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Evolve Maternity/ Obstetrics Exam Test Bank
(BUNDLE) With 1300+ Practice Questions and
Correct Verified Answers / Obstetric Evolve Hesi
Exam/ Evolve OB Exam 2025 Qs And Answers
(Brand New!)
During the transition phase of labor, a client complains of
tingling and numbness in her fingers and tells the nurse
that she feels like she is going to pass out. What action
should the nurse take? - ...ANSWER...✓✓Have her cup
both hands over her nose and mouth while breathing.
Rationale: Hyperventilation blows off carbon dioxide,
depletes carbonic acid in the blood, and causes transient
respiratory alkalosis, so the client should cup both hands
over her mouth and nose so she can rebreathe carbon
dioxide.
A client who delivered by cesarean section 24 hours ago
is using a PCA pump for pain control. Her oral intake has
been ice chips only since surgery. She is now complaining
of nausea and bloating, and states that because she had
nothing to eat, she is too weak to breastfeed her infant.
Which nursing diagnosis has the highest priority? -
...ANSWER...✓✓Impaired bowel motility related to pain
medication and immobility.Impaired bowel motility caused
by surgical anesthesia, pain medication, and immobility is
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the priority nursing diagnosis and addresses the potential
problem of a paralytic ileus.
A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which
explanation is appropriate? - ...ANSWER...✓✓"Your milk is
sufficient if the baby is voiding pale straw-colored urine 6
to 10 times a day."
The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day) , if the infant is adequately hydrated.
Although a weight gain of 30 grams/day is indicative of
adequate nutrition, most home scales do not measure
this accurately and this suggestion is likely to make the
mother very anxious.
The nurse is counseling a couple who has sought
information about conceiving. The couple asks the nurse
to explain when ovulation usually occurs. Which
statement by the nurse is correct? - ...ANSWER...✓✓Two
weeks before menstruation.
Ovulation occurs 14 days before the first day of the
menstrual period . While ovulation can occur in the
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middle of the cycle, or 2 weeks after menstruation, this is
only true for a woman who has a perfect 28-day cycle.
For many women, the length of their menstrual cycle
varies.
The nurse is evaluating a full-term multigravida who was
induced 3 hours ago. The nurse determines the client is
dilated 7 cm, is 100% effaced at 0 station, with intact
membranes. The monitor indicates the fetal heart rate
(FHR) decelerates at the onset of several contractions
and returns to baseline before each contraction ends.
What action should the nurse take? -
...ANSWER...✓✓Continue to monitor labor progress.
The fetal heart rate indicates early decelerations, which
are not an ominous sign, so the nurse should continue to
monitor the labor progress and document the findings in
the client's record.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling
fingers and dizziness. What action should the nurse take?
- ...ANSWER...✓✓Have the client breathe into her cupped
hands.
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Tingling fingers and dizziness are signs of
hyperventilation (blowing off too much carbon dioxide).
Hyperventilation is treated by retaining carbon dioxide.
This can be facilitated by breathing into a paper bag or
cupped hands .
Twenty-four hours after admission to the newborn
nursery, a full-term male infant develops localized
swelling on the right side of his head. What is the most
likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line
in a newborn? - ...ANSWER...✓✓A cephalhematoma, which
is caused by forceps trauma.
Cephalhematoma , a slight abnormal variation of the
newborn, usually arises within the first 24 hours after
delivery. Trauma from delivery causes capillary bleeding
between the periosteum and the skull.
One hour following a normal vaginal delivery, a newborn
infant boy's axillary temperature is 96° F, his lower lip is
shaking, and when the nurse assesses for a Moro reflex,
his hands shake. What intervention should the nurse
implement first? - ...ANSWER...✓✓Obtain a serum glucose
level.
Evolve Maternity/ Obstetrics Exam Test Bank
(BUNDLE) With 1300+ Practice Questions and
Correct Verified Answers / Obstetric Evolve Hesi
Exam/ Evolve OB Exam 2025 Qs And Answers
(Brand New!)
During the transition phase of labor, a client complains of
tingling and numbness in her fingers and tells the nurse
that she feels like she is going to pass out. What action
should the nurse take? - ...ANSWER...✓✓Have her cup
both hands over her nose and mouth while breathing.
Rationale: Hyperventilation blows off carbon dioxide,
depletes carbonic acid in the blood, and causes transient
respiratory alkalosis, so the client should cup both hands
over her mouth and nose so she can rebreathe carbon
dioxide.
A client who delivered by cesarean section 24 hours ago
is using a PCA pump for pain control. Her oral intake has
been ice chips only since surgery. She is now complaining
of nausea and bloating, and states that because she had
nothing to eat, she is too weak to breastfeed her infant.
Which nursing diagnosis has the highest priority? -
...ANSWER...✓✓Impaired bowel motility related to pain
medication and immobility.Impaired bowel motility caused
by surgical anesthesia, pain medication, and immobility is
,2|Page
the priority nursing diagnosis and addresses the potential
problem of a paralytic ileus.
A new mother asks the nurse, "How do I know that my
daughter is getting enough breast milk?" Which
explanation is appropriate? - ...ANSWER...✓✓"Your milk is
sufficient if the baby is voiding pale straw-colored urine 6
to 10 times a day."
The urine will be dilute (straw-colored) and frequent (>6
to 10 times/day) , if the infant is adequately hydrated.
Although a weight gain of 30 grams/day is indicative of
adequate nutrition, most home scales do not measure
this accurately and this suggestion is likely to make the
mother very anxious.
The nurse is counseling a couple who has sought
information about conceiving. The couple asks the nurse
to explain when ovulation usually occurs. Which
statement by the nurse is correct? - ...ANSWER...✓✓Two
weeks before menstruation.
Ovulation occurs 14 days before the first day of the
menstrual period . While ovulation can occur in the
,3|Page
middle of the cycle, or 2 weeks after menstruation, this is
only true for a woman who has a perfect 28-day cycle.
For many women, the length of their menstrual cycle
varies.
The nurse is evaluating a full-term multigravida who was
induced 3 hours ago. The nurse determines the client is
dilated 7 cm, is 100% effaced at 0 station, with intact
membranes. The monitor indicates the fetal heart rate
(FHR) decelerates at the onset of several contractions
and returns to baseline before each contraction ends.
What action should the nurse take? -
...ANSWER...✓✓Continue to monitor labor progress.
The fetal heart rate indicates early decelerations, which
are not an ominous sign, so the nurse should continue to
monitor the labor progress and document the findings in
the client's record.
The nurse instructs a laboring client to use accelerated-
blow breathing. The client begins to complain of tingling
fingers and dizziness. What action should the nurse take?
- ...ANSWER...✓✓Have the client breathe into her cupped
hands.
, 4|Page
Tingling fingers and dizziness are signs of
hyperventilation (blowing off too much carbon dioxide).
Hyperventilation is treated by retaining carbon dioxide.
This can be facilitated by breathing into a paper bag or
cupped hands .
Twenty-four hours after admission to the newborn
nursery, a full-term male infant develops localized
swelling on the right side of his head. What is the most
likely cause of this accumulation of blood between the
periosteum and skull that does not cross the suture line
in a newborn? - ...ANSWER...✓✓A cephalhematoma, which
is caused by forceps trauma.
Cephalhematoma , a slight abnormal variation of the
newborn, usually arises within the first 24 hours after
delivery. Trauma from delivery causes capillary bleeding
between the periosteum and the skull.
One hour following a normal vaginal delivery, a newborn
infant boy's axillary temperature is 96° F, his lower lip is
shaking, and when the nurse assesses for a Moro reflex,
his hands shake. What intervention should the nurse
implement first? - ...ANSWER...✓✓Obtain a serum glucose
level.
