EVOLVE OBSTETRICS/MATERNITY
PRACTICE EXAM QUESTIONS AND
ANSWERS
The nurse is counseling a couple who has sought information about conceiving. For
teaching purposes, the nurse should know that ovulation usually occurs
A.two weeks before menstruation.
B.immediately after menstruation.
immediately before menstruation.
C. immediately before menstruation.
D. three weeks before menstruation. - ANSWER-A.two weeks before menstruation.
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason for
implementing this nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the
presenting fetal part.
B. An over-distended bladder could be traumatized during labor as well as prolong
the progress of labor.
C.Urine specimens for glucose and protein must be obtained at certain intervals
throughout labor.
D. Frequent voiding minimizes the need for catheterization which increases the
chance of bladder infection. - ANSWER-B. An over-distended bladder could be
traumatized during labor as well as prolong the progress of labor.
A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart. - ANSWER-B. Extend the leg and dorsiflex the
foot
When preparing a class on newborn care for expectant parents, what content should
the nurse teach concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery. - ANSWER-
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the
nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with heads like your
baby's.
,C. That is normal; the head will return to a round shape within 7 to 10 days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth canal. -
ANSWER-C. That is normal; the head will return to a round shape within 7 to 10
days.
An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest that he
discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed.
C. Ask him to observe his wife's behavior carefully for the next few weeks and report
any similar behavior to the nurse at the next prenatal visit.
D.Let him know that these behaviors are part of normal maternal/fetal bonding which
occur once the mother feels fetal movement. - ANSWER-D.Let him know that these
behaviors are part of normal maternal/fetal bonding which occur once the mother
feels fetal movement.
A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation should the nurse provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still hungry.
D.If you're concerned, you might consider bottle feeding so that you can monitor her
intake. - ANSWER-B.Your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil®
Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider
changes the neonate's formula to Similac® Soy Isomil® Formula, a soy protein
isolate based infant formula. What information should the nurse provide to the
mother about the newly prescribed formula?
A.The new formula is a coconut milk formula used with babies with impaired fat
absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed with diarrhea.
C. The new formula is a casein protein source that is low in phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains sucrose. -
ANSWER-D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the
postpartum unit. Which nursing plan is best in assisting this mother to bond with her
newborn infant?
A. Encourage the mother to provide total care for her infant.
B. Provide privacy so the mother can develop a relationship with the infant.
C. Encourage the father to provide most of the infant's care during hospitalization.
, D.Meet the mother's physical needs and demonstrate warmth toward the infant. -
ANSWER-D.Meet the mother's physical needs and demonstrate warmth toward the
infant.
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
A. Using relaxation breathing techniques
B. Using a breast pump.
C. Massaging the abdomen. Incorrect
D. Giving oxytocic medications. - ANSWER-A. Using relaxation breathing techniques
hich maternal behavior is the nurse most likely to see when a new mother receives
her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines the infant
completely.
b. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant to her own
body.
She eagerly reaches for the infant and then holds the infant close to her own body. -
ANSWER-b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that her last
menstrual period began on February 15, and that previously her periods were
regular. Her pregnancy test is positive. This client's expected date of delivery (EDD)
is
a.November 22.
b.November 8.
c.December 22.
d.October 22. - ANSWER-a.November 22.
The nurse is counseling a woman who wants to become pregnant. The woman tells
the nurse that she has a 36-day menstrual cycle and the first day of her last
menstrual period was January 8. The nurse correctly calculates that the woman's
next fertile period is
a.January 14-15.
b.January 22-23.
c.January 30-31.
d.February 6-7. - ANSWER-c. January 30-31.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms.
Which assessment finding indicates the therapeutic drug level has been achieved?
A. 4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16.
D. A decreased body temperature. - ANSWER-C.A decrease in respiratory rate from
24 to 16.
PRACTICE EXAM QUESTIONS AND
ANSWERS
The nurse is counseling a couple who has sought information about conceiving. For
teaching purposes, the nurse should know that ovulation usually occurs
A.two weeks before menstruation.
B.immediately after menstruation.
immediately before menstruation.
C. immediately before menstruation.
D. three weeks before menstruation. - ANSWER-A.two weeks before menstruation.
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason for
implementing this nursing intervention?
A. Emptying the bladder during delivery is difficult because of the position of the
presenting fetal part.
B. An over-distended bladder could be traumatized during labor as well as prolong
the progress of labor.
C.Urine specimens for glucose and protein must be obtained at certain intervals
throughout labor.
D. Frequent voiding minimizes the need for catheterization which increases the
chance of bladder infection. - ANSWER-B. An over-distended bladder could be
traumatized during labor as well as prolong the progress of labor.
A 28-year-old client in active labor complains of cramps in her leg. What intervention
should the nurse implement?
A. Massage the calf and foot.
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed.
D. Elevate the leg above the heart. - ANSWER-B. Extend the leg and dorsiflex the
foot
When preparing a class on newborn care for expectant parents, what content should
the nurse teach concerning the newborn infant born at term gestation?
A.Milia are red marks made by forceps and will disappear within 7 to 10 days.
B.Meconium is the first stool and is usually yellow gold in color.
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
D.Pseudostrabismus found in newborns is treated by minor surgery. - ANSWER-
C.Vernix is a white, cheesy substance, predominantly located in the skin folds.
A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head." Which response by the
nurse is best?
A.This is not an unusual shaped head, especially for a first baby.
B.It may look funny to you, but newborn babies are often born with heads like your
baby's.
,C. That is normal; the head will return to a round shape within 7 to 10 days.
D.Your pelvis was too small, so the baby's head had to adjust to the birth canal. -
ANSWER-C. That is normal; the head will return to a round shape within 7 to 10
days.
An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest that he
discuss his concerns with the childbirth education nurse.
B.Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed.
C. Ask him to observe his wife's behavior carefully for the next few weeks and report
any similar behavior to the nurse at the next prenatal visit.
D.Let him know that these behaviors are part of normal maternal/fetal bonding which
occur once the mother feels fetal movement. - ANSWER-D.Let him know that these
behaviors are part of normal maternal/fetal bonding which occur once the mother
feels fetal movement.
A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation should the nurse provide?
A.Weigh the baby daily, and if she is gaining weight, she is eating enough.
B.Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a
day.
C.Offer the baby extra bottle milk after her feeding, and see if she is still hungry.
D.If you're concerned, you might consider bottle feeding so that you can monitor her
intake. - ANSWER-B.Your milk is sufficient if the baby is voiding pale straw-colored
urine 6 to 10 times a day.
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil®
Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider
changes the neonate's formula to Similac® Soy Isomil® Formula, a soy protein
isolate based infant formula. What information should the nurse provide to the
mother about the newly prescribed formula?
A.The new formula is a coconut milk formula used with babies with impaired fat
absorption.
B.Enfamil® Formula is a demineralized whey formula that is needed with diarrhea.
C. The new formula is a casein protein source that is low in phenylalanine.
D. Similac® Soy Isomil® Formula is a soy-based formula that contains sucrose. -
ANSWER-D. Similac® Soy Isomil® Formula is a soy-based formula that contains
sucrose.
A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the
postpartum unit. Which nursing plan is best in assisting this mother to bond with her
newborn infant?
A. Encourage the mother to provide total care for her infant.
B. Provide privacy so the mother can develop a relationship with the infant.
C. Encourage the father to provide most of the infant's care during hospitalization.
, D.Meet the mother's physical needs and demonstrate warmth toward the infant. -
ANSWER-D.Meet the mother's physical needs and demonstrate warmth toward the
infant.
Which nursing intervention is most helpful in relieving postpartum uterine
contractions or "afterpains?"
A. Using relaxation breathing techniques
B. Using a breast pump.
C. Massaging the abdomen. Incorrect
D. Giving oxytocic medications. - ANSWER-A. Using relaxation breathing techniques
hich maternal behavior is the nurse most likely to see when a new mother receives
her infant for the first time?
a. She eagerly reaches for the infant, undresses the infant, and examines the infant
completely.
b. Her arms and hands receive the infant and she then traces the infant's profile with
her fingertips.
c. Her arms and hands receive the infant and she then cuddles the infant to her own
body.
She eagerly reaches for the infant and then holds the infant close to her own body. -
ANSWER-b. Her arms and hands receive the infant and she then traces the infant's
profile with her fingertips.
On admission to the prenatal clinic, a 23-year-old woman tells the nurse that her last
menstrual period began on February 15, and that previously her periods were
regular. Her pregnancy test is positive. This client's expected date of delivery (EDD)
is
a.November 22.
b.November 8.
c.December 22.
d.October 22. - ANSWER-a.November 22.
The nurse is counseling a woman who wants to become pregnant. The woman tells
the nurse that she has a 36-day menstrual cycle and the first day of her last
menstrual period was January 8. The nurse correctly calculates that the woman's
next fertile period is
a.January 14-15.
b.January 22-23.
c.January 30-31.
d.February 6-7. - ANSWER-c. January 30-31.
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms.
Which assessment finding indicates the therapeutic drug level has been achieved?
A. 4+ reflexes.
B.Urinary output of 50 ml per hour.
C.A decrease in respiratory rate from 24 to 16.
D. A decreased body temperature. - ANSWER-C.A decrease in respiratory rate from
24 to 16.
