Evolve Obstetrics/Maternity Practice Exam with correct answers 2024
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Course
Evolve Obstetrics/Maternit
Institution
Evolve Obstetrics/Maternit
28 year old client in active labor complains of cramps in her leg.What intervention should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. correct answers B. Extend the leg...
28 year old client in active labor complains of cramps in her leg.What intervention
should the nurse implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. correct answers B. Extend the leg and dorsiflex the
foot.
The nurse instructs a laboring client to use accelerated blow breathing. The client
begins to complain of tingling finger and dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
d. check the client's BP and fetal HR/ correct answers c. have the client breathe into
her cupped hands.
When assessing a client who is at 12 week gestation, the nurse recommends that she
and her husband consider attending childbirth preparation classes. When is the best
time for the couple to attend these classes?
A. at 16 weeks gestation
B.at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation correct answers D. At 30 weeks gestation.
In developing a teaching plan for expectant parents the nurse plans to include formation
about when the parents can expect the infants fontanels to close. The nurse bases the
explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first
week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second
week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first
month.
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the
second month correct answers D. anterior fontanel closes at 12 to 18 months and the
posterior by the end of the second month
,A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin) to
augment early labor. The nurse should discontinue the oxytocin infusion for with pattern
of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each.
correct answers A. transition labor with contractions every 2 mins, lasting 90 seconds
each.
What action should the nurse implement to decrease the client's risk for hemorrhage
after c-section.
A. Monitor urinary output via an indwelling catheter.
B. assess the abdominal dressings for drainage.
C. Give the Ringer's lactated infusion at 125ml
D. Check the firmness of the uterus every 15mins. correct answers D. Check the
firmness of the uterus every 15mins.
Which assessment finding should the nursery nurse report to the pediatric healthcare
provider?
A. blood glucose level of 45mg/dl
B. blood pressure of 82/45 mmHG
C. Non bulging anterior fontanel
D. central cyanosis when crying correct answers D. central cyanosis when crying
The nurse is assessing a 3 day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare provider?
A. yellowish tinge to the skin
B. babinski reflex present bilaterally
C. pink papular rash on the face
D. moro reflex noted after a loud noise correct answers A. yellowish tinge to the skin
A client who delivered an infant an hour ago tells the nurse that she feels wet
underneath her buttock. The nurse notes that both perineal pads are completely
saturated a
nd the client is lying in a 6inch diameter pool of blood.
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D; inspect the perineum for lacerations correct answers C. palpate the firmness of the
fundus
A 40 week gestation primigravida client is being induced with an ocytocin secondary
infusion and complains of pain in her lower back. Which intervention should the nurse
implement?
A. Discontinue the oxytocin infusion
, B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area correct answers D. apply firm pressure to sacral
area
A client with gestational htn is an active labor and receiving an infusion of magnesium
sulfate. Which drug should the nurse available for signs of potential toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9 correct answers B. calcium gluconate
A healthcare provider informs the charge nurse of a labor and delivery unit that a client
is coming to the unit suspected abruptio placentae. What findings should the charge
nurse expect the client to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen correct answers A. dark,red vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
A client is admitted with the diagnosis of total placenta previa. Which finding is most
important for the nurse to report to the healthcare provider immediately.
A.heart rate of 100 beats min
B. variable fetal HR
C. Onset of uterine contractions
D. Burning on urination correct answers Onset of uterine contractions.
A multigravida client arrives at the L&D unit and tells the nurse that her bag of water has
broken. The nurse identifies the presence of meconium fluid on the perineum and
determines the fetal HR is between 140 and 150 beats/min. What action should the
nurse implement next?
A. complete sterile vag exam
B. take maternal temp every 2 hrs
C. Prepare for an immediate cesarean bitrh
D. Obtain sterile suction equipment correct answers A. complete sterile vag exam
Immediately after birth a newborn infant is suctioned, dried and placed under a radiant
warmer. The infant has spontaneous respirations and the nurse assesses an apical HR
of 80 beats/minute and respirations of 20 breaths/min. What action should be performed
next?
A. Initiate positive pressure ventilation
B . Intervene after one min Apgar is assessed.
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