Maternal And Child Health Nursing NCLEX Quiz 5

10 Questions | Total Attempts: 2312

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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

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