MATERNITY-PEDS- SAUNDERS ON
EVOLVE EXAM QUESTIONS AND
ANSWERS
keep lights dim
rationale: photophobia is an issue with measles - ANSWER-A child seen in the clinic
is found to have rubeola (measles) and the mother asks the nurse how to care for
the child. Which instruction should the nurse provide to the mother?
Where fertilization occurs - ANSWER-purpose of the fallopian tubes
gynecoid - ANSWER-Most favorable pelvis for vaginal delivery
Connects the umbilical vein to the inferior vena cava - ANSWER-student
understands the structure of the ductus venosus if the student states which about the
ductus venosus?
foramen ovale - ANSWER-a temporary opening between the right and left atria
-closes by 6 mo
ductus arteriosus - ANSWER-joins the aorta and the pulmonary artery.
-closes within 2-3 days after birth
110-160 - ANSWER-normal fetal heart rate
purpose of estrogen - ANSWER-It stimulates uterine development to provide an
environment for the fetus and stimulates the breasts to prepare for lactation
progesterone purpose - ANSWER-maintains the uterine lining for implantation and
relaxes all smooth muscle.
human chorionic gonadotropin (hCG) - ANSWER-a hormone for the maternal
recognition of pregnancy produced by trophoblast cells that are surrounding a
growing embryo, which eventually forms the placenta after implantation.
July 27, 2020 (add 9 months + 7 days) - ANSWER-The client arrives at the prenatal
clinic for her first prenatal assessment. The client tells the nurse that the first day of
her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the
nurse determines the estimated date of birth is which date?
16 and 20 weeks' gestation - ANSWER-A pregnant client asks the nurse in the clinic
when she will be able to start feeling the fetus move
G2, T1, P0, A0, L1 (gravida, term, preterm, aborted, living) - ANSWER-The nurse is
collecting data from a client who is pregnant with twins. The client has a healthy 5-
year-old child who was delivered at 38 weeks, and she tells the nurse that she does
, not have a history of any type of abortion or fetal demise. The nurse should
document which as the GTPAL for this client?
para (parity) - ANSWER-term that means the number of births after 20 weeks'
gestation (term newborn)
G2, P1 (Pregnant 2x, one full term infant) - ANSWER-The nurse is collecting data
from a client who is pregnant with triplets. The client also has a 3-year-old child who
was born at 39 weeks' gestation. The nurse should document which gravida and
para status on this client?
Goodell's sign - ANSWER-softening of the cervix
26 cm
rationale: During the second and third trimesters (18-30 weeks' gestation), the fundal
height in centimeters approximately equals the fetus's age in weeks plus or minus 2
cm. - ANSWER-The nurse is collecting data from a pregnant client who is currently
at 28 weeks' gestation. At her prior prenatal visit, her fundal height measured 22 cm.
The nurse measures the fundal height at this visit in centimeters and should expect
which finding?
umbilicus - ANSWER-At 20 to 22 weeks' gestation, the fundus is at the
Probable signs of pregnancy - ANSWER-positive pregnancy test
enlarge abdomen/uterus
Gooddells signs
chadwick
hegars signs
ballottement
braxtons hicks contractions
Balottement - ANSWER-rebounding of the fetus against the examiner's fingers on
palpation
Chadwick's sign - ANSWER-Bluish-purple coloration of the vaginal mucosa and
cervix
Hegar's sign - ANSWER-softening of the lower uterine segment
Positive signs of pregnancy - ANSWER-audible fetal heartbeat
fetal movement felt by examiner
ultrasound visualization of fetus
bladder must be full during the examination.
rationale: Before 20 weeks' gestation, the bladder must be kept full during
amniocentesis to support the weight of the uterus - ANSWER-The client is
undergoing an amniocentesis at 16 weeks' gestation to detect the presence of
EVOLVE EXAM QUESTIONS AND
ANSWERS
keep lights dim
rationale: photophobia is an issue with measles - ANSWER-A child seen in the clinic
is found to have rubeola (measles) and the mother asks the nurse how to care for
the child. Which instruction should the nurse provide to the mother?
Where fertilization occurs - ANSWER-purpose of the fallopian tubes
gynecoid - ANSWER-Most favorable pelvis for vaginal delivery
Connects the umbilical vein to the inferior vena cava - ANSWER-student
understands the structure of the ductus venosus if the student states which about the
ductus venosus?
foramen ovale - ANSWER-a temporary opening between the right and left atria
-closes by 6 mo
ductus arteriosus - ANSWER-joins the aorta and the pulmonary artery.
-closes within 2-3 days after birth
110-160 - ANSWER-normal fetal heart rate
purpose of estrogen - ANSWER-It stimulates uterine development to provide an
environment for the fetus and stimulates the breasts to prepare for lactation
progesterone purpose - ANSWER-maintains the uterine lining for implantation and
relaxes all smooth muscle.
human chorionic gonadotropin (hCG) - ANSWER-a hormone for the maternal
recognition of pregnancy produced by trophoblast cells that are surrounding a
growing embryo, which eventually forms the placenta after implantation.
July 27, 2020 (add 9 months + 7 days) - ANSWER-The client arrives at the prenatal
clinic for her first prenatal assessment. The client tells the nurse that the first day of
her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the
nurse determines the estimated date of birth is which date?
16 and 20 weeks' gestation - ANSWER-A pregnant client asks the nurse in the clinic
when she will be able to start feeling the fetus move
G2, T1, P0, A0, L1 (gravida, term, preterm, aborted, living) - ANSWER-The nurse is
collecting data from a client who is pregnant with twins. The client has a healthy 5-
year-old child who was delivered at 38 weeks, and she tells the nurse that she does
, not have a history of any type of abortion or fetal demise. The nurse should
document which as the GTPAL for this client?
para (parity) - ANSWER-term that means the number of births after 20 weeks'
gestation (term newborn)
G2, P1 (Pregnant 2x, one full term infant) - ANSWER-The nurse is collecting data
from a client who is pregnant with triplets. The client also has a 3-year-old child who
was born at 39 weeks' gestation. The nurse should document which gravida and
para status on this client?
Goodell's sign - ANSWER-softening of the cervix
26 cm
rationale: During the second and third trimesters (18-30 weeks' gestation), the fundal
height in centimeters approximately equals the fetus's age in weeks plus or minus 2
cm. - ANSWER-The nurse is collecting data from a pregnant client who is currently
at 28 weeks' gestation. At her prior prenatal visit, her fundal height measured 22 cm.
The nurse measures the fundal height at this visit in centimeters and should expect
which finding?
umbilicus - ANSWER-At 20 to 22 weeks' gestation, the fundus is at the
Probable signs of pregnancy - ANSWER-positive pregnancy test
enlarge abdomen/uterus
Gooddells signs
chadwick
hegars signs
ballottement
braxtons hicks contractions
Balottement - ANSWER-rebounding of the fetus against the examiner's fingers on
palpation
Chadwick's sign - ANSWER-Bluish-purple coloration of the vaginal mucosa and
cervix
Hegar's sign - ANSWER-softening of the lower uterine segment
Positive signs of pregnancy - ANSWER-audible fetal heartbeat
fetal movement felt by examiner
ultrasound visualization of fetus
bladder must be full during the examination.
rationale: Before 20 weeks' gestation, the bladder must be kept full during
amniocentesis to support the weight of the uterus - ANSWER-The client is
undergoing an amniocentesis at 16 weeks' gestation to detect the presence of
