EVOLVE MATERNITY TEST SCRIPT 2026
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET 1300
◉ The nurse observes several dark round areas on a newborn's
buttocks on a dark-skinned neonate. How should this observation be
documented?
Answer: Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly
found on the back and buttocks of dark-skinned newborns; they are
benign and fade gradually over time.
◉ While showing a new mother how to care for her infant's
umbilical cord stump, the nurse explains that the stump is a
potential source of infection because:
Answer: It contains exposed tissue and blood
◉ The health care provider hands a neonate to a nurse immediately
after birth. What should the nurse do next for the newborn?
Answer: Dry and provide skin-to-skin contact with the mother
,-The priority is preventing heat loss; drying the newborn prevents
heat loss through evaporation, and skin-to-skin contact with the
mother provides a warm environment while promoting attachment.
◉ A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in
a warm crib. The neonate begins to choke on mucus. How should the
nurse suction him with a bulb syringe?
Answer: By suctioning the mouth before the nostrils
◉ The parents of a newborn ask the nurse about several areas of
deep-blue coloring on their baby's lower back and buttocks. The
nurse's response is based on the information that:
Answer: These areas usually are normal and will fade within the
first year.
◉ A nurse is assessing a newborn for signs of hyperbilirubinemia
(pathological jaundice). What clinical finding confirms this
complication?
Answer: Jaundice that develops in the first 12 to 24 hours
◉ 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?
Answer: Verifying oxygen saturation frequently to adjust flow on the
basis of need
,◉ On the second day of life, minutes after drinking 2½ ounces of
formula, a newborn regurgitates about half an ounce. The mother
remarks, "My baby spits up after every feeding." What should the
nurse do next?
Answer: Suggest that she hold her baby upright for 30 minutes after
feeding
◉ A newborn has small, whitish, pinpoint spots over the nose that
are caused by retained sebaceous secretions. When documenting
this observation, a nurse identifies them as:
Answer: Milia
-Milia are common, are not indicative of illness, and eventually
disappear. Lanugo is fine, downy hair.
◉ What should the care of a newborn infant whose mother has had
untreated syphilis since the second trimester of pregnancy include?
Answer: Testing for congenital syphilis
◉ A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis).
What does a nurse identify as the cause of this complication?
Answer: An injury to the brachial plexus during birth
, ◉ An infant born in the 36th week of gestation weighs 4 lb 3 oz
(2062 g) and has Apgar scores of 7 and 9. What nursing actions will
be performed on the infant's admission to the nursery? (Select all
that apply.)
Answer: 1 Recording of vital signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature
stable
◉ Two days after birth a neonate's head circumference is 16 inches
(40 cm) and the chest circumference is 13 inches (32.5 cm). What
does the nurse infer from these measurements?
Answer: Enlarged head
◉ A newborn male is admitted to the nursery. He weighs 10 lb 2 oz,
which is 2 lb more than the birthweight of any of his siblings. What
should the nurse do in relation to the baby's weight?
Answer: Perform serial glucose readings
◉ A mother is inspecting her newborn girl for the first time. The
infant's breasts are edematous, and she has a pink vaginal discharge.
How should the nurse respond when the mother asks what is
wrong?
Answer: "The swelling and discharge are expected. They're a
response to your hormones."
QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET 1300
◉ The nurse observes several dark round areas on a newborn's
buttocks on a dark-skinned neonate. How should this observation be
documented?
Answer: Mongolian spots
-Mongolian spots are bluish-black areas of pigmentation commonly
found on the back and buttocks of dark-skinned newborns; they are
benign and fade gradually over time.
◉ While showing a new mother how to care for her infant's
umbilical cord stump, the nurse explains that the stump is a
potential source of infection because:
Answer: It contains exposed tissue and blood
◉ The health care provider hands a neonate to a nurse immediately
after birth. What should the nurse do next for the newborn?
Answer: Dry and provide skin-to-skin contact with the mother
,-The priority is preventing heat loss; drying the newborn prevents
heat loss through evaporation, and skin-to-skin contact with the
mother provides a warm environment while promoting attachment.
◉ A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in
a warm crib. The neonate begins to choke on mucus. How should the
nurse suction him with a bulb syringe?
Answer: By suctioning the mouth before the nostrils
◉ The parents of a newborn ask the nurse about several areas of
deep-blue coloring on their baby's lower back and buttocks. The
nurse's response is based on the information that:
Answer: These areas usually are normal and will fade within the
first year.
◉ A nurse is assessing a newborn for signs of hyperbilirubinemia
(pathological jaundice). What clinical finding confirms this
complication?
Answer: Jaundice that develops in the first 12 to 24 hours
◉ 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?
Answer: Verifying oxygen saturation frequently to adjust flow on the
basis of need
,◉ On the second day of life, minutes after drinking 2½ ounces of
formula, a newborn regurgitates about half an ounce. The mother
remarks, "My baby spits up after every feeding." What should the
nurse do next?
Answer: Suggest that she hold her baby upright for 30 minutes after
feeding
◉ A newborn has small, whitish, pinpoint spots over the nose that
are caused by retained sebaceous secretions. When documenting
this observation, a nurse identifies them as:
Answer: Milia
-Milia are common, are not indicative of illness, and eventually
disappear. Lanugo is fine, downy hair.
◉ What should the care of a newborn infant whose mother has had
untreated syphilis since the second trimester of pregnancy include?
Answer: Testing for congenital syphilis
◉ A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis).
What does a nurse identify as the cause of this complication?
Answer: An injury to the brachial plexus during birth
, ◉ An infant born in the 36th week of gestation weighs 4 lb 3 oz
(2062 g) and has Apgar scores of 7 and 9. What nursing actions will
be performed on the infant's admission to the nursery? (Select all
that apply.)
Answer: 1 Recording of vital signs
4 Evaluation of the neonate's health status
5 Supportive measures to keep the neonate's body temperature
stable
◉ Two days after birth a neonate's head circumference is 16 inches
(40 cm) and the chest circumference is 13 inches (32.5 cm). What
does the nurse infer from these measurements?
Answer: Enlarged head
◉ A newborn male is admitted to the nursery. He weighs 10 lb 2 oz,
which is 2 lb more than the birthweight of any of his siblings. What
should the nurse do in relation to the baby's weight?
Answer: Perform serial glucose readings
◉ A mother is inspecting her newborn girl for the first time. The
infant's breasts are edematous, and she has a pink vaginal discharge.
How should the nurse respond when the mother asks what is
wrong?
Answer: "The swelling and discharge are expected. They're a
response to your hormones."
