NUR2513 MATERNAL CHILD EXAM 1 NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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During her sixth month of pregnancy, a woman visits the prenatal clinic for the
first time. As part of the initial assessment a complete blood count and urinalysis
are performed. Which laboratory finding should alert the nurse to the need for
further assessment?
1
Hemoglobin of 10 g/dL
2
Urine specific gravity of 1.020
3
Glucose level of 1+ in the urine
4
White blood cell count of 9,000/mm3 - ANSWER-1
This hemoglobin reading suggests a true anemia. The lowest hemoglobin resulting
from physiologic anemia of pregnancy is 12 g/dL; this anemia occurs because the
plasma volume increases to a greater extent than the red blood cells during
pregnancy. A white blood cell count of 9,000/mm3 is within the expected range of
5,000 to 10,000/mm3; it may increase to 15,000/mm3 during the second half of
pregnancy. A urine specific gravity of 1.020 is within the expected range of 1.010
to 1.030. A 1+ urine glucose level is not unusual during pregnancy because of the
lowered renal threshold for glucose during pregnancy; if it increases to 2+, further
investigation for diabetes should be undertaken.
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A client at 16 weeks' gestation calls the nurse at the prenatal clinic and states that
her partner just told her that he has genital herpes. What should the nurse
include when teaching the client about sexual activity?
1
Condoms must be used when the couple is having intercourse.
2
Sexual abstinence should be practiced during the last 6 weeks.
3
It will be necessary to refrain from sexual contact during pregnancy.
4
Meticulous cleaning of the vaginal area after intercourse is essential. - ANSWER-2
Abstinence during the 4 to 6 weeks before term is the best way to avoid
contracting the virus and having an outbreak before the birth. Because the herpes
virus is smaller than the pores of a condom, this type of protection has limited
effectiveness. Abstinence is necessary only when disease symptoms are present in
the partner and during the last 4 to 6 weeks of pregnancy. Washing is not
sufficient to prevent contraction of this virus; contact already has been made.
A client at 38 weeks' gestation is admitted to the high-risk prenatal unit with a
diagnosis of severe preeclampsia. The nurse obtains the vital signs, performs a
health history and physical assessment, and reviews the client's laboratory results.
What is the priority nursing intervention?
1
Monitoring intake and output
2
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, NUR2513 MATERNAL CHILD EXAM 1
Providing a dark private room
3
Measuring the extent of edema
4
Preparing for an immediate cesarean birth - ANSWER-2
Increasing cerebral edema may predispose the client to seizures; therefore, stimuli
of any kind should be minimized. Although intake and output should be
monitored to identify oliguria, this will not limit the occurrence of a seizure.
Although edema should be measured, it will not limit the occurrence of a seizure.
A cesarean birth may not be needed.
Test-Taking Tip: Chart/exhibit items present a situation and ask a question. A
variety of objective and subjective information is presented about the client in
formats such as the hospital record (e.g., laboratory test results, results of
diagnostic procedures, progress notes, health care provider orders, medication
administration record, health history), physical assessment data, and nurse/client
interactions. After analyzing the information presented, the test taker answers the
question. These questions usually reflect the analyzing level of cognitive thinking.
While teaching a prenatal class about infant feeding, the nurse is asked about the
relationship between breast size and ease of breastfeeding. How should the nurse
respond?
1
"Breast size is not related to milk production."
2
"Motivated women tend to breastfeed successfully."
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, NUR2513 MATERNAL CHILD EXAM 1
3
"You seem to have some concerns about breastfeeding."
4
"Glandular tissue in the breasts determines the amount of milk you'll produce." -
ANSWER-1
The question should be answered directly in the class. However, the mother's
statement indicates some concerns about breastfeeding that should be explored
privately later. Stating that motivated women tend to breastfeed successfully
constitutes false reassurance; successful breastfeeding requires mastery, and
some women have difficulty. Although noting that the client seems to have
concerns about breastfeeding indicates that the nurse perceives the client's
concerns, this response is inappropriate in a class setting; the nurse should elicit
more information privately later. The infant's suckling and emptying of the breasts
determine the amount of milk produced.
A nurse in the prenatal clinic is assessing a woman at 34 weeks' gestation. The
client's blood pressure is 166/100 mm Hg and her urine is +3 for protein. She
states that she has a severe headache and occasional blurred vision. Her baseline
blood pressure was 100/62 mm Hg. What is the priority nursing action?
1
Arranging transportation to the hospital
2
Obtaining a prescription for an antihypertensive
3
Rechecking the blood pressure within 30 minutes
4
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