Test Bank For Maternal & Child Health Nursing
Test Bank 2 For Maternal & Child Health Nursing
Care of the Childbearing & Childrearing Family
9th Edition By JoAnne Silbert-Flagg.
|GRADED A+| (EXAM READY)
(Solved) SCORE A
NUR 2513 MATERNAL CHILD NURSING EXAM
A+ TEST BANK 1
, Test Bank For Maternal & Child Health Nursing
Heartburn and flatulence, common in the second trimester, are most likely the result of which of the
following?
A) Decreased intestinal motility
B) Increased plasma HCG levels
C) Decreased gastric acidity
D) Elevated estrogen levels –
Correct Answer :During the second trimester, the reduction in gastric acidity in conjunction with
pressure from the growing uterus and smooth muscle relaxation, can cause heartburn and flatulence.
HCG levels increase in the first, not the second, trimester. Decrease intestinal motility would most
likely be the cause of constipation and bloating. Estrogen levels decrease in the second trimester.
Which of the following would be disadvantage of breast feeding?
A) The father may resent the infant's demands on the mother's body
B) The incidence of allergies increases due to maternal antibodies
C) There is a greater chance for error during preparation
D) Involution occurs more rapidly –
Correct Answer :With breast feeding, the father's body is not capable of providing the milk for the
newborn, which may interfere with feeding the newborn, providing fewer chances for bonding, or he
may be jealous of the infant's demands on his wife's time and body. Breast feeding is advantageous
because uterine involution occurs more rapidly, thus minimizing blood loss. The presence of maternal
antibodies in breast milk helps decrease the incidence of allergies in the newborn. A greater chance for
error is associated with bottle feeding. No preparation is required for breast
Which of the following would the nurse identify as a classic sign of PIH?
A Early morning headache
B Weight gain of 1 lb/week
C Edema of the hands and face
D Edema of the feet and ankles –
A+ TEST BANK 2
, Test Bank For Maternal & Child Health Nursing
Correct Answer :Edema of the hands and face is a classic sign of PIH. Many healthy pregnant woman
experience foot and ankle edema. A weight gain of 2 lb or more per week indicates a problem. Early
morning headache is not a classic sign of PIH.
Before birth, which of the following structures connects the right and left auricles of the heart?
A Umbilical vein
B Ductus arteriosus
C Ductus venosus
D Foramen ovale –
Correct Answer :The foramen ovale is an opening between the right and left auricles (atria) that
should close shortly after birth so the newborn will not have a murmur or mixed blood traveling
through the vascular system. The umbilical vein, ductus arteriosus, and ductus venosus are obliterated
at birth.
Which of the following urinary symptoms does the pregnant woman most frequently experience
during the first trimester?
A Incontinence
B Dysuria
Frequency
D Burning –
Correct Answer :Pressure and irritation of the bladder by the growing uterus during the first trimester
is responsible for causing urinary frequency. Dysuria, incontinence, and burning are symptoms
associated with urinary tract infections.
Which of the following is the nurse's initial action when umbilical cord prolapse occurs?
A) Notify the physician and prepare the client for delivery
B) Begin monitoring maternal vital signs and FHR
A+ TEST BANK 3
, Test Bank For Maternal & Child Health Nursing
C) Apply a sterile warm saline dressing to the exposed cord
D) Place the client in a knee-chest position in bed –
Correct Answer :The immediate priority is to minimize pressure on the cord. Thus the nurse's initial
action involves placing the client on bed rest and then placing the client in a knee-chest position or
lowering the head of the bed, and elevating the maternal hips on a pillow to minimize the pressure on
the cord. Monitoring maternal vital signs and FHR, notifying the physician and preparing the client for
delivery, and wrapping the cord with sterile saline soaked warm gauze are important. But these
actions have no effect on minimizing the pressure on the cord.
Which of the following may happen if the uterus becomes overstimulated by oxytocin during the
induction of labor?
A) Tetanic contractions prolonged to more than 90 seconds
B) Increased restlessness and anxiety
C) Weak contraction prolonged to more than 70 seconds
D) Increased pain with bright red vaginal bleeding –
Correct Answer :Hyperstimulation of the uterus such as with oxytocin during the induction of labor
may result in tetanic contractions prolonged to more than 90seconds, which could lead to such
complications as fetal distress, abruptio placentae, amniotic fluid embolism, laceration of the cervix,
and uterine rupture. Weak contractions would not occur. Pain, bright red vaginal bleeding, and
increased restlessness and anxiety are not associated with hyperstimulation.
Which of the following best describes preterm labor?
A Labor that begins after 24 weeks gestation and before 28 weeks gestation
B Labor that begins after 15 weeks gestation and before 37 weeks gestation
C Labor that begins after 28 weeks gestation and before 40 weeks gestation
Labor that begins after 20 weeks gestation and before 37 weeks gestation –
Correct Answer :Preterm labor is best described as labor that begins after 20 weeks' gestation and
before 37 weeks' gestation. The other time periods are inaccurate.
A+ TEST BANK 4
Test Bank 2 For Maternal & Child Health Nursing
Care of the Childbearing & Childrearing Family
9th Edition By JoAnne Silbert-Flagg.
|GRADED A+| (EXAM READY)
(Solved) SCORE A
NUR 2513 MATERNAL CHILD NURSING EXAM
A+ TEST BANK 1
, Test Bank For Maternal & Child Health Nursing
Heartburn and flatulence, common in the second trimester, are most likely the result of which of the
following?
A) Decreased intestinal motility
B) Increased plasma HCG levels
C) Decreased gastric acidity
D) Elevated estrogen levels –
Correct Answer :During the second trimester, the reduction in gastric acidity in conjunction with
pressure from the growing uterus and smooth muscle relaxation, can cause heartburn and flatulence.
HCG levels increase in the first, not the second, trimester. Decrease intestinal motility would most
likely be the cause of constipation and bloating. Estrogen levels decrease in the second trimester.
Which of the following would be disadvantage of breast feeding?
A) The father may resent the infant's demands on the mother's body
B) The incidence of allergies increases due to maternal antibodies
C) There is a greater chance for error during preparation
D) Involution occurs more rapidly –
Correct Answer :With breast feeding, the father's body is not capable of providing the milk for the
newborn, which may interfere with feeding the newborn, providing fewer chances for bonding, or he
may be jealous of the infant's demands on his wife's time and body. Breast feeding is advantageous
because uterine involution occurs more rapidly, thus minimizing blood loss. The presence of maternal
antibodies in breast milk helps decrease the incidence of allergies in the newborn. A greater chance for
error is associated with bottle feeding. No preparation is required for breast
Which of the following would the nurse identify as a classic sign of PIH?
A Early morning headache
B Weight gain of 1 lb/week
C Edema of the hands and face
D Edema of the feet and ankles –
A+ TEST BANK 2
, Test Bank For Maternal & Child Health Nursing
Correct Answer :Edema of the hands and face is a classic sign of PIH. Many healthy pregnant woman
experience foot and ankle edema. A weight gain of 2 lb or more per week indicates a problem. Early
morning headache is not a classic sign of PIH.
Before birth, which of the following structures connects the right and left auricles of the heart?
A Umbilical vein
B Ductus arteriosus
C Ductus venosus
D Foramen ovale –
Correct Answer :The foramen ovale is an opening between the right and left auricles (atria) that
should close shortly after birth so the newborn will not have a murmur or mixed blood traveling
through the vascular system. The umbilical vein, ductus arteriosus, and ductus venosus are obliterated
at birth.
Which of the following urinary symptoms does the pregnant woman most frequently experience
during the first trimester?
A Incontinence
B Dysuria
Frequency
D Burning –
Correct Answer :Pressure and irritation of the bladder by the growing uterus during the first trimester
is responsible for causing urinary frequency. Dysuria, incontinence, and burning are symptoms
associated with urinary tract infections.
Which of the following is the nurse's initial action when umbilical cord prolapse occurs?
A) Notify the physician and prepare the client for delivery
B) Begin monitoring maternal vital signs and FHR
A+ TEST BANK 3
, Test Bank For Maternal & Child Health Nursing
C) Apply a sterile warm saline dressing to the exposed cord
D) Place the client in a knee-chest position in bed –
Correct Answer :The immediate priority is to minimize pressure on the cord. Thus the nurse's initial
action involves placing the client on bed rest and then placing the client in a knee-chest position or
lowering the head of the bed, and elevating the maternal hips on a pillow to minimize the pressure on
the cord. Monitoring maternal vital signs and FHR, notifying the physician and preparing the client for
delivery, and wrapping the cord with sterile saline soaked warm gauze are important. But these
actions have no effect on minimizing the pressure on the cord.
Which of the following may happen if the uterus becomes overstimulated by oxytocin during the
induction of labor?
A) Tetanic contractions prolonged to more than 90 seconds
B) Increased restlessness and anxiety
C) Weak contraction prolonged to more than 70 seconds
D) Increased pain with bright red vaginal bleeding –
Correct Answer :Hyperstimulation of the uterus such as with oxytocin during the induction of labor
may result in tetanic contractions prolonged to more than 90seconds, which could lead to such
complications as fetal distress, abruptio placentae, amniotic fluid embolism, laceration of the cervix,
and uterine rupture. Weak contractions would not occur. Pain, bright red vaginal bleeding, and
increased restlessness and anxiety are not associated with hyperstimulation.
Which of the following best describes preterm labor?
A Labor that begins after 24 weeks gestation and before 28 weeks gestation
B Labor that begins after 15 weeks gestation and before 37 weeks gestation
C Labor that begins after 28 weeks gestation and before 40 weeks gestation
Labor that begins after 20 weeks gestation and before 37 weeks gestation –
Correct Answer :Preterm labor is best described as labor that begins after 20 weeks' gestation and
before 37 weeks' gestation. The other time periods are inaccurate.
A+ TEST BANK 4
