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Evolve Maternity exam questions and answers graded A+
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Evolve MaternityA client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the
nurse emphasize while helping the client understand her diagnosis and prognosis? - ANSWER Five-
year survival rates for this cancer are nearly 100% with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
move. The nurse replies that quickening usually occurs in the: - ANSWER 20th week
A woman who was discharged recently from the hospital after undergoing a hysterectomy calls the
clinic and states that she has tenderness, redness, and swelling in her right calf. What should the
nurse instruct the client to do? - ANSWER Call an ambulance to go to the emergency department.
Which statements by a client with hyperemesis gravidarum would confirm that the client needs
further teaching? (Select all that apply.) - ANSWER "I'll start limiting my carbohydrates."
"I'll lie down for at least 2 hours after I eat."
A nurse is planning a childbirth education class about maternal psychological and physiological
changes as pregnancy nears term. Which problems and concerns should the nurse include in the
presentation? (Select all that apply.) - ANSWER Nesting needs increase.
Anxiety about childbirth increases.
Gastrointestinal motility decreases.
During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which
contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse
respond? - ANSWER "You should use foam with a condom to prevent pregnancy — this is the safest
method for women with your illnesses."
The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and
crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The
nurse tries to help him understand the situation by stating that: - ANSWER Having four children is
tiring and assistance may be needed.
Twenty-four hours after an uncomplicated labor and birth a client's complete blood count reveals a
white blood cell (WBC) count of 17,000/mm3. How should the nurse interpret this WBC count? -
ANSWER An expected response to the process of labor and birth
,Which factor in a client's history increases the risk for osteoporosis? - ANSWER Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What
should preoperative teaching include? - ANSWER Frequent ambulation is begun within 24 hours.
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary
teaching when the client states, "While I'm taking birth control pills I should increase my intake of
foods containing: - ANSWER Folic acid."
After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
the area being radiated. The area is sensitive but not painful. She states that she has been using
tepid water and a soft washcloth when cleansing the area and applying an ice pack three times a
day. What does the nurse conclude from this information? - ANSWER Further teaching on skin care
is necessary.
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
her first visit to the prenatal clinic. What information should the nurse consider including that the
client will understand with regard to active immunity? - ANSWER Protein substances are formed by
the body to destroy or neutralize antigens.
The nurse presents a program on breast self-examination. After a return demonstration the nurse
concludes that she needs to review certain aspects of the teaching program. Which behavior by one
of the students supports this conclusion? - ANSWER Palpating each breast while in the sitting
position
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
didn't have to look at the pad it's embarrassing for me." What is the best nursing response? -
ANSWER "This seems to be uncomfortable for you, but I have to estimate the amount of blood loss
to prevent any problems."
During a childbirth class, several participants have questions about the elective induction of labor.
One participant states that it is more convenient for a woman with a busy schedule. What
evidenced-based information should the nurse provide to the participant? - ANSWER "The
widespread use of elective induction increases the risk of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? - ANSWER
Compress the nipples to check for discharge.
, A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural
analgesia. What common response to regional anesthesia does the nurse anticipate? - ANSWER
Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include in the
discharge plan for this client? - ANSWER Instructions relative to diet and exercise
A client who wishes to postpone having children until she and her husband are financially sound tells
the nurse she has been taking oral contraceptive pills for several years. What finding indicates a
potential risk in regard to continued use of birth control pills? - ANSWER Increased blood pressure
A nonstress test (NST) is scheduled for a client with mild preeclampsia. During the test, the client
asks the nurse what it means when the fetal heart rate goes up every time the fetus moves. What
should the nurse consider before responding? - ANSWER These accelerations are a sign of fetal well-
being.
A client at 36 weeks' gestation arrives at the prenatal clinic for a routine examination. The nurse
determines that the client's blood pressure has increased from 102/60 to 134/88 mm Hg and
becomes concerned she may be experiencing mild preeclampsia. What other sign of mild
preeclampsia does the nurse anticipate? - ANSWER Proteinuria of 1+
A nurse is caring for several pregnant clients in the prenatal clinic. Which client causes the most
concern because of her predisposition to placenta previa? - ANSWER 30 years old, gravida 6, para 5
A neonate has phenylketonuria (PKU). What information should the nurse include in a discussion
with the parents when explaining what caused their infant's problem? - ANSWER Inborn error of
metabolism
Why is it important for the nurse to know the infant's gestational age and how it compares with the
birthweight? - ANSWER Potential problems may be identified.
Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the
mother. What type of heat loss does this intervention prevent? - ANSWER Evaporation
A nurse is caring for a preterm neonate with physiological jaundice who requires phototherapy.
What is the action of this therapy? - ANSWER Breaks down the bilirubin into a conjugated form
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