EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
How does the nurse know that a client at 40 weeks' gestation is experiencing true
labor?
1.Cervical dilation
2.Membrane rupture
3.Decreased fetal heart rate
4.Intensification of contractions - ANSWER: 1.Cervical dilation
A woman who has just delivered an infant asks to take the placenta home with her
and her new baby on discharge. What is the most appropriate response?
Incorrect1
"I'll wrap that right up for you."
2
"I'm sorry, but you can't do that."
3
"I'll give it to you for your husband to take home now."
4."I need to check the hospital protocol for our policy on that practice." - ANSWER:
4."I need to check the hospital protocol for our policy on that practice."
The cervix of a client in labor is fully dilated and 100% effaced. The fetal head is at +3
station, the fetal heart rate ranges from 140 to 150 beats/min, and the contractions,
lasting 60 seconds, are 2 minutes apart. What does the nurse expect to see when
inspecting the perineum?
1
Small tears
2
Greenish-yellow amniotic fluid
3.Enlarging area of caput with each contraction
4.An increasing amount of amniotic fluid with each contraction - ANSWER:
3.Enlarging area of caput with each contraction
During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet.
The client states that her mother told her that she should restrict her salt intake.
What is the nurse's best response?
1."Your mother is always correct. You should use less salt to prevent swelling during
pregnancy."
2."Because you need salt to maintain body water Balance; it is not restricted. Just
eat a well-balanced diet."
3."Salt is an essential nutrient that is naturally reduced by the body's estrogen.
There's no reason to restrict salt in your diet."
,4."We no longer recommend that salt intake be as restricted as much as in the past,
but you still shouldn't add salt to your food." - ANSWER: 2."Because you need salt
to maintain body water Balance; it is not restricted. Just eat a well-balanced diet."
A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic for the first
time. After the physical examination she tells the nurse, "I can't believe how big I am.
Will I get much bigger?" What information about adolescent growth and
development does the nurse need to know before responding?
1.Adolescents generally regain their figures 2 weeks after the birth, so size is of
moderate concern.
2.Adolescents are in a high-risk category, so weight gain should be limited to prevent
complications.
3.Body image is very important to adolescents, so pregnant teenagers are concerned
about body size.
4.Physiological growth in adolescents is more rapid than in adults, so the gravid size
is larger than that of an adult woman. - ANSWER: 3.Body image is very important to
adolescents, so pregnant teenagers are concerned about body size.
While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies
an increase of 15 beats more than the baseline rate of 135 beats/min that lasts 15
seconds. How should the nurse document this event?
1.An acceleration
2.An early increase
3.A sonographic motion
4.A tachycardic heart rate - ANSWER: 1.An acceleration
On a routine prenatal visit the sign or symptom that a healthy primigravida at 20
weeks' gestation will most likely report for the first time is:
1.Quickening
2.Palpitations
3.Pedal edema
4.Vaginal spotting - ANSWER: 1.Quickening
A client who is breastfeeding tells a nurse that her breasts are swollen and painful.
What can the nurse teach her to do to limit engorgement?
1."Breastfeed four times a day, then offer water if the baby cries."
2."Offer just one bottle a day when you're experiencing discomfort."
3."Nurse at least every 3 hours for at least 10 minutes on each breast."
4."Limit nursing to 4 to 6 minutes on each breast at least six times a day." - ANSWER:
3."Nurse at least every 3 hours for at least 10 minutes on each breast."
A nurse plans to evaluate a postpartum client's uterine fundus for involution. What
should the nurse ask the client to do before this assessment?
, 1.Drink fluids.
2.Empty her bladder.
3.Perform the Valsalva maneuver.
4.Assume the semi-Fowler position. - ANSWER: 2.Empty her bladder
A nurse is teaching a childbirth class to a group of pregnant women. One of the
women asks the nurse at what point during the pregnancy the embryo becomes a
fetus. How should the nurse respond?
1."During the eighth week of the pregnancy."
2."At the end of the second week of pregnancy."
3."When the fertilized egg becomes implanted."
4."When the products of conception are seen on the sonogram." - ANSWER:
1."During the eighth week of the pregnancy."
A client is admitted to the birthing unit in active labor. Amniotomy is performed by
the health care provider. What physiological change does the nurse expect to occur
after the procedure?
1.Diminished vaginal bleeding
2.Less discomfort with contractions
3.Progressive dilation and effacement
4.Increased maternal and fetal heart rates - ANSWER: 3.Progressive dilation and
effacement
The nurse is preparing a client for epidural anesthesia. Which client statement would
cause the nurse to stop the placement of the epidural catheter?
1."I'm not exactly sure how an epidural works."
2."I understand that the epidural might or might not take my pain away."
3."I signed the consent form for an epidural at my last clinic appointment."
4."I'm aware that the epidural could cause my contractions to slow down." -
ANSWER: 1."I'm not exactly sure how an epidural works."
During the examination of a client in labor, the cervix is determined to be dilated 4
cm. What stage of labor does the nurse record?
1.First
2.Second
3.Prodromal
4.Transitional - ANSWER: 1.First
A pregnant client at 37 weeks' gestation is taught about signs and symptoms that
should be reported immediately to the primary care provider. The nurse determines
that the client understands the information presented when she states that she will
immediately report:
ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
How does the nurse know that a client at 40 weeks' gestation is experiencing true
labor?
1.Cervical dilation
2.Membrane rupture
3.Decreased fetal heart rate
4.Intensification of contractions - ANSWER: 1.Cervical dilation
A woman who has just delivered an infant asks to take the placenta home with her
and her new baby on discharge. What is the most appropriate response?
Incorrect1
"I'll wrap that right up for you."
2
"I'm sorry, but you can't do that."
3
"I'll give it to you for your husband to take home now."
4."I need to check the hospital protocol for our policy on that practice." - ANSWER:
4."I need to check the hospital protocol for our policy on that practice."
The cervix of a client in labor is fully dilated and 100% effaced. The fetal head is at +3
station, the fetal heart rate ranges from 140 to 150 beats/min, and the contractions,
lasting 60 seconds, are 2 minutes apart. What does the nurse expect to see when
inspecting the perineum?
1
Small tears
2
Greenish-yellow amniotic fluid
3.Enlarging area of caput with each contraction
4.An increasing amount of amniotic fluid with each contraction - ANSWER:
3.Enlarging area of caput with each contraction
During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet.
The client states that her mother told her that she should restrict her salt intake.
What is the nurse's best response?
1."Your mother is always correct. You should use less salt to prevent swelling during
pregnancy."
2."Because you need salt to maintain body water Balance; it is not restricted. Just
eat a well-balanced diet."
3."Salt is an essential nutrient that is naturally reduced by the body's estrogen.
There's no reason to restrict salt in your diet."
,4."We no longer recommend that salt intake be as restricted as much as in the past,
but you still shouldn't add salt to your food." - ANSWER: 2."Because you need salt
to maintain body water Balance; it is not restricted. Just eat a well-balanced diet."
A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic for the first
time. After the physical examination she tells the nurse, "I can't believe how big I am.
Will I get much bigger?" What information about adolescent growth and
development does the nurse need to know before responding?
1.Adolescents generally regain their figures 2 weeks after the birth, so size is of
moderate concern.
2.Adolescents are in a high-risk category, so weight gain should be limited to prevent
complications.
3.Body image is very important to adolescents, so pregnant teenagers are concerned
about body size.
4.Physiological growth in adolescents is more rapid than in adults, so the gravid size
is larger than that of an adult woman. - ANSWER: 3.Body image is very important to
adolescents, so pregnant teenagers are concerned about body size.
While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies
an increase of 15 beats more than the baseline rate of 135 beats/min that lasts 15
seconds. How should the nurse document this event?
1.An acceleration
2.An early increase
3.A sonographic motion
4.A tachycardic heart rate - ANSWER: 1.An acceleration
On a routine prenatal visit the sign or symptom that a healthy primigravida at 20
weeks' gestation will most likely report for the first time is:
1.Quickening
2.Palpitations
3.Pedal edema
4.Vaginal spotting - ANSWER: 1.Quickening
A client who is breastfeeding tells a nurse that her breasts are swollen and painful.
What can the nurse teach her to do to limit engorgement?
1."Breastfeed four times a day, then offer water if the baby cries."
2."Offer just one bottle a day when you're experiencing discomfort."
3."Nurse at least every 3 hours for at least 10 minutes on each breast."
4."Limit nursing to 4 to 6 minutes on each breast at least six times a day." - ANSWER:
3."Nurse at least every 3 hours for at least 10 minutes on each breast."
A nurse plans to evaluate a postpartum client's uterine fundus for involution. What
should the nurse ask the client to do before this assessment?
, 1.Drink fluids.
2.Empty her bladder.
3.Perform the Valsalva maneuver.
4.Assume the semi-Fowler position. - ANSWER: 2.Empty her bladder
A nurse is teaching a childbirth class to a group of pregnant women. One of the
women asks the nurse at what point during the pregnancy the embryo becomes a
fetus. How should the nurse respond?
1."During the eighth week of the pregnancy."
2."At the end of the second week of pregnancy."
3."When the fertilized egg becomes implanted."
4."When the products of conception are seen on the sonogram." - ANSWER:
1."During the eighth week of the pregnancy."
A client is admitted to the birthing unit in active labor. Amniotomy is performed by
the health care provider. What physiological change does the nurse expect to occur
after the procedure?
1.Diminished vaginal bleeding
2.Less discomfort with contractions
3.Progressive dilation and effacement
4.Increased maternal and fetal heart rates - ANSWER: 3.Progressive dilation and
effacement
The nurse is preparing a client for epidural anesthesia. Which client statement would
cause the nurse to stop the placement of the epidural catheter?
1."I'm not exactly sure how an epidural works."
2."I understand that the epidural might or might not take my pain away."
3."I signed the consent form for an epidural at my last clinic appointment."
4."I'm aware that the epidural could cause my contractions to slow down." -
ANSWER: 1."I'm not exactly sure how an epidural works."
During the examination of a client in labor, the cervix is determined to be dilated 4
cm. What stage of labor does the nurse record?
1.First
2.Second
3.Prodromal
4.Transitional - ANSWER: 1.First
A pregnant client at 37 weeks' gestation is taught about signs and symptoms that
should be reported immediately to the primary care provider. The nurse determines
that the client understands the information presented when she states that she will
immediately report:
