Evolve Maternity/ Obstetrics Exam) With 150+ Practice
Questions and Correct Verified Answers / Obstetric Evolve
Hesi Exam/ Evolve OB Exam 2025 Qs And Answers (Brand
New!)
A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the
nurse emphasize while helping the client understand her diagnosis and prognosis? - ANSWER-Five-
year survival rates for this cancer are nearly 100% with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
move. The nurse replies that quickening usually occurs in the: - ANSWER-20th week
A newborn experiences a hypothermic period while being bathed and having clothing changed. Once
the hypothermic episode has been identified and treated, what is the next nursing action? -
ANSWER-Feeding the infant
After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
water and a soft washcloth when cleansing the area and applying an ice pack three times a day.
What does the nurse conclude from this information? - ANSWER-Further teaching on skin care is
necessary.
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
her first visit to the prenatal clinic. What information should the nurse consider including that the
client will understand with regard to active immunity? - ANSWER-Protein substances are formed
by the body to destroy or neutralize antigens.
The nurse presents a program on breast self-examination. After a return demonstration the nurse
concludes that she needs to review certain aspects of the teaching program. Which behavior by one
of the students supports this conclusion? - ANSWER-Palpating each breast while in the sitting
position
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
didn't have to look at the pad it's embarrassing for me." What is the best nursing response? -
ANSWER-"This seems to be uncomfortable for you, but I have to estimate the amount of blood
loss to prevent any problems."
,During a childbirth class, several participants have questions about the elective induction of labor.
One participant states that it is more convenient for a woman with a busy schedule. What evidenced-
based information should the nurse provide to the participant? - ANSWER-"The widespread use of
elective induction increases the risk of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? - ANSWER-
Compress the nipples to check for discharge.
A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural
analgesia. What common response to regional anesthesia does the nurse anticipate? - ANSWER-
Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include in the
discharge plan for this client? - ANSWER-Instructions relative to diet and exercise
A client who wishes to postpone having children until she and her husband are financially sound tells
the nurse she has been taking oral contraceptive pills for several years. What finding indicates a
potential risk in regard to continued use of birth control pills? - ANSWER-Increased blood pressure
A nonstress test (NST) is scheduled for a client with mild preeclampsia. During the test, the client
asks the nurse what it means when the fetal heart rate goes up every time the fetus moves. What
should the nurse consider before responding? - ANSWER-These accelerations are a sign of fetal
well-being.
A client at 36 weeks' gestation arrives at the prenatal clinic for a routine examination. The nurse
determines that the client's blood pressure has increased from 102/60 to 134/88 mm Hg and
becomes concerned she may be experiencing mild preeclampsia. What other sign of mild
preeclampsia does the nurse anticipate? - ANSWER-Proteinuria of 1+
A nurse is caring for several pregnant clients in the prenatal clinic. Which client causes the most
concern because of her predisposition to placenta previa? - ANSWER-30 years old, gravida 6, para
5
, A neonate has phenylketonuria (PKU). What information should the nurse include in a discussion
with the parents when explaining what caused their infant's problem? - ANSWER-Inborn error of
metabolism
Why is it important for the nurse to know the infant's gestational age and how it compares with the
birthweight? - ANSWER-Potential problems may be identified.
Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the
mother. What type of heat loss does this intervention prevent? - ANSWER-Evaporation
A nurse is caring for a preterm neonate with physiological jaundice who requires phototherapy. What
is the action of this therapy? - ANSWER-Breaks down the bilirubin into a conjugated form
Absence or weakness of which of the following reflexes during the newborn assessment should the
nurse report to the health care provider? - ANSWER-Gag
A newborn has an Apgar score of 3 at 1 minute after birth. What is the immediate nursing action in
response to this Apgar score? - ANSWER-Start resuscitation
An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt.
Which common complication should the nurse instruct the parents to report if it occurs at home? -
ANSWER-Fever accompanied by decreased responsiveness
During discharge teaching a client who just had a hysterectomy states, "After this surgery, I don't
expect to be interested in sex anymore." What should the nurse consider before responding? -
ANSWER-Many women incorrectly equate hysterectomy with loss of libido.
A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which
adverse reactions to the radiotherapy should the client be monitored? (Select all that apply.) -
ANSWER-Hemorrhage
Increased temperature
Questions and Correct Verified Answers / Obstetric Evolve
Hesi Exam/ Evolve OB Exam 2025 Qs And Answers (Brand
New!)
A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ). What does the
nurse emphasize while helping the client understand her diagnosis and prognosis? - ANSWER-Five-
year survival rates for this cancer are nearly 100% with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby
move. The nurse replies that quickening usually occurs in the: - ANSWER-20th week
A newborn experiences a hypothermic period while being bathed and having clothing changed. Once
the hypothermic episode has been identified and treated, what is the next nursing action? -
ANSWER-Feeding the infant
After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over
the area being radiated. The area is sensitive but not painful. She states that she has been using tepid
water and a soft washcloth when cleansing the area and applying an ice pack three times a day.
What does the nurse conclude from this information? - ANSWER-Further teaching on skin care is
necessary.
A nurse is discussing immunizations needed to confer active immunity with a pregnant client during
her first visit to the prenatal clinic. What information should the nurse consider including that the
client will understand with regard to active immunity? - ANSWER-Protein substances are formed
by the body to destroy or neutralize antigens.
The nurse presents a program on breast self-examination. After a return demonstration the nurse
concludes that she needs to review certain aspects of the teaching program. Which behavior by one
of the students supports this conclusion? - ANSWER-Palpating each breast while in the sitting
position
As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you
didn't have to look at the pad it's embarrassing for me." What is the best nursing response? -
ANSWER-"This seems to be uncomfortable for you, but I have to estimate the amount of blood
loss to prevent any problems."
,During a childbirth class, several participants have questions about the elective induction of labor.
One participant states that it is more convenient for a woman with a busy schedule. What evidenced-
based information should the nurse provide to the participant? - ANSWER-"The widespread use of
elective induction increases the risk of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? - ANSWER-
Compress the nipples to check for discharge.
A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural
analgesia. What common response to regional anesthesia does the nurse anticipate? - ANSWER-
Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include in the
discharge plan for this client? - ANSWER-Instructions relative to diet and exercise
A client who wishes to postpone having children until she and her husband are financially sound tells
the nurse she has been taking oral contraceptive pills for several years. What finding indicates a
potential risk in regard to continued use of birth control pills? - ANSWER-Increased blood pressure
A nonstress test (NST) is scheduled for a client with mild preeclampsia. During the test, the client
asks the nurse what it means when the fetal heart rate goes up every time the fetus moves. What
should the nurse consider before responding? - ANSWER-These accelerations are a sign of fetal
well-being.
A client at 36 weeks' gestation arrives at the prenatal clinic for a routine examination. The nurse
determines that the client's blood pressure has increased from 102/60 to 134/88 mm Hg and
becomes concerned she may be experiencing mild preeclampsia. What other sign of mild
preeclampsia does the nurse anticipate? - ANSWER-Proteinuria of 1+
A nurse is caring for several pregnant clients in the prenatal clinic. Which client causes the most
concern because of her predisposition to placenta previa? - ANSWER-30 years old, gravida 6, para
5
, A neonate has phenylketonuria (PKU). What information should the nurse include in a discussion
with the parents when explaining what caused their infant's problem? - ANSWER-Inborn error of
metabolism
Why is it important for the nurse to know the infant's gestational age and how it compares with the
birthweight? - ANSWER-Potential problems may be identified.
Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the
mother. What type of heat loss does this intervention prevent? - ANSWER-Evaporation
A nurse is caring for a preterm neonate with physiological jaundice who requires phototherapy. What
is the action of this therapy? - ANSWER-Breaks down the bilirubin into a conjugated form
Absence or weakness of which of the following reflexes during the newborn assessment should the
nurse report to the health care provider? - ANSWER-Gag
A newborn has an Apgar score of 3 at 1 minute after birth. What is the immediate nursing action in
response to this Apgar score? - ANSWER-Start resuscitation
An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt.
Which common complication should the nurse instruct the parents to report if it occurs at home? -
ANSWER-Fever accompanied by decreased responsiveness
During discharge teaching a client who just had a hysterectomy states, "After this surgery, I don't
expect to be interested in sex anymore." What should the nurse consider before responding? -
ANSWER-Many women incorrectly equate hysterectomy with loss of libido.
A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which
adverse reactions to the radiotherapy should the client be monitored? (Select all that apply.) -
ANSWER-Hemorrhage
Increased temperature
