EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
Evolve - Maternity Uncomplicated
Pregnancy Exam Study Questions and
Answers Graded A 2024-2025
A 14-year-old emancipated minor at 22 weeks' gestation comes in for her second
prenatal examination. As she enters the examination room with her mother, she tells the
nurse that she does not want her mother present for the examination. What should the
nurse say? -Correct Answer ✔Telling the mother, "I'm sorry, but I need to ask you to
stay in the waiting area."
Which finding indicates the development of a complication resulting from the presence
of bilateral cephalhematomas? -Correct Answer ✔Skin color
What findings occur with supine hypotensive syndrome? (Select all that apply.) -Correct
Answer ✔2 Feeling of faintness
4 Increased venous pressure
6 Decreased systolic pressure
Immediately after the third stage of labor a nurse administers the prescribed oxytocin
(Pitocin) infusion. Why is this medication administered? -Correct Answer ✔To help the
uterus contract
Three weeks after a client gives birth, a deep vein thrombophlebitis develops in her left
leg and she is admitted to the hospital for bedrest and anticoagulant therapy. Which
anticoagulant does the nurse expect to administer? -Correct Answer ✔Continuous
infusion of heparin
A local anesthetic (pudendal block) is administered to a client as second-stage labor
begins. For what side effect does the nurse monitor for the client? -Correct Answer
✔Decreased blood pressure
A 24-year-old client who has been told that she is pregnant is at her first prenatal visit.
She is 5 feet 6 inches tall and weighs 130 lb. What should the nutrition plan regarding
her daily caloric intake include? -Correct Answer ✔340 more calories during the second
trimester
A primigravida at 34 weeks' gestation tells the nurse that she is beginning to experience
some lower back pain. What should the nurse recommend that the client do? (Select all
that apply.) -Correct Answer ✔1 Wear low-heeled shoes
4 Perform pelvic tilt exercises several times a day
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
,EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
A nurse who is caring for a mother and her newborn infant reviews their record. In light
of the data the record contains, what nursing intervention is required? -Correct Answer
✔Maternal rubella vaccination
The nurse is interpreting the results of a nonstress test (NST) on a client at 41 weeks'
gestation. Which result after 20 minutes is suggestive of fetal reactivity? -Correct
Answer ✔Two accelerations of 15 beats/min lasting 15 seconds
During labor the nurse encourages the client to void periodically. The nurse knows that
an over distended urinary bladder during labor can: -Correct Answer ✔Predispose the
client to uterine hemorrhage after birth
A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is
very important during pregnancy and that she is taking a prescribed supplement. She
asks the nurse what foods contain folic acid (folate) so she may add them to her diet in
its natural form. Which foods should the nurse recommend? (Select all that apply.) -
Correct Answer ✔4 Black and pinto beans
5 Enriched bread and pasta
What nursing action is the priority for a client in the second stage of labor? -Correct
Answer ✔Promote effective pushing by the client
A nurse is teaching a client to care for her episiotomy after discharge. What priority
instruction should the nurse include? -Correct Answer ✔Perform perineal care after
toileting until healing occurs.
One hour after a birth a nurse palpates a client's fundus to determine whether involution
is taking place. The fundus is firm, in the midline, and two fingerbreadths below the
umbilicus. What should the nurse do next? -Correct Answer ✔Continue periodic
evaluations and record the findings
At 5 am, 2 hours after a long labor and vaginal birth, a client is transferred to the
postpartum unit. What is the nurse's priority when planning morning care for this client?
-Correct Answer ✔Planning nursing care activities that provide time for the client to rest
and sleep
A nurse is being oriented to a prenatal clinic after graduation. The new nurse takes a
course on several tests during pregnancy. Place the tests in the order in which they
should be performed during pregnancy. -Correct Answer ✔1 Sickle cell screening
2 α-Fetoprotein (AFP) testing for neural tube defects
3 Serum glucose for gestational diabetes
4 Fetal movement test
5 Group B Streptococcus culture
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
Which position does the nurse teach the client to avoid when she experiences back pain
during labor? -Correct Answer ✔Supine position
A postpartum client is being prepared for discharge. The laboratory report indicates that
she has a white blood cell (WBC) count of 16,000/dL. What is the next nursing action? -
Correct Answer ✔Placing the report in the client's record because this is an expected
postpartum finding
A nurse assesses a new mother who is breastfeeding. The client asks how to care for
her nipples. What should the nurse recommend? -Correct Answer ✔Spreading breast
milk on the nipples after the feeding and allowing them to air dry
A client is receiving an oxytocin (Pitocin) infusion for induction of labor. The uterine
graph on the electronic monitor indicates no rest period between contractions, and this
is confirmed on palpation. What should the nurse do first? -Correct Answer ✔Turn the
oxytocin infusion off
A contraction stress test (CST) is performed on a client at 40 weeks' gestation. The
findings are interpreted as negative. What does the nurse conclude from this
interpretation? -Correct Answer ✔There will be weekly retesting because, at this time,
the fetus has oxygen reserves.
What are the indicators of nutritional risk in pregnancy in a client who is of normal
weight? (Select all that apply.) -Correct Answer ✔1 Smoker
2 Twin gestation
During a prenatal visit a client who is at 36 weeks' gestation states that she is having
uncomfortable irregular contractions. How should the nurse respond? -Correct Answer
✔"Walk around until they subside."
A woman's pregnancy has been uneventful, and she has gained 25 lb. At term her
hemoglobin level is 10.6 g/dL and her hematocrit is 31%. What does the nurse identify
as the reason for these hemoglobin and hematocrit levels? -Correct Answer
✔Hemodilution
During a routine prenatal visit, a client tells a nurse that she gets leg cramps. What
condition does the nurse suspect, and what suggestion is made to correct the problem?
-Correct Answer ✔Hypocalcemia; increase her intake of milk
During prenatal classes the nurse teaches the difference between true labor and false
labor. How does the nurse explain the difference? -Correct Answer ✔Cervix effaces and
dilates during true labor.
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
Evolve - Maternity Uncomplicated
Pregnancy Exam Study Questions and
Answers Graded A 2024-2025
A 14-year-old emancipated minor at 22 weeks' gestation comes in for her second
prenatal examination. As she enters the examination room with her mother, she tells the
nurse that she does not want her mother present for the examination. What should the
nurse say? -Correct Answer ✔Telling the mother, "I'm sorry, but I need to ask you to
stay in the waiting area."
Which finding indicates the development of a complication resulting from the presence
of bilateral cephalhematomas? -Correct Answer ✔Skin color
What findings occur with supine hypotensive syndrome? (Select all that apply.) -Correct
Answer ✔2 Feeling of faintness
4 Increased venous pressure
6 Decreased systolic pressure
Immediately after the third stage of labor a nurse administers the prescribed oxytocin
(Pitocin) infusion. Why is this medication administered? -Correct Answer ✔To help the
uterus contract
Three weeks after a client gives birth, a deep vein thrombophlebitis develops in her left
leg and she is admitted to the hospital for bedrest and anticoagulant therapy. Which
anticoagulant does the nurse expect to administer? -Correct Answer ✔Continuous
infusion of heparin
A local anesthetic (pudendal block) is administered to a client as second-stage labor
begins. For what side effect does the nurse monitor for the client? -Correct Answer
✔Decreased blood pressure
A 24-year-old client who has been told that she is pregnant is at her first prenatal visit.
She is 5 feet 6 inches tall and weighs 130 lb. What should the nutrition plan regarding
her daily caloric intake include? -Correct Answer ✔340 more calories during the second
trimester
A primigravida at 34 weeks' gestation tells the nurse that she is beginning to experience
some lower back pain. What should the nurse recommend that the client do? (Select all
that apply.) -Correct Answer ✔1 Wear low-heeled shoes
4 Perform pelvic tilt exercises several times a day
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
,EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
A nurse who is caring for a mother and her newborn infant reviews their record. In light
of the data the record contains, what nursing intervention is required? -Correct Answer
✔Maternal rubella vaccination
The nurse is interpreting the results of a nonstress test (NST) on a client at 41 weeks'
gestation. Which result after 20 minutes is suggestive of fetal reactivity? -Correct
Answer ✔Two accelerations of 15 beats/min lasting 15 seconds
During labor the nurse encourages the client to void periodically. The nurse knows that
an over distended urinary bladder during labor can: -Correct Answer ✔Predispose the
client to uterine hemorrhage after birth
A pregnant woman tells a nurse in the prenatal clinic that she knows that folic acid is
very important during pregnancy and that she is taking a prescribed supplement. She
asks the nurse what foods contain folic acid (folate) so she may add them to her diet in
its natural form. Which foods should the nurse recommend? (Select all that apply.) -
Correct Answer ✔4 Black and pinto beans
5 Enriched bread and pasta
What nursing action is the priority for a client in the second stage of labor? -Correct
Answer ✔Promote effective pushing by the client
A nurse is teaching a client to care for her episiotomy after discharge. What priority
instruction should the nurse include? -Correct Answer ✔Perform perineal care after
toileting until healing occurs.
One hour after a birth a nurse palpates a client's fundus to determine whether involution
is taking place. The fundus is firm, in the midline, and two fingerbreadths below the
umbilicus. What should the nurse do next? -Correct Answer ✔Continue periodic
evaluations and record the findings
At 5 am, 2 hours after a long labor and vaginal birth, a client is transferred to the
postpartum unit. What is the nurse's priority when planning morning care for this client?
-Correct Answer ✔Planning nursing care activities that provide time for the client to rest
and sleep
A nurse is being oriented to a prenatal clinic after graduation. The new nurse takes a
course on several tests during pregnancy. Place the tests in the order in which they
should be performed during pregnancy. -Correct Answer ✔1 Sickle cell screening
2 α-Fetoprotein (AFP) testing for neural tube defects
3 Serum glucose for gestational diabetes
4 Fetal movement test
5 Group B Streptococcus culture
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
, EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
Which position does the nurse teach the client to avoid when she experiences back pain
during labor? -Correct Answer ✔Supine position
A postpartum client is being prepared for discharge. The laboratory report indicates that
she has a white blood cell (WBC) count of 16,000/dL. What is the next nursing action? -
Correct Answer ✔Placing the report in the client's record because this is an expected
postpartum finding
A nurse assesses a new mother who is breastfeeding. The client asks how to care for
her nipples. What should the nurse recommend? -Correct Answer ✔Spreading breast
milk on the nipples after the feeding and allowing them to air dry
A client is receiving an oxytocin (Pitocin) infusion for induction of labor. The uterine
graph on the electronic monitor indicates no rest period between contractions, and this
is confirmed on palpation. What should the nurse do first? -Correct Answer ✔Turn the
oxytocin infusion off
A contraction stress test (CST) is performed on a client at 40 weeks' gestation. The
findings are interpreted as negative. What does the nurse conclude from this
interpretation? -Correct Answer ✔There will be weekly retesting because, at this time,
the fetus has oxygen reserves.
What are the indicators of nutritional risk in pregnancy in a client who is of normal
weight? (Select all that apply.) -Correct Answer ✔1 Smoker
2 Twin gestation
During a prenatal visit a client who is at 36 weeks' gestation states that she is having
uncomfortable irregular contractions. How should the nurse respond? -Correct Answer
✔"Walk around until they subside."
A woman's pregnancy has been uneventful, and she has gained 25 lb. At term her
hemoglobin level is 10.6 g/dL and her hematocrit is 31%. What does the nurse identify
as the reason for these hemoglobin and hematocrit levels? -Correct Answer
✔Hemodilution
During a routine prenatal visit, a client tells a nurse that she gets leg cramps. What
condition does the nurse suspect, and what suggestion is made to correct the problem?
-Correct Answer ✔Hypocalcemia; increase her intake of milk
During prenatal classes the nurse teaches the difference between true labor and false
labor. How does the nurse explain the difference? -Correct Answer ✔Cervix effaces and
dilates during true labor.
EVOLVE - MATERNITY UNCOMPLICATED PREGNANCY EXAM
