MATERNITY EVOLVE Exam set
Questions with simplified Answers that
are correct and verified
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? - correct answer-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: - correct 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? - correct 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.) - correct 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.) - correct 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? - correct 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: - correct 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? - correct
answer-An expected response to the process of labor and birth
Which factor in a client's history increases the risk for osteoporosis? - correct 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? - correct 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: - correct 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? - correct 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? - correct 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? - correct 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? - correct
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 participant? - correct answer-"The widespread use of
elective induction increases the risk of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? - correct answer-
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? - correct answer-
Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge
plan for this client? - correct answer-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? - correct answer-Increased blood pressure
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? - correct answer-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
Questions with simplified Answers that
are correct and verified
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? - correct answer-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: - correct 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? - correct 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.) - correct 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.) - correct 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? - correct 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: - correct 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? - correct
answer-An expected response to the process of labor and birth
Which factor in a client's history increases the risk for osteoporosis? - correct 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? - correct 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: - correct 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? - correct 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? - correct 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? - correct 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? - correct
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 participant? - correct answer-"The widespread use of
elective induction increases the risk of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? - correct answer-
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? - correct answer-
Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge
plan for this client? - correct answer-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? - correct answer-Increased blood pressure
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? - correct answer-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
