NUR 2513 Introduction to Maternal Child Nursing
Questions and Correct Answers with Complete Solution
**1. A pregnant client at 12 weeks gestation reports frequent nausea and vomiting,
especially in the morning. Which intervention should the nurse recommend first?**
- A) Antiemetic medication
- B) Eating dry crackers before rising
- C) Drinking a glass of water with lemon
- D) Avoiding all fluids until noon
**Correct Answer: B**
*Rationale:* Dry crackers before rising help stabilize blood sugar and reduce gastric
irritation, a first-line nonpharmacologic measure for morning sickness. Medications
are used if severe. Avoiding fluids risks dehydration.
---
**2. A nurse is assessing a newborn 1 minute after birth. The infant has a heart rate
of 110, weak cry, some flexion of extremities, grimaces with suctioning, and pink
body with blue extremities. What is the Apgar score?**
- A) 5
- B) 6
- C) 7
- D) 8
**Correct Answer: B (6)**
*Rationale:* HR 110 (>100 = 2), weak cry (1), flexion (1), grimace (1), pink
body/blue extremities (1) = 2+1+1+1+1 = 6.
---
, **3. A patient in active labor requests pain relief. The nurse notes contractions
every 3 minutes, cervix 6 cm dilated. Which analgesic is safest at this stage?**
- A) Oral acetaminophen
- B) IV morphine
- C) Epidural anesthesia
- D) Intramuscular meperidine
**Correct Answer: C**
*Rationale:* Epidural provides effective pain relief without significant neonatal
respiratory depression. IV/IM opioids given earlier in labor (active phase okay but
may cause sedation in newborn if given too close to delivery).
---
**4. A primigravida at 39 weeks is admitted with contractions every 4 minutes,
cervix 3 cm/80% effaced/-1 station. Which stage of labor is the client in?**
- A) Latent phase of first stage
- B) Active phase of first stage
- C) Transition phase
- D) Second stage
**Correct Answer: A**
*Rationale:* Latent phase: 0–3 cm dilation, mild contractions. Active phase is 4–7
cm, transition 8–10 cm, second stage is pushing.
---
**5. The nurse administers RhoGAM to an Rh-negative mother after delivery of an
Rh-positive infant. What is the purpose?**
- A) Treat fetal anemia
- B) Prevent maternal sensitization to Rh factor
- C) Destroy fetal RBCs in the mother
Questions and Correct Answers with Complete Solution
**1. A pregnant client at 12 weeks gestation reports frequent nausea and vomiting,
especially in the morning. Which intervention should the nurse recommend first?**
- A) Antiemetic medication
- B) Eating dry crackers before rising
- C) Drinking a glass of water with lemon
- D) Avoiding all fluids until noon
**Correct Answer: B**
*Rationale:* Dry crackers before rising help stabilize blood sugar and reduce gastric
irritation, a first-line nonpharmacologic measure for morning sickness. Medications
are used if severe. Avoiding fluids risks dehydration.
---
**2. A nurse is assessing a newborn 1 minute after birth. The infant has a heart rate
of 110, weak cry, some flexion of extremities, grimaces with suctioning, and pink
body with blue extremities. What is the Apgar score?**
- A) 5
- B) 6
- C) 7
- D) 8
**Correct Answer: B (6)**
*Rationale:* HR 110 (>100 = 2), weak cry (1), flexion (1), grimace (1), pink
body/blue extremities (1) = 2+1+1+1+1 = 6.
---
, **3. A patient in active labor requests pain relief. The nurse notes contractions
every 3 minutes, cervix 6 cm dilated. Which analgesic is safest at this stage?**
- A) Oral acetaminophen
- B) IV morphine
- C) Epidural anesthesia
- D) Intramuscular meperidine
**Correct Answer: C**
*Rationale:* Epidural provides effective pain relief without significant neonatal
respiratory depression. IV/IM opioids given earlier in labor (active phase okay but
may cause sedation in newborn if given too close to delivery).
---
**4. A primigravida at 39 weeks is admitted with contractions every 4 minutes,
cervix 3 cm/80% effaced/-1 station. Which stage of labor is the client in?**
- A) Latent phase of first stage
- B) Active phase of first stage
- C) Transition phase
- D) Second stage
**Correct Answer: A**
*Rationale:* Latent phase: 0–3 cm dilation, mild contractions. Active phase is 4–7
cm, transition 8–10 cm, second stage is pushing.
---
**5. The nurse administers RhoGAM to an Rh-negative mother after delivery of an
Rh-positive infant. What is the purpose?**
- A) Treat fetal anemia
- B) Prevent maternal sensitization to Rh factor
- C) Destroy fetal RBCs in the mother
