EVOLVE MATERNITY NEWBORN EXAM / MATERNITY EVOLVE
NEWBORN EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
A 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
Absence or weakness of which of the following reflexes during the newborn
assessment should the nurse report to the health care provider? - ANSWER: Gag
NEWBORN EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
A 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
Absence or weakness of which of the following reflexes during the newborn
assessment should the nurse report to the health care provider? - ANSWER: Gag
