MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 1
NUR 4132
Chapter 13: Adaptations to Pregnancy
MULTIPLE CHOICE
1. A pregnant womans mother is worried that her daughter is not big enough at 20 weeks. The nurse
palpates and measures the fundal height at 20 cm, which is even with the womans umbilicus. What should
the nurse report to the woman and her mother?
a. The body of the uterus is at the belly button level, just where it should be at this time.
b. Youre right. Well inform the practitioner immediately.
c. When you come for next months appointment, well check you again to make sure that the baby
is growing.
d. Lightening has occurred, so the fundal height is lower than expected.
ANS: A
Feedback
A At 20 weeks, the fundus is usually located at the umbilical level. Because the uterus grows
in a predictable pattern, obstetric nurses should know that the uterus of 20 weeks of
gestation is located at the level of the umbilicus.
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B This is incorrect information. At 20 weeks the uterus should be at the umbilical level.
C By avoiding the direction question, this might increase the anxiety of both the mother
and grandmother.
D The descent of the fetal head (lightening) occurs in late
pregnancy. PTS: 1 DIF: Cognitive Level: Analysis REF: p. 235
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. While you are assessing 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.
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Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 2
ANS: D
Feedback
A Pressures are significantly higher when the patient is standing. This option causes an
increase in systolic and diastolic pressures.
B The arm should be supported at the same level of the heart.
C The supine position may cause occlusion of the vena cava and descending aorta,
creating hypotension.
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.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 237
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. A pregnant woman has come to the emergency department with complaints of nasal congestion
and epistaxis. What is the correct interpretation of these symptoms by the practitioner?
a. These conditions are abnormal. ReNfeUrRthSeINpGatTieBn.tCtOoMan ear, nose, and throat
specialist.
b. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are
within normal limits.
d. Estrogen causes increased blood supply to the mucous membranes and can result in congestion
and nosebleeds.
ANS: D
Feedback
A The patient should be reassured that these symptoms are within normal limits. No referral
is needed at this time.
B Progesterone is responsible for the heightened awareness of the need to breathe in pregnancy.
Progesterone levels increase during pregnancy.
C Progesterone affects relaxation of the smooth muscles in the respiratory tract.
D As capillaries become engorged, the upper respiratory tract is affected by the subsequent
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, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 3
edema and hyperemia, which causes these conditions, seen commonly during pregnancy.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 238
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
4. Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
a. Proteinuria
b. Glycosuria
c. Bacteria in the urine
d. Ketones in the
urine ANS: B
Feedback
A The presence of protein could indicate kidney disease or preeclampsia.
B Small amounts of glucose maNyUiRndSiIcNaGteTpBh.CysOioMlogic spilling.
C Urinary tract infections are associated with bacteria in the urine.
D 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: Analysis REF: p. 239
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
5. 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.
ANS: C
Feedback
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Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 1
NUR 4132
Chapter 13: Adaptations to Pregnancy
MULTIPLE CHOICE
1. A pregnant womans mother is worried that her daughter is not big enough at 20 weeks. The nurse
palpates and measures the fundal height at 20 cm, which is even with the womans umbilicus. What should
the nurse report to the woman and her mother?
a. The body of the uterus is at the belly button level, just where it should be at this time.
b. Youre right. Well inform the practitioner immediately.
c. When you come for next months appointment, well check you again to make sure that the baby
is growing.
d. Lightening has occurred, so the fundal height is lower than expected.
ANS: A
Feedback
A At 20 weeks, the fundus is usually located at the umbilical level. Because the uterus grows
in a predictable pattern, obstetric nurses should know that the uterus of 20 weeks of
gestation is located at the level of the umbilicus.
NURSINGTB.COM
B This is incorrect information. At 20 weeks the uterus should be at the umbilical level.
C By avoiding the direction question, this might increase the anxiety of both the mother
and grandmother.
D The descent of the fetal head (lightening) occurs in late
pregnancy. PTS: 1 DIF: Cognitive Level: Analysis REF: p. 235
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. While you are assessing 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.
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 2
ANS: D
Feedback
A Pressures are significantly higher when the patient is standing. This option causes an
increase in systolic and diastolic pressures.
B The arm should be supported at the same level of the heart.
C The supine position may cause occlusion of the vena cava and descending aorta,
creating hypotension.
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.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 237
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. A pregnant woman has come to the emergency department with complaints of nasal congestion
and epistaxis. What is the correct interpretation of these symptoms by the practitioner?
a. These conditions are abnormal. ReNfeUrRthSeINpGatTieBn.tCtOoMan ear, nose, and throat
specialist.
b. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are
within normal limits.
d. Estrogen causes increased blood supply to the mucous membranes and can result in congestion
and nosebleeds.
ANS: D
Feedback
A The patient should be reassured that these symptoms are within normal limits. No referral
is needed at this time.
B Progesterone is responsible for the heightened awareness of the need to breathe in pregnancy.
Progesterone levels increase during pregnancy.
C Progesterone affects relaxation of the smooth muscles in the respiratory tract.
D As capillaries become engorged, the upper respiratory tract is affected by the subsequent
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 3
edema and hyperemia, which causes these conditions, seen commonly during pregnancy.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 238
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
4. Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
a. Proteinuria
b. Glycosuria
c. Bacteria in the urine
d. Ketones in the
urine ANS: B
Feedback
A The presence of protein could indicate kidney disease or preeclampsia.
B Small amounts of glucose maNyUiRndSiIcNaGteTpBh.CysOioMlogic spilling.
C Urinary tract infections are associated with bacteria in the urine.
D 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: Analysis REF: p. 239
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
5. 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.
ANS: C
Feedback
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