Maternity and Peds PN

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Sample questions from Maternity and Peds PN

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a prenatal clinic visit, a client at 10 weeks of gestation reports nausea that is worse in the morning. Which instruction should the practical nurse reinforce?

   • A.Eat a few crackers before getting out of bed and try small, frequent meals.
   • B.Skip breakfast until the nausea has completely resolved.
   • C.Lie flat immediately after eating to rest the stomach.
   • D.Drink a large glass of water with each meal to fill the stomach.

   Rationale: Small, frequent meals and crackers before rising can help reduce nausea in early pregnancy. Drinking large amounts with meals may worsen the feeling of fullness, while skipping meals can make nausea worse. Lying flat after eating does not help and may aggravate reflux. Reinforce practical comfort measures and report persistent vomiting or signs of dehydration.

2. 2.At a community prenatal class, which statement by a client at 18 weeks of gestation indicates understanding of fetal movement monitoring?

   • A.I will begin counting movements only if I have contractions.
   • B.I should wait until my next scheduled appointment to report decreased movement.
   • C.I will contact my provider if I notice a significant decrease in my baby's usual movements.
   • D.I should expect the same number of movements every hour starting today.

   Rationale: A significant decrease from the fetus's usual movement pattern should be reported promptly so the provider can determine whether evaluation is needed. Movement patterns vary, especially earlier in pregnancy, so the same number every hour is not expected. Contractions are not required before monitoring movement, and waiting for a routine appointment can delay assessment. The PN reinforces instructions and promptly reports concerning changes.

3. 3.At a prenatal visit, a client at 24 weeks of gestation asks how to reduce the risk of neural tube defects in a future pregnancy. Which recommendations should the practical nurse reinforce? Select all that apply.

   • A.Choose foods such as fortified grains and leafy green vegetables as sources of folate.
   • B.Take more than the prescribed amount of a prenatal vitamin to increase protection.
   • C.Ask the provider whether a higher folic acid dose is indicated for a personal medical history.
   • D.Discuss taking folic acid before conception and during early pregnancy.
   • E.Wait until a pregnancy test is positive before considering folic acid.

   Rationale: Folic acid is most protective when taken before conception and during early pregnancy, and fortified grains and leafy greens provide folate. A client with certain risk factors may need a provider-directed higher dose, so that decision should not be made independently. Waiting for a positive pregnancy test may miss the early period of neural tube development. Taking extra prenatal vitamins without guidance can result in excessive intake of other ingredients.

4. 4.A client at 30 weeks of gestation calls the prenatal clinic reporting a severe headache and blurred vision. Which response by the practical nurse is most appropriate?

   • A.Suggest resting in a dark room and calling back tomorrow if symptoms continue.
   • B.Advise the client to seek prompt evaluation and notify the RN or provider.
   • C.Recommend taking an over-the-counter medication and waiting two hours.
   • D.Explain that headaches and visual changes are expected as pregnancy advances.

   Answer and rationale are in the full material.

5. 5.In the prenatal clinic, a client's urine dipstick at 28 weeks shows glucose. Which action should the practical nurse take?

   • A.Tell the client that this finding confirms gestational diabetes.
   • B.Instruct the client to eliminate all carbohydrates from the diet.
   • C.Repeat the urine test next month before communicating the finding.
   • D.Document the result and report it to the RN or provider for interpretation.

   Answer and rationale are in the full material.