MATERNITY EVOLVE EXAM 2024-2025 /EVOLVE MATERNITY
LATEST TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
GRADED A+
1. A nurse is caring for a 42-year-old client who is scheduled for an amniocentesis
during the 15th week of gestation because of concerns about Down syndrome. What
other fetal problem does an examination of the amniotic fluid reveal at this time?
1. Diabetes
2. Lung maturity
3. Cardiac anomalies
4. Errors of metabolism - Correct Answer - 4
Inherited errors of metabolism may be detected if marker genes for the disease, such as
Tay-Sachs and thalassemia, are present. Fetal diabetes and cardiac disorders cannot
be detected with amniocentesis. Fetal lung maturity cannot be determined until after 35
weeks' gestation.
2. A couple in their late 30s, expecting their first child, plans to have an amniocentesis.
At what point in the pregnancy should the nurse tell the couple that the test it will be
scheduled?
1. When quickening is felt
2. During the last trimester
3. At the 10th week of gestation
4. After the 14th week of pregnancy - Correct Answer - 4
3. A nurse is counseling a woman who has just been found to have a multiple gestation.
Why does the nurse consider this pregnancy high risk?
1. Postpartum hemorrhage is an expected complication.
2. Perinatal mortality is two to three times more likely in multiple than in single births.
pg. 1
,3 Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.
4 Maternal mortality is higher during the prenatal period in the setting of multiple
gestation. - Correct Answer - 2
Perinatal morbidity and mortality rates are higher with multiple-gestation pregnancies
because the greater metabolic demands and the possibility of malpositioning of one or
more fetuses increases the risk for complications. Although postpartum hemorrhage
does occur more frequently after multiple births, it is not an expected occurrence.
Adjustment to a multiple gestation and birth is individual; the time needed for adjustment
does not place the pregnancy at high risk. Maternal mortality during the prenatal period
is not increased in the presence of a multiple gestation.
4. A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is
very important during pregnancy and that she is taking a prescribed supplement. She
asks the nurse what foods contain folic acid (folate) so she may add them to her diet in
its natural form. Which foods should the nurse recommend? Select all that apply.
1. Beef and fish
2. Milk and cheese
3 . Chicken and turkey
4. Black and pinto beans
5 .Enriched bread and pasta - Correct Answer – 4,5
5. A nurse is planning a prenatal class about the changes that occur during pregnancy
and the necessity of routine health care throughout pregnancy. Which cardiovascular
compensatory mechanisms should the nurse explain will occur? Select all that apply.
1. Systemic vasodilation
2. Increased blood volume
3. Increased blood pressure
4. Increased cardiac output
5. Enlargement of the heart
6. Decreased erythrocyte production - Correct Answer – 2,4,5
Blood volume increases to meet the metabolic demands of pregnancy. Increased
cardiac output is necessary to accommodate the increased blood volume needed to
meet the demands of the growing fetus. Cardiac hypertrophy is a result of the demands
pg. 2
,made by the increased blood volume and cardiac output. Systemic vasodilation is not
expected. There is little variation in blood pressure but a slight decrease during the
second trimester. Erythrocyte production increases; because the plasma volume
increases more than the red blood cell count, the hematocrit is lower.
6. After a spontaneous vaginal delivery the client expresses concern because the
newborn has a red rash with small papules on the face, chest, and back. What condition
does the nurse recognize?
1. Harlequin sign
2. Vernix caseosa
3. Nevus flammeus
4. Erythema toxicum - Correct Answer - 4
Erythema toxicum is a benign, generalized, transient rash that is a reaction to the new
environment in which a neonate finds itself. It disappears after short time after birth. It is
not the harlequin sign, which is dilation of blood vessels on one side of the body with
red skin on one side, and white skin on the other. It is not vernix caseosa, which is a
thick, white, greasy substance that protects the skin in utero. It is not nevus flammeus,
or port wine stain, a reddish-purple capillary angioma below the dermis.
7. The nurse is conducting an initial assessment of a recently delivered newborn. Which
assessment requires immediate action by the nurse?
1. Heart rate of 140 beats/min
2. Respirations of 40 breaths/min
3. Breath sounds with fine crackles
4. Expiratory grunting and nasal flaring - Correct Answer - 4
8. A postpartum client is changing her female newborn's diaper, sees what appears to
be red-tinged mucus on the diaper, and calls the nursing station for assistance. What
nursing intervention is necessary?
1. Notifying the pediatrician
2. Collecting and sending a sample to the lab
3. Monitoring diapers to see whether this continues
4 Explaining that this is a normal reaction to the mother's hormones - Correct Answer - 4
pg. 3
, Secretion of red-tinged mucus by a newborn, called pseudomenstruation, is the result of
prenatal influence by some of mother's hormones. It should last no longer than a few
weeks. It is not necessary to call the physician, because this is a normal reaction to the
mother's hormones. Monitoring diapers is not necessary, and no sample needs to be
collected.
9. An infant born with hydrocephalus is to be discharged after insertion of a
ventriculoperitoneal shunt. Which common complication should the nurse instruct the
parents to report if it occurs at home?
1. Visibility of the sclerae above the irises
2. Violent involuntary muscle contractions
3. Excessive fluid accumulation in the abdomen
4. Fever accompanied by decreased responsiveness - Correct Answer - 4
Fever accompanied by decreased responsiveness is associated with infection. This is
the greatest postoperative hazard for children with shunts for hydrocephalus. Violent
involuntary muscle contractions may occur as the result of an infected shunt; however, it
is not the most common sign of an infectious process. Eyes with sclerae visible above
the irises occur with progressively increasing intracranial pressure, usually before shunt
insertion. The peritoneum absorbs cerebrospinal fluid adequately; ascites is not a
problem.
10. A neonate born at 36 weeks' gestation, weighing 2043 g (4 lb 8 oz), is placed under
a radiant warmer. An infusion of D10% 0.2 NS is running through an umbilical vein
catheter at a rate of 12 mL/hr. Why is it important for the nurse to check the neonate's
voidings for specific gravity?
1. Infants under open radiant warmers are at risk for dehydration.
2. This infusion rate is inadequate to meet a preterm infant's fluid needs.
3. Infants are unable to produce adequate amounts of urine at this gestational age.
4. Renal dysfunction is the complication that most frequently affects preterm infants. -
Correct Answer - 1
Open radiant warmers cause excessive fluid loss without electrolyte loss. This infusion
rate, based on a rate of 100 mL/kg/day for maintenance fluid and an additional 88
mL/kg/day for fluid loss caused by the radiant warmer, is appropriate for an infant of this
size. An infant at 36 weeks' gestation is able to produce sufficient quantities of urine but
is unable to concentrate urine effectively. Respiratory distress syndrome is the most
frequent complication in a preterm infant.
pg. 4
LATEST TEST BANK ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
GRADED A+
1. A nurse is caring for a 42-year-old client who is scheduled for an amniocentesis
during the 15th week of gestation because of concerns about Down syndrome. What
other fetal problem does an examination of the amniotic fluid reveal at this time?
1. Diabetes
2. Lung maturity
3. Cardiac anomalies
4. Errors of metabolism - Correct Answer - 4
Inherited errors of metabolism may be detected if marker genes for the disease, such as
Tay-Sachs and thalassemia, are present. Fetal diabetes and cardiac disorders cannot
be detected with amniocentesis. Fetal lung maturity cannot be determined until after 35
weeks' gestation.
2. A couple in their late 30s, expecting their first child, plans to have an amniocentesis.
At what point in the pregnancy should the nurse tell the couple that the test it will be
scheduled?
1. When quickening is felt
2. During the last trimester
3. At the 10th week of gestation
4. After the 14th week of pregnancy - Correct Answer - 4
3. A nurse is counseling a woman who has just been found to have a multiple gestation.
Why does the nurse consider this pregnancy high risk?
1. Postpartum hemorrhage is an expected complication.
2. Perinatal mortality is two to three times more likely in multiple than in single births.
pg. 1
,3 Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.
4 Maternal mortality is higher during the prenatal period in the setting of multiple
gestation. - Correct Answer - 2
Perinatal morbidity and mortality rates are higher with multiple-gestation pregnancies
because the greater metabolic demands and the possibility of malpositioning of one or
more fetuses increases the risk for complications. Although postpartum hemorrhage
does occur more frequently after multiple births, it is not an expected occurrence.
Adjustment to a multiple gestation and birth is individual; the time needed for adjustment
does not place the pregnancy at high risk. Maternal mortality during the prenatal period
is not increased in the presence of a multiple gestation.
4. A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is
very important during pregnancy and that she is taking a prescribed supplement. She
asks the nurse what foods contain folic acid (folate) so she may add them to her diet in
its natural form. Which foods should the nurse recommend? Select all that apply.
1. Beef and fish
2. Milk and cheese
3 . Chicken and turkey
4. Black and pinto beans
5 .Enriched bread and pasta - Correct Answer – 4,5
5. A nurse is planning a prenatal class about the changes that occur during pregnancy
and the necessity of routine health care throughout pregnancy. Which cardiovascular
compensatory mechanisms should the nurse explain will occur? Select all that apply.
1. Systemic vasodilation
2. Increased blood volume
3. Increased blood pressure
4. Increased cardiac output
5. Enlargement of the heart
6. Decreased erythrocyte production - Correct Answer – 2,4,5
Blood volume increases to meet the metabolic demands of pregnancy. Increased
cardiac output is necessary to accommodate the increased blood volume needed to
meet the demands of the growing fetus. Cardiac hypertrophy is a result of the demands
pg. 2
,made by the increased blood volume and cardiac output. Systemic vasodilation is not
expected. There is little variation in blood pressure but a slight decrease during the
second trimester. Erythrocyte production increases; because the plasma volume
increases more than the red blood cell count, the hematocrit is lower.
6. After a spontaneous vaginal delivery the client expresses concern because the
newborn has a red rash with small papules on the face, chest, and back. What condition
does the nurse recognize?
1. Harlequin sign
2. Vernix caseosa
3. Nevus flammeus
4. Erythema toxicum - Correct Answer - 4
Erythema toxicum is a benign, generalized, transient rash that is a reaction to the new
environment in which a neonate finds itself. It disappears after short time after birth. It is
not the harlequin sign, which is dilation of blood vessels on one side of the body with
red skin on one side, and white skin on the other. It is not vernix caseosa, which is a
thick, white, greasy substance that protects the skin in utero. It is not nevus flammeus,
or port wine stain, a reddish-purple capillary angioma below the dermis.
7. The nurse is conducting an initial assessment of a recently delivered newborn. Which
assessment requires immediate action by the nurse?
1. Heart rate of 140 beats/min
2. Respirations of 40 breaths/min
3. Breath sounds with fine crackles
4. Expiratory grunting and nasal flaring - Correct Answer - 4
8. A postpartum client is changing her female newborn's diaper, sees what appears to
be red-tinged mucus on the diaper, and calls the nursing station for assistance. What
nursing intervention is necessary?
1. Notifying the pediatrician
2. Collecting and sending a sample to the lab
3. Monitoring diapers to see whether this continues
4 Explaining that this is a normal reaction to the mother's hormones - Correct Answer - 4
pg. 3
, Secretion of red-tinged mucus by a newborn, called pseudomenstruation, is the result of
prenatal influence by some of mother's hormones. It should last no longer than a few
weeks. It is not necessary to call the physician, because this is a normal reaction to the
mother's hormones. Monitoring diapers is not necessary, and no sample needs to be
collected.
9. An infant born with hydrocephalus is to be discharged after insertion of a
ventriculoperitoneal shunt. Which common complication should the nurse instruct the
parents to report if it occurs at home?
1. Visibility of the sclerae above the irises
2. Violent involuntary muscle contractions
3. Excessive fluid accumulation in the abdomen
4. Fever accompanied by decreased responsiveness - Correct Answer - 4
Fever accompanied by decreased responsiveness is associated with infection. This is
the greatest postoperative hazard for children with shunts for hydrocephalus. Violent
involuntary muscle contractions may occur as the result of an infected shunt; however, it
is not the most common sign of an infectious process. Eyes with sclerae visible above
the irises occur with progressively increasing intracranial pressure, usually before shunt
insertion. The peritoneum absorbs cerebrospinal fluid adequately; ascites is not a
problem.
10. A neonate born at 36 weeks' gestation, weighing 2043 g (4 lb 8 oz), is placed under
a radiant warmer. An infusion of D10% 0.2 NS is running through an umbilical vein
catheter at a rate of 12 mL/hr. Why is it important for the nurse to check the neonate's
voidings for specific gravity?
1. Infants under open radiant warmers are at risk for dehydration.
2. This infusion rate is inadequate to meet a preterm infant's fluid needs.
3. Infants are unable to produce adequate amounts of urine at this gestational age.
4. Renal dysfunction is the complication that most frequently affects preterm infants. -
Correct Answer - 1
Open radiant warmers cause excessive fluid loss without electrolyte loss. This infusion
rate, based on a rate of 100 mL/kg/day for maintenance fluid and an additional 88
mL/kg/day for fluid loss caused by the radiant warmer, is appropriate for an infant of this
size. An infant at 36 weeks' gestation is able to produce sufficient quantities of urine but
is unable to concentrate urine effectively. Respiratory distress syndrome is the most
frequent complication in a preterm infant.
pg. 4
