MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
A 37-year-old woman agrees to have a prenatal test done to diagnose fetal defects. There is a history of
Down syndrome in her family, and this is her first pregnancy. Which invasive prenatal test provides the
earliest diagnosis and rapid test results?
1
Nonstress test
2
Amniocentesis
3
Chorionic villus sampling
4
Percutaneous umbilical blood sampling - CORRECT ANSWERS 3
Chorionic villus sampling may be performed between 10 and 12 weeks' gestation. Amniocentesis may be
performed after 14 weeks' gestation, when sufficient amniotic fluid is available. Direct access to the fetal
circulation with percutaneous umbilical blood sampling may be performed during the second and third
trimesters. The nonstress test, which is not invasive, is a technique used for antepartum evaluation of
the fetus; it does not reveal fetal defects.
A local anesthetic (pudendal block) is administered to a client as second-stage labor begins. For what
side effect does the nurse monitor for the client?
1
Fewer contractions
2
Depressed respirations
3
Decreased blood pressure
4
Accumulated respiratory secretions - CORRECT ANSWERS 3
,MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
Mild reactions, including vertigo, dizziness, and hypotension, occur because of vasodilation resulting
from direct action of these medications on the mother's pelvic blood vessels. The progress of labor is not
affected by a local anesthetic administered during the second stage of labor. A local anesthetic does not
affect the respiratory center in the central nervous system. Accumulated respiratory secretions are not
caused by a local anesthetic administered during the second stage of labor.
After a client has been in labor for 6 hours at home, she is admitted to the birthing room. The client is
dilated 5 cm and at −1 station. In the next hour her contractions gradually become irregular and are
more uncomfortable. Which possibility should the nurse consider first?
1
The client is in false labor.
2
The client has a full bladder.
3
There is uterine dysfunction.
4
There is a breech presentation - CORRECT ANSWERS 2
A full bladder can impede the forces of labor, and so it must be emptied before any other assessment
can be made accurately. The client's cervix is dilating, and therefore she is in true, not false, labor.
Before the possibility of uterine dysfunction is considered, the client's bladder should be emptied to
relieve the pressure of the bladder on the uterus; the client should then be observed to determine
whether regular contractions have resumed. The existence of a breech presentation should have been
established during the admission examination.
A pregnant woman at 39 weeks' gestation arrives in the triage area of the birthing unit, stating that she
thinks her "water broke." What should the nurse do first?
1
Auscultate the fetal heart to determine fetal well-being.
2
,MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
Perform Leopold's maneuvers to rule out a breech presentation.
3
Check the vaginal introitus for the presence of the umbilical cord.
4
Do a Nitrazine test on the vaginal fluid for verification of ruptured membranes. - CORRECT
ANSWERS 3
The priority is assessment for a prolapsed umbilical cord. This is a life-threatening emergency for the
fetus and must be ruled out first. Auscultating the fetal heart to determine fetal well-being is done after
it has been verified that the umbilical cord is not visible in the vaginal introitus. Performing Leopold's
maneuvers and performing a Nitrazine test each may be done after fetal well-being has been confirmed;
neither is the priority.
24-year-old client who has been told that she is pregnant is at her first prenatal visit. She is 5 feet 6
inches tall and weighs 130 lb. What should the nutrition plan regarding her daily caloric intake include?
1
100 more calories during the first trimester
2
540 more calories during the third trimester
3
300 more calories during the three trimesters
4
340 more calories during the second trimester - CORRECT ANSWERS 4
An extra 340 calories per day during the second trimester is the recommended caloric increase for adult
women who are of average weight; this increase will meet the nutritional needs of both fetus and
mother during the second trimester. The caloric intake during the first trimester should be about the
same as in the nonpregnant state. The increase in caloric intake should be about 460 calories in the third
trimester. Caloric needs, as well as caloric intake, vary from trimester to trimester, depending on
fetal/maternal energy needs.
, MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
The gravida 1 now para 1 woman delivered a 7-lb 6-oz female infant at 11 pm yesterday after a labor of
14 hours. After breakfast the nursery staff brings the baby to the new mother. The mother smiles at the
baby, then asks that the nurse take the baby back to the nursery because she has not had a shower yet.
One hour later the nurse returns with the infant. Again the mother smiles at the baby; then she holds
her, kisses her, and feeds her a bottle. Immediately after feeding the baby, the mother calls the nursery
and asks the baby be picked up so she can take a nap. What behavior is the new mother demonstrating?
1
Taking-in
2
Letting-go
3
Taking-hold
4
Bonding failure - CORRECT ANSWERS 1
During the taking-in period the mother focuses on her needs rather than the baby's. During this period
the mother needs to be "mothered" so she can assume the role of mother. The letting-go period is when
the mother wants to take control and "mother" the infant. The taking-hold period is when the mother is
anxious to learn about the infant and how to care for it. This mother shows positive behaviors, including
smiling, kissing, and holding. There is no evidence of a failure to bond.
Organize the steps in infant cardiopulmonary resuscitation (CPR) in the correct sequence.
1.
Check the pulse at the brachial artery.
2.
Initiate chest compressions in a 30:2 ratio.
3.
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
A 37-year-old woman agrees to have a prenatal test done to diagnose fetal defects. There is a history of
Down syndrome in her family, and this is her first pregnancy. Which invasive prenatal test provides the
earliest diagnosis and rapid test results?
1
Nonstress test
2
Amniocentesis
3
Chorionic villus sampling
4
Percutaneous umbilical blood sampling - CORRECT ANSWERS 3
Chorionic villus sampling may be performed between 10 and 12 weeks' gestation. Amniocentesis may be
performed after 14 weeks' gestation, when sufficient amniotic fluid is available. Direct access to the fetal
circulation with percutaneous umbilical blood sampling may be performed during the second and third
trimesters. The nonstress test, which is not invasive, is a technique used for antepartum evaluation of
the fetus; it does not reveal fetal defects.
A local anesthetic (pudendal block) is administered to a client as second-stage labor begins. For what
side effect does the nurse monitor for the client?
1
Fewer contractions
2
Depressed respirations
3
Decreased blood pressure
4
Accumulated respiratory secretions - CORRECT ANSWERS 3
,MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
Mild reactions, including vertigo, dizziness, and hypotension, occur because of vasodilation resulting
from direct action of these medications on the mother's pelvic blood vessels. The progress of labor is not
affected by a local anesthetic administered during the second stage of labor. A local anesthetic does not
affect the respiratory center in the central nervous system. Accumulated respiratory secretions are not
caused by a local anesthetic administered during the second stage of labor.
After a client has been in labor for 6 hours at home, she is admitted to the birthing room. The client is
dilated 5 cm and at −1 station. In the next hour her contractions gradually become irregular and are
more uncomfortable. Which possibility should the nurse consider first?
1
The client is in false labor.
2
The client has a full bladder.
3
There is uterine dysfunction.
4
There is a breech presentation - CORRECT ANSWERS 2
A full bladder can impede the forces of labor, and so it must be emptied before any other assessment
can be made accurately. The client's cervix is dilating, and therefore she is in true, not false, labor.
Before the possibility of uterine dysfunction is considered, the client's bladder should be emptied to
relieve the pressure of the bladder on the uterus; the client should then be observed to determine
whether regular contractions have resumed. The existence of a breech presentation should have been
established during the admission examination.
A pregnant woman at 39 weeks' gestation arrives in the triage area of the birthing unit, stating that she
thinks her "water broke." What should the nurse do first?
1
Auscultate the fetal heart to determine fetal well-being.
2
,MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
Perform Leopold's maneuvers to rule out a breech presentation.
3
Check the vaginal introitus for the presence of the umbilical cord.
4
Do a Nitrazine test on the vaginal fluid for verification of ruptured membranes. - CORRECT
ANSWERS 3
The priority is assessment for a prolapsed umbilical cord. This is a life-threatening emergency for the
fetus and must be ruled out first. Auscultating the fetal heart to determine fetal well-being is done after
it has been verified that the umbilical cord is not visible in the vaginal introitus. Performing Leopold's
maneuvers and performing a Nitrazine test each may be done after fetal well-being has been confirmed;
neither is the priority.
24-year-old client who has been told that she is pregnant is at her first prenatal visit. She is 5 feet 6
inches tall and weighs 130 lb. What should the nutrition plan regarding her daily caloric intake include?
1
100 more calories during the first trimester
2
540 more calories during the third trimester
3
300 more calories during the three trimesters
4
340 more calories during the second trimester - CORRECT ANSWERS 4
An extra 340 calories per day during the second trimester is the recommended caloric increase for adult
women who are of average weight; this increase will meet the nutritional needs of both fetus and
mother during the second trimester. The caloric intake during the first trimester should be about the
same as in the nonpregnant state. The increase in caloric intake should be about 460 calories in the third
trimester. Caloric needs, as well as caloric intake, vary from trimester to trimester, depending on
fetal/maternal energy needs.
, MATERNITY EVOLVE EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE SOLUTION
ALL ANSWERS 100% CORRECT DETAILED BEST GRADED TO
SCORE A+ FOR SUCCESS
The gravida 1 now para 1 woman delivered a 7-lb 6-oz female infant at 11 pm yesterday after a labor of
14 hours. After breakfast the nursery staff brings the baby to the new mother. The mother smiles at the
baby, then asks that the nurse take the baby back to the nursery because she has not had a shower yet.
One hour later the nurse returns with the infant. Again the mother smiles at the baby; then she holds
her, kisses her, and feeds her a bottle. Immediately after feeding the baby, the mother calls the nursery
and asks the baby be picked up so she can take a nap. What behavior is the new mother demonstrating?
1
Taking-in
2
Letting-go
3
Taking-hold
4
Bonding failure - CORRECT ANSWERS 1
During the taking-in period the mother focuses on her needs rather than the baby's. During this period
the mother needs to be "mothered" so she can assume the role of mother. The letting-go period is when
the mother wants to take control and "mother" the infant. The taking-hold period is when the mother is
anxious to learn about the infant and how to care for it. This mother shows positive behaviors, including
smiling, kissing, and holding. There is no evidence of a failure to bond.
Organize the steps in infant cardiopulmonary resuscitation (CPR) in the correct sequence.
1.
Check the pulse at the brachial artery.
2.
Initiate chest compressions in a 30:2 ratio.
3.
