Maternal & Child Practice Exam 3

Practice Mode

Welcome to your Maternal & Child Practice Exam 3! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Focus on the term that describes active cervical dilation with bleeding, indicating a likely progression of pregnancy loss.

1 / 25

1. A 12-week pregnant patient arrives at the emergency department reporting abdominal cramping and moderate vaginal bleeding. During a speculum exam, the nurse notes cervical dilation of 2 to 3 cm. How should the nurse document these findings?

💡 Hint

Consider which option might reduce nipple soreness by decreasing the duration of each feeding session.

2 / 25

2. A first-time mother who is lactating reports to Nurse Liz that she is experiencing sore nipples. What should Nurse Liz recommend?

💡 Hint

Consider the contraceptive method that provides a physical barrier to prevent direct contact and transmission of STIs.

3 / 25

3. Nurse Maria is educating a client about contraception options and the prevention of sexually transmitted infections (STIs). Which of the following should she emphasize as the most effective method for reducing the risk of STIs?

💡 Hint

Think about which option could cause limited movement on one side, affecting the newborn’s reflex symmetry.

4 / 25

4. During a routine assessment, Nurse Dana notices that a newborn displays an asymmetrical Moro reflex response. To determine the underlying cause, which condition should Nurse Dana further investigate?

💡 Hint

Think about what will provide the most immediate feedback on blood sugar control for a patient with newly diagnosed gestational diabetes.

5 / 25

5. Nurse Amanda is creating a care plan for Sarah, a patient recently diagnosed with gestational diabetes. To help Sarah manage her condition effectively, which of the following should Nurse Amanda prioritize in her teaching?

💡 Hint

Consider which immediate post-procedure complication could pose the most urgent risk to the newborn’s health.

6 / 25

6. Nurse Lisa is monitoring a newborn boy who has recently undergone a circumcision. During the first 4 hours post-procedure, which assessment should be Nurse Lisa's top priority?

💡 Hint

To use Naegele's rule, subtract three months from the first day of the last menstrual period and add seven days.

7 / 25

7. A client reports to Nurse Jane that her last menstrual period began on January 14 and ended on January 20. Using Naegele’s rule, the nurse calculates her estimated due date (EDD) to be:

💡 Hint

Think about the purpose of consistent timing in relation to the effectiveness of hormonal contraception.

8 / 25

8. Nurse Amanda is educating a client who has started using oral contraceptives. She emphasizes the importance of taking the pill at the same time each day. What is the primary reason for this instruction?

💡 Hint

Think about hormonal changes and blood clot risks in the early postpartum period that could influence contraceptive options.

9 / 25

9. Nurse Laura is preparing a woman who is 2 days postpartum for discharge and discussing contraceptive options. She considers which methods might not be suitable at this time. Which contraceptive method should be avoided?

💡 Hint

Consider the gestational age and the best device for detecting fetal heart tones in early pregnancy.

10 / 25

10. Nurse Kelly is assessing a 12-week pregnant patient and needs to check the fetal heart rate. Which device and location would be most appropriate for Nurse Kelly to use in order to hear the fetal heart rate at this stage of pregnancy?

💡 Hint

Think about the overall recommended weight gain range for a healthy pregnancy.

11 / 25

11. Nurse Emma is creating a teaching plan for a pregnant teenager who is worried about gaining too much weight during her pregnancy. Which of the following guidelines would the nurse use as a basis for teaching?

💡 Hint

Remember that G represents the total number of pregnancies, T is full-term births (37+ weeks), P is preterm births, A is abortions or miscarriages, and L is living children.

12 / 25

12. When recording the obstetrical history of a pregnant client who says, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation, and I lost a baby at about 8 weeks,” the nurse should document her history as:

💡 Hint

Think about what new mothers and families need most when managing care independently right after discharge.

13 / 25

13. Nurse Carla is caring for Maria, a new mother being discharged early from the hospital after delivery. Nurse Carla needs to prioritize her nursing approach to ensure Maria is ready for her transition home. Which should be the primary focus of her discharge teaching?

💡 Hint

Think about which method is commonly recommended to promote cord drying and reduce infection risk.

14 / 25

14. Nurse Sarah overhears a mother explaining umbilical cord care to a friend over the phone. Which statement by the mother would indicate that she has understood the nurse's teaching?

💡 Hint

Think about which assessment could provide more information on possible uterine infection or subinvolution.

15 / 25

15. A postpartum patient presents with a temperature of 101.4ºF, a tender uterus that feels enlarged, and a slower-than-expected descent. What should the nurse assess next?

💡 Hint

Consider which symptom is both immediate and potentially severe in ectopic pregnancy cases.

16 / 25

16. Nurse Sarah is caring for a patient diagnosed with an ectopic pregnancy. As she prepares the care plan, which nursing diagnosis should she prioritize?

💡 Hint

Think about which action will help ensure the most accurate assessment of uterine position and firmness.

17 / 25

17. Nurse Julia is preparing to assess the uterus of a postpartum patient for firmness and its position relative to the umbilicus and midline. Before beginning the assessment, what should Nurse Julia do first?

💡 Hint

Consider which option might inadvertently expose the newborn to colder temperatures.

18 / 25

18. Nurse Ellen is providing care for a newborn and is focused on maintaining a neutral thermal environment to prevent heat loss. Which of the following actions would be least effective in achieving this goal?

💡 Hint

Focus on which signs may indicate respiratory distress in a newborn and what immediate intervention would address this concern effectively.

19 / 25

19. Nurse Kim is assessing a male newborn immediately after birth and notes rapid respirations of 78 breaths per minute, an apical heart rate of 160 BPM, flaring nostrils, mild intercostal retractions, and grunting at the end of expiration. What action should Nurse Kim take?

💡 Hint

Focus on the assessment that addresses a potential cause of hypotension and increased pulse rate in the immediate postpartum period.

20 / 25

20. Four hours postpartum, Nurse Dana checks her patient's vital signs: BP 90/60, temperature 100.4ºF, pulse 100 (weak and thready), and respirations 20 per minute. What should Nurse Dana do first?

💡 Hint

Consider the effect of maternal hormones on a newborn's body after birth.

21 / 25

21. A new mother expresses concern to Nurse Abby about her newborn son's enlarged breasts. She asks, "What's wrong with my son's breasts? Why are they so enlarged?" What would be Nurse Abby's best response?

💡 Hint

Consider the symptom that could indicate a potential complication related to pregnancy-induced hypertension.

22 / 25

22. During a prenatal checkup, Nurse Elena notes that her patient, who is 24 weeks pregnant, has gained 6 pounds over the past 4 weeks. Which assessment should Nurse Elena prioritize?

💡 Hint

Consider the risk of infections related to sexually transmitted diseases when choosing contraceptive methods that are inserted into the uterus.

23 / 25

23. Nurse Amy is counseling a group of clients about contraceptive options, including the use of intrauterine devices (IUDs). She considers which clients may not be suitable candidates for an IUD. For which of the following clients would an IUD likely not be recommended?

💡 Hint

Consider which color and timing of lochia might indicate delayed healing or possible complications.

24 / 25

24. Nurse Emily is assessing the postpartum vaginal discharge (lochia) of four clients. Which of the following findings should prompt Nurse Emily to notify the physician?

💡 Hint

Consider a safe, natural method to relieve constipation during pregnancy that promotes healthy digestion without medications or invasive procedures.

25 / 25

25. A pregnant client in her third trimester complains to Nurse Sarah, “I’m constipated all the time!” Which of the following should the nurse recommend?

Exam Mode

Welcome to your Maternal & Child Practice Exam 3! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Sarah overhears a mother explaining umbilical cord care to a friend over the phone. Which statement by the mother would indicate that she has understood the nurse's teaching?

2 / 25

2. Nurse Kelly is assessing a 12-week pregnant patient and needs to check the fetal heart rate. Which device and location would be most appropriate for Nurse Kelly to use in order to hear the fetal heart rate at this stage of pregnancy?

3 / 25

3. Nurse Julia is preparing to assess the uterus of a postpartum patient for firmness and its position relative to the umbilicus and midline. Before beginning the assessment, what should Nurse Julia do first?

4 / 25

4. Nurse Amy is counseling a group of clients about contraceptive options, including the use of intrauterine devices (IUDs). She considers which clients may not be suitable candidates for an IUD. For which of the following clients would an IUD likely not be recommended?

5 / 25

5. Four hours postpartum, Nurse Dana checks her patient's vital signs: BP 90/60, temperature 100.4ºF, pulse 100 (weak and thready), and respirations 20 per minute. What should Nurse Dana do first?

6 / 25

6. When recording the obstetrical history of a pregnant client who says, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation, and I lost a baby at about 8 weeks,” the nurse should document her history as:

7 / 25

7. Nurse Emily is assessing the postpartum vaginal discharge (lochia) of four clients. Which of the following findings should prompt Nurse Emily to notify the physician?

8 / 25

8. Nurse Maria is educating a client about contraception options and the prevention of sexually transmitted infections (STIs). Which of the following should she emphasize as the most effective method for reducing the risk of STIs?

9 / 25

9. Nurse Lisa is monitoring a newborn boy who has recently undergone a circumcision. During the first 4 hours post-procedure, which assessment should be Nurse Lisa's top priority?

10 / 25

10. Nurse Kim is assessing a male newborn immediately after birth and notes rapid respirations of 78 breaths per minute, an apical heart rate of 160 BPM, flaring nostrils, mild intercostal retractions, and grunting at the end of expiration. What action should Nurse Kim take?

11 / 25

11. Nurse Laura is preparing a woman who is 2 days postpartum for discharge and discussing contraceptive options. She considers which methods might not be suitable at this time. Which contraceptive method should be avoided?

12 / 25

12. A 12-week pregnant patient arrives at the emergency department reporting abdominal cramping and moderate vaginal bleeding. During a speculum exam, the nurse notes cervical dilation of 2 to 3 cm. How should the nurse document these findings?

13 / 25

13. Nurse Carla is caring for Maria, a new mother being discharged early from the hospital after delivery. Nurse Carla needs to prioritize her nursing approach to ensure Maria is ready for her transition home. Which should be the primary focus of her discharge teaching?

14 / 25

14. Nurse Ellen is providing care for a newborn and is focused on maintaining a neutral thermal environment to prevent heat loss. Which of the following actions would be least effective in achieving this goal?

15 / 25

15. Nurse Emma is creating a teaching plan for a pregnant teenager who is worried about gaining too much weight during her pregnancy. Which of the following guidelines would the nurse use as a basis for teaching?

16 / 25

16. During a prenatal checkup, Nurse Elena notes that her patient, who is 24 weeks pregnant, has gained 6 pounds over the past 4 weeks. Which assessment should Nurse Elena prioritize?

17 / 25

17. A new mother expresses concern to Nurse Abby about her newborn son's enlarged breasts. She asks, "What's wrong with my son's breasts? Why are they so enlarged?" What would be Nurse Abby's best response?

18 / 25

18. During a routine assessment, Nurse Dana notices that a newborn displays an asymmetrical Moro reflex response. To determine the underlying cause, which condition should Nurse Dana further investigate?

19 / 25

19. A first-time mother who is lactating reports to Nurse Liz that she is experiencing sore nipples. What should Nurse Liz recommend?

20 / 25

20. Nurse Amanda is educating a client who has started using oral contraceptives. She emphasizes the importance of taking the pill at the same time each day. What is the primary reason for this instruction?

21 / 25

21. Nurse Sarah is caring for a patient diagnosed with an ectopic pregnancy. As she prepares the care plan, which nursing diagnosis should she prioritize?

22 / 25

22. A postpartum patient presents with a temperature of 101.4ºF, a tender uterus that feels enlarged, and a slower-than-expected descent. What should the nurse assess next?

23 / 25

23. A pregnant client in her third trimester complains to Nurse Sarah, “I’m constipated all the time!” Which of the following should the nurse recommend?

24 / 25

24. A client reports to Nurse Jane that her last menstrual period began on January 14 and ended on January 20. Using Naegele’s rule, the nurse calculates her estimated due date (EDD) to be:

25 / 25

25. Nurse Amanda is creating a care plan for Sarah, a patient recently diagnosed with gestational diabetes. To help Sarah manage her condition effectively, which of the following should Nurse Amanda prioritize in her teaching?