MATERNITY EVOLVE EXAM /EVOLVE MATERNITY
EXAM ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH ARTIONALES
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? - <<ANSWER>>Five-year survival rates for this cancer are nearly 100%
with early treatment.
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
<<ANSWER>>"Recovery usually occurs in about 3 months."
In her 36th week of gestation, a client with type 1 diabetes has a 9-lb 10-oz infant in a
cesarean birth. For which condition should the nurse monitor this infant of a diabetic
mother? - <<ANSWER>>Respiratory distress syndrome
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
A newborn whose mother has type 1 diabetes is receiving a continuous infusion of fluids
with glucose. What should the nurse do when preparing to discontinue the IV? -
<<ANSWER>>Decrease the rate slowly
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? -
<<ANSWER>>8
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
before planning nursing care? - <<ANSWER>>"What is the baby's daily schedule?"
Shortly after birth a newborn is found to have Erb's palsy. What condition does the
nurse suspect caused this problem? - <<ANSWER>>Injury to brachial plexus during
birth
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - <<ANSWER>>Screening for phenylketonuria
,Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - <<ANSWER>>Small breast buds
Wrinkled thin skin
Pinnae that remain flat when folded
While observing a newborn with a diaphragmatic hernia, what does the nurse expect to
identify? - <<ANSWER>>Barrel-shaped chest
After a difficult birth, a neonate has an Apgar score of 8 after 5 minutes. Which signs
met the criteria of 2 points? (Select all that apply.) - <<ANSWER>>Reflex irritability: cry
Respiratory rate: good cry
Heart rate: 110 beats/min
A nurse is estimating a newborn's gestational age. What parameters should the nurse
evaluate? (Select all that apply.) - <<ANSWER>>Breast size
Genital development
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: -
<<ANSWER>>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? - <<ANSWER>>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.) - <<ANSWER>>"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
the nurse include in the presentation? (Select all that apply.) - <<ANSWER>>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? - <<ANSWER>>"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: - <<ANSWER>>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? - <<ANSWER>>An expected response to the process of
labor and birth
Which factor in a client's history increases the risk for osteoporosis? -
<<ANSWER>>Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean
birth. What should preoperative teaching include? - <<ANSWER>>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: - <<ANSWER>>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? - <<ANSWER>>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? -
<<ANSWER>>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? -
<<ANSWER>>Palpating each breast while in the sitting position
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? - <<ANSWER>>"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
EXAM ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH ARTIONALES
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? - <<ANSWER>>Five-year survival rates for this cancer are nearly 100%
with early treatment.
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
<<ANSWER>>"Recovery usually occurs in about 3 months."
In her 36th week of gestation, a client with type 1 diabetes has a 9-lb 10-oz infant in a
cesarean birth. For which condition should the nurse monitor this infant of a diabetic
mother? - <<ANSWER>>Respiratory distress syndrome
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
A newborn whose mother has type 1 diabetes is receiving a continuous infusion of fluids
with glucose. What should the nurse do when preparing to discontinue the IV? -
<<ANSWER>>Decrease the rate slowly
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? -
<<ANSWER>>8
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
before planning nursing care? - <<ANSWER>>"What is the baby's daily schedule?"
Shortly after birth a newborn is found to have Erb's palsy. What condition does the
nurse suspect caused this problem? - <<ANSWER>>Injury to brachial plexus during
birth
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - <<ANSWER>>Screening for phenylketonuria
,Which characteristics should alert the nurse to conclude that a male newborn is a
preterm infant? (Select all that apply.) - <<ANSWER>>Small breast buds
Wrinkled thin skin
Pinnae that remain flat when folded
While observing a newborn with a diaphragmatic hernia, what does the nurse expect to
identify? - <<ANSWER>>Barrel-shaped chest
After a difficult birth, a neonate has an Apgar score of 8 after 5 minutes. Which signs
met the criteria of 2 points? (Select all that apply.) - <<ANSWER>>Reflex irritability: cry
Respiratory rate: good cry
Heart rate: 110 beats/min
A nurse is estimating a newborn's gestational age. What parameters should the nurse
evaluate? (Select all that apply.) - <<ANSWER>>Breast size
Genital development
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: -
<<ANSWER>>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? - <<ANSWER>>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.) - <<ANSWER>>"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
the nurse include in the presentation? (Select all that apply.) - <<ANSWER>>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? - <<ANSWER>>"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: - <<ANSWER>>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? - <<ANSWER>>An expected response to the process of
labor and birth
Which factor in a client's history increases the risk for osteoporosis? -
<<ANSWER>>Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean
birth. What should preoperative teaching include? - <<ANSWER>>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: - <<ANSWER>>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? - <<ANSWER>>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? -
<<ANSWER>>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? -
<<ANSWER>>Palpating each breast while in the sitting position
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? - <<ANSWER>>"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
