Questions
MATERNAL CHILD HEALTH NURSING FINAL EXAM - STUDY GUIDE
1. A nurse is caring for a child who is on a clear liquid diet. For lunch, the child
consumed .5 cups of juice and 3oz of jello, 1 oz ice pop and 20 ml of ginger ale
with medications. How many ml should the nurse chart as the child's intake?
a. 260ml
2. A nurse planning to care for an infant. Most appropriate site to assess pulse?
a. Apex of the heart
3. Teaching the parents of a toddler about nutrition. What should be included?
a. Decreased interest in eating
4. Born with spina bifida. Instructor asks the student what other conditions may be
present with spina bifida. She is accurate with which answer?
a. Hydrocephalus
5. Pedi Hotline receives a call from the mother about plans to administer ASA to the
toddler for a fever and how to know the dosage.
a. Give her acetaminophen not ASA
6. Caring for a child who has been physically abused by a family member. What is
the appropriate statement for the nurse to say to the child?
a. It is not your fault that this happened
7. Type of play is noted in all children at time but this remains the primary form of
play for a child it may be sign of developmental delays
a. Onlooker play
8. Hearing impaired children are at risk for which of the following
a. Speech impairments
,9. Caring for an adolescent who has a newly applied fiberglass cast for fractured
tibia. Immediately following application of the cast the nurse should recognize
what the priority action is to do?
a. Perform a neurovascular assessment
10. An infant has an elevated bilirubin and the provider has requested phototherapy
at the mother's bedside. What education should the nurse provide to the mother
regarding use of the bili lights? (SATA)
a. Use an eye shield on infant
b. Increase oral intake to the infant
c. Keep infant supine?
d. Protect genital area from bili lights
11. Clients in labor have external fetal monitors. Nurse nots late decels and
interprets them as indicating which of the following?
a. Delivery of fetus is imminent
12. The nurse knows that all women should perform self breast exams to ID
changes. If a woman telephones your clinic and reports a lump in her breast what
is the nurse's best response to her?
a. Please make an apt to come to the clinic. The provider will see you and
discuss options after an exam.
13. Pregnant client presents to L&D with no prenatal care and it is quickly
determined by ultrasound that she is 39wks gest. What lab specimens must the
nurse obtain which will direct the care given to the client? (SATA)
a. Group B Strep
, b. CBC
c. Blood Type and Rh
14. A client comes in at 6wks pregnant. She has had previous spontaneous abortion
at 14wks and pregnancy that she delievered vaginally at 39wks. What is her
gravidity and parity using the GTPAL system?
a. 3-1-0-1-1
15. A woman arrives at the clinic for a pregnancy test. The first day of her last
menstrual period was July 21, 2015. What is her EDD using Naegele's Rule?
a. Apr. 28, 2016
16. Woman presents to the ED with complaints of unilateral LQ ab pain and some
vaginal bleeding. She relates having a positive home pregnancy test 1 wk ago.
What should the nurse be concerned about with this patient?
a. She may be experiencing an ectopic pregnancy
17. A 30wk pregnant client is receiving mag sulfate for preeclampsia. Nursing
interventions that a nurse will complete while administering mg sulfate to this
patient? (SATA)
a. Provide continuous fetal monitoring
b. Foley cath for urinary output
18. For what medical issues is mag sulfate administered to pregnant women?
a. Preterm Labor
b. Preeclampsia
19. Fetal wellbeing is a responsibility of the nurse. How does the nurse assess fetal
wellbeing?