Maternal And Child Health Nursing NCLEX Quiz 5

10 Questions | By Santepro | Last updated: Mar 21, 2022 | Total Attempts: 2312

Questions

Settings

Create your own Quiz

Maternal And Child Health Nursing NCLEX Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

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.
  
  1 cm below the ischial spines.
- B.
  
  Directly in line with the ischial spines.
- C.
  
  1 cm above the ischial spines.
- D.
  
  In no relationship to the ischial spines.
2.

Which of the following would be inappropriate to assess in a mother who’s breastfeeding?
- A.
  
  The attachment of the baby to the breast.
- B.
  
  The mother’s comfort level with positioning the baby.
- C.
  
  Audible swallowing.
- D.
  
  The baby’s lips smacking
3.

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.
  
  Amniocentesis.
- B.
  
  Chorionic villi sampling.
- C.
  
  Fetoscopy.
- D.
  
  Ultrasound
4.

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.
  
  The fetus should be delivered within 24 hours.
- B.
  
  The client should repeat the test in 24 hours.
- C.
  
  The fetus isn’t in distress at this time.
- D.
  
  The client should repeat the test in 1 week.
5.

A client who is 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.
  
  “Are you planning to have epidural anesthesia?”
- B.
  
  “Have you begun prenatal classes?”
- C.
  
  “What changes have you made at home to get ready for the baby?”
- D.
  
  “Can you tell me about the meals you typically eat each day?”
6.

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.
  
  Placing the client in bed to begin fetal monitoring.
- B.
  
  Preparing for immediate delivery.
- C.
  
  Checking for ruptured membranes.
- D.
  
  Providing comfort measures.
7.

The nurse 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.
  
  Change the client’s position.
- B.
  
  Prepare for emergency cesarean section.
- C.
  
  Check for placenta previa.
- D.
  
  Administer oxygen.
8.

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.
  
  Risk for deficient fluid volume related to hemorrhage
- B.
  
  Risk for infection related to the type of delivery
- C.
  
  Pain related to the type of incision
- D.
  
  Urinary retention related to periurethral edema
9.

Which change would the nurse identify as a progressive physiological change in the postpartum period?
- A.
  
  Lactation
- B.
  
  Lochia
- C.
  
  Uterine involution
- D.
  
  Diuresis
10.

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.
  
  Placenta previa
- B.
  
  Abruptio placentae
- C.
  
  Ectopic pregnancy
- D.
  
  Spontaneous abortion