Evolve Maturnity Questions

A couple in their late 30s are planning a genetic amniocentesis and would like to complete the testing as soon as possible. At which time would the test be scheduled? a. When quickening is felt b. During the last trimester c. At the 10th week of gestation d. After the 14th week of pregnancy

d. After the 14th week of pregnancy

Which term would the nurse use to describe the first fetal movements that a pregnant client feels? a. Lightening b. Quickening c. Engagement d. Ballottement

b. Quickening

A prenatal clients vaginal mucosa is noted to have a purplish discoloration. Which sign would be documented in the client's clinical record? a. Hegar b. Goodell c. Chadwick d. Braxton-Hicks

c. Chadwick

Which estimated date of birth (EDB) would the nurse provide to the client who states her last menstrual period began June 10th? a. April 7 b. March 7 c. April 10 d. March 17

d. March 17

While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who was born at 41 weeks gestation and a 3-year-old daughter who was born at 35 weeks gestation. The client lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you record this information? a. G5 T1 P1 A2 L2 b. G4 T1 P1 A2 L2 c. G4 T2 P0 A0 l2 d. G5 T2 P1 A1 L2

a. G5 T1 P1 A2 L2

While caring for a client during labor, which would the nurse remember about the second stage of labor? a. It ends at the time of birth b. It ends as the placenta is expelled c. It begins with the transition phase of labor d. It begins with the onset of strong contractions

a. It ends at the time of birth

Which assessment findings are suggestive of postpartum depression? a. Lethargy b. Ambivalence c. Emotional lability d. Increase appetite e. Long periods of sleep

a. Lethargy b. Ambivalence c. Emotional lability

A client is admitted to the birthing unit at 40 weeks gestation, and then nurse determines that the client's contractions are 10 minutes apart and their cervix is dilated 2 cm. Which stage of labor is the client in? a. Second stage b. Latent first stage c. Active first stage d. Transition stage

b. Latent first stage

The nurse is assessing a new mother at a health care facility. Which symptom would the nurse identify as a symptom of postpartum blues? a. Frantic energy b. Mild irritability c. Hallucinations d. Unwillingness to sleep

b. Mild irritability

After 6 hours in labor a client is dilated 5 cm and at -1 station. In the next house her contractions gradually become irregular and more uncomfortable. Which possibility would the nurse immediatly consider? a. The client is in false labor b. The client has a full bladder c. There is uterine dysfunction d. There is a breech presentation.

b. The client has a full bladder

An intravenous infusion of oxytocin is started to include labor in a client. When the client's contractions begin, they are 1.5 to 2 minutes in duration. While the nurse is in the room, one contraction lasts 3 minutes. Which action would the nurse take first? a. Give oxygen by nasal cannula b. Turn off the oxytocin infusion c. Reposition the monitoring belts d. Place a call light next to the client

b. Turn off the oxytocin infusion

Which description explains striae gravidarum encountered in a client in their 26th week of gestation a. Brownish blotches on the face b. Purplish discoloration of the cervix c. Reddish streaks on the abdomen and breasts d. A black line running between the umbilicus and mons veneris

c. Reddish streaks on the abdomen and breasts

Which assessment findings correlate with a diagnosis of unruptured tubal pregnancy? a. Rigid abdomen b. Referred shoulder pain c. Unilateral abdominal pain d. History of untreated chlamydia e. Ecchymotic blueness around the umbilicus.

c. Unilateral abdominal pain d. History of untreated chlamydia

All women of childbearing age are advised to include at least 400 ug of folic acid in the daily diet to decrease the risk of neural tube defects in pregnancy. Which foods or supplements would the nurse recommend to meet the recommendation? a. Vitamin A b. Vitamin B6 c. Vitamin B9 d. Vitamin B12 e. Legumes, dark-green leafy vegetables, and citrus fruits f. Eggs, meat, and poultry

c. Vitamin B9 e. Legumes, dark-green leafy vegetables, and citrus fruits

Which response would the nurse give to a client who asks what having a fetus in longitudinal lie means in relation to her labor and birth of the baby? a. "A vaginal birth is possible" b. "We're anticipating a cesarean delivery" c. "It has no relevance to the labor and birth" d. "Labor probably will be long, and you might have back pain.

a. "A vaginal birth is possible"

Immediately after the third stage of labor the nurse administers the prescribed oxytocin infusion. Which explanantion would the nurse give the client for the purpose of this medication? a. "It is used to help the uterus contract" b. "It is given to decrease uterine discomfort" c. "It assists in the separation of the placenta" d. "It helps stimulate the production of your breast milk"

a. "It is used to help the uterus contract"

Which factor distinguishes true labor from false labor? a. Cervical dilation is evident b. Contractions stop when the client walks around c. The client's contractions progress only when she is in a side-lying position. d. Contractions occur immediately after the membrances rupture

a. Cervical dilation is evident

A primigravida at 42 weeks gestation has fluid leaking from her vagina and is complaining of back pain. Which conclusion is supported by the assessment data recorded below? a. Cesarean birth is anticipated b. Amniotomy should be implemented c. The mother is in the second stage of labor d. The fetus is demonstrating signs of distress

a. Cesarean birth is anticipated

Which characteristics are scored on a biophysical profile? a. Fetal tone b. Fetal position c. Fetal movement d. Amniotic fluid index e. Fetal breathing movements f. Contraction stress test results.

a. Fetal tone c. Fetal movement d. Amniotic fluid index e. Fetal breathing movements

A client is active labor is 100% effaced, dilated 3 cm, and at +1 station. Which stage of labor has this client reached? a. First b. Latent c. Second d. Transitional

a. First

A pregnant client has two children at home, the first born at 38 weeks gestation and the second born at 34 weeks gestation. The client has also had one miscarriage at 18 weeks, and a elective abortion. Which summary is correct about the obsetric history using the GTPAL system? a. G5 T1 P1 A2 L2 b. G4 T2 P2 A1 L4 c. G2 T3 P3 A2 L1 d. G3 T2 P1 A3 L3

a. G5 T1 P1 A2 L2

Which assessments and interventions are necessary once an epidural catheter has been inserted? a. Maintain intravenous fluid administration b. Have oxygen available in case of hypotension c. Check the bladder for distention every 2 hours d. Position the client supine for ease of monitoring e. Monitor fetal heart rate and labor progress per hospital protocol f. Administer an oxytocin infusion to maintain the labor pattern.

a. Maintain intravenous fluid administration b. Have oxygen available in case of hypotension c. Check the bladder for distention every 2 hours e. Monitor fetal heart rate and labor progress per hospital protocol

Which client is most likely to require a cesarean birth? a. Multipara with a shoulder presentation b. Multipara with a documented station of "floating" c. Primigravida with a fetus presenting in the occiput posterior position d. Primigravida with a twin gestation with the fetuses in the vertex presentation.

a. Multipara with a shoulder presentation

Which is the action of oxytocin? Select all that apply a. Promotes milk ejection during lactation b. Controls uterine bleeding after delievery c. Induces labor when uterine contractions are weak d. Prevents uterine fibrosis in women of reporoductive age e. Prevents high-risk intrauterine fetal positions before delivery

a. Promotes milk ejection during lactation b. Controls uterine bleeding after delievery c. Induces labor when uterine contractions are weak

Which nursing care interventions are most appropriate if an adolescent client has a positive pregnancy test? a. Providing emotional support b. Discussing parental notification c. Discussing the client's options for the pregnancy d. Informing the parent before the adolescent e. Asking who else is aware that the client may be pregnant

a. Providing emotional support b. Discussing parental notification c. Discussing the client's options for the pregnancy

On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks gestation will most likely report for the first time. a. Quickening b. Palpitations c. Pedal edema d. Vaginal spotting.

a. Quickening

A woman who gave birth to a second child 3 weeks ago is depressed, crying, and having extreme difficulty caring for her children. Which approach would the nurse take when the husband calls the womans health clinic and asks what he should do? a. Telling him that his wife may be suffering from depression and needs emergency care b. Letting him know that fatigue is expected and that his wife needs to take rest periods during the day c. Reassuring him that his wife is experiencing postpartum blue that will lessen in several days d. Advising him to make an appointment for his wife to see her primary health care provider if the problem continues

a. Telling him that his wife may be suffering from depression and needs emergency care

Which would be the focus of an assessment of a pregnant client who is engaging in the practice of pica? a. To determine if harmful items are being ingested b. To assess if the client has a need for a particular food c. To quantify the degree of nausea and vomiting d. To evaluate the clients dislike for an essential group of foods.

a. To determine if harmful items are being ingested

Which test is used to confirm breech presentation? a. Ultrasound b. Fetal scalp pH c. Amniocentesis d. Digital pelvimetry

a. Ultrasound

Which are presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks gestation. a. amenorrhea b. breast changes c. urinary frequency d. abdominal enlargement e. positive urine pregnancy test

a. amenorrhea b. breast changes c. urinary frequency

The nurse instructs a multipara who has just given birth to a large-for-gestational-age infant how best to maintain a contracted uterus. Which statement indicates that the teaching was effective? a. "I'll call you if I have a clot larger than the size of a softball" b. "I'll breastfeed my baby frequently and on demand" c. "I should be sure to get up and urinate every 6 hours" d. "I'll call you every 15 minutes to massage my uterus"

b. "I'll breastfeed my baby frequently and on demand"

The nurse intructs a pregnant woman in labor that she must avoid lying on her back. What is the primary reason for this instruction? a. The supine position can prolong the course of labor. b. Decreased placental perfusion is seen in the supine position c. This position can lead to transient episodes of hypertension d. Lying on the back interferes with free movement of the coccyx

b. Decreased placental perfusion is seen in the supine position

Which prenatal teaching is most applicable for a client who is between 13 and 24 weeks gestation? a. Infant care, travel to the hospital, and signs of labor b. Growth of the fetus, body changes, and nutritional guidance c. Interventions for nausea and vomiting, urinary frequency, and antipicated care d. Danger signs of preeclampsia, relaxaiton breathing techniques, and signs of labor.

b. Growth of the fetus, body changes, and nutritional guidance

A client presents to the clinic with complaints of nausea and amenorrhea and reports that she obtained a positive result on a home pregnancy test. Which component of the history is most indicative of pregnancy. a. Her menses is a week late b. Her urine immunoassay test is positive c. She reports that she has urinary frequency d. She complains that she has nausea every morning

b. Her urine immunoassay test is positive

After delivery, a client who received oxytocin to induce labor complains of tiredness and a spinning sensation. Which effect of oxytocin would the nurse infer from these symptoms? a. Amenorrhea b. Hypotension c. Hypertension d. Uterine atony

b. Hypotension

Which action identified by the student indicates to the nurse an understanding of oxytocin in a pregnant client at term? a. Ejection of milk b. Induction of labor c. Induction of abortion d. Control of uterine bleeding

b. Induction of labor

Which expected date of birth (EDB) would the nurse, using Naegele's rule, provide to the pregnant client who states her last normal menstrual period was April 5th? a. January 5 b. January 12 c. January 19 d. January 26

b. January 12

In the second house after a client gives birth, her uterus if firm above the level of the umbilicus and to the right of the midline. Which is the appropriate nursing intervention at this time? a. Checking for signs of retained placental fragments b. Massaging the uterus to prevent hemorrhage c. Assisting the client to the bathroom to empty her bladder d. Telling the client that this is a sign of uterine stablization.

c. Assisting the client to the bathroom to empty her bladder

A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and a 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 yars ago at 10 weeks. How would the nurse, using the GTPAL format, document the clients obstetric history? a. G4 T3 P2 A1 L4 b. G5 T2 P2 A1 L4 c. G5 T2 P1 A1 L4 d. G4 T3 P1 A1 L4

c. G5 T2 P1 A1 L4

Which assessment finding would the nurse expect in a client at 8 weeks gestation? a. Lightening b. Quickening c. Goodell Sign d. Braxton Hicks

c. Goodell Sign

The nurse teaches a pregnant client regarding the necessity for a folic acid supplement. Folic acid taken in the first trimester of pregnnacy helps reduce the risk for which neonatal disorder? a. Phenulketonuria b. Down syndrome c. Neural tube defects d. Erythroblastosis fetalis

c. Neural tube defects

How would the nurse respond to the parents of a newborn with PKU who ask, "How long will our child have to be on this diet"? a. "We're still not sure; you should discuss this with oyur health care provider" b. "If your baby does well, foods containing protein can gradually be introduced' c. "Your child needs to be on this diet at least through adolescence and into adulthood." d. "This is a lifelong condition, and it is recommened that dietary restrictions be continued for life"

d. "This is a lifelong condition, and it is recommened that dietary restrictions be continued for life"

One hour after a birth the nurse palpates a client's fundus to determine whether involution is taking place. The fundus is firm, in the midline, and 2 fingerbreadths below the umbilicus. Which would the nurse do next? a. Encourage the client to void b. Notify the health care provider immediately c. Massage the uterus and attempt to express clots d. Continue periodic assessments and record the findings.

d. Continue periodic assessments and record the findings.

Which nursing action is most appropriate for a pregnant client at 23 weeks gestation with pica? a. Offering referal to a mental health care provider b. Explaning the potential danger of pica to the fetus c. Obtaining a prescription for an iron supplement d. Determining whether the diet is safe and nutritionally adequate.

d. Determining whether the diet is safe and nutritionally adequate.

A newborn who has remained in the hospital because the mother had a cesarean birth is to be tested for (PKU) on the morning of discharge. How would the nurse explain the purpose of PKU testing to this mother. a. It detects thyroid deficiency b. It reveals possible brain damage c. It identifies chromosomal damage d. It is used to measure protein metabolism

d. It is used to measure protein metabolism

Which information about nausea and vomiting in the first trimester woild the nurse provide to the pregnant client? a. It is always present during early pregnancy b. It will disappear when lightening occurs c. It is a common response to an unwanted pregnancy d. It may be related to an increased in human chorionic gonadotropin level.

d. It may be related to an increased in human chorionic gonadotropin level.

A client informs the nurse that her home pregnancy test was positive and that her last menstrual period began on June 18. According to Nagele's rule, which is the estimated date of birth? a. March 8 b. March 11 c. March 1 d. March 25

d. March 25

A vaginal examination reveals that a client's cervic is 90% effaced and dilated to 6 cm. The fetus's head is at station 0, and the fetus is in a right occiput anterior position. The contractions are occuring every 3 to 4 minutes, are lasting 60 seconds, and are of moderate intensity. Which description is appopriate to use when reporting on the client's condition a. Early first stage of labor b. Transition stage of labor c. Beginning second stage of labor d. Midway through first stage of labor.

d. Midway through first stage of labor.

Which finding in the health history of a client being treated for bipolar disorder indicated the need to discontinue lithium a. Hypothyroidism b. Fine-hand tremors c. Decrease in appetite d. Positive pregnancy test

d. Positive pregnancy test

A client is active labor is admitted to the birthing room. A vaginal examination reveals that her cervix is dilated 6 to 7 cm. In light of this finding, which would the nurse expect? a. The client may experience nausea and vomiting b. The clients bloody show will become more profuse c. The client will experience uncontrollable shaking of her legs d. The clients contractions will become longer and more frequent

d. The clients contractions will become longer and more frequent