EVOLVE MATERNITY/ MATERNITY
g g
EVOLVE EXAM | NEWEST ACTUAL EXAM
g g g g g g
COMPREHENSIVE QUESTIONS AND VERI g g g
FIED ANSWERS GRADED A+ | 100% PASS
g g g g g g g
| 2024 UPDATE! g g
Thegmembranesgofgagclientgwhogisgatg39gweeks'ggestationghavegrupturedgs
pontaneously.gExaminationgingthegemergencygdepartmentgrevealsgthatgh
ergcervixgisgdilatedg4gcmgandg75%geffaced,gandgthegfetalgheartgrategisg136g
beats/min.gShegandghergpartnergaregadmittedgtogthegbirthinggunit.
Whatgshouldgthegnursegdogupongtheirgarrival?g
1
Settlegthegclientgingbedgandgattachgangexternalgfetalgmonitor.g
2
Havegthegclientgundressgwhilegtakinggherghistorygfromghergpartner.g
3
Introducegthegstaffgnursesgtogthegcouplegandgtrygtogmakegthemgfeelgwelcom
e.
4
Askgthegcouplegtogwaitgingthegexamininggroomgwhilegnotifyinggtheghealthg
caregprovider.g-g ✔✔✔gCorrectg Answerg >g 3
,Thegclientgisgingthegfirstgstagegofglabor;gshegandgthegfetusgweregassessedge
arlier,gandgbothgaregstable.gAtgthisgtimegthegprioritygofgcaregisgthegestablis
hmentgofgagtrustinggrelationshipgwithgthegclientgandghergpartner.gThisgwill
ghelpgallaygtheirganxiety.gPuttinggthegclientgingbedgandgattachinggangexter
nalgfetalgmonitorgmaygbegnecessaryglater;ghowever,gitgisgnotgthegpriority.g
Theghistorygshouldgbegtakengfromgthegclientgasglonggasgshegisgcapablegofgp
rovidinggit.gAskinggthegcouplegtogwaitgingthegexamininggroomgwhilegnotifyi
nggtheghealthgcaregprovidergisgnotgagpriority;gthegprovidergmayghavegbeen
gnotifiedgalready.
Duringglaborgagclientgwhogisgreceivinggepiduralganesthesiaghasgangepisod
egofgseveregnausea,gandghergskingbecomesgpalegandgclammy.gWhatgisgthe
gimmediategnursinggaction?
1
Elevatinggtheglegsg
2
Notifyinggthegpractitionerg
3
Checkinggforgvaginalgbleeding
4
g
Monitoringgthegfrequencygofgcontractionsg-g ✔✔✔gCorrectg Answerg >g 1
Maternalghypotensiongisgagcommongcomplicationgofgepiduralganesthesi
a,gandgnauseagisgonegofgthegfirstgcluesgthatgitghasgoccurred;gelevatinggtheg
lowergextremitiesgrestoresgbloodgvolumegtogthegcentralgcirculation.gIfgsi
gnsgandgsymptomsgdognotgabategaftergelevationgofgtheglegs,gthegpractitio
nergshouldgbegnotified.gCheckinggforgvaginalgbleeding
,andgmonitoringgthegfrequencygofgcontractionsgaregnotgspecificgobservati
onsgassociatedgwithgthegadministrationgofganesthesia;gtheygaregeachgpartg
ofgtheggeneralgnursinggcaregduringglabor.
Agclientgisgreceivinggangintravenousgpiggybackginfusiongofgoxytocing(Pitoci
n)gtogaugmentglabor.gThegnursegidentifiesgthreegcontractionsglastingg80gt
og90gsecondsglessgthang2gminutesgapart.gAgspecificgprotocolgisgfollowedging
responsegtogthisgobservation.gListgingordergofgprioritygthegnursinggactionsg
thatgshouldgbegtaken.
1.
Checkgthegfetalgheartgrateg(FHR).
2.
Stopgthegpiggybackginfusion.
3.
Notifygtheghealthgcaregprovider.
4.
Administergoxygengbygwaygofgfacemask.
5.
Documentgthegresponsesgofgthegclientgandgfetus.
, 6.
Determinegwhethergthegcontractionsghavegdiminished.g-
g ✔✔✔gCorrectgAnswerg >g 236145
Whengtetanicgcontractionsgoccur,gthegnursegshouldgfirstgstopgthegoxytoci
nginfusion;gthisgshouldgrelaxgtheguterusgandgpreventguterinegtetanygandgr
upture.gThegFHRgshouldgbegcheckedgtogdeterminegthegeffectgofgthegtetani
cgcontractionsgongthegfetus.gAftergthegFHRghasgbeengassessed,gthegmater
nalgresponsegtogtheginterruptiongofgtheginfusiongshouldgbegassessed.gOnc
egthesegmeasuresghavegbeengimplemented,gthegprimarygcareggivergshoul
dgbegnotified.gFetalgwell-
beinggwillgimprovegwhengoxygengisgadministered.gAftergemergencygmeas
uresghavegbeengtaken,gthegclient'sgandgfetus'sgresponsesgshouldgbegdocu
mented.
Aftergagclientghasgbeenginglaborgforg6ghoursgatghome,gshegisgadmittedgtogth
egbirthinggroom.gThegclientgisgdilatedg5gcmgandgatg−1gstation.gIngthegnextg
hourghergcontractionsggraduallygbecomegirregulargandgaregmoreguncomf
ortable.gWhichgpossibilitygshouldgthegnursegconsidergfirst?
1
Thegclientgisgingfalseglabor.g
2
Thegclientghasgagfullgbladder.g
3
Theregisguterinegdysfunction.g
4
g g
EVOLVE EXAM | NEWEST ACTUAL EXAM
g g g g g g
COMPREHENSIVE QUESTIONS AND VERI g g g
FIED ANSWERS GRADED A+ | 100% PASS
g g g g g g g
| 2024 UPDATE! g g
Thegmembranesgofgagclientgwhogisgatg39gweeks'ggestationghavegrupturedgs
pontaneously.gExaminationgingthegemergencygdepartmentgrevealsgthatgh
ergcervixgisgdilatedg4gcmgandg75%geffaced,gandgthegfetalgheartgrategisg136g
beats/min.gShegandghergpartnergaregadmittedgtogthegbirthinggunit.
Whatgshouldgthegnursegdogupongtheirgarrival?g
1
Settlegthegclientgingbedgandgattachgangexternalgfetalgmonitor.g
2
Havegthegclientgundressgwhilegtakinggherghistorygfromghergpartner.g
3
Introducegthegstaffgnursesgtogthegcouplegandgtrygtogmakegthemgfeelgwelcom
e.
4
Askgthegcouplegtogwaitgingthegexamininggroomgwhilegnotifyinggtheghealthg
caregprovider.g-g ✔✔✔gCorrectg Answerg >g 3
,Thegclientgisgingthegfirstgstagegofglabor;gshegandgthegfetusgweregassessedge
arlier,gandgbothgaregstable.gAtgthisgtimegthegprioritygofgcaregisgthegestablis
hmentgofgagtrustinggrelationshipgwithgthegclientgandghergpartner.gThisgwill
ghelpgallaygtheirganxiety.gPuttinggthegclientgingbedgandgattachinggangexter
nalgfetalgmonitorgmaygbegnecessaryglater;ghowever,gitgisgnotgthegpriority.g
Theghistorygshouldgbegtakengfromgthegclientgasglonggasgshegisgcapablegofgp
rovidinggit.gAskinggthegcouplegtogwaitgingthegexamininggroomgwhilegnotifyi
nggtheghealthgcaregprovidergisgnotgagpriority;gthegprovidergmayghavegbeen
gnotifiedgalready.
Duringglaborgagclientgwhogisgreceivinggepiduralganesthesiaghasgangepisod
egofgseveregnausea,gandghergskingbecomesgpalegandgclammy.gWhatgisgthe
gimmediategnursinggaction?
1
Elevatinggtheglegsg
2
Notifyinggthegpractitionerg
3
Checkinggforgvaginalgbleeding
4
g
Monitoringgthegfrequencygofgcontractionsg-g ✔✔✔gCorrectg Answerg >g 1
Maternalghypotensiongisgagcommongcomplicationgofgepiduralganesthesi
a,gandgnauseagisgonegofgthegfirstgcluesgthatgitghasgoccurred;gelevatinggtheg
lowergextremitiesgrestoresgbloodgvolumegtogthegcentralgcirculation.gIfgsi
gnsgandgsymptomsgdognotgabategaftergelevationgofgtheglegs,gthegpractitio
nergshouldgbegnotified.gCheckinggforgvaginalgbleeding
,andgmonitoringgthegfrequencygofgcontractionsgaregnotgspecificgobservati
onsgassociatedgwithgthegadministrationgofganesthesia;gtheygaregeachgpartg
ofgtheggeneralgnursinggcaregduringglabor.
Agclientgisgreceivinggangintravenousgpiggybackginfusiongofgoxytocing(Pitoci
n)gtogaugmentglabor.gThegnursegidentifiesgthreegcontractionsglastingg80gt
og90gsecondsglessgthang2gminutesgapart.gAgspecificgprotocolgisgfollowedging
responsegtogthisgobservation.gListgingordergofgprioritygthegnursinggactionsg
thatgshouldgbegtaken.
1.
Checkgthegfetalgheartgrateg(FHR).
2.
Stopgthegpiggybackginfusion.
3.
Notifygtheghealthgcaregprovider.
4.
Administergoxygengbygwaygofgfacemask.
5.
Documentgthegresponsesgofgthegclientgandgfetus.
, 6.
Determinegwhethergthegcontractionsghavegdiminished.g-
g ✔✔✔gCorrectgAnswerg >g 236145
Whengtetanicgcontractionsgoccur,gthegnursegshouldgfirstgstopgthegoxytoci
nginfusion;gthisgshouldgrelaxgtheguterusgandgpreventguterinegtetanygandgr
upture.gThegFHRgshouldgbegcheckedgtogdeterminegthegeffectgofgthegtetani
cgcontractionsgongthegfetus.gAftergthegFHRghasgbeengassessed,gthegmater
nalgresponsegtogtheginterruptiongofgtheginfusiongshouldgbegassessed.gOnc
egthesegmeasuresghavegbeengimplemented,gthegprimarygcareggivergshoul
dgbegnotified.gFetalgwell-
beinggwillgimprovegwhengoxygengisgadministered.gAftergemergencygmeas
uresghavegbeengtaken,gthegclient'sgandgfetus'sgresponsesgshouldgbegdocu
mented.
Aftergagclientghasgbeenginglaborgforg6ghoursgatghome,gshegisgadmittedgtogth
egbirthinggroom.gThegclientgisgdilatedg5gcmgandgatg−1gstation.gIngthegnextg
hourghergcontractionsggraduallygbecomegirregulargandgaregmoreguncomf
ortable.gWhichgpossibilitygshouldgthegnursegconsidergfirst?
1
Thegclientgisgingfalseglabor.g
2
Thegclientghasgagfullgbladder.g
3
Theregisguterinegdysfunction.g
4
