2025 Latest Test Bank With 350 Exam Prep Questions
and Correct Verified Answers With Rationales/
Obstetric Evolve Hesi Exam/ Evolve OB Exam 2025
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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
A nurse is planning care for a client who gave birth to a preterm male infant. What
most common response does the nurse anticipate that the mother may experience?
- ANSWER-Feelings of failure and loss of control
While teaching a prenatal class about infant feeding, the nurse is asked about the
relationship between breast size and ease of breastfeeding. How should the nurse
respond? - ANSWER-"Breast size is not related to milk production."
What should a nurse include in the teaching plan for a couple seeking information
about family planning? - ANSWER-A condom must be held in place by the rim
when the penis is withdrawn from the vagina.
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.
pg. 1
,A primigravida is admitted to the birthing suite at term with contractions occurring
every 5 to 8 minutes and a bloody show. She and her partner attended childbirth
preparation classes. Vaginal examination reveals that the cervix is dilated 3 cm and
75% effaced. The fetus is at +1 station in occiput anterior position, and the
membranes are intact. The client is cheerful and relaxed and asks the nurse
whether it is all right for her to walk around. In light of the nurse's observations
regarding the contractions and the client's knowledge of the physiology and
mechanism of labor, how should the nurse respond? - ANSWER-"It's all right for
you to walk as long as you feel comfortable and your membranes are intact."
Twenty-four hours after an uncomplicated labor and birth a client's complete blood
count reveals a white blood cell (WBC) count of 17,000/mm3. How should the
nurse interpret this WBC count? - ANSWER-An expected response to the process
of labor and birth
A nurse is obtaining a health history from a primigravida on her first visit to the
prenatal clinic. Before discussing the client's health habits with her, what does the
nurse consider the most important factor in the survival of the client's newborn? -
ANSWER-Gestational age and birthweight
A client is admitted with a diagnosis of torsion of the testes. How should the nurse
respond when the client asks, "Why do I have to have surgery right now?"? -
ANSWER-"Irreversible damage occurs after a few hours."
What is the priority nursing intervention during the 2 hours after a cesarean birth? -
ANSWER-Evaluating the lochia to identify the complication of hemorrhage
When encouraging a client to cough and deep breathe after a bilateral mastectomy,
the client says, "Leave me alone! Don't you know I'm in pain?" What is the nurse's
most therapeutic response? - ANSWER-"What's your pain level right now?"
pg. 2
,What nursing care is required for a client with a radium implant for cancer of the
cervix? - ANSWER-Limiting the client's activity to avoid dislodging the radium
insert
A nurse is preparing a client with a ruptured tubal pregnancy for immediate
surgery. What type of surgery should the informed consent include? - ANSWER-
Salpingectomy
The health care provider has prescribed 500 mg of cephalexin (Keflex) by mouth
every 6 hours for 10 days for a client with mastitis. The health care provider has
given the client 24 sample tablets of 250 mg apiece. How many days should this
supply last? Record your answer using a whole number. _____ days - ANSWER-3
A client who is scheduled for an amniocentesis says, "I'm glad that this test will
show if my baby is well." How should the nurse respond? - ANSWER-"Potential
defects caused by chromosomal errors can be detected."
What is the safest and most reliable birth control method for the nurse to
recommend to a client with type 1 diabetes? - ANSWER-Diaphragm with a
spermicidal gel
A 38-year-old client attends the prenatal clinic for the first time. A nurse explains
that several tests will be performed, one of which is the serum alpha-fetoprotein
test. The client asks what the test will reveal. What should the nurse include in the
reply? - ANSWER-Open neural tube defects
A couple in their late 30s, expecting their first child, plans to have an
amniocentesis. At what point in the pregnancy should the nurse tell the couple that
the test it will be scheduled? - ANSWER-After the 14th week of pregnancy
pg. 3
, Which factor in a client's history increases the risk for osteoporosis? - ANSWER-
Prolonged immobility
A woman in the family planning clinic has decided to use the diaphragm for
contraception. What should the nurse teach her about using a diaphragm? -
ANSWER-Insert the diaphragm before intercourse and leave it in at least 6 hours
after intercourse to kill all the sperm.
A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and
swelling in her right calf. What should the nurse instruct the client to do? -
ANSWER-Call an ambulance to go to the emergency department.
A new mother wishes to breastfeed her infant and asks the nurse whether she needs
to alter her diet. How should the nurse respond? - ANSWER-"You'll need greater
amounts of the same foods you've been eating and more fluids."
A strict vegetarian (vegan) becomes pregnant and asks the nurse whether there is
anything special she should do in regard to her diet during pregnancy. What is
most the important measure for the nurse to instruct the client to take? -
ANSWER-Plan to eat from specific groups of vegetable proteins each day.
A strict vegetarian (vegan) becomes pregnant and asks the nurse whether there is
anything special she should do in regard to her diet during pregnancy. What is
most the important measure for the nurse to instruct the client to take? -
ANSWER-Plan to eat from specific groups of vegetable proteins each day.
A 30-year-old woman is to undergo total abdominal hysterectomy for noninvasive
endometrial cancer. The nurse anticipates the client may have difficulty adjusting
emotionally to this type of surgery. What is the most common reason for this
difficulty? - ANSWER-Loss of femininity
pg. 4