1. Which trend is currently influencing maternal and child healthcare?

a. An expansion of community based service

b. Closure of regionalized health care centers

c. The availability of additional family support

d. A reduction in the number of latch key kids

2. A client with a gestational age of 32 weeks arrives at the clinic for a routine prenatal

visit. When measuring the fundal height and listening to fetal heart tones, the nurse

finds fundal height to be 28 cm and fetal heart tones at 115 bpm, and mother states

fetal movements have slowed. What may the nurse conclude with this finding?

a. Fetus has stopped growing due to limited uterine growth

b. The client should return in 2 weeks to reevaluate the fetal well-being

c. Possible IUGR and the nurse should identify risk factors and notify physician

d. Possible macroadenoma?, the nurse should check blood glucose and notify

physician

3. A nurse is caring for several clients on a baby floor. The nurse should recognize that

it's safe to administer tocolytic therapy to which of the following clients?

a. A client that is experiencing fetal death at 34 weeks gestation

b. A client who is experiencing preterm labor at 29 weeks

c. A client who is experiencing braxton-hicks contractions at 37 weeks

d. A client who has a post-term pregnancy at 41 weeks

4. The nurse is planning an educational session for community members to address the

issue of school-age mortality. Which topic should the nurse identify as the highest

priority for this population?

a. Cancer

b. Assault

c. Suicide

d. Accidents

5. A nurse is caring for a primiparous woman who is 7 weeks gestation and asks the

nurse when she can expect to experience quickening. Which of the following

responses should the nurse make?

a. This will occur in the last trimester of pregnancy

b. This will occur between the 16th and 20 weeks of pregnancy

c. This will occur at the end of the first trimester of pregnancy

d. This will occur when the uterus begins to rise out of the pelvis

6. The nurse has noticed a change in the type of care needed to support maternal and

child health issues. What does the nurse realize as reasons for the changes in care?

Select all that apply

a. Smaller families

b. Less domestic violence

c. More employed mothers

d. Stable home environment

e. More single-parent families

7. After assessing a client, a nurse determines that an IUD as a method of contraceptive

would be contraindicated based on a history of which finding?

a. Smoking

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b. Hypertension

c. Abnormal uterine shape

d. Thromboembolic disease

8. The nurse is teaching a patient on the use of a diaphragm for contraception. Which

patient statement indicates that the client needs further teaching?

a. “I need to use my finger to remove the diaphragm”

b. “I should remove the diaphragm 6 hours after intercourse”

c. “I should stop using a diaphragm if i get an infection of my cervix”

d. “I need to have the diaphragm checked if my weight changes by 30lbs”

9. An Rh-negative woman at 6 weeks gestation is scheduled for a medically induced

termination. Which outcome should the nurse identify as appropriate for this patient?

a. Received Rh o(D) immune globulin

b. Denied need for contraceptive counseling

c. Avoided strenuous activity for 3 weeks

d. Experienced a menstrual cycle in 2 months

10. At 32 weeks gestation a woman experiences preterm labor. The Nurse administered

tocolytics and the client is placed on bedrest. The client continues to experience

regular contractions. Her cervix is beginning to dilate and efface. What additional

medication should be considered to assist the development of the fetus?

a. Pitocin

b. Cytotec

c. Betamethasone

d. (Terbutaline) Brethine

11. A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which of

the following findings is the fetus at risk for developing?

a. Intrauterine growth restriction

b. Hyperglycemia

c. Meconium aspiration

d. polyhydramnios

12. The nurse is reviewing a journal article about fetal development and the formation of

various body systems. When reading the development of the digestive system, the nurse finds

information related to the developmental abnormality of omphalocele. The nurse

demonstrates understanding of this information by identifying which situations are the reason

for an omphalocele?

a. Fetus suffered a bowel obstruction at an early point in life

b. Fetal abdomen formed with a smaller internal cavity than normal

c. Intestines formed without sufficient nerve innervation for contractions

d. Intestines failed to return to the abdominal cavity during intrauterine

development

13. Assessment for surfactant level is a primary estimation of fetal maturity. When asked,

which statement by the nurse indicates understanding?

a. Prevent alveoli from collapsing on expiration

b. Increase lung resistance on inspiration

c. Encourage immunologic competence of lung tissue

d. Promotes the maturation of lung alveoli

14. The nurse is planning to instruct a patient who is 12 weeks pregnant on interventions to

stop smoking. What should the nurse include in these instructions? Select all that apply

a. Purchase a nicotine chewing gum

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