MATERNITY EVOLVE EXAM 2024/2025 /EVOLVE MATERNITY
EXAM ACTUAL COMPLETE 300REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES /ALREADY
GRADED A+.
nurse is teaching a class of expectant parents about
nutritional needs during pregnancy. What information
should the nurse include? 1
Carbohydrate needs decrease during pregnancy.
2
Protein needs increase to at least 70 g/day during pregnancy.
3
Phosphorus and calcium needs decrease gradually throughout
pregnancy.
4
Caloric needs increase gradually up to 100 more kcal/day
throughout pregnancy. - ANSWER -2
An increase in all nutrients is needed to meet the increased
metabolic requirements of pregnancy. Increased amounts of
protein are needed for growth and maintenance of maternal and
fetal tissues. Calcium and phosphorus needs increase to meet
the rapid demand for fetal bone deposits during the last month of
,pregnancy. Caloric needs increase by a minimum of 300 kcal/day
during pregnancy.
When entering the room of a client in active labor to answer the
call light, the nurse sees that she ashen gray, dyspneic, and
clutching her chest. What should the nurse do after pressing the
emergency light in the client's room?
1
Administer oxygen by facemask.
2
Check for rupture of the membranes.
3
Begin cardiopulmonary resuscitation.
4
Increase the rate of intravenous fluids - ANSWER -1The client is
exhibiting signs and symptoms of an amniotic fluid embolism;
increasing oxygen intake is essential. The client is experiencing
an emergency situation; checking for rupture of membranes is
irrelevant at this time. The client is breathing and conscious; CPR
is not indicated, but it may become necessary if her condition
worsens. It is not necessary to increase the IV fluid rate, although
the current rate should be maintained.
,Supplemental oxygen is ordered for a preterm neonate with
respiratory distress syndrome (RDS). What action does the nurse
take to reduce the possibility of retinopathy of prematurity?
1
Humidifying oxygen flow to prevent dehydration
2
Uncovering the entire body to increase exposure to
the oxygen 3
Applying eye patches to both eyes to protect them
from the oxygen 4
Verifying oxygen saturation frequently to adjust flow on the basis
of need - ANSWER -4Determining oxygen saturation identifies the
need for oxygen supplementation; prolonged use of oxygen
concentrations exceeding those required to maintain adequate
oxygenation contributes to the occurrence of retinopathy of
prematurity. Preventing dehydration by humidifying the oxygen
will not prevent retinopathy of prematurity. The skin does not
absorb oxygen; it must enter the lungs through inhalation.
Retinopathy of prematurity is caused by a high blood
concentration of oxygen, not by exposure of the eyes to oxygen.
, A nurse gently performs Leopold maneuvers on a client with a
suspected placenta
previa. What does the nurse expect from this
assessment?
Firm engagement of the
fetal head
1
2
Difficulty palpating small fetal parts
3
A high, floating fetal presenting part
4
A hard and tetanically contracted uterus - ANSWER -3With a low-
implanted placenta (placenta previa) the presenting part may
have difficulty entering the pelvis. Engagement is difficult with a
low-lying placenta. Placenta previa does not make it difficult to
palpate small fetal parts. A uterus that is hard and tetanically
contracted is found in abruptio placentae.
client is to have a vacuum curettage abortion because of fetal
demise at 16 weeks' gestation. The health care provider
prescribes a dinoprostone (Cervidil) suppository to initiate
softening, effacement, and dilation of the cervix (ripening). What
should the nurse teach the client about the procedure? 1
EXAM ACTUAL COMPLETE 300REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES /ALREADY
GRADED A+.
nurse is teaching a class of expectant parents about
nutritional needs during pregnancy. What information
should the nurse include? 1
Carbohydrate needs decrease during pregnancy.
2
Protein needs increase to at least 70 g/day during pregnancy.
3
Phosphorus and calcium needs decrease gradually throughout
pregnancy.
4
Caloric needs increase gradually up to 100 more kcal/day
throughout pregnancy. - ANSWER -2
An increase in all nutrients is needed to meet the increased
metabolic requirements of pregnancy. Increased amounts of
protein are needed for growth and maintenance of maternal and
fetal tissues. Calcium and phosphorus needs increase to meet
the rapid demand for fetal bone deposits during the last month of
,pregnancy. Caloric needs increase by a minimum of 300 kcal/day
during pregnancy.
When entering the room of a client in active labor to answer the
call light, the nurse sees that she ashen gray, dyspneic, and
clutching her chest. What should the nurse do after pressing the
emergency light in the client's room?
1
Administer oxygen by facemask.
2
Check for rupture of the membranes.
3
Begin cardiopulmonary resuscitation.
4
Increase the rate of intravenous fluids - ANSWER -1The client is
exhibiting signs and symptoms of an amniotic fluid embolism;
increasing oxygen intake is essential. The client is experiencing
an emergency situation; checking for rupture of membranes is
irrelevant at this time. The client is breathing and conscious; CPR
is not indicated, but it may become necessary if her condition
worsens. It is not necessary to increase the IV fluid rate, although
the current rate should be maintained.
,Supplemental oxygen is ordered for a preterm neonate with
respiratory distress syndrome (RDS). What action does the nurse
take to reduce the possibility of retinopathy of prematurity?
1
Humidifying oxygen flow to prevent dehydration
2
Uncovering the entire body to increase exposure to
the oxygen 3
Applying eye patches to both eyes to protect them
from the oxygen 4
Verifying oxygen saturation frequently to adjust flow on the basis
of need - ANSWER -4Determining oxygen saturation identifies the
need for oxygen supplementation; prolonged use of oxygen
concentrations exceeding those required to maintain adequate
oxygenation contributes to the occurrence of retinopathy of
prematurity. Preventing dehydration by humidifying the oxygen
will not prevent retinopathy of prematurity. The skin does not
absorb oxygen; it must enter the lungs through inhalation.
Retinopathy of prematurity is caused by a high blood
concentration of oxygen, not by exposure of the eyes to oxygen.
, A nurse gently performs Leopold maneuvers on a client with a
suspected placenta
previa. What does the nurse expect from this
assessment?
Firm engagement of the
fetal head
1
2
Difficulty palpating small fetal parts
3
A high, floating fetal presenting part
4
A hard and tetanically contracted uterus - ANSWER -3With a low-
implanted placenta (placenta previa) the presenting part may
have difficulty entering the pelvis. Engagement is difficult with a
low-lying placenta. Placenta previa does not make it difficult to
palpate small fetal parts. A uterus that is hard and tetanically
contracted is found in abruptio placentae.
client is to have a vacuum curettage abortion because of fetal
demise at 16 weeks' gestation. The health care provider
prescribes a dinoprostone (Cervidil) suppository to initiate
softening, effacement, and dilation of the cervix (ripening). What
should the nurse teach the client about the procedure? 1
