MCKINNEY EVOLVE RESOURCES FOR
MATERNAL CHILD NURSING 5 2026 PEDIATRIC
CARE PRACTICE SET ANSWERS FULL
SOLUTION
◉ A student asks how pregnant women can usually tolerate the
normal blood loss associated
with childbirth. Which response by the nurse is best? "It is because
they have
a. a higher hematocrit."
b. increased blood volume."
c. a lower fibrinogen level."
d. increased leukocytes."
Answer: ANS: B
Women have a significant increase in blood volume during
pregnancy, which allows them to
tolerate the normal blood loss seen in delivery. The hematocrit
decreases with pregnancy due
to the high fluid volume. Fibrinogen levels increase with pregnancy.
Leukocyte levels
increase during labor, but that is not the reason for the toleration of
blood loss.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
,REF: p. 290 OBJ: Integrated Process: Teaching-Learning
◉ To assess the duration of labor contractions, the nurse determines
the time
A. from the beginning of one contraction to the beginning of the
next.
B. from the beginning to the end of each contraction.
C. of the strongest intensity of each contraction.
D. of uterine relaxation between two contractions
Answer: ANS: B
Duration of labor contractions is the average length of contractions
from beginning to end.
Assessing from the beginning of one contraction to the beginning of
the next is the frequency.
The strongest intensity of each contraction is the strength or
intensity. The interval of the
contraction phase is the time of uterine relaxation between two
contractions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 314 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
◉ The nurse teaching a prenatal class explains that which is the best
indicator of true labor?
, a. Bloody show
b. Cervical dilation and effacement
c. Fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes
Answer: ANS: B
The conclusive distinction between true and false labor is that
contractions of true labor
cause progressive change in the cervix. Bloody show can occur
before true labor. Fetal
descent can occur before true labor. False labor may have
contractions that occur this
frequently, but it is usually inconsistent.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 298 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Mainten
◉ The student nurse learns that which factor ensures that the
smallest anterior-posterior diameter
of the fetal head enters the pelvis?
a. Descent
b. Engagement
c. Flexion
d. Station
MATERNAL CHILD NURSING 5 2026 PEDIATRIC
CARE PRACTICE SET ANSWERS FULL
SOLUTION
◉ A student asks how pregnant women can usually tolerate the
normal blood loss associated
with childbirth. Which response by the nurse is best? "It is because
they have
a. a higher hematocrit."
b. increased blood volume."
c. a lower fibrinogen level."
d. increased leukocytes."
Answer: ANS: B
Women have a significant increase in blood volume during
pregnancy, which allows them to
tolerate the normal blood loss seen in delivery. The hematocrit
decreases with pregnancy due
to the high fluid volume. Fibrinogen levels increase with pregnancy.
Leukocyte levels
increase during labor, but that is not the reason for the toleration of
blood loss.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
,REF: p. 290 OBJ: Integrated Process: Teaching-Learning
◉ To assess the duration of labor contractions, the nurse determines
the time
A. from the beginning of one contraction to the beginning of the
next.
B. from the beginning to the end of each contraction.
C. of the strongest intensity of each contraction.
D. of uterine relaxation between two contractions
Answer: ANS: B
Duration of labor contractions is the average length of contractions
from beginning to end.
Assessing from the beginning of one contraction to the beginning of
the next is the frequency.
The strongest intensity of each contraction is the strength or
intensity. The interval of the
contraction phase is the time of uterine relaxation between two
contractions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 314 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
◉ The nurse teaching a prenatal class explains that which is the best
indicator of true labor?
, a. Bloody show
b. Cervical dilation and effacement
c. Fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes
Answer: ANS: B
The conclusive distinction between true and false labor is that
contractions of true labor
cause progressive change in the cervix. Bloody show can occur
before true labor. Fetal
descent can occur before true labor. False labor may have
contractions that occur this
frequently, but it is usually inconsistent.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 298 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Mainten
◉ The student nurse learns that which factor ensures that the
smallest anterior-posterior diameter
of the fetal head enters the pelvis?
a. Descent
b. Engagement
c. Flexion
d. Station
