Evolve Maternity Practice Test

Browse all practice questions for the Evolve Maternity Practice Test. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

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How Late Childbearing Can Affect Breast Cancer RiskWhat factor in a client's history increases the risk for breast cancer?How Nurses Should Respond to Requests for Medication During Active LaborHow should the nurse respond to a client in active labor who is requesting medication while dilated to 9 cm?How to Prevent Retinopathy of Prematurity in Preterm InfantsWhat action does the nurse take to reduce the possibility of retinopathy of prematurity in a preterm neonate receiving supplemental oxygen?How to Support a Client in Pain After an Emergency Cesarean BirthWhat is the most effective response from a nurse to a client in pain after an emergency cesarean birth when asked to cough and deep-breathe?Hysterectomy and sexual interest: what really happens to libidoWhat misconception might women have about the effects of a hysterectomy on sexual interest?Recognizing Signs of Respiratory Distress in NewbornsSigns of respiratory distress in a newborn can include:Understanding Active Immunity in Pregnant ClientsWhat principle should a nurse emphasize to a pregnant client regarding active immunity?Understanding Breathing Techniques During LaborIn childbirth classes, what is the correct order of breathing techniques as labor progresses?Understanding Fundal Height on the Second Postpartum DayOn the second postpartum day, where does the nurse expect the fundus to be located?Understanding Informed Consent: What's Important Beyond Just the Procedure?Informed consent should also provide what information besides details about the procedure?Understanding Leuprolide Side Effects for Endometriosis ClientsWhen a client with endometriosis asks about side effects from leuprolide (Lupron), what should the nurse include?Understanding Newborn Circulatory Changes and Heart HealthWhen assessing a newborn for retention of a fetal structure leading to a congenital heart defect, which fetal structures require change after birth?Understanding the Differences Between True Labor and False LaborDuring prenatal classes, how should the nurse explain the difference between true labor and false labor?Understanding the Risks of Hypoglycemia in NewbornsWhich newborns are at an increased risk of experiencing hypoglycemia?Understanding the Risks of Umbilical Cord Stump InfectionsWhy is the umbilical cord stump considered a potential source of infection?What antidote helps manage terbutaline side effects in labor, and why propranolol is often usedWhat antidote should a nurse have available for terbutaline (Brethine) side effects?What Every Expecting Parent Should Know About Preoperative Care for Cesarean BirthWhat should preoperative teaching for a client scheduled for a cesarean birth include?What Nurses Should Keep in Mind When Monitoring a Fetus During LaborWhat should the nurse consider when a fetus is being monitored during labor?When Can a Pregnant Woman First Hear Her Baby's Heartbeat?When will a newly pregnant primigravida first hear the fetal heartbeat?Why fever is the key adverse reaction to watch during cervical cancer brachytherapyDuring internal radiation for cervical cancer, which adverse reaction should a nurse monitor for?
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  • How can the nursing staff support a breastfeeding mother’s transition to using a cup for her infant?
  • What are expected physical observations of an infant born at 42 weeks gestation?
  • What screening should the nurse inform a new mother will be delayed until her newborn is 36 to 48 hours old?
  • Which factor is scored alongside heart rate when calculating an Apgar score?
  • At what age is it appropriate to start introducing a cup to a breastfeeding newborn, according to nursing teachings?
  • For a 9-lb 10-oz infant born to a mother with type 1 diabetes, which condition should the nurse monitor for?
  • What is a primary goal during breast self-examination teaching?
  • Why is it important to know the infant's gestational age in relation to birthweight?
  • 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?
  • During pregnancy, which cardiovascular change is expected in the second trimester?
  • What can the nurse instruct a client receiving a pudendal block about its effectiveness?
  • What arterial blood gas result should a nurse anticipate for a preterm infant with respiratory distress syndrome (RDS)?
  • For pregnant women, how does the protein requirement change as compared to non-pregnant women?
  • During labor, what is a common method to manage pain perception?
  • Immediately after birth, what should a nurse do when handed a neonate by the health care provider?
  • Which of the following is a possible consequence of substance abuse during pregnancy?
  • What physical feature would the nurse expect to find in a newborn with a diaphragmatic hernia?
  • Which breath sound might indicate a problem in a neonate after a traumatic birth?
  • If a nurse notes no rest period between contractions on an oxytocin infusion, what should be the first action?
  • When teaching about second trimester changes, which cardiovascular change should a nurse mention?
  • Which of the following is a key indicator of poor dietary intake in a postpartum client?
  • What should the nurse inform a client scheduled for a laparoscopic bilateral tubal ligation regarding her admission?
  • What sign of primary syphilis should a nurse expect to find in a female client?
  • What is an expected finding in the assessment of a newborn's respiratory status?
  • What is the purpose of an ultrasound during the first trimester of pregnancy?
  • What is one expected metabolic change related to fluid levels during the first trimester of pregnancy?
  • What does the calendar method of birth control require the client to subtract from the shortest cycle?
  • What explanation might a nurse give to a husband concerned about his wife's behavior after having their fourth child?
  • When a fetus is at +1 station during labor, where is the presenting part located?
  • What statement indicates a couple understands the prognosis of their newborn with Erb's palsy?
  • What finding may indicate a potential risk associated with continued use of oral contraceptive pills?
  • When estimating a newborn's gestational age, what parameters should the nurse evaluate?
  • What reason might lead a couple to seek fertility advice from a nurse?
  • What should the nurse assure a client who is frightened by the rapid fetal heartbeat heard during a prenatal visit?
  • What vital sign change is expected in a client during the early postpartum period?
  • Which contraceptive method is considered safest for postpartum clients with heart disease and type 2 diabetes?
  • 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 temperature should a client report to the nurse after a vacuum aspiration abortion?
  • What condition is indicated by Erb's palsy in a newborn?
  • When monitoring the respiratory status of an infant post-cesarean, which factor should the nurse consider most significant?
  • What dietary recommendation should the nurse make to a client experiencing nausea at 7 weeks' gestation?
  • At what week of gestation can a primigravida typically expect to feel the baby move?
  • What should be included in the immediate nursing care of a newborn with an 8/9 Apgar score?
  • What should the discharge plan for an older adult client with osteoporosis include?
  • Which food selection indicates successful dietary education for a client with osteoporosis?
  • What does an increase in fetal heart rate during fetal movement indicate?
  • What should be included in the postoperative nursing care for a client with a ruptured fallopian tube?
  • Which of the following symptoms should prompt a client to contact her healthcare provider after an abortion?
  • When a newborn presents with a higher-than-normal jaundice level after birth, what is often the first step in management?
  • How should a nurse respond if a client expects an internal examination at their first prenatal visit?
  • How should a nurse explain the presence of red pinpoint dots on a newborn's face and neck?
  • Which microorganism causing maternal mastitis is minimized through frequent handwashing by nursing staff?
  • What should a nurse explain to a client scheduled for a vaginal hysterectomy about post-surgery changes?
  • What sign should the nurse look for to assess potential congenital abnormalities in the newborn during the first examination?
  • When teaching a client about estrogen-progestin oral contraceptives, what adverse effects should she be advised to report?
  • What should be a key focus in the teaching plan for clients receiving leuprolide (Lupron) for endometriosis?
  • What should the nurse say to explain monitoring an infant for hypoglycemia after the mother had well-controlled type 1 diabetes during pregnancy?
  • When should the nurse emphasize the importance of early parenting behaviors?
  • Why are infants born via cesarean delivery more prone to atelectasis?
  • What does the recording of gravida 1 para 1 suggest to the nurse when assessing a neonate's history?
  • What is the correct time frame for a client to start taking Clomiphene citrate after being diagnosed with primary infertility?
  • What is an important aspect of care for a newborn with a high risk of hypoglycemia?
  • What adverse effect of oral contraceptives should lead a client to immediately stop taking the medication and contact a healthcare provider?
  • What should a client increase in their diet while taking oral contraceptives?
  • A couple trying to conceive is seeking advice from a nurse. What advice should the nurse provide regarding intercourse?
  • What should be monitored closely when a client is in the transition phase of labor?
  • Signs of respiratory distress syndrome (RDS) are expected in a neonate whose mother has what condition?
  • What should a client who is experiencing tenderness, redness, and swelling in the right calf after a hysterectomy do?
  • How can healthcare providers identify infants at risk for complications based on gestational age and birthweight?
  • What does a head circumference measurement of 16 inches in a newborn suggest?
  • What is the normal physiological adjustment newborns undergo that might lead to jaundice within the first week of life?
  • Which statement by a pregnant woman indicates a need for additional teaching regarding safe practices during pregnancy?
  • When guiding a pregnant woman on nutrition, what is the best initial approach by the nurse?
  • What common complication should parents be instructed to report after their infant's discharge with a ventriculoperitoneal shunt?
  • What is the most important consideration before responding to parents of a newborn with phenylketonuria (PKU) on preventing future problems?
  • Which finding is a common indicator of preterm delivery in infants?
  • What safety measure should a nurse emphasize for clients in labor considering pain management?
  • What is the primary action of phototherapy for a preterm neonate with physiological jaundice?
  • A primigravida unsure of her last menstrual period is estimated to be at 22 weeks' gestation. What data supports this conclusion?
  • Why is it important for a client in labor to void frequently?
  • When a couple asks to take their newborn grandson to his mother's room, what is the best response by the nurse?
  • What developmental issue could arise in infants born to mothers with unmanaged diabetes?
  • For how long will a client with estrogen-receptor positive breast cancer need to take tamoxifen?
  • What should be the nursing focus when dealing with severe jaundice in a neonate?
  • In assessing the Apgar score of a neonate after 5 minutes, which signs indicate 2 points each?
  • Which type of respirations should a nurse expect to observe in a healthy newborn?
  • The effects of PKU on an infant's development depend significantly on what factor?
  • What is a common emotional response observed in postpartum women after a recent delivery?
  • What is a common side effect the nurse anticipates for a client receiving epidural analgesia?
  • What complication is the nurse most concerned about when a client is receiving an epidural during labor?
  • What statement indicates a client understands the teaching about oral contraceptives?
  • In a term infant born to a mother with diabetes, what should the nurse monitor closely during the neonatal period?
  • Which client profile is most concerning for the potential of placenta previa?
  • What type of heat loss is prevented by drying a newborn immediately after birth?
  • What factor indicates that an amniocentesis should be performed for genetic studies during the first prenatal visit?
  • What is a common characteristic of caput succedaneum in newborns?
  • 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?
  • What should clients with hyperemesis gravidarum be taught regarding carbohydrate intake?
  • During a nonstress test, what indicates that the fetus is responding well to movement?
  • What factor has the greatest influence on pain perception for a woman in labor?
  • What common transition occurs in a newborn's circulatory system after birth?
  • Which measurement is indicative of mild preeclampsia when blood pressure is increasing?
  • What is the immediate nursing action for a newborn with an Apgar score of 3 at 1 minute?
  • What preventive measure should be taken if a newborn experiences hypothermia during a bath?
  • 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?
  • What response to epidural analgesia should the nurse anticipate in a client in labor with a cervix dilated to 6 cm?
  • After breast augmentation surgery, which instruction is important for a client?
  • 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?
  • What might indicate that a newborn has inherited a genetic condition like PKU?
  • What best describes the function of the placenta during pregnancy?
  • What is the primary cause of phenylketonuria (PKU) in a neonate?
  • What is the next nursing action after identifying and treating a newborn's hypothermic episode during a bath?
  • During labor, for which side effect of an epidural anesthetic should the nurse monitor the client?
  • What is the priority nursing action for a new father feeling anxious about fatherhood?
  • 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?
  • In addition to chest pain, which of the following should clients be alert to as potential adverse effects of estrogen-progestin contraceptives?
  • What should the nurse do when preparing to discontinue the IV for a newborn receiving glucose infusion?
  • Which of the following is NOT a recommendation for preventing discomfort during labor?
  • Which statement indicates that a client with hyperemesis gravidarum needs further teaching?
  • Which characteristic might lead a nurse to suspect a newborn has Down syndrome?
  • What is the priority nursing activity for a home health nurse caring for a client with hyperemesis gravidarum?
  • Which metabolic changes during the first trimester of pregnancy should the nurse explain to a client who just confirmed her pregnancy?
  • When assessing a newborn, which finding is considered normal regarding skin coloration shortly after birth?
  • What potential consequences from endometriosis should the nurse inform a client about?
  • What should the nurse explain to a client before a hysterosalpingography test?
  • What advice should be included when teaching a client about breast self-examination?
  • What question should the nurse ask to assess a new mother's situation regarding her crying baby?
  • How should the nurse respond to a client who is hesitant about surgery for a cystocele?
  • What concerns should be included in a presentation regarding maternal changes as pregnancy nears term?
  • Which compensatory physiological response occurs after labor and birth?
  • In cases of mild preeclampsia, what physiological change is typically observed in the mother?
  • What other symptom should clients on estrogen-progestin contraceptives be cautious of that requires reporting?
  • What behavior indicates a need for further education in breast self-examination?
  • When developing a teaching plan for a mother with a newborn exhibiting bladder exstrophy, what should be included?
  • What should a nurse emphasize about the importance of early cancer treatment in a client with stage 0 cervical cancer?
  • Why is pant-blow breathing instructed when a client feels the urge to push at 8 cm dilation?
  • Following nerve injury, which symptom might a client exhibit after receiving an epidural?
  • Which statement accurately reflects the risks associated with herbal remedies during pregnancy?
  • What feeding strategy should a nurse recommend for an infant with a cleft lip and palate?
  • What statement by parents of an infant with bilateral clubfeet indicates a need for further education?
  • 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?
  • Infertility caused by a defect in the fallopian tubes is most often related to what condition, according to hysterosalpingography results?
  • During pregnancy, which change in gastrointestinal function is expected as the term approaches?
  • What medication should be avoided in a multipara in active labor due to the risk of respiratory depression in the newborn?
  • Which characteristics indicate that a male newborn may be a preterm infant?
  • What is the primary concern for a nurse when caring for a newborn at risk of developing mild respiratory distress?
  • In addition to preterm infants, which type of infants are at risk for hypoglycemia?
  • What should a postpartum nurse assess regarding perineal pad changes?
  • What is the cause of physiological jaundice in a breastfeeding newborn who becomes jaundiced three days after birth?
  • What is the five-year survival rate for stage 0 cervical cancer with early treatment?
  • How should a nurse interpret a white blood cell (WBC) count of 17,000/mm3 after uncomplicated labor and birth?
  • In caring for a newborn with Erb's palsy, what should the nurse explain to the parents about physical therapy?
  • What is a suitable intervention for a nurse caring for a newly admitted client in labor?
  • What evidence-based information should a nurse provide about elective induction of labor?
  • How does the nurse determine the effectiveness of tamoxifen treatment in a client with breast cancer?
  • 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 clinical sign can indicate a possible delay in the involution of the uterus post-delivery?
  • What condition is indicated by diminished breath sounds on the right side and a PMI in the left axillary line in a newborn?
  • 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 is a common symptom experienced by a client with a cystocele?
  • 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 is the best area for a nurse to assess adequate tissue oxygenation in a neonate born to black parents?
  • What is an expected outcome for a client who has received effective education on postpartum care?
  • What is the likely cause of late fetal heart rate decelerations noted in a client with a cervix dilated 6 cm?
  • What is the purpose of PKU testing for newborns?
  • What is the most crucial nursing intervention for a newborn diagnosed with respiratory distress syndrome (RDS)?
  • A 1-day-old newborn has just expelled a thick, greenish-black stool. What should the nurse do next?
  • What should the nurse instruct a client to do when she begins to experience dizziness and tingling of her hands during labor?
  • When is the best time for a client to perform a breast self-exam?
  • What should informed consent for a hysterectomy include?
  • How much should a pregnant client increase her daily protein intake according to nursing guidelines?
  • What nursing observation indicates effective early parenting during a newborn's first encounter with their mother?
  • What priority instruction should the nurse include in the teaching plan for a pregnant client with a positive group B Streptococcus (GBS) test?
  • What common side effect should a nurse monitor for in a client receiving epidural anesthesia during labor?
  • What is the appropriate nursing action for a newborn presenting signs of hypoglycemia?
  • Which craniofacial characteristic is indicative of fetal alcohol syndrome (FAS)?
  • What should a nurse recommend for a postpartum client with poor dietary intake from Asian descent?
  • What is the role of handwashing in preventing the transmission of Staphylococcus aureus?
  • Which statement is true regarding caput succedaneum in newborns?
  • What change in client status could suggest a complication of pregnancy while on contraception?
  • Why does a nurse help a client to void frequently during the first stage of labor?
  • Which blood type is required for a pregnant woman to receive RhoGAM after giving birth?
  • If a mother notices edematous breasts and pink vaginal discharge in her newborn, how should the nurse respond to her inquiry?
  • What is the initial step the nurse should take if a client's uterus is deviated to the right after delivery?
  • What is the priority instruction for a client caring for her episiotomy after discharge?
  • 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?
  • Which reflex should be monitored closely during a newborn assessment for absence or weakness?
  • What is the primary purpose of verifying oxygen saturation in a preterm neonate receiving oxygen?
  • What aspect of care should be prioritized for a neonate presenting with weak reflexes?
  • Which factor increases the risk for osteoporosis in a client?
  • What anatomical change occurs regarding the heart during the second trimester of pregnancy?
  • At 6 weeks' gestation, a client is diagnosed with gonorrhea. What medication is likely to be prescribed?
  • What factor in a client's history would likely lead to an abdominal rather than a vaginal hysterectomy?
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