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Nclex Questions For Maternal And Child Nursing 2 (exam Mode) By Rnpedia.com

30 Questions  I  By Rnpedia
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1.  After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at –1 station. Based on these findings, the nurse-midwife knows that the fetal presenting part is: 
A.
B.
C.
D.
2.  When assessing a client during her first prenatal visit, the nurse discovers that the client had a reduction mammoplasty. The mother indicates she wants to breast-feed. What information should the nurse give to this mother regarding breast-feeding success? 
A.
B.
C.
D.
3.  A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal:
A.
B.
C.
D.
4.  A client with type 1 diabetes mellitus who’s a multigravida visits the clinic at 27 weeks gestation. The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus: 
A.
B.
C.
D.
5.  A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks’ gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time? 
A.
B.
C.
D.
6.  When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to: 
A.
B.
C.
D.
7.  A client who’s 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’s preparation for parenting, the nurse might ask which question? 
A.
B.
C.
D.
8.  When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following?
A.
B.
C.
D.
9.  Nurse Roy is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?
A.
B.
C.
D.
10.  A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?
A.
B.
C.
D.
11.  A adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by; 
A.
B.
C.
D.
12.  During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. Between 18 and 40 weeks’ gestation, which procedure is used to detect fetal anomalies?
A.
B.
C.
D.
13.  A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and admits to cocaine use during the pregnancy. Which of the following persons must the nurse notify?
A.
B.
C.
D.
14.  A patient is in last trimester of pregnancy. Nurse Jane should instruct her to notify her primary health care provider immediately if she notices: 
A.
B.
C.
D.
15.  Accompanied by her husband, a patient seeks admission to the labor and delivery area. The client states that she is in labor, and says she attended the hospital clinic for prenatal care. Which question should the nurse ask her first?
A.
B.
C.
D.
16.  What’s the approximate time that the blastocyst spends traveling to the uterus for implantation? 
A.
B.
C.
D.
17.  Which change would the nurse identify as a progressive physiological change in postpartum period? 
A.
B.
C.
D.
18.  While caring for a multigravida client in early labor in a birthing center, which of the following foods would be best if the client requests a snack?
A.
B.
C.
D.
19.  A 39-year-old at 37 weeks’ gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s complaint of vaginal bleeding?
A.
B.
C.
D.
20.  A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate? 
A.
B.
C.
D.
21.  The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Which nursing diagnosis takes priority for this client? 
A.
B.
C.
D.
22.  During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, the nurse in charge should instruct the client to push the control button at which time? 
A.
B.
C.
D.
23.  After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes stated by the client would indicate to the nurse that the teaching was effective? 
A.
B.
C.
D.
24.  While assessing a primipara during the immediate postpartum period, the nurse in charge plans to use both hands to assess the client’s fundus to: 
A.
B.
C.
D.
25.  The nurse in charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor? 
A.
B.
C.
D.
26.  When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her? 
A.
B.
C.
D.
27.  The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The baby is coming!” which of the following would be the nurse’s first action? 
A.
B.
C.
D.
28.  Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client? 
A.
B.
C.
D.
29.  Which of the following would be inappropriate to assess in a mother who’s breast-feeding? 
A.
B.
C.
D.
30.  A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions? 
A.
B.
C.
D.
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