EVOLVE: MATERNITY - WOMEN'S HEALTH/DISORDERS EXAM NEWEST
ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A primigravida is admitted to the birthing suite at term with contractions
occurring every 5 to 8 minutes and a bloody show. She and her partner attended
childbirth preparation classes. Vaginal examination reveals that the cervix is
dilated 3 cm and 75% effaced. The fetus is at +1 station in occiput anterior
position, and the membranes are intact. The client is cheerful and relaxed and
asks the nurse whether it is all right for her to walk around. In light of the nurse's
observations regarding the contractions and the client's knowledge of the
physiology and mechanism of labor, how should the nurse respond? - Correct
Answer-"It's all right for you to walk as long as you feel comfortable and your
membranes are intact."
A client who is scheduled to have an abdominal panhysterectomy asks how the
surgery will affect her periods. How should the nurse respond? - Correct Answer-
"You won't have any more periods."
During the postpartum period a client with heart disease and type 2 diabetes asks
a nurse, "Which contraceptives will I be able to use to prevent pregnancy in the
near future?" How should the nurse respond? - Correct Answer-"You should use
foam with a condom to prevent pregnancy — this is the safest method for women
with your illnesses."
The nurse instructs a pregnant client in the sources of protein that can be used to
meet the increased daily requirement during pregnancy. How many grams of
protein should the client eat each day? - Correct Answer-60 g
1|Page
, EVOLVE: MATERNITY - WOMEN'S HEALTH/DISORDERS EXAM
When a mother sees her newborn son assume a fencing position as she turns his
head, she becomes concerned. What should the nurse explain about this reflex? -
Correct Answer-It is expected in the healthy newborn.
A nurse is teaching a class about childbearing and contraceptive options. The
nurse explains that fertilization of the ovum by the sperm occurs at a specific time.
When does it occur? - Correct Answer-When one sperm penetrates the wall of the
ovum
A nurse is teaching a class of expectant parents about nutritional needs during
pregnancy. What information should the nurse include? - Correct Answer-Protein
needs increase to at least 70 g/day during pregnancy.
A couple interested in family planning ask the nurse about the cervical mucus
method of family planning. The nurse explains that with this method the couple
must avoid intercourse when and a few days after the cervical mucus is: - Correct
Answer-Clear and stretchable
A pregnant client asks a nurse for information about toxoplasmosis during
pregnancy. What should the nurse teach the client about how to prevent the
transmission of toxoplasmosis? - Correct Answer-Pork and beef should be cooked
well before being eaten.
A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-
oophorectomy. What does a nurse expect to be the client's priority concern? -
Correct Answer-Loss of childbearing potential
2|Page
, EVOLVE: MATERNITY - WOMEN'S HEALTH/DISORDERS EXAM
A female client with Hodgkin disease is to start total nodal irradiation. She and her
partner, who are planning a family, become concerned when they learn that the
radiation therapy includes the pelvic area. Before responding what must the nurse
consider? - Correct Answer-The eggs in the ovaries can be removed and frozen for
future use.
When seeing her preterm infant son in the neonatal intensive care unit for the
first time, a mother exclaims, "He's so little! How will I ever be able to take care of
him?" The nurse explains to the mother that she: - Correct Answer-Will be
encouraged to participate in his care as much as possible
A primigravida at 12 weeks' gestation complains of nausea and vomiting during a
visit to the prenatal clinic. Which pregnancy hormone should the nurse explain is
thought to be responsible for nausea and vomiting during the first trimester? -
Correct Answer-Human chorionic gonadotropin (hCG)
A 23-year-old woman comes to the clinic for a Pap smear. After the examination,
the client confides that her mother died of endometrial cancer 1 year ago and
says that she is afraid that she will die of the same cancer. Which risk factor stated
by the client after an education session on risk factors indicates that further
teaching is needed? - Correct Answer-Late-onset menarche
A nurse caring for a pregnant woman determines that she is engaging in the
practice of pica. Why should the nurse prepare a teaching plan for this client? -
Correct Answer-Inedible items are being ingested.
3|Page
, EVOLVE: MATERNITY - WOMEN'S HEALTH/DISORDERS EXAM
-Pica is the eating of inedibles such as starch or dirt. There is a cultural influence
on this practice, but it may also be related to malnutrition or anemia. Food
cravings frequently occur in pregnant women. If many foods are causing nausea
and vomiting, the client has morning sickness. If it continues past the first
trimester, it may be hyperemesis gravidarum. The dislike for essential food
groups does not describe the practice of pica.
The nurse is teaching a prenatal class to expectant mothers in their first trimester
of pregnancy. In addition to discussing the need for 0.6 mg/day of folic acid
replacement, which dietary choice that is high in folic acid should the nurse
recommend? - Correct Answer-Half cup of cooked spinach
-A half cup of cooked spinach provides 100 mcg of folic acid per serving. One
egg, a slice of bread, and half a cup of corn each provides only 20 mcg per
serving.
A nurse is counseling a pregnant client with iron-deficiency anemia about when
and how to take supplemental iron. What time of day and with what drink is iron
absorption most efficient? - Correct Answer-Before breakfast with orange juice
-Iron should be taken before breakfast, on an empty stomach, to permit
maximal absorption; ascorbic acid enhances the absorption of iron.
A client undergoes dilation and curettage (D&C) after an early miscarriage
(spontaneous abortion). The nurse finds her crying later in the day. What is the
most appropriate statement by the nurse? - Correct Answer-"This must be a very
hard experience for you to deal with."
4|Page