Maternity Evolve Actual Exam Complete Questions And Correct Detailed Answers With Rationales|Already Graded A+

MATERNITY EVOLVE ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ A pregnant woman with a history of heart disease visits the prenatal clinic at the end of her second trimester. What does the nurse anticipate about the care she will need? Preparation for a cesarean birth 2 Bed rest during the last trimester 3 Prophylactic antibiotics at the time of birth 4 Increasing dosages of cardiac medications as pregnancy progresses - ANSWER- 3 antibiotics for back endocarditis During a prenatal examination a nurse draws blood from an Rh-negative client. The nurse explains that an indirect Coombs test will be performed to predict whether the fetus is at risk for: 1 Acute hemolytic anemia 2 Respiratory distress syndrome 3 Protein metabolism deficiency 4 Physiologic hyperbilirubinemia - ANSWER- a A client is to undergo a tuberculin test as part of her prenatal workup. Before administering the test, what information about the client should the nurse obtain? 1 Whether she has had a previous tuberculin test 2 Whether the client is prone to respiratory diseases 3 Whether an earlier tuberculin test's result was positive 4 Whether the client's family has a history of tuberculosis - ANSWER- 3 A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is experiencing severe nausea and frequent vomiting. The nurse suspects that the client has hyperemesis gravidarum. What factor is frequently associated with this disorder? 1 History of cholecystitis 2 Large amount of amniotic fluid 3 High level of chorionic gonadotropin 4 Decreased secretion of hydrochloric acid - ANSWER- 3 During a routine examination at the prenatal clinic the nurse notes significant increases in the client's blood pressure and edema of the face and hands. The diagnostic criterion for preeclampsia is a blood pressure of 140/90 mm Hg, but what is the lowest blood pressure that should prompt the nurse to monitor the client for other signs and symptoms of preeclampsia? 1 130/85 mm Hg 2 125/80 mm Hg 3 115/75 mm Hg 4 110/70 mm Hg - ANSWER- 1 A 38-year-old client attends the prenatal clinic for the first time. A nurse explains that several tests will be performed, one of which is the serum alpha-fetoprotein test. The client asks what the test will reveal. What should the nurse include in the reply? 1 Trisomy 21 2 Turner syndrome 3 Open neural tube defects 4 Chromosomal aberrations - ANSWER- 3 A client at the prenatal clinic has mild preeclampsia. What should the nurse teach her to do in regard to her fluid and nutritional intake? 1 Restrict fluid intake. 2 Stay on a low-salt diet. 3 Continue the pregnancy diet. 4 Increase carbohydrate consumption - ANSWER- 3 An adolescent at 10 weeks' gestation visits the prenatal clinic for the first time. The nutrition interview indicates that her dietary intake consists mainly of soft drinks, candy, French fries, and potato chips. Why does the nurse consider this diet inadequate? 1 The caloric content will result in too great a weight gain. 2 The ingredients in soft drinks and candy can be teratogenic in early pregnancy. 3 The salt in this diet will contribute to the development of gestational hypertension. 4 The nutritional composition of the diet places her at risk for a low-birthweight infant - ANSWER- 4 During her first visit to the prenatal clinic a client is found to be obese. During the ensuing 5 months, the client has not been successful adhering to her nutritional plan. Which finding indicates to the nurse that the client has been successful during the sixth month? 1 Weight loss of 1 lb 2 Weight gain of 2 lb 3 No change in weight from last month 4 The client's statement that she lost weight last week - ANSWER- 2 although obese, need to gain weight A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain. Her history reveals amenorrhea for the last 2 months and pregnancy confirmation after her first missed period. What type of abortion is suspected? 1 Missed 2 Inevitable 3 Threatened 4 Incomplete - ANSWER- 3 Spotting in the first trimester may indicate that the client is having a threatened abortion; any client with the possibility of hemorrhage should not be left alone, so her admission to the hospital helps ensure her safety. A missed abortion may not cause any outward signs or symptoms, except that the signs of pregnancy disappear. An inevitable abortion can be confirmed only if vaginal examination reveals cervical dilation. With an incomplete abortion some, but not all, of the products of conception have been expelled.