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WorksheetsNursing and Maternal Care Quiz
Total questions: 20
Worksheet time: 10mins
The nurse is providing care to a pregnant woman who speaks a different language from that of the nurse.
When communicating with this patient, the nurse demonstrates best practice by which action?
Speak louder and slower
Ask a family member to interpret
Arrange for an interpreter to be present during any communication
Use written instructions in English
During which phase of the cycle of violence does the batterer become contrite and remorseful?
Tension-building phase
Crisis phase
Honeymoon phase
Withdrawal phase
A labor and delivery nurse says to a coworker that an Asian patient probably won’t want any pain
medication because “Asian women typically are stoic.” The nurse is expressing a belief known as:
Cultural competence
Stereotype
Ethnocentrism
Cultural sensitivity
A woman gave birth to a 7lb, 3 ounce infant boy 2 hours ago. The nurse performs a fundal assessment
and finds her fundus 3 cm above the umbilicus and to the right of the midline. In the immediate after
birth period, the most serious consequence likely to occur is:
Constipation
Excessive uterine bleeding
Uterine infection
Hypertension
A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the
mother need to be taught to take care of the infant when she gets home?
Cleanse with alcohol wipes
Leave diaper off for healing
Cleanse the penis gently with water and put petroleum jelly around the glands after each diaper change
Use talcum powder to prevent irritation
The nurse would recommend the use of which supplement as a primary prevention strategy for neural
tube defects in the future offspring of pregnant women?
Iron
Calcium
Vitamin D
Folic acid
A priority nursing action for a woman with obstetric hemorrhage due to uterine atony is:
Administer oxygen
Perform fundal massage
Start IV antibiotics
Encourage ambulation
A new mother recalls from prenatal class that she should try to feed her newborn daughter when she
exhibits feeding readiness cues rather than waiting until her infant is crying frantically. This women
should feed her infant about every 2 to 3 hours when she:
Crying frantically
Sleeping soundly
Making sucking motions
Turning head away
On vaginal examination of a 30 year old woman, the nurse documents the following findings: profuse,
thin, grayish white vaginal discharge with a fishy odor; compliant of pruritus. Based on these findings,
the nurse suspects that this woman has:
Candidiasis
Trichomoniasis
Bacterial vaginosis
Chlamydia
Women with hyperemesis gravidarum typically present with:
Mild nausea only in the morning
Vomiting severe enough to cause weight loss, dehydration, and electrolyte imbalance
Diarrhea and abdominal cramping
Increased appetite
When assigning an Apgar score, the nurse is assessing which of the following?
Reflexes, hearing, vision, tone, respirations
Color, reflexes, tone, heart rate, respirations
Temperature, reflexes, weight, tone, color
Cry, reflexes, reflex irritability, vision, weight
The nurse has received report regarding her patient in labor. The women’s last vaginal examination was
recorded as 3/30%/-2. The nurse interprets this finding as:
3 cm dilated, 30% effaced, presenting part 2 cm above ischial spines
3 cm dilated, 30% effaced, presenting part engaged
3 cm dilated, 30% effaced, presenting part 2 cm below ischial spines
3 cm dilated, fully effaced, station 0
A 32 year old primigravida is admitted with a diagnosis of ectopia pregnancy. Nursing care is based on
the knowledge that:
Infection
Hemorrhage
Preterm labor
Gestational hypertension
Rhogam immune globulin will be ordered after birth if which situation occurs?
Mother Rh+, baby Rh-
Mother Rh-, baby Rh+
Both mother and baby are Rh-
Both mother and baby are Rh+
A first time dad is concerned that his 3 day old son’s skin looks yellow. In the nurse’s explanation of
physiologic jaundice, what fact should be included?
The bilirubin levels of physiologic jaundice peak within the first 24 hours of life.
The bilirubin levels of physiologic jaundice peak between 72 and 96 hours of life.
The bilirubin levels of physiologic jaundice peak at 5 to 7 days of life.
The bilirubin levels of physiologic jaundice peak at 2 weeks of life.
A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8
hours. The nurse assesses the woman and documents the following findings: temperature of 37.1 C,
pulse rate of 96 beats/min, respiratory rate of 24 breaths/min, blood pressure [BP] of 155/112 mm Hg,
3+ deep tendon reflexes, and negative clonus. The nurse calls the physician anticipating an order for:
Oxytocin
Hydralazine
Diazepam
Labetalol
During a phone follow up conversation with a woman who is 4 days postpartum, the woman tells the
nurse, I don’t know what’s wrong, I love my son, but I feel so let down. I seem to cry for no reason. The
nurse would recognize that the women is experiencing:
Postpartum depression
Postpartum psychosis
Postpartum blues
Normal adaptation
Injectable progestins [DMPA, Depo-Provera] are a good contraceptive choice for women who?
Want a permanent method
Have difficulty remembering daily pills
Have a history of osteoporosis
Want quick fertility return
The patient’s fetal heart rate [FHR] is 150 before a contraction begins. At the beginning of the
contraction, the FHR gradually starts to fall to 110 and returns to baseline at the end of the contraction.
What is the priority nursing action in response to this finding?
Stop oxytocin immediately
Document findings and continue monitoring
Reposition the mother
Give oxygen
To teach patient about true versus false labor, the nurse knows which event is the best indicator of true
labor?
Contractions stop with rest
Fetal movement increases
Cervical change
Abdominal tightening only
