EVOLVE MATERNITY| OBSTETRICS EXAM |REAL QUESTIONS AND ANSWERS|A+GRADE
28 year old client in active labor complains of cramps in her leg.What intervention should the nurse
implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. - (ANSWER)B. Extend the leg and dorsiflex the foot.
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of
tingling finger and dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
d. check the client's BP and fetal HR/ - (ANSWER)c. have the client breathe into her cupped hands.
When assessing a client who is at 12 week gestation, the nurse recommends that she and her husband
consider attending childbirth preparation classes. When is the best time for the couple to attend these
classes?
A. at 16 weeks gestation
B.at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation - (ANSWER)D. At 30 weeks gestation.
In developing a teaching plan for expectant parents the nurse plans to include formation about when
the parents can expect the infants fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month.
,EVOLVE MATERNITY| OBSTETRICS EXAM |REAL QUESTIONS AND ANSWERS|A+GRADE
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month -
(ANSWER)D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
month
A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin) to augment early
labor. The nurse should discontinue the oxytocin infusion for with pattern of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. - (ANSWER)A.
transition labor with contractions every 2 mins, lasting 90 seconds each.
What action should the nurse implement to decrease the client's risk for hemorrhage after c-section.
A. Monitor urinary output via an indwelling catheter.
B. assess the abdominal dressings for drainage.
C. Give the Ringer's lactated infusion at 125ml
D. Check the firmness of the uterus every 15mins. - (ANSWER)D. Check the firmness of the uterus every
15mins.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
A. blood glucose level of 45mg/dl
B. blood pressure of 82/45 mmHG
C. Non bulging anterior fontanel
D. central cyanosis when crying - (ANSWER)D. central cyanosis when crying
The nurse is assessing a 3 day old infant with a cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the healthcare provider?
A. yellowish tinge to the skin
B. babinski reflex present bilaterally
, EVOLVE MATERNITY| OBSTETRICS EXAM |REAL QUESTIONS AND ANSWERS|A+GRADE
C. pink papular rash on the face
D. moro reflex noted after a loud noise - (ANSWER)A. yellowish tinge to the skin
A client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock.
The nurse notes that both perineal pads are completely saturated a
nd the client is lying in a 6inch diameter pool of blood.
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D; inspect the perineum for lacerations - (ANSWER)C. palpate the firmness of the fundus
A 40 week gestation primigravida client is being induced with an ocytocin secondary infusion and
complains of pain in her lower back. Which intervention should the nurse implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - (ANSWER)D. apply firm pressure to sacral area
A client with gestational htn is an active labor and receiving an infusion of magnesium sulfate. Which
drug should the nurse available for signs of potential toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9 - (ANSWER)B. calcium gluconate
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the
unit suspected abruptio placentae. What findings should the charge nurse expect the client to
demonstrate.
A. dark,red vaginal bleeding
28 year old client in active labor complains of cramps in her leg.What intervention should the nurse
implement.
A. massage the calf and foot
B. extend the leg and dorsiflex the foot
C. lower the leg off the side of the bed
D. elevate the leg above the heart. - (ANSWER)B. Extend the leg and dorsiflex the foot.
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of
tingling finger and dizziness. What action should the nurse take?
a. administer o2 by face mask
b. notify the HCP for the client's syndrome
c. have the client breathe into her cupped hands
d. check the client's BP and fetal HR/ - (ANSWER)c. have the client breathe into her cupped hands.
When assessing a client who is at 12 week gestation, the nurse recommends that she and her husband
consider attending childbirth preparation classes. When is the best time for the couple to attend these
classes?
A. at 16 weeks gestation
B.at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation - (ANSWER)D. At 30 weeks gestation.
In developing a teaching plan for expectant parents the nurse plans to include formation about when
the parents can expect the infants fontanels to close. The nurse bases the explanation on knowledge
that for the normal newborn, the
A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week.
B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week.
C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month.
,EVOLVE MATERNITY| OBSTETRICS EXAM |REAL QUESTIONS AND ANSWERS|A+GRADE
D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month -
(ANSWER)D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
month
A 42 week gestational client is receiving an intravenous infusion of oxytocin(Pitocin) to augment early
labor. The nurse should discontinue the oxytocin infusion for with pattern of contractions?
A. transition labor with contractions every 2 mins, lasting 90 seconds each.
B. early labor with contractions every 5 min, lasting 40 seconds each.
C. Active labor with contractions every 31 mins, lasting 60 seconds each.
D. Active labor with contraction every 2 to 3 mins, lasting 70 to 80 seconds each. - (ANSWER)A.
transition labor with contractions every 2 mins, lasting 90 seconds each.
What action should the nurse implement to decrease the client's risk for hemorrhage after c-section.
A. Monitor urinary output via an indwelling catheter.
B. assess the abdominal dressings for drainage.
C. Give the Ringer's lactated infusion at 125ml
D. Check the firmness of the uterus every 15mins. - (ANSWER)D. Check the firmness of the uterus every
15mins.
Which assessment finding should the nursery nurse report to the pediatric healthcare provider?
A. blood glucose level of 45mg/dl
B. blood pressure of 82/45 mmHG
C. Non bulging anterior fontanel
D. central cyanosis when crying - (ANSWER)D. central cyanosis when crying
The nurse is assessing a 3 day old infant with a cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the healthcare provider?
A. yellowish tinge to the skin
B. babinski reflex present bilaterally
, EVOLVE MATERNITY| OBSTETRICS EXAM |REAL QUESTIONS AND ANSWERS|A+GRADE
C. pink papular rash on the face
D. moro reflex noted after a loud noise - (ANSWER)A. yellowish tinge to the skin
A client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock.
The nurse notes that both perineal pads are completely saturated a
nd the client is lying in a 6inch diameter pool of blood.
A. Cleanse the perineum
B. obtain a BP
C. palpate the firmness of the fundus
D; inspect the perineum for lacerations - (ANSWER)C. palpate the firmness of the fundus
A 40 week gestation primigravida client is being induced with an ocytocin secondary infusion and
complains of pain in her lower back. Which intervention should the nurse implement?
A. Discontinue the oxytocin infusion
B. place the client in a semi-fowler's position
C. inform the healthcare provider
D. apply firm pressure to sacral area - (ANSWER)D. apply firm pressure to sacral area
A client with gestational htn is an active labor and receiving an infusion of magnesium sulfate. Which
drug should the nurse available for signs of potential toxicity?
A. oxytocin
B. calcium gluconate
C. terbutaline
D. naloxone 9 - (ANSWER)B. calcium gluconate
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the
unit suspected abruptio placentae. What findings should the charge nurse expect the client to
demonstrate.
A. dark,red vaginal bleeding
