Maternity-Evolve-Exam Test Bank

Maternity Evolve Exam 1. A nonstress test is performed, and the physician documents “accelerations lasting less than 15 seconds throughout fetal movement.” The nurse interprets these findings as: A. Normal B. Reactive C. Nonreactive Correct D. Inconclusive 2. A nurse caring for a client in labor performs an assessment. The client is having consistent contractions less than 2 minutes apart. The fetal heart rate (FHR) is 170 beats/min, and fetal monitoring indicates a pattern of decreased variability. In light of these findings, the appropriate nursing action is: A. Contacting the physician Correct B. Documenting the findings C. Continuing to monitor the client D. Reassuring the client and her partner that labor is progressing normally 3. A stillborn infant was delivered a few hours ago. After the birth, the family remains together, holding and touching the baby. Which statement by the nurse is appropriate? A. “I know how you feel.” B. “This must be hard for you.” Correct C. “Now you have an angel in heaven.” D. “You’re young. You can have other children.” 4. A rubella antibody screen is performed in a pregnant client, and the results indicate that the client is not immune to rubella. The nurse tells the client that: A. A rubella vaccine must be administered immediately B. A rubella vaccine must be administered after childbirth Correct C. She will not contract rubella if she is exposed to the disease D. She does not need to be concerned about being exposed to rubella 5. A nurse caring for a client in the active stage of labor assesses the fetal status and notes a late deceleration on the monitor strip. In light of this finding, which nursing action is the priority? A. Documenting the finding B. Preparing for immediate birth C. Administering oxygen by way of face mask Correct D. Increasing the rate of the oxytocin (Pitocin) infusion 6. A nurse provides instructions regarding postpartum exercises to a client who has delivered a newborn vaginally. The nurse tells the client that: A. The exercises should be delayed for 1 month to allow healing B. Performing such exercises in the postpartum period may result in stress urinary incontinence C. Alternating contraction and relaxation of the muscles of the perineal area should be practiced Correct D. Abdominal exercises will be started while the client is in the hospital as a means of evaluating tolerance