EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
1. A 14-year-old emancipated minor at 22 weeks' gesta- Telling the moth-
tion comes in for her second prenatal examination. er, "I'm sorry, but I
As she enters the examination room with her mother, need to ask you to
she tells the nurse that she does not want her mother stay in the waiting
present for the examination. What should the nurse area."
say?
2. Which finding indicates the development of a compli- Skin color
cation resulting from the presence of bilateral cephal-
hematomas?
3. What findings occur with supine hypotensive syn- 2 Feeling of faint-
drome? (Select all that apply.) ness
4 Increased ve-
nous pressure
6 Decreased sys-
tolic pressure
4. Immediately after the third stage of labor a nurse ad- To help the uterus
ministers the prescribed oxytocin (Pitocin) infusion. contract
Why is this medication administered?
5. Three weeks after a client gives birth, a deep vein Continuous infu-
thrombophlebitis develops in her left leg and she is sion of heparin
admitted to the hospital for bedrest and anticoag-
ulant therapy. Which anticoagulant does the nurse
expect to administer?
6. A local anesthetic (pudendal block) is administered Decreased blood
to a client as second-stage labor begins. For what pressure
side effect does the nurse monitor for the client?
7. A 24-year-old client who has been told that she is 340 more calories
pregnant is at her first prenatal visit. She is 5 feet 6 during the second
inches tall and weighs 130 lb. What should the nutri- trimester
tion plan regarding her daily caloric intake include?
8.
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
A primigravida at 34 weeks' gestation tells the nurse 1 Wear
that she is beginning to experience some lower back low-heeled shoes
pain. What should the nurse recommend that the 4 Perform pelvic
client do? (Select all that apply.) tilt exercises sev-
eral times a day
9. A nurse who is caring for a mother and her new- Maternal rubella
born infant reviews their record. In light of the data vaccination
the record contains, what nursing intervention is re-
quired?
10. The nurse is interpreting the results of a nonstress Two accelerations
test (NST) on a client at 41 weeks' gestation. Which of 15 beats/min
result after 20 minutes is suggestive of fetal reactivi- lasting 15 seconds
ty?
11. During labor the nurse encourages the client to void Predispose the
periodically. The nurse knows that an over distended client to uterine
urinary bladder during labor can: hemorrhage after
birth
12. A pregnant woman tells a nurse in the prenatal clin- 4 Black and pinto
ic that she knows that folic acid is very important beans
during pregnancy and that she is taking a prescribed 5 Enriched bread
supplement. She asks the nurse what foods contain and pasta
folic acid (folate) so she may add them to her diet
in its natural form. Which foods should the nurse
recommend? (Select all that apply.)
13. What nursing action is the priority for a client in the Promote effective
second stage of labor? pushing by the
client
14. A nurse is teaching a client to care for her episiotomy Perform perineal
after discharge. What priority instruction should the care after toileting
nurse include? until healing oc-
curs.
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
15. One hour after a birth a nurse palpates a client's fun- Continue period-
dus to determine whether involution is taking place. ic evaluations and
The fundus is firm, in the midline, and two finger- record the findings
breadths below the umbilicus. What should the nurse
do next?
16. At 5 am, 2 hours after a long labor and vaginal birth, Planning nursing
a client is transferred to the postpartum unit. What is care activities that
the nurse's priority when planning morning care for provide time for
this client? the client to rest
and sleep
17. A nurse is being oriented to a prenatal clinic after 1 Sickle cell
graduation. The new nurse takes a course on several screening
tests during pregnancy. Place the tests in the order in 2 ±-
Fetoprotein
which they should be performed during pregnancy. (AFP) testing for
neural tube de-
fects
3 Serum glucose
for gestational dia-
betes
4 Fetal movement
test
5 Group B Strepto-
coccus culture
18. Which position does the nurse teach the client to Supine position
avoid when she experiences back pain during labor?
19. A postpartum client is being prepared for discharge. Placing the re-
The laboratory report indicates that she has a white port in the client's
blood cell (WBC) count of 16,000/dL. What is the next record because
nursing action? this is an expected
postpartum find-
ing
20. Spreading breast
milk on the nipples
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
A nurse assesses a new mother who is breastfeeding. after the feeding
The client asks how to care for her nipples. What and allowing them
should the nurse recommend? to air dry
21. A client is receiving an oxytocin (Pitocin) infusion for Turn the oxytocin
induction of labor. The uterine graph on the electronic infusion off
monitor indicates no rest period between contrac-
tions, and this is confirmed on palpation. What should
the nurse do first?
22. A contraction stress test (CST) is performed on a There will be
client at 40 weeks' gestation. The findings are inter- weekly retesting
preted as negative. What does the nurse conclude because, at this
from this interpretation? time, the fetus has
oxygen reserves.
23. What are the indicators of nutritional risk in pregnan- 1 Smoker
cy in a client who is of normal weight? (Select all that 2 Twin gestation
apply.)
24. During a prenatal visit a client who is at 36 weeks' "Walk around until
gestation states that she is having uncomfortable ir- they subside."
regular contractions. How should the nurse respond?
25. A woman's pregnancy has been uneventful, and she Hemodilution
has gained 25 lb. At term her hemoglobin level is
10.6 g/dL and her hematocrit is 31%. What does the
nurse identify as the reason for these hemoglobin
and hematocrit levels?
26. During a routine prenatal visit, a client tells a nurse Hypocalcemia; in-
that she gets leg cramps. What condition does the crease her intake
nurse suspect, and what suggestion is made to cor- of milk
rect the problem?
27. During prenatal classes the nurse teaches the differ- Cervix effaces and
ence between true labor and false labor. How does dilates during true
the nurse explain the difference? labor.
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
1. A 14-year-old emancipated minor at 22 weeks' gesta- Telling the moth-
tion comes in for her second prenatal examination. er, "I'm sorry, but I
As she enters the examination room with her mother, need to ask you to
she tells the nurse that she does not want her mother stay in the waiting
present for the examination. What should the nurse area."
say?
2. Which finding indicates the development of a compli- Skin color
cation resulting from the presence of bilateral cephal-
hematomas?
3. What findings occur with supine hypotensive syn- 2 Feeling of faint-
drome? (Select all that apply.) ness
4 Increased ve-
nous pressure
6 Decreased sys-
tolic pressure
4. Immediately after the third stage of labor a nurse ad- To help the uterus
ministers the prescribed oxytocin (Pitocin) infusion. contract
Why is this medication administered?
5. Three weeks after a client gives birth, a deep vein Continuous infu-
thrombophlebitis develops in her left leg and she is sion of heparin
admitted to the hospital for bedrest and anticoag-
ulant therapy. Which anticoagulant does the nurse
expect to administer?
6. A local anesthetic (pudendal block) is administered Decreased blood
to a client as second-stage labor begins. For what pressure
side effect does the nurse monitor for the client?
7. A 24-year-old client who has been told that she is 340 more calories
pregnant is at her first prenatal visit. She is 5 feet 6 during the second
inches tall and weighs 130 lb. What should the nutri- trimester
tion plan regarding her daily caloric intake include?
8.
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
A primigravida at 34 weeks' gestation tells the nurse 1 Wear
that she is beginning to experience some lower back low-heeled shoes
pain. What should the nurse recommend that the 4 Perform pelvic
client do? (Select all that apply.) tilt exercises sev-
eral times a day
9. A nurse who is caring for a mother and her new- Maternal rubella
born infant reviews their record. In light of the data vaccination
the record contains, what nursing intervention is re-
quired?
10. The nurse is interpreting the results of a nonstress Two accelerations
test (NST) on a client at 41 weeks' gestation. Which of 15 beats/min
result after 20 minutes is suggestive of fetal reactivi- lasting 15 seconds
ty?
11. During labor the nurse encourages the client to void Predispose the
periodically. The nurse knows that an over distended client to uterine
urinary bladder during labor can: hemorrhage after
birth
12. A pregnant woman tells a nurse in the prenatal clin- 4 Black and pinto
ic that she knows that folic acid is very important beans
during pregnancy and that she is taking a prescribed 5 Enriched bread
supplement. She asks the nurse what foods contain and pasta
folic acid (folate) so she may add them to her diet
in its natural form. Which foods should the nurse
recommend? (Select all that apply.)
13. What nursing action is the priority for a client in the Promote effective
second stage of labor? pushing by the
client
14. A nurse is teaching a client to care for her episiotomy Perform perineal
after discharge. What priority instruction should the care after toileting
nurse include? until healing oc-
curs.
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
15. One hour after a birth a nurse palpates a client's fun- Continue period-
dus to determine whether involution is taking place. ic evaluations and
The fundus is firm, in the midline, and two finger- record the findings
breadths below the umbilicus. What should the nurse
do next?
16. At 5 am, 2 hours after a long labor and vaginal birth, Planning nursing
a client is transferred to the postpartum unit. What is care activities that
the nurse's priority when planning morning care for provide time for
this client? the client to rest
and sleep
17. A nurse is being oriented to a prenatal clinic after 1 Sickle cell
graduation. The new nurse takes a course on several screening
tests during pregnancy. Place the tests in the order in 2 ±-
Fetoprotein
which they should be performed during pregnancy. (AFP) testing for
neural tube de-
fects
3 Serum glucose
for gestational dia-
betes
4 Fetal movement
test
5 Group B Strepto-
coccus culture
18. Which position does the nurse teach the client to Supine position
avoid when she experiences back pain during labor?
19. A postpartum client is being prepared for discharge. Placing the re-
The laboratory report indicates that she has a white port in the client's
blood cell (WBC) count of 16,000/dL. What is the next record because
nursing action? this is an expected
postpartum find-
ing
20. Spreading breast
milk on the nipples
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RAT
NALES|ALREADY GRADED A+
Study online at https://quizlet.com/_flwiwh
A nurse assesses a new mother who is breastfeeding. after the feeding
The client asks how to care for her nipples. What and allowing them
should the nurse recommend? to air dry
21. A client is receiving an oxytocin (Pitocin) infusion for Turn the oxytocin
induction of labor. The uterine graph on the electronic infusion off
monitor indicates no rest period between contrac-
tions, and this is confirmed on palpation. What should
the nurse do first?
22. A contraction stress test (CST) is performed on a There will be
client at 40 weeks' gestation. The findings are inter- weekly retesting
preted as negative. What does the nurse conclude because, at this
from this interpretation? time, the fetus has
oxygen reserves.
23. What are the indicators of nutritional risk in pregnan- 1 Smoker
cy in a client who is of normal weight? (Select all that 2 Twin gestation
apply.)
24. During a prenatal visit a client who is at 36 weeks' "Walk around until
gestation states that she is having uncomfortable ir- they subside."
regular contractions. How should the nurse respond?
25. A woman's pregnancy has been uneventful, and she Hemodilution
has gained 25 lb. At term her hemoglobin level is
10.6 g/dL and her hematocrit is 31%. What does the
nurse identify as the reason for these hemoglobin
and hematocrit levels?
26. During a routine prenatal visit, a client tells a nurse Hypocalcemia; in-
that she gets leg cramps. What condition does the crease her intake
nurse suspect, and what suggestion is made to cor- of milk
rect the problem?
27. During prenatal classes the nurse teaches the differ- Cervix effaces and
ence between true labor and false labor. How does dilates during true
the nurse explain the difference? labor.
