Evolve Exam 2
An amniotomy is performed in a laboring client at 42 - checking the fetal heart tracings
weeks gestation. place the nursing care actions in - inspecting the perineum for umbilical cord prolapse
their priority order. - assessing the characteristics of the amniotic fluid
- monitoring the client for signs of an infection
Which intervention would the nurse suggest to ease - having support persons use back massage techniques
back discomfort during labor?
The nurse prepares to administer vitamin K to a - A newborn's intestinal tract does not synthesize it for several days after
newborn. Which rationale explains why newborns are birth
deficient in this vitamin?
Which information would tell the nurse if a woman at - The cervix dilates and becomes effaced in true labor
40 weeks gestation having contractions is in true
labor?
A client in active labor is 100% effaced, dilated 3 cm, - First
and at +1 station. which stage of labor has this client
reached?
2/4/2026
, Evolve Exam 2
Which assessment and interventions are necessary - Maintain intravenous fluid administration
once an epidural catheter has been inserted? - Have oxygen available in case of hypotension
- Check the bladder for distension every 2 hours
- Monitor fetal hr and labor progress per hospital protocol
While caring for a client during labor, which would - It ends at the time of birth
the nurse remember about the second stage of
labor?
For which reason would the nurse encourage a client - A full bladder may inhibit the progress of labor
to void during the first stage of labor?
A primigravida at 42 weeks gestation has fluid leaking - Cesarean birth is anticipated
from her vagina and is complaining of back pain.
Which conclusion is supported by the assessment
data recorded below?
2/4/2026
An amniotomy is performed in a laboring client at 42 - checking the fetal heart tracings
weeks gestation. place the nursing care actions in - inspecting the perineum for umbilical cord prolapse
their priority order. - assessing the characteristics of the amniotic fluid
- monitoring the client for signs of an infection
Which intervention would the nurse suggest to ease - having support persons use back massage techniques
back discomfort during labor?
The nurse prepares to administer vitamin K to a - A newborn's intestinal tract does not synthesize it for several days after
newborn. Which rationale explains why newborns are birth
deficient in this vitamin?
Which information would tell the nurse if a woman at - The cervix dilates and becomes effaced in true labor
40 weeks gestation having contractions is in true
labor?
A client in active labor is 100% effaced, dilated 3 cm, - First
and at +1 station. which stage of labor has this client
reached?
2/4/2026
, Evolve Exam 2
Which assessment and interventions are necessary - Maintain intravenous fluid administration
once an epidural catheter has been inserted? - Have oxygen available in case of hypotension
- Check the bladder for distension every 2 hours
- Monitor fetal hr and labor progress per hospital protocol
While caring for a client during labor, which would - It ends at the time of birth
the nurse remember about the second stage of
labor?
For which reason would the nurse encourage a client - A full bladder may inhibit the progress of labor
to void during the first stage of labor?
A primigravida at 42 weeks gestation has fluid leaking - Cesarean birth is anticipated
from her vagina and is complaining of back pain.
Which conclusion is supported by the assessment
data recorded below?
2/4/2026
