Maternal and Child Health Nclex RN Practice Questions

1. A pregnant woman arrives for her first prenatal visit. In preparing the client for a pelvic
exam the nurse should:
a. Ask the client if she needs to empty her bladder.
b. Determine the client’s feelings about the pregnancy.
c. Position the client in a Sims lateral position.
d. Teach the client relaxation breathing techniques.

2. What diet is advisable for a preschooler with gastroenteritis once rehydration has
been achieved?
a. BRAT diet (bananas, rice, applesauce, and toast or tea).
b. Full liquid diet.
c. Clear liquid diet.
d. Regular pediatric diet.

3. An infant who is 10 months of age has had a cleft lip repair. Immediately following surgery
the nurse should do which of the following first?
a. Initiate chest physiotherapy.
b. Place the infant in the prone position.
c. Give the infant a pacifier.
d. Apply elbow restraints.

4. Suddenly, a client with an ectopic pregnancy no longer meets criteria for administration
 of methotrexate therapy because the size of the ectopic pregnancy has increased.
The client is hospitalized for a salpingostomy and experiencing abdominal pain and
a drop in BP to 90/60. Heart rate is 110 and respirations are 22. What should the nurse do first?
a. Administer oxygen.
b. Place the client in Trendelenberg position.
c. Measure abdominal girth.
d. Determine the level of pain.

5. A child has wax in one ear canal. The parents should:
a. Observe the child for hearing impairment.
b. Teach the child to clean the ear with a Qtip and tap water on weekly basis.
c. Do nothing; ear wax is helpful in that it removes dirt from the ear canal.
d. Apply ear drops daily for at least 3 days to soften the wax.

6. A pregnant woman has been in labor for 10 h. She is now 4 cm dilated, 100% effaced,
 plus 1 station. Contractions palpate mild to moderate in intensity and occur every 3 to 5 min.
The nurse concludes that the client is in which phase of labor?
a. Active phase.
b. Antepartal phase.
c. Latent phase.
d. Transition phase.

7. The nurse is reviewing the health record of a child who is of school age. He has a hearing loss of 60 dB. The nurse should inform the child’s teacher that this child has difficulty hearing which of the following?
a. Very loud noises.
b. Normal conversation.
c. Fire alarms.
d. Shrill sounds.

8. A child with allergic rhinitis is using a nasal antihistamine spray. When teaching the parents about the use of such sprays, the nurse should advise the parents to expect:
a. A permanent increase in nasal secretions.
b. A decrease in histamine release after an initial increase.
c. An increase in nasal secretions after an initial decrease.
d. Reflux of gastric contents into the esophagus

9. To relive a child’s feeling of thirst immediately after tonsillectomy, the nurse should offer:
a. Milk.
b. Juice.
c. Ice chips.
d. Ginger ale.

10. A client who is in labor has been in a Fowler position for 2 hr. After palpating the contractions at moderate intensity, the nurse repositions the client to a left lateral side-lying position.
An expected outcome for this nursing intervention is to:
a. Decrease fetal heart rate.
b. Increase contraction frequency.
c. Increase maternal BP.
d. Increase uterine blood flow.

11. A child has severe diarrhea and poor skin turgor. His body temperature has increased 3 F.
The nurse should give which of the following fluids first?
a. Chicken broth.
b. Apple juice.
c. Jell-O.
d. Oral rehydration therapy.

12. The nurse is teaching a pregnant client who is 37 years of age about managing her severe
bilateral leg varicose veins. The nurse concludes that the client understands the instruction
when the client says she will avoid which of the following?
a. Vitamin C intake.
b. Exercising.
c. Standing for prolonged periods.
d. Wearing antiembolism hose.

13. An infant has undergone cleft palate repair.The nurse should instruct the parents to do which
of the following when feeding their infant?
a. Hold infant semiupright while feeding.
b. Position infant on the abdomen after feeding.
c. Avoid burping infant during feeding.
d. Remove metal appliance taped to the cheeks during feeding.

14. A client who is 14 weeks pregnant has her first prenatal visit. The following orders
are written on her chart. Which order should the nurse clarify with the health care provider?
a. Schedule abdominal ultrasound.
b. Administer MMR vaccine.
c. Schedule amniocentesis.
d. Prenatal vitamins daily

 Answer and Rational