MATERNITY EVOLVE - EXAMINATION COMPLETE
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Anonstress test is performed, and the physician
documents “accelerations lasting
A. Normal
B. Reactive
C. Nonreactive
D. Inconclusive
Answer:
Correct Answer: C Rationale: Areactive nonstress test isa normal, or negative, result and
indicates a healthy fetus. The result requires two or more fetal heart rate accelerations of at
least 15 beats/rrin lasting at least 15 seconds fromthe beginning of the acceleration t othe
end, in association with fetal moverrent, during a 20-rinute period Anonreactive test is an
abnorrrel test, showing no accelerations or accelerations of less than 15 beats/rvin or
lasting less than 15 seconds during a 4Orinute observation. An inconclusive result is one
that cannot be interpreted because of the poor quality of the fetal heart rate recording.
Test-Taking Strategy. Use the process of elirrination. Hirrinate a reactive nonstress test and
a normal nonstress test first because they are corrparable or alike. To select fromthe
remaining options, note the relationship between “less than 15 seconds’ in the question and
“nonreactive” in the correct option. If you had difficulty answering this question, reviewthe
interpretation of nonstress test results. . Anurse caring for a client in labor performs an
assessirent. The client is having consistent contractions less than 2 rrinutes apart. The fetal
heart rate (AHR) is170 beats/rin, and fetal Monitoring indicates a pattern of decreased
variability. In light of these findings, the appropriate nursing action is: Co B Documenting
the findings Cc Cc C - Continuing torronitor the client . Astillbomn infant was delivered a
fewhours ago. After the birth, the farrily remain
Question 2: holding and touching the baby. Which statement by the
nurse is appropriate?
A. “| knowhowyou feel.”
B. “Tismst be hard for you”
C. “Nowyou have an angel in heaven”
D. “Youre young. You can have ather children.”
,Answer:
Correct Answer: A Rationale: Therapeutic communication helps the mother, father, and
other family members express their feelings and emotions. “This must be hard for you” is a
caring and empathetic response, focused on feelings and encouraging communication. The
other options are nontherapeutic and may devalue the family members' feelings.
Question 3: Arubella antibody screen is performed ina pregnant
client, and the results indicate that the client isnot immune to
rubella. The nurse tells the client that:
A. Arubella vaccine must be adivinistered intrediately
B. Option B - see original PDF
C. She will not contract rubella if she is exposed to the disease
D. She does not need to be concerned about being exposed to
rubella
Answer:
Correct Answer: C Rationale: A prenatal rubella antibody screen is performed in every
pregnant woman to determine whether she is immune to rubella, which can cause serious
fetal anomalies. If she is not immune, rubella vaccine is offered after childbirth to keep her
from contracting rubella during subsequent pregnancies. The vaccine is a live virus, and
defects might occur in the fetus if the vaccine were administered during pregnancy or if the
mother were to become pregnant soon after it was administered. Administering a rubella
vaccine immediately places the fetus at risk. Telling the client that she does not need to be
concerned about being exposed to rubella is incorrect, because the possibility of exposure,
which could be harmful to the fetus, does exist.
Question 4: delivered a newborn vaginally. The nurse tells the
client that:
A. The exercises should be delayed for 1 month to allowhealing
B. Perforrring such exercises in the postpartum period may result in
stress urinary
C. Option C - see original PDF
D. Abdorinal exercises will be started while the client is in the hospital
as a means of
,Answer:
Correct Answer: B Rationale: Late decelerations are a result of uteroplacental insufficiency
stemming from decreased blood flow and oxygen transfer to the fetus during uterine
contractions. This causes hypoxemia; therefore oxygen is necessary, making the
administration of oxygen the correct choice. Late decelerations are considered an ominous
sign but do not necessarily require immediate birth of the baby. The oxytocin infusion
should be discontinued when a late deceleration is noted. The oxytocin would cause further
hypoxemia, because the medication stimulates contractions, leading to increased
uteroplacental insufficiency. Although the finding needs to be documented, documentation
is not the priority action in this situation.
Question 5: experiencing vaginal bleeding. Threatened abortion is
suspected, and the nurse provides
A. Option A - see original PDF
B. “| need to avoid having sex until the bleeding has stopped!”
C. “| need to watch for stuff that looks like tissue conning frommny
vagina.”
D. “I need tocount the nurvber of perineal pads that | use each day
and make a note of the amount
Answer:
Correct Answer: B Rationale: Postpartum exercises may be started soon after birth,
although the woman should be encouraged to begin with simple exercises and gradually
progress to more strenuous ones. Abdominal exercises are postponed until approximately
4 weeks after a cesarean birth. Kegel exercises (alternated contraction and relaxation of
the muscles of the perineal area) are extremely important in strengthening the muscle tone
of the perineal area after vaginal birth. Kegel exercises help restore the muscle tone that is
often lost as pelvic tissues are stretched and torn during pregnancy and birth. Women who
maintain muscle strength may benefit years later, experiencing continued urinary
continence.
Question 6: Anurse is assessing the respiratory rate of a newborn.
Which finding would the nurse docurrent as
A. 20 breaths/nin
B. 25 breaths/nin
, C. Option C - see original PDF
D. 70 breaths/nin
Answer:
Correct Answer: A Rationale: Strict bed rest throughout the remainder of the pregnancy is
not required. The woman is advised to curtail sexual activities until bleeding has ceased
and for 2 weeks after the last evidence of bleeding, as recommended by the physician or
nurse-midwife. The woman is instructed to count the perineal pads she uses each day and
to note the quantity and color of blood on each pad. The woman should also watch for the
evidence of the passage of tissue.
Question 7: anticipate that the physician will prescribe?
A. Platelet count
B. Angictensin level
C. Option C - see original PDF
D. Option D - see original PDF
Answer:
Correct Answer: C Rationale: The normal respiratory rate for a newborn infant is 30 to 60
breaths/min. All of the other options are outside the normal range.
Question 8: that it feels soft. This nurse interprets this assessment
data as:
A. Option A - see original PDF
B. Indicative of dehydration
C. Indicative of increased intracranial pressure
D. Indicative of decreased intracranial pressure
Answer:
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Anonstress test is performed, and the physician
documents “accelerations lasting
A. Normal
B. Reactive
C. Nonreactive
D. Inconclusive
Answer:
Correct Answer: C Rationale: Areactive nonstress test isa normal, or negative, result and
indicates a healthy fetus. The result requires two or more fetal heart rate accelerations of at
least 15 beats/rrin lasting at least 15 seconds fromthe beginning of the acceleration t othe
end, in association with fetal moverrent, during a 20-rinute period Anonreactive test is an
abnorrrel test, showing no accelerations or accelerations of less than 15 beats/rvin or
lasting less than 15 seconds during a 4Orinute observation. An inconclusive result is one
that cannot be interpreted because of the poor quality of the fetal heart rate recording.
Test-Taking Strategy. Use the process of elirrination. Hirrinate a reactive nonstress test and
a normal nonstress test first because they are corrparable or alike. To select fromthe
remaining options, note the relationship between “less than 15 seconds’ in the question and
“nonreactive” in the correct option. If you had difficulty answering this question, reviewthe
interpretation of nonstress test results. . Anurse caring for a client in labor performs an
assessirent. The client is having consistent contractions less than 2 rrinutes apart. The fetal
heart rate (AHR) is170 beats/rin, and fetal Monitoring indicates a pattern of decreased
variability. In light of these findings, the appropriate nursing action is: Co B Documenting
the findings Cc Cc C - Continuing torronitor the client . Astillbomn infant was delivered a
fewhours ago. After the birth, the farrily remain
Question 2: holding and touching the baby. Which statement by the
nurse is appropriate?
A. “| knowhowyou feel.”
B. “Tismst be hard for you”
C. “Nowyou have an angel in heaven”
D. “Youre young. You can have ather children.”
,Answer:
Correct Answer: A Rationale: Therapeutic communication helps the mother, father, and
other family members express their feelings and emotions. “This must be hard for you” is a
caring and empathetic response, focused on feelings and encouraging communication. The
other options are nontherapeutic and may devalue the family members' feelings.
Question 3: Arubella antibody screen is performed ina pregnant
client, and the results indicate that the client isnot immune to
rubella. The nurse tells the client that:
A. Arubella vaccine must be adivinistered intrediately
B. Option B - see original PDF
C. She will not contract rubella if she is exposed to the disease
D. She does not need to be concerned about being exposed to
rubella
Answer:
Correct Answer: C Rationale: A prenatal rubella antibody screen is performed in every
pregnant woman to determine whether she is immune to rubella, which can cause serious
fetal anomalies. If she is not immune, rubella vaccine is offered after childbirth to keep her
from contracting rubella during subsequent pregnancies. The vaccine is a live virus, and
defects might occur in the fetus if the vaccine were administered during pregnancy or if the
mother were to become pregnant soon after it was administered. Administering a rubella
vaccine immediately places the fetus at risk. Telling the client that she does not need to be
concerned about being exposed to rubella is incorrect, because the possibility of exposure,
which could be harmful to the fetus, does exist.
Question 4: delivered a newborn vaginally. The nurse tells the
client that:
A. The exercises should be delayed for 1 month to allowhealing
B. Perforrring such exercises in the postpartum period may result in
stress urinary
C. Option C - see original PDF
D. Abdorinal exercises will be started while the client is in the hospital
as a means of
,Answer:
Correct Answer: B Rationale: Late decelerations are a result of uteroplacental insufficiency
stemming from decreased blood flow and oxygen transfer to the fetus during uterine
contractions. This causes hypoxemia; therefore oxygen is necessary, making the
administration of oxygen the correct choice. Late decelerations are considered an ominous
sign but do not necessarily require immediate birth of the baby. The oxytocin infusion
should be discontinued when a late deceleration is noted. The oxytocin would cause further
hypoxemia, because the medication stimulates contractions, leading to increased
uteroplacental insufficiency. Although the finding needs to be documented, documentation
is not the priority action in this situation.
Question 5: experiencing vaginal bleeding. Threatened abortion is
suspected, and the nurse provides
A. Option A - see original PDF
B. “| need to avoid having sex until the bleeding has stopped!”
C. “| need to watch for stuff that looks like tissue conning frommny
vagina.”
D. “I need tocount the nurvber of perineal pads that | use each day
and make a note of the amount
Answer:
Correct Answer: B Rationale: Postpartum exercises may be started soon after birth,
although the woman should be encouraged to begin with simple exercises and gradually
progress to more strenuous ones. Abdominal exercises are postponed until approximately
4 weeks after a cesarean birth. Kegel exercises (alternated contraction and relaxation of
the muscles of the perineal area) are extremely important in strengthening the muscle tone
of the perineal area after vaginal birth. Kegel exercises help restore the muscle tone that is
often lost as pelvic tissues are stretched and torn during pregnancy and birth. Women who
maintain muscle strength may benefit years later, experiencing continued urinary
continence.
Question 6: Anurse is assessing the respiratory rate of a newborn.
Which finding would the nurse docurrent as
A. 20 breaths/nin
B. 25 breaths/nin
, C. Option C - see original PDF
D. 70 breaths/nin
Answer:
Correct Answer: A Rationale: Strict bed rest throughout the remainder of the pregnancy is
not required. The woman is advised to curtail sexual activities until bleeding has ceased
and for 2 weeks after the last evidence of bleeding, as recommended by the physician or
nurse-midwife. The woman is instructed to count the perineal pads she uses each day and
to note the quantity and color of blood on each pad. The woman should also watch for the
evidence of the passage of tissue.
Question 7: anticipate that the physician will prescribe?
A. Platelet count
B. Angictensin level
C. Option C - see original PDF
D. Option D - see original PDF
Answer:
Correct Answer: C Rationale: The normal respiratory rate for a newborn infant is 30 to 60
breaths/min. All of the other options are outside the normal range.
Question 8: that it feels soft. This nurse interprets this assessment
data as:
A. Option A - see original PDF
B. Indicative of dehydration
C. Indicative of increased intracranial pressure
D. Indicative of decreased intracranial pressure
Answer:
