MATERNITY EVOLVE EXAM /EVOLVE MATERNITY EXAM ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

MATERNITY EVOLVE EXAM /EVOLVE MATERNITY EXAM ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the nurse emphasize while helping the client understand her diagnosis and prognosis? - Answer️️ -Five-year survival rates for this cancer are nearly 100% with early treatment. A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby move. The nurse replies that quickening usually occurs in the: - Answer️️ -20th week A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the clinic and states that she has tenderness, redness, and swelling in her right calf. What should the nurse instruct the client to do? - Answer️️ -Call an ambulance to go to the emergency department. Which statements by a client with hyperemesis gravidarum would confirm that the client needs further teaching? (Select all that apply.) - Answer️️ -"I'll start limiting my carbohydrates." "I'll lie down for at least 2 hours after I eat." A nurse is planning a childbirth education class about maternal psychological and physiological changes as pregnancy nears term. Which problems and concerns should TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 the nurse include in the presentation? (Select all that apply.) - Answer️️ -Nesting needs increase. Anxiety about childbirth increases. Gastrointestinal motility decreases. During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse respond? - Answer️️ -"You should use foam with a condom to prevent pregnancy — this is the safest method for women with your illnesses." The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The nurse tries to help him understand the situation by stating that: - Answer️️ -Having four children is tiring and assistance may be needed. Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? - Answer️️ -An expected response to the process of labor and birth Which factor in a client's history increases the risk for osteoporosis? - Answer️️ - Prolonged immobility TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What should preoperative teaching include? - Answer️️ -Frequent ambulation is begun within 24 hours. A nurse evaluates that a client who is taking oral contraceptives understands the related dietary teaching when the client states, "While I'm taking birth control pills I should increase my intake of foods containing: - Answer️️ -Folic acid." After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over the area being radiated. The area is sensitive but not painful. She states that she has been using tepid water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What does the nurse conclude from this information? - Answer️️ -Further teaching on skin care is necessary. A nurse is discussing immunizations needed to confer active immunity with a pregnant client during her first visit to the prenatal clinic. What information should the nurse consider including that the client will understand with regard to active immunity? - Answer️️ -Protein substances are formed by the body to destroy or neutralize antigens. The nurse presents a program on breast self-examination. After a return demonstration the nurse concludes that she needs to review certain aspects of the teaching program. Which behavior by one of the students supports this conclusion? - Answer️️ -Palpating each breast while in the sitting position TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you didn't have to look at the pad it's embarrassing for me." What is the best nursing response? - Answer️️ -"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems." During a childbirth class, several participants have questions about the elective induction of labor. One participant states that it is more convenient for a woman with a busy schedule. What evidenced-based information should the nurse provide to the participant? - Answer️️ -"The widespread use of elective induction increases the risk of unfavorable outcomes." What should the nurse teach a client about performing breast self-examination? - Answer️️ -Compress the nipples to check for discharge. A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural analgesia. What common response to regional anesthesia does the nurse anticipate? - Answer️️ -Lightheadedness A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge plan for this client? - Answer️️ -Instructions relative to diet and exercise A client who wishes to postpone having children until she and her husband are financially sound tells the nurse she has been taking oral contraceptive pills for several years. What finding indicates a potential risk in regard to continued use of birth control pills? - Answer️️ -Increased blood pressure TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 A nonstress test (NST) is scheduled for a client with mild preeclampsia. During the test, the client asks the nurse what it means when the fetal heart rate goes up every time the fetus moves. What should the nurse consider before responding? - Answer️️ -These accelerations are a sign of fetal well-being. A client at 36 weeks' gestation arrives at the prenatal clinic for a routine examination. The nurse determines that the client's blood pressure has increased from 102/60 to 134/88 mm Hg and becomes concerned she may be experiencing mild preeclampsia. What other sign of mild preeclampsia does the nurse anticipate? - Answer️️ - Proteinuria of 1+ A nurse is caring for several pregnant clients in the prenatal clinic. Which client causes the most concern because of her predisposition to placenta previa? - Answer️️ -30 years old, gravida 6, para 5 A neonate has phenylketonuria (PKU). What information should the nurse include in a discussion with the parents when explaining what caused their infant's pr