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OBModule1-EAQ/EvolveQuizexamGRADEDA+QUESTIONSANDCORRECT ANSWERS100%VERIFIED

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OBModule1-EAQ/EvolveQuizexamGRADEDA+QUESTIONSANDCORRECT ANSWERS100%VERIFIED

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Medical Surgical
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Medical surgical

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OB Module 1- EAQ/Evolve Quiz exam GRADED A+ QUESTIONS AND CORRECT
ANSWERS 100% VERIFIED 2025-2026




Which statement made by a pregnant client after a prenatal class on fetal
growth and development indicates the need for additional teaching?

A. "The baby is smaller if the mother smokes."

B. "The baby gets food from the amniotic fluid."

C. "The baby's oxygen is provided by the mother."

D. "The baby's umbilical cord has 2 arteries and 1 vein."
ANS: B

"The baby gets food from the amniotic fluid."

Rationale:
The amniotic fluid serves as a protective environment; the fetus depends on the
placenta, along with the umbilical blood vessels, to supply blood containing nutrients
and oxygen.

The rest are true statements and further teaching would not be required.
Which client statement indicates understanding of teaching about a nonstress
test?

A."I'll need to have an intravenous (IV) line so the medication can be injected
before the test."

B. "My baby may get very restless after I have this test."

C. "I hope this test doesn't cause my labor to start too early."

D. "If the heart reacts well, my baby should do OK when I give birth."
ANS: D

"If the heart reacts well, my baby should do OK when I give birth."

Rationale:
The nonstress test is used to evaluate the response of the fetus to movement and
activity. A reactive test indicates that the fetus is healthy.

A- No injections of any kind are used during a nonstress test; it involves only the use
of a fetal monitor to record the fetal heart rate during periods of activity.

B- The nonstress test will not influence the activity of the fetus because no

,exogenous stimulus is used.

C- Early labor is unlikely because the nonstress test is noninvasive.
Which prenatal test provides the earliest diagnosis of fetal defects?

A. Nonstress test

B. Amniocentesis

C. Chorionic villus sampling

D. Percutaneous umbilical blood sampling
ANS: C

Chorionic villus sampling

Rationale:
Chorionic villus sampling may be performed between 10 and 12 weeks' gestation.

A- The nonstress test, which is not invasive, is a technique used for antepartum
evaluation of the fetus; it does not reveal fetal defects.

B- Amniocentesis may be performed after 14 weeks' gestation, when sufficient
amniotic fluid is available.

D- Direct access to the fetal circulation with percutaneous umbilical blood sampling
may be performed during the second and third trimesters.
Which compensatory changes occur in the cardiovascular system during
pregnancy? Select all that apply.

A. Systemic vasodilation

B. Increased blood volume

C. Increased blood pressure

D. Increased cardiac output

E. Enlargement of the heart

F. Decreased erythrocyte production
ANS: B, D, E

Rationale:
Blood volume increases to meet the metabolic demands of pregnancy. Increased
cardiac output is necessary to accommodate the increased blood volume needed to
meet the demands of the growing fetus. Cardiac hypertrophy is a result of the
demands made by the increased blood volume and cardiac output.

A- Systemic vasodilation is not expected.

,C- There is little variation in blood pressure- only a slight decrease during the second
trimester.

F- Erythrocyte production increases; because the plasma volume increases more
than the red blood cell count, the hematocrit is lower.
Which laboratory test is conducted during the initial prenatal visit? Select all
that apply.

A. 1-hour glucose tolerance test

B. 3-hour glucose tolerance test

C. Cervical culture for Neisseria gonorrhoeae

D. Chest x-ray for a positive tuberculosis skin test (TST)

E. Group beta streptococcus (GBS) vaginal and anal cultures
ANS: C

Rationale:
During the initial prenatal visit, a cervical culture for N. gonorrhoeae is obtained.

A- 1-hour glucose tolerance test

B- A 3-hour glucose tolerance test is completed if a pregnant client fails the 1-hour
glucose tolerance test.

D- A chest x-ray is required after 20 weeks of gestation if the client has a positive
TST.

E- Vaginal and anal cultures for GBS are obtained at 35 to 37 weeks of gestation.
Which recommendation would the nurse make for a pregnant patient
experiencing nausea and vomiting? Select all that apply.

A. Avoid an empty or excessively full stomach.

B. Drink real ginger ale or tea, or use real ginger in another recipe.

C. Try sucking on sour candies or smelling a citrus-scented food or product.

D. Eat crackers or vanilla wafers or drink a small amount of liquid before
getting out of bed.

E. Eat small, carbohydrate-rich, low-fat meals throughout the day, such as
toast, oatmeal, or noodle soup.

F. Locate the pressure points to reduce nausea located at the middle of the
wrist, and press firmly for 3 minutes.
ANS: A, B, C, D, E, F

, Which would the nurse assess for in pregnant women who present with signs
of physical abuse or neglect?

A. Alcohol abuse

B. Substance abuse

C. Human trafficking

D. Occupational activities
ANS: C

Human trafficking

Rationale:
Nurses would assess for human trafficking in women who present with signs of
physical abuse or neglect, such as scarring, bruises, burns, bald patches, or tattoos.

A & B- Women who abuse alcohol or use substances do not usually present with
signs of physical abuse or neglect.

D- Occupational activities do not result in signs of physical abuse or neglect.
Which are the primary goals of prenatal nursing care? Select all that apply.

A. Safe birth for mother and infant

B. Pregnant woman's self-management

C. Promote health and well-being of mother and infant

D. Satisfaction of mother and family with the birth experience

E. Understand psychosocial factors that influence the woman
ANS: A, C, D

Rationale:
A safe birth for the mother and infant, promoting the health and well-being of mother
and infant, and the satisfaction of mother and family with the birth experience are the
primary goals of prenatal nursing care.

B- The nursing staff is to support the pregnant woman in self-management between
visits with health care professionals; it is not a primary goal of prenatal nursing care.

D- Understanding psychosocial factors that influence the pregnant woman is
valuable, but it is not one of the primary goals of prenatal nursing care.
Which complication is the pregnant client at risk for related to the dilation of
renal pelves and ureters?

A. Frequent urination

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Instelling
Medical surgical
Vak
Medical surgical

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