NUR 2513 Exam 1 Fall - Maternal Child

NUR 2513 Exam 1 Fall - Maternal Child Health

• . Which trend is currently influencing maternal and child healthcare?

*A. An expansion of community based services

• Closure of regionalized healthcare centers
• The availability of additional family support
• A reduction in the number of latch key kids
• A client with a gestational age of 32 weeks arrives at the clinic for a routine

prenatal visit. When measuring fundal height and listening to fetal heart tones, the nurse finds fundal height to be 28 cm and fetal heart tones at 115 bpm, and mother states fetal movements have slowed. What may the nurse conclude with this finding?

• Fetus has stopped growing due to the limited uterine growth.
• The client should return in two weeks to reevaluate the fetal well-being.

*C. Possible IUGR and the nurse should identify risk factors and notify the physician.

• Possible macrosomia, the nurse should check blood glucose and notify the

physician.

• A nurse is caring for several clients on a busy floor. The nurse should recognize

that it is safe to administer tocolytic therapy to which of the following client?

• A client that is experiencing fetal death at 34 weeks gestation

*B. A client who is experiencing preterm labor at 29 weeks gestation

• A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation 1 / 3

• A client who has a post term pregnancy at 41-week gestation
• The nurse is planning an educational session for community members to

address the issue of schoolage child mortality. Which topic should the nurse identify as the highest priority for this population?

• Cancer
• Assault
• Suicide

*D. Accidents

• A nurse is caring for a primiparous woman who is 7 weeks gestation and asks

the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?

• This will occur in the last trimester of pregnancy

*B. This will occur between the sixteenth to twenty weeks of pregnancy

• This will occur at the end of the first trimester of pregnancy
• This will occur when the uterus begins to rise out of the pelvis

Type: MR

• The nurse has noticed a change in the type of care needed to support maternal

and child health issues. What does the nurse realize as reasons for the changes in care? Select all that apply.*A. Smaller families

• Less domestic violence

*C. More employed mothers

• Stable home environments

*E. More single-parent families 2 / 3

• After assessing a client, a nurse determines that an IUD as a method of

contraceptive would be contraindicated based on a history of which finding?

• Smoking
• Hypertension

*C. Abnormal uterine shape

• Thromboembolic disease
• The nurse is teaching a patient on the use of a diaphragm for contraception.

Which patient statement indicates that the client needs further teaching?

• “I need to use my finger to remove the diaphragm.”
• “I should remove the diaphragm 6 hours after intercourse.”
• “I should stop using a diaphragm if I get an infection of my cervix.”

*D. “I need to have the diaphragm checked if my weight changes by 30 lb.”

• An Rh-negative woman at 6 weeks' gestation is scheduled for a medically

induced termination. Which outcome should the nurse identify as appropriate for this patient?*A. Received Rh o (D) immune globulin

• Denied need for contraceptive counseling
• Avoided strenuous activity for 3 weeks
• Experienced a menstrual cycle in 2 months
• At 32 weeks gestation a woman experiences preterm labor. The nurse

administered tocolytics and the client is placed on bedrest. The client continues to experience regular contractions, her cervix is beginning to dilate and efface.What additional medication should be considered to assist the development of the fetus?

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