18 weeks pregnant about
preparing her 7-year-old daughter for the new sibling. Which of the
following recommendations is best for the nurse to make based on
the child’s age?
A. “Tell your daughter the story of her own birth”
B. “Use your pregnancy as a way to begin basic human sexuality”
C. “Teach your daughter how to hold and talk to the baby using her favorite
doll”
D. “Wait to discuss the birth of the baby until your daughter asks about it”
Correct Answer: C. “Teach your daughter how to hold and talk to the baby
using her favorite doll”
Verified Explanation:
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1.) The nurse is teaching a client who is in the 10th week of pregnancy
about morning sickness. Which of the following should the nurse
include in the teaching?
A) Avoid all fluids during meals to prevent nausea
B) Eat small, frequent meals throughout the day
C) Increase intake of spicy and fatty foods to settle the stomach
D) Take antiemetic medication immediately upon waking
Correct Answer: B) Eat small, frequent meals throughout the day
Verified Explanation:
The nurse should teach the client to eat small, frequent meals, avoid spicy
and fatty foods, keep crackers at bedside to eat before rising, stay
hydrated, and avoid an empty stomach. Ginger and vitamin B6 may help,
and severe vomiting (hyperemesis gravidarum) should be reported.
---
2.) The nurse is teaching a client about symptoms to report during her
pregnancy. Which of the following statements by the client indicates a
correct understanding of the teaching?
A. “If I have any fluid leaking from my vagina, I must call the clinic
immediately”
B. “I’ll report increased frequency of urination”
C. “Nausea should be reported immediately”
D. “If I feel tired after resting, I should report it immediately”
,Correct Answer: A. “If I have any fluid leaking from my vagina, I must call
the clinic immediately”
Verified Explanation:
Sudden or continuous leakage of fluid may indicate rupture of membranes,
increasing the risk for infection or preterm labor, and requires prompt
evaluation. Increased urination and fatigue are common discomforts;
nausea is expected in the first trimester unless severe.
---
3.) The charge nurse is discussing probable signs of pregnancy with
a newly hired nurse. The newly hired nurse correctly identifies which
of the following as a probable sign of pregnancy?
A. Goodell sign
B. Breast tenderness
C. Fetal heart rate (FHR) detected on doppler
D. Negative serum pregnancy test
Correct Answer: A. Goodell sign
Verified Explanation:
A probable sign of pregnancy is an objective finding strongly suggestive of
pregnancy. Goodell sign (softening of the cervix) is a classic probable sign.
Breast tenderness is a presumptive sign, FHR detection is a positive sign,
and a negative pregnancy test rules out pregnancy.
,4.) The nurse is preparing to teach a client about the physiological
changes that occur during pregnancy. Which of the following should
the nurse teach as an increased physiological change?
A. Gastrointestinal (GI) contractility
B. Blood Pressure
C. Cardiac output
Correct Answer: C. Cardiac output
Verified Explanation:
During pregnancy, there is a significant increase in maternal cardiac output
to meet the metabolic demands of the mother and the developing fetus.
This physiological adaptation begins early in the first trimester, peaks in the
second trimester, and remains elevated until term. Gastrointestinal
contractility typically decreases, leading to symptoms like constipation,
whereas blood pressure remains the same or decreases slightly due to
decreased systemic vascular resistance.
---
5.) The nurse has provided dietary teaching for a pregnant client with
iron deficiency anemia. Which of the following meal options indicates
the client understood the teaching?
A. Chicken salad sandwich with almonds and raisins.
B. Toasted cheese sandwich with celery sticks.
C. Red beans with whole-grain and mixed greens
, D. Oatmeal, whole wheat toast and jelly.
Correct Answer: C. Red beans with whole-grain and mixed greens
Verified Explanation:
Red beans and mixed greens are rich sources of non-heme iron, and
pairing them with whole grains provides added fiber and essential nutrients,
promoting iron absorption. Vitamin C from greens enhances non-heme iron
absorption. The other options contain less iron or lack components to
enhance iron absorption.
---
6.) The nurse is talking to a client who is 18 weeks pregnant about
preparing her 7-year-old daughter for the new sibling. Which of the
following recommendations is best for the nurse to make based on
the child’s age?
A. “Tell your daughter the story of her own birth”
B. “Use your pregnancy as a way to begin basic human sexuality”
C. “Teach your daughter how to hold and talk to the baby using her favorite
doll”
D. “Wait to discuss the birth of the baby until your daughter asks about it”
Correct Answer: C. “Teach your daughter how to hold and talk to the baby
using her favorite doll”
Verified Explanation:
