Evolve Obstetrics/Maternity Practice Exam With Questions And 100% ALL CORRECT ANSWERS
Terms in this set (92)
28 year old client in active labor complains of B. Extend the leg and dorsiflex the foot.
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.
The nurse instructs a laboring client to use c. have the client breathe into her cupped hands.
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/
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,When assessing a client who is at 12 week D. At 30 weeks gestation.
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
In developing a teaching plan for expectant D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month
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.
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 A. transition labor with contractions every 2 mins, lasting 90 seconds each.
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.
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,10/2/24, 9:19 AM
What action should the nurse implement to D. Check the firmness of the uterus every 15mins.
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.
Which assessment finding should the nursery D. central cyanosis when crying
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
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The nurse is assessing a 3 day old infant with a A. yellowish tinge to the skin
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
C. pink papular rash on the face
D. moro reflex noted after a loud noise
A client who delivered an infant an hour ago tells C. palpate the firmness of the fundus
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
Evolve Obstetrics/Maternity Practice Exam
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, 10/2/24, 9:19 AM
A 40 week gestation primigravida client is being D. apply firm pressure to sacral area
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
A client with gestational htn is an active labor and B. calcium gluconate
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
A healthcare provider informs the charge nurse of A. dark,red vaginal bleeding
a labor and delivery unit that a client is coming to D. increased uterine irritability
the unit suspected abruptio placentae. What F. Rigid abdomen
findings should the charge nurse expect the client
to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen
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