MATERNITY EVOLVE EXAM
QUESTIONS AND CORRECT ANSWERS
8.
A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the nurse
b b b b b b b b b b b b b b b b b b
emphasize while helping the client understand her diagnosis and prognosis? - ANS >> Five-year
b b b b b b b b b b b b b b
survival rates for this cancer are nearly 100% with early treatment.
b b b b b b b b b b b
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
b b b b b b b b b b b b b b b b b b
move. The nurse replies that quickening usually occurs in the: - ANS >> 20th week
b b b b b b b b b b b b b b b
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the
b b b b b b b b b b b b b b
clinic and states that she has tenderness, redness, and swelling in her right calf. What should the
b b b b b b b b b b b b b b b b b
nurse instruct the client to do? - ANS >> Call an ambulance to go to the emergency department.
b b b b b b b b b b b b b b b b b b
Which statements by a client with hyperemesis gravidarum would confirm that the client needs
b b b b b b b b b b b b b
further teaching? (Select all that apply.) - ANS >> "I'll start limiting my carbohydrates."
b b b b b b b b b b b b b b
"I'll lie down for at least 2 hours after I eat."
b b b b b b b b b b
A nurse is planning a childbirth education class about maternal psychological and physiological changes
b b b b b b b b b b b b b
as pregnancy nears term. Which problems and concerns should the nurse include in the presentation?
b b b b b b b b b b b b b b b
(Select all that apply.) - ANS >> Nesting needs increase.
b b b b b b b b b b
Anxiety about childbirth increases.
b b b
Gastrointestinal motility decreases. b b
During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which
b b b b b b b b b b b b b b b b
contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse
b b b b b b b b b b b b b b b b b b
respond? - ANS >> "You should use foam with a condom to prevent pregnancy — this is the safest
b b b b b b b b b b b b b b b b b b b
method for women with your illnesses."
b b b b b b
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and
b b b b b b b b b b b b b b b b b b
crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The
b b b b b b b b b b b b b b b b
nurse tries to help him understand the situation by stating that: - ANS >> Having four children is tiring
b b b b b b b b b b b b b b b b b b b
and assistance may be needed.
b b b b b
Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a
b b b b b b b b b b b b b b
white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? - ANS
b b b b b b b b b b b b b b b b b
>> An expected response to the process of labor and birth
b b b b b b b b b b b
, Which factor in a client's history increases the risk for osteoporosis? - ANS >> Prolonged immobility
b b b b b b b b b b b b b b b
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What
b b b b b b b b b b b b b b b b b b
should preoperative teaching include? - ANS >> Frequent ambulation is begun within 24 hours.
b b b b b b b b b b b b b b
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary
b b b b b b b b b b b b b b
teaching when the client states, "While I'm taking birth control pills I should increase my intake of
b b b b b b b b b b b b b b b b b
foods containing: - ANS >> Folic acid."
b b b b b b b
After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
b b b b b b b b b b b b b b b b
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
b b b b b b b b b b b b b b b b b b b
water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What
b b b b b b b b b b b b b b b b b b b
does the nurse conclude from this information? - ANS >> Further teaching on skin care is necessary.
b b b b b b b b b b b b b b b b b
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
b b b b b b b b b b b b b b
her first visit to the prenatal clinic. What information should the nurse consider including that the
b b b b b b b b b b b b b b b b
client will understand with regard to active immunity? - ANS >> Protein substances are formed by the
b b b b b b b b b b b b b b b b b
body to destroy or neutralize antigens.
b b b b b b
The nurse presents a program on breast self-examination. After a return demonstration the nurse
b b b b b b b b b b b b b
concludes that she needs to review certain aspects of the teaching program. Which behavior by one
b b b b b b b b b b b b b b b b
of the students supports this conclusion? - ANS >> Palpating each breast while in the sitting position
b b b b b b b b b b b b b b b b b
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
b b b b b b b b b b b b b b b b
didn't have to look at the pad it's embarrassing for me." What is the best nursing response? - ANS >>
b b b b b b b b b b b b b b b b b b b b
"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent
b b b b b b b b b b b b b b b b b b b
any problems."
b b
During a childbirth class, several participants have questions about the elective induction of labor. One
b b b b b b b b b b b b b b
participant states that it is more convenient for a woman with a busy schedule. What evidenced-
b b b b b b b b b b b b b b b b
based information should the nurse provide to the participant? - ANS >> "The widespread use of
b b b b b b b b b b b b b b b
elective induction increases the risk of unfavorable outcomes."
b b b b b b b b
What should the nurse teach a client about performing breast self-examination? - ANS >> Compress
b b b b b b b b b b b b b b
the nipples to check for discharge.
b b b b b b
A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural
b b b b b b b b b b b b b b b b b b b
analgesia. What common response to regional anesthesia does the nurse anticipate? - ANS >>
b b b b b b b b b b b b b b
Lightheadedness
b
A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge
b b b b b b b b b b b b b b b b b
plan for this client? - ANS >> Instructions relative to diet and exercise
b b b b b b b b b b b b b
QUESTIONS AND CORRECT ANSWERS
8.
A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the nurse
b b b b b b b b b b b b b b b b b b
emphasize while helping the client understand her diagnosis and prognosis? - ANS >> Five-year
b b b b b b b b b b b b b b
survival rates for this cancer are nearly 100% with early treatment.
b b b b b b b b b b b
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
b b b b b b b b b b b b b b b b b b
move. The nurse replies that quickening usually occurs in the: - ANS >> 20th week
b b b b b b b b b b b b b b b
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the
b b b b b b b b b b b b b b
clinic and states that she has tenderness, redness, and swelling in her right calf. What should the
b b b b b b b b b b b b b b b b b
nurse instruct the client to do? - ANS >> Call an ambulance to go to the emergency department.
b b b b b b b b b b b b b b b b b b
Which statements by a client with hyperemesis gravidarum would confirm that the client needs
b b b b b b b b b b b b b
further teaching? (Select all that apply.) - ANS >> "I'll start limiting my carbohydrates."
b b b b b b b b b b b b b b
"I'll lie down for at least 2 hours after I eat."
b b b b b b b b b b
A nurse is planning a childbirth education class about maternal psychological and physiological changes
b b b b b b b b b b b b b
as pregnancy nears term. Which problems and concerns should the nurse include in the presentation?
b b b b b b b b b b b b b b b
(Select all that apply.) - ANS >> Nesting needs increase.
b b b b b b b b b b
Anxiety about childbirth increases.
b b b
Gastrointestinal motility decreases. b b
During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which
b b b b b b b b b b b b b b b b
contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse
b b b b b b b b b b b b b b b b b b
respond? - ANS >> "You should use foam with a condom to prevent pregnancy — this is the safest
b b b b b b b b b b b b b b b b b b b
method for women with your illnesses."
b b b b b b
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and
b b b b b b b b b b b b b b b b b b
crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The
b b b b b b b b b b b b b b b b
nurse tries to help him understand the situation by stating that: - ANS >> Having four children is tiring
b b b b b b b b b b b b b b b b b b b
and assistance may be needed.
b b b b b
Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a
b b b b b b b b b b b b b b
white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? - ANS
b b b b b b b b b b b b b b b b b
>> An expected response to the process of labor and birth
b b b b b b b b b b b
, Which factor in a client's history increases the risk for osteoporosis? - ANS >> Prolonged immobility
b b b b b b b b b b b b b b b
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What
b b b b b b b b b b b b b b b b b b
should preoperative teaching include? - ANS >> Frequent ambulation is begun within 24 hours.
b b b b b b b b b b b b b b
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary
b b b b b b b b b b b b b b
teaching when the client states, "While I'm taking birth control pills I should increase my intake of
b b b b b b b b b b b b b b b b b
foods containing: - ANS >> Folic acid."
b b b b b b b
After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
b b b b b b b b b b b b b b b b
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
b b b b b b b b b b b b b b b b b b b
water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What
b b b b b b b b b b b b b b b b b b b
does the nurse conclude from this information? - ANS >> Further teaching on skin care is necessary.
b b b b b b b b b b b b b b b b b
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
b b b b b b b b b b b b b b
her first visit to the prenatal clinic. What information should the nurse consider including that the
b b b b b b b b b b b b b b b b
client will understand with regard to active immunity? - ANS >> Protein substances are formed by the
b b b b b b b b b b b b b b b b b
body to destroy or neutralize antigens.
b b b b b b
The nurse presents a program on breast self-examination. After a return demonstration the nurse
b b b b b b b b b b b b b
concludes that she needs to review certain aspects of the teaching program. Which behavior by one
b b b b b b b b b b b b b b b b
of the students supports this conclusion? - ANS >> Palpating each breast while in the sitting position
b b b b b b b b b b b b b b b b b
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
b b b b b b b b b b b b b b b b
didn't have to look at the pad it's embarrassing for me." What is the best nursing response? - ANS >>
b b b b b b b b b b b b b b b b b b b b
"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent
b b b b b b b b b b b b b b b b b b b
any problems."
b b
During a childbirth class, several participants have questions about the elective induction of labor. One
b b b b b b b b b b b b b b
participant states that it is more convenient for a woman with a busy schedule. What evidenced-
b b b b b b b b b b b b b b b b
based information should the nurse provide to the participant? - ANS >> "The widespread use of
b b b b b b b b b b b b b b b
elective induction increases the risk of unfavorable outcomes."
b b b b b b b b
What should the nurse teach a client about performing breast self-examination? - ANS >> Compress
b b b b b b b b b b b b b b
the nipples to check for discharge.
b b b b b b
A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural
b b b b b b b b b b b b b b b b b b b
analgesia. What common response to regional anesthesia does the nurse anticipate? - ANS >>
b b b b b b b b b b b b b b
Lightheadedness
b
A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge
b b b b b b b b b b b b b b b b b
plan for this client? - ANS >> Instructions relative to diet and exercise
b b b b b b b b b b b b b
