MCKINNEY EVOLVE RESOURCES FOR
MATERNAL CHILD NURSING STUDY GUIDE
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ While the nurse assesses the vital signs of a pregnant woman in
her third trimester, the patient
complains of feeling faint, dizzy, and agitated. Which nursing
intervention is appropriate?
A. Have the patient stand up and retake her blood pressure.
B. Have the patient sit down and hold her arm in a dependent
position.
C. Have the patient lie supine for 5 minutes and recheck her blood
pressure on both arms.
d. Have the patient turn to her left side and recheck her blood
pressure in 5 minutes. Answer: ANS: D
Blood pressure is affected by positions during pregnancy. The supine
position may cause
occlusion of the vena cava and descending aorta. Turning the
pregnant woman to a
lateral recumbent position alleviates pressure on the blood vessels
and quickly corrects
,supine hypotension. Pressures are significantly higher when the
patient is standing. This
option causes an increase in systolic and diastolic pressures. The
arm should be
supported at the same level of the heart. The supine position may
cause occlusion of the
vena cava and descending aorta, creating hypotension.
PTS: 1 DIF: Cognitive Level: Application/Applying
◉ A pregnant woman has come to the emergency department with
complaints of nasal
congestion and epistaxis. What action by the nurse is best?
a. Refer the patient to an ear, nose, and throat specialist
b. Explain that nasal stuffiness and nosebleeds are caused by a
decrease in
progesterone.
c. Attach the woman to a cardiac monitor, and draw blood for
hemoglobin
and hematocrit.
d. Teach that the increased blood supply to the mucous membranes
and can result in congestion and nosebleeds. Answer: ANS: D
As capillaries become engorged, the upper respiratory tract is
affected by the subsequent edema
,and hyperemia, which causes these conditions, seen commonly
during pregnancy. No referral is
needed. The patient does not need to be attached to a cardiac
monitor or have lab drawn. The
patient should be taught that estrogen causes these changes, not
progesterone.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 218 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity
◉ Which finding in the urine analysis of a pregnant woman is
considered a variation of normal?
a. Proteinuria
b. Glycosuria
c. Bacteria
d. Ketonuria Answer: ANS: B
Small amounts of glucose may indicate "physiologic spilling," which
occurs because the
filtered load exceeds the renal tubules' ability to absorb them. The
presence of protein could
indicate kidney disease or preeclampsia. Urinary tract infections are
associated with
bacteria in the urine. An increase in ketones indicates that the
patient is exercising too
, strenuously or has an inadequate fluid and food intake.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 219 OBJ: Nursing Process: Assessm
◉ Which suggestion is appropriate for the pregnant woman who is
experiencing nausea
and vomiting?
A. Eat only three meals a day so the stomach is empty between
meals.
B. Drink plenty of fluids with each meal.
C. Eat dry crackers or toast before arising in the morning.
D. Drink coffee or orange juice immediately on arising in the
morning. Answer: ANS: C
This will assist with the symptoms of morning sickness. It is also
important for the woman
to arise slowly. Instruct the woman to eat five to six small meals
rather than three full meals
per day. Nausea is more intense when the stomach is empty. Fluids
should be taken
separately from meals. Fluids overstretch the stomach and may
precipitate vomiting. Coffee
and orange juice stimulate acid formation in the stomach. It is best
to suggest eating dry
carbohydrates when rising in the morning.
MATERNAL CHILD NURSING STUDY GUIDE
2026 COMPREHENSIVE ANSWERS ALREADY
PASSED
◉ While the nurse assesses the vital signs of a pregnant woman in
her third trimester, the patient
complains of feeling faint, dizzy, and agitated. Which nursing
intervention is appropriate?
A. Have the patient stand up and retake her blood pressure.
B. Have the patient sit down and hold her arm in a dependent
position.
C. Have the patient lie supine for 5 minutes and recheck her blood
pressure on both arms.
d. Have the patient turn to her left side and recheck her blood
pressure in 5 minutes. Answer: ANS: D
Blood pressure is affected by positions during pregnancy. The supine
position may cause
occlusion of the vena cava and descending aorta. Turning the
pregnant woman to a
lateral recumbent position alleviates pressure on the blood vessels
and quickly corrects
,supine hypotension. Pressures are significantly higher when the
patient is standing. This
option causes an increase in systolic and diastolic pressures. The
arm should be
supported at the same level of the heart. The supine position may
cause occlusion of the
vena cava and descending aorta, creating hypotension.
PTS: 1 DIF: Cognitive Level: Application/Applying
◉ A pregnant woman has come to the emergency department with
complaints of nasal
congestion and epistaxis. What action by the nurse is best?
a. Refer the patient to an ear, nose, and throat specialist
b. Explain that nasal stuffiness and nosebleeds are caused by a
decrease in
progesterone.
c. Attach the woman to a cardiac monitor, and draw blood for
hemoglobin
and hematocrit.
d. Teach that the increased blood supply to the mucous membranes
and can result in congestion and nosebleeds. Answer: ANS: D
As capillaries become engorged, the upper respiratory tract is
affected by the subsequent edema
,and hyperemia, which causes these conditions, seen commonly
during pregnancy. No referral is
needed. The patient does not need to be attached to a cardiac
monitor or have lab drawn. The
patient should be taught that estrogen causes these changes, not
progesterone.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 218 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Physiologic Integrity
◉ Which finding in the urine analysis of a pregnant woman is
considered a variation of normal?
a. Proteinuria
b. Glycosuria
c. Bacteria
d. Ketonuria Answer: ANS: B
Small amounts of glucose may indicate "physiologic spilling," which
occurs because the
filtered load exceeds the renal tubules' ability to absorb them. The
presence of protein could
indicate kidney disease or preeclampsia. Urinary tract infections are
associated with
bacteria in the urine. An increase in ketones indicates that the
patient is exercising too
, strenuously or has an inadequate fluid and food intake.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 219 OBJ: Nursing Process: Assessm
◉ Which suggestion is appropriate for the pregnant woman who is
experiencing nausea
and vomiting?
A. Eat only three meals a day so the stomach is empty between
meals.
B. Drink plenty of fluids with each meal.
C. Eat dry crackers or toast before arising in the morning.
D. Drink coffee or orange juice immediately on arising in the
morning. Answer: ANS: C
This will assist with the symptoms of morning sickness. It is also
important for the woman
to arise slowly. Instruct the woman to eat five to six small meals
rather than three full meals
per day. Nausea is more intense when the stomach is empty. Fluids
should be taken
separately from meals. Fluids overstretch the stomach and may
precipitate vomiting. Coffee
and orange juice stimulate acid formation in the stomach. It is best
to suggest eating dry
carbohydrates when rising in the morning.
