Maternal and Child Health Nursing Exam 2
1. Nurse Bella explains to a 28 year old pregnant woman undergoing a non-stress test that the test is a way of evaluating the condition of the f
A. Fetal lie
B. Fetal movement
C. Maternal blood pressure
D. Maternal uterine contractions
2. During a 2 hour childbirth focusing on labor and delivery process for primigravida. The nurse describes the second maneuver that the fetu
A. Flexion
B. Internal rotation
C. Descent
D. External rotation
3. Mrs. Jovel Diaz went to the hospital to have her serum blood test for alpha-fetoprotein. The nurse informed her about the result of the elev
A. Congenital Adrenal Hyperplasia
B. PKU
C. Down Syndrome
D. Neural tube defects
4. Fetal heart rate can be auscultated with a fetoscope as early as:
A. 5 weeks of gestation
B. 10 weeks of gestation
C. 15 weeks of gestation
D. 20 weeks of gestation
5. Mrs. Bendivin states that she is experiencing aching swollen, leg veins. The nurse would explain that this is most probably the result of whi
A. Thrombophlebitis
B. PIH
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
6. Mrs. Ella Santoros is a 25 year old primigravida who has Rheumatic heart disease lesion. Her pregnancy has just been diagnosed. Her hea
A. Class I
B. Class II
C. Class III
D. class IV
7. The client asks the nurse, “When will this soft spot at the top of the head of my baby will close?” The nurse should instruct the mother tha
A. 2-3 months
B. 6-8 months
C. 10-12 months
D. 12-18 months
8. When a mother bleeds and the uterus is relaxed, soft and non-tender, you can account the cause to:
A. Atony of the uterus
B. Presence of uterine scar
C. Laceration of the birth canal
D. Presence of retained placenta fragments
9. Mrs. Pichie Gonzales’s LMP began April 4, 2010. Her EDD should be which of the following:
A. February 11, 2011
B. January 11, 20111
C. December 12, 2010
D. Nowember 14, 2010
10. Which of the following prenatal laboratory test values would the nurse consider as significant?
A. Hematocrit 33.5%
B. WBC 8,000/mm3
C. Rubella titer less than 1:8
D. One hour glucose challenge test 110 g/dL
11. Aling Patricia is a patient with preeclampsia. You advise her about her condition, which would tell you that she has not really understood
A. “I will restrict my fat in my diet.”
B. “I will limit my activities and rest more frequently throughout the day.”
C. “I will avoid salty foods in my diet.”
D. “I will come more regularly for check-up.”
12. Mrs. Grace Evangelista is admitted with severe preeclampsia. What type of room should the nurse select this patient?
A. A room next to the elevator.
B. The room farthest from the nursing station.
C. The quietest room on the floor.
D. The labor suite.
13. During a prenatal check-up, the nurse explains to a client who is Rh negative that RhoGAM will be given:
A. Weekly during the 8th month because this is her third pregnancy.
B. During the second trimester, if amniocentesis indicates a problem.
C. To her infant immediately after delivery if the Coomb’s test is positive.
D. Within 72 hours after delivery if infant is found to be Rh positive.
14. A baby boy was born at 8:50pm. At 8:55pm, the heart rate was 99 bpm. She has a weak cry, irregular respiration. She was moving all ext
A. 5
B. 6
C. 7
D. 8
15. Billy is a 4 year old boy who has an IQ of 140 which means:
A. average normal
B. very superior
C. above average
D. genius
16. A newborn is brought to the nursery. Upon assessment, the nurse finds that the child has short palpebral fissures, thinned upper lip. Base
A. Chronic toxoplasmosis
B. Lead poisoning
C. Congenital anomalies
D. Fetal alcohol syndrome
17. A priority nursing intervention for the infant with cleft lip is which of the following:
A. Monitoring for adequate nutritional intake
B. Teaching high-risk newborn care
C. Assessing for respiratory distress
D. Preventing injury
18. Nurse Jacob is assessing a 12 year old who has hemophilia A. Which of the following assessment findings would the nurse anticipate?
A. an excess of RBC
B. an excess of WBC
C. a deficiency of clotting factor VIII
D. a deficiency of clotting factor IX
19. Celine, a mother of a 2 year old tells the nurse that her child “cries and has a fit when I have to leave him with a sitter or someone else.” W
A. The child has not experienced limit-setting or structure.
B. The child is expressing a physical need, such as hunger.
C. The mother has nurtured overdependence in the child.
D. The mother is describing her child’s separation anxiety.
20. Mylene Lopez, a 16 year old girl with scoliosis has recently received an invitation to a pool party. She asks the nurse how she can disguise
A. Anxiety
B. Body image disturbance
C. Ineffective individual coping
D. Social isolation
21. The foul-smelling, frothy characteristic of the stool in cystic fibrosis results from the presence of large amounts of which of the following:
A. sodium and chloride
B. undigested fat
C. semi-digested carbohydrates
D. lipase, trypsin and amylase
22. Which of the following would be a disadvantage of breast feeding?
A. involution occurs rapidly
B. the incidence of allergies increases due to maternal antibodies
C. the father may resent the infant’s demands on the mother’s body
D. there is a greater chance of error during preparation
23. A client is noted to have lymphedema, webbed neck and low posterior hairline. Which of the following diagnoses is most appropriate?
A. Turner’s syndrome
B. Down’s syndrome
C. Marfan’s syndrome
D. Klinefelter’s syndrome
24. A 4 year old boy most likely perceives death in which way:
A. An insignificant event unless taught otherwise
B. Punishment for something the individual did
C. Something that just happens to older people
D. Temporary separation from the loved one.
25. Catherine Diaz is a 14 year old patient on a hematology unit who is being treated for sickle cell crisis. During a crisis such as that seen in s
A. sodium loss, water loss and potassium retention
B. sodium loss, water los and potassium loss
C. sodium retention, water loss and potassium retention
D. sodium retention, water retention and potassium loss
Answers and Rationales
1. (B) Fetal movement.
Non-stress test measures response of the FHR to the fetal movement. With fetal movement, FHR
2. (A) Flexion.
The 6 cardinal movements of labor are descent, flexion, internal rotation, extension, external rotation and exp
3. (D) Neural tube defects.
Alpha-fetoprotein is a substance produces by the fetal liver that is present in amniotic fluid a
4. (D) 20 weeks of gestation.
The FHR can be auscultated with a fetoscope at about 20 weeks of gestation. FHR is usua
5. (C) Pressure on blood vessels from the enlarging uterus.
Pressure of the growing fetus on blood vessels results in an increase risk for venous stasis in the lower e
6. (A) Class I.
Clients under class I has no physical activity limitation. There is a slight limitation of physical activity in class
7. (D) 12-18 months.
Anterior fontanel closes at 12-18 months while posterior fontanel closes at birth until 2 months.
8. (A) Atony of the uterus.
Uterine atony, or relaxation of the uterus is the most frequent cause of postpartal hemorrha
9. (B) January 11, 20111. Using the Nagel’s rule, he use this formula ( -3 calendar months + 7 days).
10. (C) Rubella titer less than 1:8.
A rubella titer should be 1:8 or greater. Thus, a finding of a titer less than 1:8 is sign
11. (B) “I will limit my activities and rest more frequently throughout the day.”
Pregnant woman with
12. (C) The quietest room on the floor.
A loud noise such as a crying baby, or a dropped tray of equipment may be suf
13. (D) Within 72 hours after delivery if infant is found to be Rh positive.
RhoGAM is given to Rh-negative mothers within 72 h
14. (B) 6.
Heart rate of 99 bpm-1; weak cry-1; irregular respiration-1; moving all extremities-2; extremities are slightly blue-1;
15. (D) genius.
IQ= mental age/chronological age x 100. Mental age refers to the typical intelligence level found for people at
16. (D) Fetal alcohol syndrome.
The newborn with fetal alcohol syndrome has a number of possible problems at birth. Characteristics that mar
17. (A) Monitoring for adequate nutritional intake.
The infant with cleft lip is unable to create an adequate seal f
18. (C) a deficiency of clotting factor VIII.
Hemophillia A (classic hemophilia) is a deficiency in factor VIII (an alpha globulin
19. (D) The mother is describing her child’s separation anxiety.
Before coming to any conclusion, the nurse should ask the mother focused questions; however, based on initial infor
20. (B) Body image disturbance.
Mylene is experiencing uneasiness about the curvative of her spine, which will be more evident when she wears a ba
21. (B) undigested fat.
The client with cystic fibrosis absorbs fat poorly because of the think secretions blocking the pancre
22. (C) the father may resent the infant’s demands on the mother’s body.
With breast feeding, the father’s body is not
23. (A) Turner’s syndrome.
Lymphedema, webbed neck and low posterior hairline, these are the 3 key assessment feature
24. (D) Temporary separation from the loved one.
The predominant perception of death by preschool age child
25. (D) sodium retention, water retention and potassium loss.
Stress stimulates the adrenal cortex to increase the release of aldosterone. Aldosterone promotes the resor
