Evolve Maternity Practice Test

These questions are part of the practice quiz. Start practicing

• What aspect of care should be prioritized for a neonate presenting with weak reflexes?
• What is the appropriate nursing action for a newborn presenting signs of hypoglycemia?
• How does the nurse determine the effectiveness of tamoxifen treatment in a client with breast cancer?
• What should informed consent for a hysterectomy include?
• How should a nurse interpret a white blood cell (WBC) count of 17,000/mm3 after uncomplicated labor and birth?
• What question should the nurse ask to assess a new mother's situation regarding her crying baby?
• How can healthcare providers identify infants at risk for complications based on gestational age and birthweight?
• What should the nurse inform a client scheduled for a laparoscopic bilateral tubal ligation regarding her admission?
• What temperature should a client report to the nurse after a vacuum aspiration abortion?
• When should the nurse emphasize the importance of early parenting behaviors?
• Which of the following is a possible consequence of substance abuse during pregnancy?
• When assessing a newborn, which finding is considered normal regarding skin coloration shortly after birth?
• At what age is it appropriate to start introducing a cup to a breastfeeding newborn, according to nursing teachings?
• What is an important aspect of care for a newborn with a high risk of hypoglycemia?
• Following nerve injury, which symptom might a client exhibit after receiving an epidural?
• What nursing observation indicates effective early parenting during a newborn's first encounter with their mother?
• What is a suitable intervention for a nurse caring for a newly admitted client in labor?
• What change in client status could suggest a complication of pregnancy while on contraception?
• When teaching a client about estrogen-progestin oral contraceptives, what adverse effects should she be advised to report?
• What type of heat loss is prevented by drying a newborn immediately after birth?
• Which microorganism causing maternal mastitis is minimized through frequent handwashing by nursing staff?
• Which finding is a common indicator of preterm delivery in infants?
• What is the immediate nursing action for a newborn with an Apgar score of 3 at 1 minute?
• What factor has the greatest influence on pain perception for a woman in labor?
• What are expected physical observations of an infant born at 42 weeks gestation?
• During labor, for which side effect of an epidural anesthetic should the nurse monitor the client?
• What evidence-based information should a nurse provide about elective induction of labor?
• Which type of respirations should a nurse expect to observe in a healthy newborn?
• What screening should the nurse inform a new mother will be delayed until her newborn is 36 to 48 hours old?
• What dietary recommendation should the nurse make to a client experiencing nausea at 7 weeks' gestation?
• For a 9-lb 10-oz infant born to a mother with type 1 diabetes, which condition should the nurse monitor for?
• What is the likely cause of late fetal heart rate decelerations noted in a client with a cervix dilated 6 cm?
• What is the next nursing action after identifying and treating a newborn's hypothermic episode during a bath?
• For pregnant women, how does the protein requirement change as compared to non-pregnant women?
• What is one expected metabolic change related to fluid levels during the first trimester of pregnancy?
• Why are infants born via cesarean delivery more prone to atelectasis?
• What factor in a client's history would likely lead to an abdominal rather than a vaginal hysterectomy?
• The effects of PKU on an infant's development depend significantly on what factor?
• What other symptom should clients on estrogen-progestin contraceptives be cautious of that requires reporting?
• When a newborn presents with a higher-than-normal jaundice level after birth, what is often the first step in management?
• Which statement indicates that a client with hyperemesis gravidarum needs further teaching?
• When is the best time for a client to perform a breast self-exam?
• What arterial blood gas result should a nurse anticipate for a preterm infant with respiratory distress syndrome (RDS)?
• What should be the nursing focus when dealing with severe jaundice in a neonate?
• What priority instruction should the nurse include in the teaching plan for a pregnant client with a positive group B Streptococcus (GBS) test?
• What should the discharge plan for an older adult client with osteoporosis include?
• What can the nurse instruct a client receiving a pudendal block about its effectiveness?
• Which blood type is required for a pregnant woman to receive RhoGAM after giving birth?
• What is the five-year survival rate for stage 0 cervical cancer with early treatment?
• What physiological alteration associated with pregnancy may change a client's response to medication?
• In the transition phase of labor, what should nursing care primarily focus on?
• In a term infant born to a mother with diabetes, what should the nurse monitor closely during the neonatal period?
• What safety measure should a nurse emphasize for clients in labor considering pain management?
• What should be monitored closely when a client is in the transition phase of labor?
• When a couple asks to take their newborn grandson to his mother's room, what is the best response by the nurse?
• During a nonstress test, what indicates that the fetus is responding well to movement?
• What explanation might a nurse give to a husband concerned about his wife's behavior after having their fourth child?
• What sign of primary syphilis should a nurse expect to find in a female client?
• What should be included in the immediate nursing care of a newborn with an 8/9 Apgar score?
• What statement indicates a couple understands the prognosis of their newborn with Erb's palsy?
• During a prenatal visit, what is an important intervention for a nurse to discuss with a client who has a positive rubella antibody screening test?
• What is a common side effect the nurse anticipates for a client receiving epidural analgesia?
• What vital sign change is expected in a client during the early postpartum period?
• What feeding strategy should a nurse recommend for an infant with a cleft lip and palate?
• During pregnancy, which change in gastrointestinal function is expected as the term approaches?
• What does a head circumference measurement of 16 inches in a newborn suggest?
• What factor indicates that an amniocentesis should be performed for genetic studies during the first prenatal visit?
• What is the cause of physiological jaundice in a breastfeeding newborn who becomes jaundiced three days after birth?
• Which of the following symptoms should prompt a client to contact her healthcare provider after an abortion?
• What is the priority nursing activity for a home health nurse caring for a client with hyperemesis gravidarum?
• How can the nursing staff support a breastfeeding mother’s transition to using a cup for her infant?
• What should be included in the postoperative nursing care for a client with a ruptured fallopian tube?
• What is a common symptom experienced by a client with a cystocele?
• What should a postpartum nurse assess regarding perineal pad changes?
• What does the recording of gravida 1 para 1 suggest to the nurse when assessing a neonate's history?
• A 1-day-old newborn has just expelled a thick, greenish-black stool. What should the nurse do next?
• What statement indicates a client understands the teaching about oral contraceptives?
• What is an expected finding in the assessment of a newborn's respiratory status?
• A primigravida unsure of her last menstrual period is estimated to be at 22 weeks' gestation. What data supports this conclusion?
• If a nurse notes no rest period between contractions on an oxytocin infusion, what should be the first action?
• Which characteristic might lead a nurse to suspect a newborn has Down syndrome?
• For a couple with a known heterozygous gene for cystic fibrosis, what should the nurse tell them about their baby’s probability of having the disease?
• What physical feature would the nurse expect to find in a newborn with a diaphragmatic hernia?
• What condition is indicated by Erb's palsy in a newborn?
• What common transition occurs in a newborn's circulatory system after birth?
• Which factor increases the risk for osteoporosis in a client?
• What condition is indicated by diminished breath sounds on the right side and a PMI in the left axillary line in a newborn?
• Infertility caused by a defect in the fallopian tubes is most often related to what condition, according to hysterosalpingography results?
• Which statement accurately reflects the risks associated with herbal remedies during pregnancy?
• What is the most crucial nursing intervention for a newborn diagnosed with respiratory distress syndrome (RDS)?
• What is the primary purpose of verifying oxygen saturation in a preterm neonate receiving oxygen?
• Which food selection indicates successful dietary education for a client with osteoporosis?
• After breast augmentation surgery, which instruction is important for a client?
• Which statement is true regarding caput succedaneum in newborns?
• What is the purpose of an ultrasound during the first trimester of pregnancy?
• Which of the following is NOT a recommendation for preventing discomfort during labor?
• Which measurement is indicative of mild preeclampsia when blood pressure is increasing?
• During labor, what is a common method to manage pain perception?
• What should the nurse instruct a client to do when she begins to experience dizziness and tingling of her hands during labor?
• What statement by parents of an infant with bilateral clubfeet indicates a need for further education?
• What complication is the nurse most concerned about when a client is receiving an epidural during labor?
• What is the initial step the nurse should take if a client's uterus is deviated to the right after delivery?
• What should the nurse do when preparing to discontinue the IV for a newborn receiving glucose infusion?
• What clinical sign can indicate a possible delay in the involution of the uterus post-delivery?
• What response to epidural analgesia should the nurse anticipate in a client in labor with a cervix dilated to 6 cm?
• What developmental issue could arise in infants born to mothers with unmanaged diabetes?
• Which factor is scored alongside heart rate when calculating an Apgar score?
• What common side effect should a nurse monitor for in a client receiving epidural anesthesia during labor?
• When developing a teaching plan for a mother with a newborn exhibiting bladder exstrophy, what should be included?
• What should the nurse assure a client who is frightened by the rapid fetal heartbeat heard during a prenatal visit?
• What does the calendar method of birth control require the client to subtract from the shortest cycle?
• What is the primary action of phototherapy for a preterm neonate with physiological jaundice?
• In caring for a newborn with Erb's palsy, what should the nurse explain to the parents about physical therapy?
• What is the primary concern for a nurse when caring for a newborn at risk of developing mild respiratory distress?
• What potential consequences from endometriosis should the nurse inform a client about?
• What is the appropriate nursing intervention if a client’s uterus is found to be firm, above the level of the umbilicus, and to the right of midline two hours after giving birth?
• What common complication should parents be instructed to report after their infant's discharge with a ventriculoperitoneal shunt?
• What is the best area for a nurse to assess adequate tissue oxygenation in a neonate born to black parents?
• When estimating a newborn's gestational age, what parameters should the nurse evaluate?
• Which contraceptive method is considered safest for postpartum clients with heart disease and type 2 diabetes?
• A nurse monitors the blood glucose level of a term infant of a diabetic mother. If the level is 48 mg/dL, what should the nurse do next?
• What finding may indicate a potential risk associated with continued use of oral contraceptive pills?
• In assessing the Apgar score of a neonate after 5 minutes, which signs indicate 2 points each?
• What is the normal physiological adjustment newborns undergo that might lead to jaundice within the first week of life?
• If a mother notices edematous breasts and pink vaginal discharge in her newborn, how should the nurse respond to her inquiry?
• What medication should be avoided in a multipara in active labor due to the risk of respiratory depression in the newborn?
• How should a nurse respond if a client expects an internal examination at their first prenatal visit?
• What should the nurse explain to a client before a hysterosalpingography test?
• What should a nurse recommend for a postpartum client with poor dietary intake from Asian descent?
• During pregnancy, which cardiovascular change is expected in the second trimester?
• What should a client who is experiencing tenderness, redness, and swelling in the right calf after a hysterectomy do?
• What is a common characteristic of caput succedaneum in newborns?
• What anatomical change occurs regarding the heart during the second trimester of pregnancy?
• What should be a key focus in the teaching plan for clients receiving leuprolide (Lupron) for endometriosis?
• What adverse effect of oral contraceptives should lead a client to immediately stop taking the medication and contact a healthcare provider?
• What is the most important consideration before responding to parents of a newborn with phenylketonuria (PKU) on preventing future problems?
• When teaching about second trimester changes, which cardiovascular change should a nurse mention?
• What does an increase in fetal heart rate during fetal movement indicate?
• What is the most likely cause of jaundice in a newborn whose mother has type O Rh-positive blood and who is type B Rh-negative?
• At what week of gestation can a primigravida typically expect to feel the baby move?
• For how long will a client with estrogen-receptor positive breast cancer need to take tamoxifen?
• When monitoring the respiratory status of an infant post-cesarean, which factor should the nurse consider most significant?
• What is the purpose of PKU testing for newborns?
• In addition to preterm infants, which type of infants are at risk for hypoglycemia?
• In the case of a newborn whose mother is a drug addict and has suspected cytomegalovirus disease, what might be the suspected cause of the disease?
• What concerns should be included in a presentation regarding maternal changes as pregnancy nears term?
• What should a nurse explain to a client scheduled for a vaginal hysterectomy about post-surgery changes?
• A couple trying to conceive is seeking advice from a nurse. What advice should the nurse provide regarding intercourse?
• What should clients with hyperemesis gravidarum be taught regarding carbohydrate intake?
• How should a nurse explain the presence of red pinpoint dots on a newborn's face and neck?
• What sign should the nurse look for to assess potential congenital abnormalities in the newborn during the first examination?
• Immediately after birth, what should a nurse do when handed a neonate by the health care provider?
• A neona te has a heart rate of 90 beats/min and a strong cry one minute after birth. What is the neonate's Apgar score?
• What is the priority nursing action for a new father feeling anxious about fatherhood?
• What behavior indicates a need for further education in breast self-examination?
• What is a common emotional response observed in postpartum women after a recent delivery?
• What should a client increase in their diet while taking oral contraceptives?
• What advice should be included when teaching a client about breast self-examination?
• Which characteristics indicate that a male newborn may be a preterm infant?
• Signs of respiratory distress syndrome (RDS) are expected in a neonate whose mother has what condition?
• What is the correct time frame for a client to start taking Clomiphene citrate after being diagnosed with primary infertility?
• A newborn male weighs 10 lb 2 oz, which is significantly more than his siblings. What should the nurse do regarding the baby's weight?
• What should a nurse emphasize about the importance of early cancer treatment in a client with stage 0 cervical cancer?
• What preventive measure should be taken if a newborn experiences hypothermia during a bath?
• Which breath sound might indicate a problem in a neonate after a traumatic birth?
• What is the priority instruction for a client caring for her episiotomy after discharge?
• At 6 weeks' gestation, a client is diagnosed with gonorrhea. What medication is likely to be prescribed?
• Which compensatory physiological response occurs after labor and birth?
• Which statement by a pregnant woman indicates a need for additional teaching regarding safe practices during pregnancy?
• What conclusion can a nurse draw from a client experiencing erythema after radiation therapy who is using tepid water and soft washcloths for cleansing?
• What best describes the function of the placenta during pregnancy?
• What is an expected outcome for a client who has received effective education on postpartum care?
• In addition to chest pain, which of the following should clients be alert to as potential adverse effects of estrogen-progestin contraceptives?
• What is the role of handwashing in preventing the transmission of Staphylococcus aureus?
• Which client profile is most concerning for the potential of placenta previa?
• What Apgar score should the nurse document for a newborn with pink body, blue extremities, heart rate of 122, and vigorous movement one minute after birth?
• Why is pant-blow breathing instructed when a client feels the urge to push at 8 cm dilation?
• Why does a nurse help a client to void frequently during the first stage of labor?
• How much should a pregnant client increase her daily protein intake according to nursing guidelines?
• Which metabolic changes during the first trimester of pregnancy should the nurse explain to a client who just confirmed her pregnancy?
• Which reflex should be monitored closely during a newborn assessment for absence or weakness?
• What reason might lead a couple to seek fertility advice from a nurse?
• What might indicate that a newborn has inherited a genetic condition like PKU?
• Why is it important to know the infant's gestational age in relation to birthweight?
• When a fetus is at +1 station during labor, where is the presenting part located?
• What should the nurse say to explain monitoring an infant for hypoglycemia after the mother had well-controlled type 1 diabetes during pregnancy?
• Which craniofacial characteristic is indicative of fetal alcohol syndrome (FAS)?
• In cases of mild preeclampsia, what physiological change is typically observed in the mother?
• When guiding a pregnant woman on nutrition, what is the best initial approach by the nurse?
• What is a primary goal during breast self-examination teaching?
• How should the nurse respond to a client who is hesitant about surgery for a cystocele?
• Which of the following is a key indicator of poor dietary intake in a postpartum client?
• Why is it important for a client in labor to void frequently?
• What is the primary cause of phenylketonuria (PKU) in a neonate?