MATERNITY EVOLVE EXAM /EVOLVE MATERNITY EXAM
ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED
ANSWERS
A pregnant woman with a history of heart disease visits the prenatal clinic at the end
of her second trimester. What does the nurse anticipate about the care she will
need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses - ANSWER: 3
antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative client. The
nurse explains that an indirect Coombs test will be performed to predict whether the
fetus is at risk for:
1
Acute hemolytic anemia
2
Respiratory distress syndrome
3
Protein metabolism deficiency
4
Physiologic hyperbilirubinemia - ANSWER: a
A client is to undergo a tuberculin test as part of her prenatal workup. Before
administering the test, what information about the client should the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis - ANSWER: 3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is
experiencing severe nausea and frequent vomiting. The nurse suspects that the
client has hyperemesis gravidarum. What factor is frequently associated with this
disorder?
1
History of cholecystitis
,2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid - ANSWER: 3
During a routine examination at the prenatal clinic the nurse notes significant
increases in the client's blood pressure and edema of the face and hands. The
diagnostic criterion for preeclampsia is a blood pressure of 140/90 mm Hg, but what
is the lowest blood pressure that should prompt the nurse to monitor the client for
other signs and symptoms of preeclampsia?
1
130/85 mm Hg
2
125/80 mm Hg
3
115/75 mm Hg
4
110/70 mm Hg - ANSWER: 1
A 38-year-old client attends the prenatal clinic for the first time. A nurse explains
that several tests will be performed, one of which is the serum alpha-fetoprotein
test. The client asks what the test will reveal. What should the nurse include in the
reply?
1
Trisomy 21
2
Turner syndrome
3
Open neural tube defects
4
Chromosomal aberrations - ANSWER: 3
A client at the prenatal clinic has mild preeclampsia. What should the nurse teach
her to do in regard to her fluid and nutritional intake?
1
Restrict fluid intake.
2
Stay on a low-salt diet.
3
Continue the pregnancy diet.
4
Increase carbohydrate consumption - ANSWER: 3
An adolescent at 10 weeks' gestation visits the prenatal clinic for the first time. The
nutrition interview indicates that her dietary intake consists mainly of soft drinks,
,candy, French fries, and potato chips. Why does the nurse consider this diet
inadequate?
1
The caloric content will result in too great a weight gain.
2
The ingredients in soft drinks and candy can be teratogenic in early pregnancy.
3
The salt in this diet will contribute to the development of gestational hypertension.
4
The nutritional composition of the diet places her at risk for a low-birthweight infant
- ANSWER: 4
During her first visit to the prenatal clinic a client is found to be obese. During the
ensuing 5 months, the client has not been successful adhering to her nutritional
plan. Which finding indicates to the nurse that the client has been successful during
the sixth month?
1
Weight loss of 1 lb
2
Weight gain of 2 lb
3
No change in weight from last month
4
The client's statement that she lost weight last week - ANSWER: 2
although obese, need to gain weight
A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain.
Her history reveals amenorrhea for the last 2 months and pregnancy confirmation
after her first missed period. What type of abortion is suspected?
1
Missed
2
Inevitable
3
Threatened
4
Incomplete - ANSWER: 3
Spotting in the first trimester may indicate that the client is having a threatened
abortion; any client with the possibility of hemorrhage should not be left alone, so
her admission to the hospital helps ensure her safety. A missed abortion may not
cause any outward signs or symptoms, except that the signs of pregnancy disappear.
An inevitable abortion can be confirmed only if vaginal examination reveals cervical
dilation. With an incomplete abortion some, but not all, of the products of
conception have been expelled.
, A client with mild preeclampsia is admitted to the high-risk prenatal unit because her
blood pressure is progressively increasing. The nurse reviews the practitioner's
prescriptions. What prescriptions does the nurse expect? Select all that apply.
1
Daily weight
2
Side-lying bed rest
3
2-gram-sodium diet
4
Deep tendon reflexes
5
Glucose tolerance test - ANSWER: 124
A client at 9 weeks' gestation asks the nurse in the prenatal clinic whether she may
have chorionic villi sampling (CVS) performed during this visit. What should the nurse
keep in mind as the optimal time for CVS while formulating a response?
1
At 8 weeks but no later than 10 weeks
2
At 10 weeks but no later than 12 weeks
3
At 12 weeks but no later than 14 weeks
4
At 14 weeks but no later than 16 weeks - ANSWER: 2
A 37-year-old client with type 1 diabetes and good glycemic control is pregnant for
the third time. Her first child is 4 years old, and her second pregnancy resulted in a
stillbirth. She is seen in the antepartum testing unit for a nonstress test (NST) at 33
weeks' gestation. What are the primary risk factors in the client's history that
indicate a need for the NST? Select all that apply.
1
Age greater than 35 years
2
The risk for placenta previa
3
The risk for placental insufficiency
4
A history of stillbirth from her last pregnancy
5
Maternal history of hypertension - ANSWER: 345
Pregnant women with diabetes are prone to placental insufficiency, which can
threaten fetal well-being. In addition, history of stillbirth is also an indication for NST.
In addition, maternal conditions that can affect placental perfusion such as
hypertension is an indication for a NST. Advanced maternal age alone is not an
indicator for an NST; although advanced maternal age increases the risk of placenta
previa, it is not the primary reason for having an NST.
ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED
ANSWERS
A pregnant woman with a history of heart disease visits the prenatal clinic at the end
of her second trimester. What does the nurse anticipate about the care she will
need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses - ANSWER: 3
antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative client. The
nurse explains that an indirect Coombs test will be performed to predict whether the
fetus is at risk for:
1
Acute hemolytic anemia
2
Respiratory distress syndrome
3
Protein metabolism deficiency
4
Physiologic hyperbilirubinemia - ANSWER: a
A client is to undergo a tuberculin test as part of her prenatal workup. Before
administering the test, what information about the client should the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis - ANSWER: 3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is
experiencing severe nausea and frequent vomiting. The nurse suspects that the
client has hyperemesis gravidarum. What factor is frequently associated with this
disorder?
1
History of cholecystitis
,2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid - ANSWER: 3
During a routine examination at the prenatal clinic the nurse notes significant
increases in the client's blood pressure and edema of the face and hands. The
diagnostic criterion for preeclampsia is a blood pressure of 140/90 mm Hg, but what
is the lowest blood pressure that should prompt the nurse to monitor the client for
other signs and symptoms of preeclampsia?
1
130/85 mm Hg
2
125/80 mm Hg
3
115/75 mm Hg
4
110/70 mm Hg - ANSWER: 1
A 38-year-old client attends the prenatal clinic for the first time. A nurse explains
that several tests will be performed, one of which is the serum alpha-fetoprotein
test. The client asks what the test will reveal. What should the nurse include in the
reply?
1
Trisomy 21
2
Turner syndrome
3
Open neural tube defects
4
Chromosomal aberrations - ANSWER: 3
A client at the prenatal clinic has mild preeclampsia. What should the nurse teach
her to do in regard to her fluid and nutritional intake?
1
Restrict fluid intake.
2
Stay on a low-salt diet.
3
Continue the pregnancy diet.
4
Increase carbohydrate consumption - ANSWER: 3
An adolescent at 10 weeks' gestation visits the prenatal clinic for the first time. The
nutrition interview indicates that her dietary intake consists mainly of soft drinks,
,candy, French fries, and potato chips. Why does the nurse consider this diet
inadequate?
1
The caloric content will result in too great a weight gain.
2
The ingredients in soft drinks and candy can be teratogenic in early pregnancy.
3
The salt in this diet will contribute to the development of gestational hypertension.
4
The nutritional composition of the diet places her at risk for a low-birthweight infant
- ANSWER: 4
During her first visit to the prenatal clinic a client is found to be obese. During the
ensuing 5 months, the client has not been successful adhering to her nutritional
plan. Which finding indicates to the nurse that the client has been successful during
the sixth month?
1
Weight loss of 1 lb
2
Weight gain of 2 lb
3
No change in weight from last month
4
The client's statement that she lost weight last week - ANSWER: 2
although obese, need to gain weight
A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain.
Her history reveals amenorrhea for the last 2 months and pregnancy confirmation
after her first missed period. What type of abortion is suspected?
1
Missed
2
Inevitable
3
Threatened
4
Incomplete - ANSWER: 3
Spotting in the first trimester may indicate that the client is having a threatened
abortion; any client with the possibility of hemorrhage should not be left alone, so
her admission to the hospital helps ensure her safety. A missed abortion may not
cause any outward signs or symptoms, except that the signs of pregnancy disappear.
An inevitable abortion can be confirmed only if vaginal examination reveals cervical
dilation. With an incomplete abortion some, but not all, of the products of
conception have been expelled.
, A client with mild preeclampsia is admitted to the high-risk prenatal unit because her
blood pressure is progressively increasing. The nurse reviews the practitioner's
prescriptions. What prescriptions does the nurse expect? Select all that apply.
1
Daily weight
2
Side-lying bed rest
3
2-gram-sodium diet
4
Deep tendon reflexes
5
Glucose tolerance test - ANSWER: 124
A client at 9 weeks' gestation asks the nurse in the prenatal clinic whether she may
have chorionic villi sampling (CVS) performed during this visit. What should the nurse
keep in mind as the optimal time for CVS while formulating a response?
1
At 8 weeks but no later than 10 weeks
2
At 10 weeks but no later than 12 weeks
3
At 12 weeks but no later than 14 weeks
4
At 14 weeks but no later than 16 weeks - ANSWER: 2
A 37-year-old client with type 1 diabetes and good glycemic control is pregnant for
the third time. Her first child is 4 years old, and her second pregnancy resulted in a
stillbirth. She is seen in the antepartum testing unit for a nonstress test (NST) at 33
weeks' gestation. What are the primary risk factors in the client's history that
indicate a need for the NST? Select all that apply.
1
Age greater than 35 years
2
The risk for placenta previa
3
The risk for placental insufficiency
4
A history of stillbirth from her last pregnancy
5
Maternal history of hypertension - ANSWER: 345
Pregnant women with diabetes are prone to placental insufficiency, which can
threaten fetal well-being. In addition, history of stillbirth is also an indication for NST.
In addition, maternal conditions that can affect placental perfusion such as
hypertension is an indication for a NST. Advanced maternal age alone is not an
indicator for an NST; although advanced maternal age increases the risk of placenta
previa, it is not the primary reason for having an NST.
