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Maternal Nursing Practice Questions: A Comprehensive Review of Key Concepts, Quizzes of Nursing

Ridgewater College Nursing

A series of practice questions covering essential concepts in maternal nursing. It includes questions on various topics such as contraceptive methods, signs of pregnancy, fetal development, and common pregnancy complications. The questions are designed to test knowledge and understanding of key principles and procedures related to maternal health.

Typology: Quizzes

2023/2024

Uploaded on 10/30/2024

laura-alsleben 🇺🇸

10 documents

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Maternal Practice Question.

1. A nurse is discussing the use of a penile condom with a client. Which of the following information should the nurse

include in the teaching as a disadvantage of using a penile condom?

a. Reduces spontaneity of inter course

b. Offers low rate of nonadherence

c. Protects against HSV

d. Decreases sensation

2. A nurse in a provider’s office is answering a call from a client who had unprotected sex relations and is requesting

additional information about emergency contraception. What information should the nurse provide the client?

a. Emergency contraceptives should be taken within 72 hours after unprotected coitus.

3. A nurse is providing teaching with a client about the disadvantages of various contraceptives. Match each

disadvantage to corresponding contraceptive.

a. Bilateral tubal ligation 1. Decreases bone density

b. Intrauterine deice 2. Possible risk of acquiring TSS

c. Implantable progesterone 3. Skin reaction can occur from patch application

d. Transdermal patch 4. Increase the risk of pelvic inflammatory disease

e. Cervical cap 5. Considered irreversible

4. A nurse is performing a health assessment for a client who has been unable to conceive for 16 months. The nurse

should recognize that which of the following are by names the nurse should report to the provider? (Select all that

apply)

a. Age greater than 30

b. Abnormal uterine contours

c. History of STD's

d. Nutritional deficiencies

Partial preview of the text

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Maternal Practice Question.

A nurse is discussing the use of a penile condom with a client. Which of the following information should the nurse include in the teaching as a disadvantage of using a penile condom? a. Reduces spontaneity of inter course b. Offers low rate of nonadherence c. Protects against HSV d. Decreases sensation
A nurse in a provider’s office is answering a call from a client who had unprotected sex relations and is requesting additional information about emergency contraception. What information should the nurse provide the client? a. Emergency contraceptives should be taken within 72 hours after unprotected coitus.
A nurse is providing teaching with a client about the disadvantages of various contraceptives. Match each disadvantage to corresponding contraceptive. a. Bilateral tubal ligation 1. Decreases bone density b. Intrauterine deice 2. Possible risk of acquiring TSS c. Implantable progesterone 3. Skin reaction can occur from patch application d. Transdermal patch 4. Increase the risk of pelvic inflammatory disease e. Cervical cap 5. Considered irreversible
A nurse is performing a health assessment for a client who has been unable to conceive for 16 months. The nurse should recognize that which of the following are by names the nurse should report to the provider? (Select all that apply) a. Age greater than 30 b. Abnormal uterine contours c. History of STD's d. Nutritional deficiencies

1. A, C, E

Emergency contraceptives should be taken within 72 hours after unprotected coitus.
A – 5, B – 4, C – 1, D – 3, E – 2
B, C, D

Question a. Hegar’s sign – probable b. Fetal movement – positive c. Positive pregnancy test – probably d. Amenorrhea – presumptive
June 16th
Question a. Large amounts of hCG – endocrine b. Pelvic joint relax – musculoskeletal c. Filtration rate increases – renal d. Urinary frequency – renal
Psychological – 2nd^ trimester Physiological – 3rd^ trimester

A nurse is preparing to draw laboratory test from a client who is 8 weeks of gestation and at the initial prenatal visit. Which of the following tests should the nurse anticipate obtaining? a. CBC with differential b. Rubella titer c. blood type, Rh factor d. maternal serum alpha-fetoprotein (MSAFP) e. one hour glucose tolerance
A nurse is teaching a client who is at six weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? (Select all that apply) a. Breast tenderness b. Urinary frequency c. Epistaxis d. Dysuria e. Epigastric pain
A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. What measures should the nurse include?
A nurse is caring for a client who is pregnant and reviewing manifestations of complications that the client should promptly report to the provider. Which of the following complications should the nurse include? a. Vaginal bleeding b. Swelling of the ankles c. Heartburn after eating d. Lightheadedness when lying on back
A nurse and a prenatal clinic is caring for four clients. Which of the following clients’ weight gain should the nurse report to the provider? a. 1.8 kg (4 lb) weight gain in 1st^ trimester b. 3.6 kg (8 lb) weight gain in 1st^ trimester c. 6.8 kg (15 lb) weight gain in 2nd^ trimester d. 11.3 kg (25 lb) weight gain in 3rd^ trimester
A nurse is discussing with a client who is 6 weeks of justification food sources high in dietary content for folate and iron. Sort the below food source to the appropriate nutrient. a. Beef liver b. Leafy vegetables c. Orange juice d. Poultry

A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? a. Iron deficiency anemia b. poor bone formation c. abnormal fetal growth d. natural tube defects
A nurse in a prenatal clinic is providing education to a client who is 8 weeks of gestation. The client states I don't like milk. Which of the following foods should the nurse recommend as a good source of calcium? a. Dark green leafy vegetables b. deep red and orange vegetables c. white breads and rice d. meat, poultry, and fish
A nurse is reviewing findings of a client’s biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? (Select all that apply) a. Fetal weight b. Fetal breathing movement c. Fetal tone d. Fetal position e. Amniotic fluid
A nurse is caring for a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? a. It is used to stimulate uterine contractions b. It will decrease the incidence of uterine contractions c. It lulls the fetus to sleep d. It awakens a sleeping fetus
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply) a. Decreased fetal movement b. Intrauterine growth restriction (IUGR) c. Postmaturity d. Placenta previa e. Amniotic fluid emboli
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? a. You will lay on your right side during the procedure b. You should not eat anything for 24 hours prior to the procedure c. You should empty your bladder prior to the procedure d. The test is done to determine gestational age.

16. D

17. A

18. B, C, E

19. D

20. A, B, C

21. C

22. B

23. B

24. D

25. C

26. A

27. B, C, E

A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (Select all that apply) a. Vacuum extractor b. Oxytocin infusion c. Forceps d. Cesarean birth e. Internal fetal monitoring
A nurse is caring for a client who is at 32 weeks of gestation and tested positive for gonorrhea and chlamydia. Which of the following medications should the nurse anticipate that the provider will prescribe? a. Azithromycin b. Metronidazole c. Zidovudine d. Doxycycline e. Ceftriaxone
A nurse is caring for a client who is pregnant and has condyloma acuminata. Which of the following therapeutic procedures should the nurse anticipate the provider performing? a. Cauterization b. Cryosurgery c. Cervical ablation d. Darkfield microscopy
A nurse is discussing maternal conditions and the appropriate medications to administer with a newly licensed nurse. Match the maternal conditions below with the anticipated prescribed medications. a. Genital herpes 1. Penicillin G b. HIV 2. Metronidazole c. Chlamydia 3. Antiretroviral therapy (ART) d. Trichomoniasis 4. Clotrimazole e. Candidiasis 5. Azithromycin f. Group B streptococcus 6. Acyclovir
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (Select all that apply) a. Joint pain b. Malaise c. Rash d. Urinary frequency e. Tender lymph nodes

A nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (Select all that apply) a. Diabetes b. Multifetal pregnancy c. Maternal age greater than 40 d. Gestational trophoblastic disease e. Oligohydramnios
A nurse is discussing with a newly licensed nurse two conditions, gestational diabetes mellitus and gestational hypertension. Sort the following risk factors the nurse should include in the teaching for each condition: Gestational Diabetes Mellitus or Gestational Hypertension. a. Maternal age older than 25 years b. Maternal age older than 40 years c. Previous birth of an infant that was large or stillborn d. Chronic renal disease
A nurse is assisting with the care of a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? a. Calcium gluconate is the antidote for magnesium sulfate and should be readily available for clients who are receiving magnesium sulfate IV.
A nurse is assisting with the care of a client who has severe preeclampsia who is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as magnesium sulfate toxicity? (Select all that apply) a. Respirations less than 12/min b. Urinary output less than 25 mL/min c. Hyperreflexic deep-tendon reflexes d. Decreased levels of consciousness e. Flushing and sweating
Review the illustration of human body that identifies where the nurse should assess reflexes for the client who has pre-eclampsia. Match the body part to the letter that is represented on the body. a. Patellar b. Brachioradial c. Achilles d. Biceps e. Triceps

33. A, B, D

Gestational hypertension : B, D Gestational diabetes mellitus : A, C
Answer given in the question
A, B, D
A – 4 , B – 2 , C – 3 , D – 1

38. A, B, C, E

39. A, C

40. A

41. B

42. B

43. D

A nurse is teaching a client about the difference between true and false labor. Match the following information the nurse should include in the teaching to true labor and false labor. a. Bloody show can occur b. Cervix remains in the posterior position c. Contractions are felt in the lower back d. Walking can increase the contraction intensity
A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take? a. Administer oxygen via nasal cannula at 2 L/min b. Apply a warm blanket c. Assist the client to a side-lying position d. Place an oxygen mask over the client’s nose and mouth
A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects that this pain is related to a persistent occiput posterior fetal position. Which of the following nonpharmacological nursing interventions should the nurse recommend to the client? a. Abdominal effleurage b. Sacral counterpressure c. Showering if not contraindicated d. Back rub and massage
A nurse is caring for a client who is at 40 weeks gestation and experiencing contractions every 3-5 mins and becoming stronger. A vaginal exam reveals that the client’s cervix is 3 cm dilated, 80% effaced, and -1 station. The client asks for pain medication. Which of the following actions should the nurse take? (Select all that apply) a. Encourage use of patterned breathing techniques b. Insert an indwelling urinary catheter c. Administer opioid analgesic medication d. Suggest application of cold e. Provide ice chips
A nurse is caring for a client who is in the second stage of labor. The client’s labor has been progressing, and vaginal birth is expected in 20 mins. The provider is preparing to administer lidocaine for pain relief and perform an episiotomy. The nurse should know that which of the following types of regional anesthetic block is to be administered? a. Pudendal b. Epidural c. Spinal d. Paracervical

A nurse is caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. The client’s partner asks about the purpose of the IV fluids. Which of the following statements should the nurse make? a. It is needed to promote increased urine output b. It is needed to counteract respiratory depression c. It is needed to counteract hypotension d. It is needed to prevent oligohydramnios
A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? a. Apply palms of both hands to sides of uterus b. Palpate the fundus of the uterus c. Grasp lower uterine segment between thumb and finger d. Stand facing client’s feet with fingertips outlining cephalic prominence
A nurse is reviewing the electronic monitor tracing of a client who is in active labor. A fetus receives more oxygen when which of the following appears on the tracing? a. Peak of the uterine contraction b. Moderate variability c. FHR acceleration d. Relaxation between uterine contractions
A nurse is caring for a client who is in active labor. The cervix is dilated to 5 cm, and the membranes are intact. Based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115 to 125/min with occasional increases up to 150 to 155/min that last for 25 seconds and have moderate variability. There is no slowing of the FHR from the baseline. This client is exhibiting manifestations of which of the following? (Select all that apply) a. Moderate variability b. FHR accelerations c. FHR decelerations d. Normal baseline FRH e. Fetal tachycardia
A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take? a. Assist the client into the left-lateral position b. Apply a fetal scalp electrode c. Insert an IV catheter d. Perform a vaginal exam