: Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |1
HESI Maternal 2 & Child Health Nursing Care of
the Childbearing & Childrearing Family 9th
Edition By JoAnne Silbert-Flagg Test Bank
|GRADED A+| (EXAM READY)
(Solved) SCORE A
What action should the nurse implement to decrease the client's risk for hemorrhage after a
cesarean section?
P a g e 1 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |2
a.Monitor urinary output via an indwelling catheter.
b.Assess the abdominal dressings for drainage.
c.Give the Ringer's Lactated infusion at 125 ml/hr.
d.Check the firmness of the uterus every 15 minutes. –
Correct Answer :d.Check the firmness of the uterus every 15 minutes.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of
contractions?
a.Transition labor with contractions every 2 minutes, lasting 90 seconds each.
b.Early labor with contractions every 5 minutes, lasting 40 seconds each.
c.Active labor with contractions every 31 minutes, lasting 60 seconds each.
d.Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each. –
Correct Answer :a.Transition labor with contractions every 2 minutes, lasting 90 seconds
each.
A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately?
a.Heart rate of 100 beats/minute.
b.Variable fetal heart rate.
c.Onset of uterine contractions.
d.Burning on urination. –
Correct Answer :c.Onset of uterine contractions.
P a g e 2 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |3
A multigravida client at 41-weeks gestation presents in the labor and delivery unit after a non-
stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic
test should the nurse prepare the client for additional information about fetal status?
a.Biophysical profile (BPP). t
b.Ultrasound for fetal anomalies.
c.Maternal serum alpha-fetoprotein (AF) screening
d.Percutaneous umbilical blood sampling (PUBS). –
Correct Answer :a.Biophysical profile (BPP).
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse
would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus –
Correct Answer :C - Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis
in the lower extremities. Subsequently, edema and varicose vein formation may occur.
Thrombophlebitis is an inflammation of the veins due to thrombus formation. Pregnancy-
induced hypertension is not associated with these symptoms. Gravity plays only a minor role
with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
P a g e 3 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |4
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending –
Correct Answer :A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the tests too
early or too late in the pregnancy, storing the urine sample too long at room temperature, or
having a spontaneous or missed abortion impending can all produce false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what determines the sex
of a fetus. Accurate information in response to this question would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." –
Correct Answer :B. Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to form the
zygote. Sex is ultimately determined by the chromosome contributed by the sperm.
P a g e 4 | 97
Childbearing & Childrearing Family Page |1
HESI Maternal 2 & Child Health Nursing Care of
the Childbearing & Childrearing Family 9th
Edition By JoAnne Silbert-Flagg Test Bank
|GRADED A+| (EXAM READY)
(Solved) SCORE A
What action should the nurse implement to decrease the client's risk for hemorrhage after a
cesarean section?
P a g e 1 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |2
a.Monitor urinary output via an indwelling catheter.
b.Assess the abdominal dressings for drainage.
c.Give the Ringer's Lactated infusion at 125 ml/hr.
d.Check the firmness of the uterus every 15 minutes. –
Correct Answer :d.Check the firmness of the uterus every 15 minutes.
A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of
contractions?
a.Transition labor with contractions every 2 minutes, lasting 90 seconds each.
b.Early labor with contractions every 5 minutes, lasting 40 seconds each.
c.Active labor with contractions every 31 minutes, lasting 60 seconds each.
d.Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each. –
Correct Answer :a.Transition labor with contractions every 2 minutes, lasting 90 seconds
each.
A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately?
a.Heart rate of 100 beats/minute.
b.Variable fetal heart rate.
c.Onset of uterine contractions.
d.Burning on urination. –
Correct Answer :c.Onset of uterine contractions.
P a g e 2 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |3
A multigravida client at 41-weeks gestation presents in the labor and delivery unit after a non-
stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic
test should the nurse prepare the client for additional information about fetal status?
a.Biophysical profile (BPP). t
b.Ultrasound for fetal anomalies.
c.Maternal serum alpha-fetoprotein (AF) screening
d.Percutaneous umbilical blood sampling (PUBS). –
Correct Answer :a.Biophysical profile (BPP).
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse
would explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus –
Correct Answer :C - Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis
in the lower extremities. Subsequently, edema and varicose vein formation may occur.
Thrombophlebitis is an inflammation of the veins due to thrombus formation. Pregnancy-
induced hypertension is not associated with these symptoms. Gravity plays only a minor role
with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
P a g e 3 | 97
, : Maternal & Child Health Nursing Care of the
Childbearing & Childrearing Family Page |4
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending –
Correct Answer :A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the tests too
early or too late in the pregnancy, storing the urine sample too long at room temperature, or
having a spontaneous or missed abortion impending can all produce false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what determines the sex
of a fetus. Accurate information in response to this question would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum." –
Correct Answer :B. Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to form the
zygote. Sex is ultimately determined by the chromosome contributed by the sperm.
P a g e 4 | 97
