OB Final Evolve Review Questions
with Accurate Answers
A 20-week-pregnant patient attending her first prenatal visit tells the nurse at the
maternity clinic that she has had vaginal bleeding and excessive nausea and
vomiting for the past 3 days. The nurse assesses her blood pressure at 142/95 mm
Hg, pulse 86 bpm, respirations 16 breaths per minute. When the nurse helps the
patient onto the examining table, the abdomen looks larger than normal for a 20-
week pregnancy. The nurse is aware that these are signs of
A) ectopic pregnancy.
B) hydatidiform mole.
C) hyperemesis gravidarum.
D) preeclampsia. correct answer B) hydatidiform mole.
A 32-week-pregnant woman calls the prenatal clinic complaining of bleeding
without pain or contractions. The nurse should
A) tell her to rest for a couple of hours and call back if it does not stop.
B) tell her to go to the hospital to be evaluated.
C) make her an appointment for the next morning.
D) have her assess fetal movement for 30 minutes. correct answer B) tell her to
go to the hospital to be evaluated.
A 36-year-old primigravida is in the clinic for her first prenatal appointment. The
nurse can anticipate that the multiple-marker screening may be done on this
patient to screen for
A) gestational diabetes.
B) hypertensive disease of pregnancy.
,C) trisomy disorders
D) Placenta previa correct answer C) trisomy disorders
A 39-week primigravida calls the birthing center and tells the nurse she has
contractions that are 10 to 15 minutes apart and had a small gush of fluid about 1
hour ago. The nurse should tell her to
A) wait until the contractions are about 5 minutes apart and come to the center.
B) come to the birthing center now.
C) come to the birthing center in about an hour if she lives farther than 1 hour
away.
D) come to the birthing center if the baby stops moving. correct answer B) come
to the birthing center now.
A 39-week-gestation gravida 1 is 6 cm dilated. Membranes are intact. The labor
contractions have decreased in intensity, and she has not dilated in the past 2
hours. A diagnosis of hypotonic dysfunctional labor has been made. The nurse can
anticipate which of the following actions?
A) Immediate cesarean section
B) Amniotomy
C) Narcotic administration
D) Having her walk around correct answer B) Amniotomy
A 5-month-pregnant woman has been diagnosed with iron-deficiency anemia.
The nurse evaluates the patient teaching on diet to be effective when the woman
selects which of the following meals to increase her iron intake?
,A) Chicken with wild rice, steamed broccoli, sliced tomatoes, a green salad, and
orange juice
B) Pinto beans with cornbread and milk
C) Broiled flounder, baked sweet potatoes, green beans, and iced tea
D) Refried beans with corn tortillas, Spanish rice, green salad, and coffee correct
answer A) Chicken with wild rice, steamed broccoli, sliced tomatoes, a green
salad, and orange juice
A breastfeeding woman develops mastitis. She tells the nurse that she will just
feed her baby formula instead of breastfeeding. The best nursing response is that
A) emptying the breast is important to prevent an abscess.
B) a tight breast binder or bra will help reduce engorgement.
C) she should continue to drink extra fluids while weaning.
D) breastfeeding can continue when her temperature is normal correct answer A)
emptying the breast is important to prevent an abscess.
A fetus is in the posterior position. The woman is complaining of back labor and
the labor is prolonged. The nurse can best assist the mother with this problem by
A) placing her in a hands and knees position.
B) placing her in a prone position.
C) massaging her back.
D) encouraging her to use the whirlpool bath. correct answer A) placing her in a
hands and knees position.
A full-term newborn is placed in phototherapy to decrease serum bilirubin levels.
A nursing diagnosis appropriate for this infant during phototherapy would be
A) risk for injury.
, B) risk for infection.
C) risk for deficient fluid volume
D) ineffective breastfeeding. correct answer C) risk for deficient fluid volume
A gravida 1 woman who is 39 weeks of gestation and has had no prenatal care is
admitted into the labor unit in early labor. During the assessment, the nurse finds
the fetal heart tones in the right upper quadrant. The nurse should anticipate
A) a precipitous labor.
B) a prolonged first stage of labor.
C) a cesarean birth.
D) rupture of membranes. correct answer C) a cesarean birth.
A laboring woman just had an amniotomy performed to augment labor. The nurse
is aware that the assessment times for which vital signs will be altered?
A) Maternal blood pressure
B) Maternal pulse
C) Maternal temperature
D) Maternal respiration correct answer C) Maternal temperature
A large-for-gestational age infant is born outside of the hospital. The infant is
brought to the emergency department 5 hours after birth with tremors,
diaphoresis, and respirations of 75 breaths per minute. The nurse's next action
should be to assess the
A) temperature.
B) cardiac status.
C) bilirubin level.
with Accurate Answers
A 20-week-pregnant patient attending her first prenatal visit tells the nurse at the
maternity clinic that she has had vaginal bleeding and excessive nausea and
vomiting for the past 3 days. The nurse assesses her blood pressure at 142/95 mm
Hg, pulse 86 bpm, respirations 16 breaths per minute. When the nurse helps the
patient onto the examining table, the abdomen looks larger than normal for a 20-
week pregnancy. The nurse is aware that these are signs of
A) ectopic pregnancy.
B) hydatidiform mole.
C) hyperemesis gravidarum.
D) preeclampsia. correct answer B) hydatidiform mole.
A 32-week-pregnant woman calls the prenatal clinic complaining of bleeding
without pain or contractions. The nurse should
A) tell her to rest for a couple of hours and call back if it does not stop.
B) tell her to go to the hospital to be evaluated.
C) make her an appointment for the next morning.
D) have her assess fetal movement for 30 minutes. correct answer B) tell her to
go to the hospital to be evaluated.
A 36-year-old primigravida is in the clinic for her first prenatal appointment. The
nurse can anticipate that the multiple-marker screening may be done on this
patient to screen for
A) gestational diabetes.
B) hypertensive disease of pregnancy.
,C) trisomy disorders
D) Placenta previa correct answer C) trisomy disorders
A 39-week primigravida calls the birthing center and tells the nurse she has
contractions that are 10 to 15 minutes apart and had a small gush of fluid about 1
hour ago. The nurse should tell her to
A) wait until the contractions are about 5 minutes apart and come to the center.
B) come to the birthing center now.
C) come to the birthing center in about an hour if she lives farther than 1 hour
away.
D) come to the birthing center if the baby stops moving. correct answer B) come
to the birthing center now.
A 39-week-gestation gravida 1 is 6 cm dilated. Membranes are intact. The labor
contractions have decreased in intensity, and she has not dilated in the past 2
hours. A diagnosis of hypotonic dysfunctional labor has been made. The nurse can
anticipate which of the following actions?
A) Immediate cesarean section
B) Amniotomy
C) Narcotic administration
D) Having her walk around correct answer B) Amniotomy
A 5-month-pregnant woman has been diagnosed with iron-deficiency anemia.
The nurse evaluates the patient teaching on diet to be effective when the woman
selects which of the following meals to increase her iron intake?
,A) Chicken with wild rice, steamed broccoli, sliced tomatoes, a green salad, and
orange juice
B) Pinto beans with cornbread and milk
C) Broiled flounder, baked sweet potatoes, green beans, and iced tea
D) Refried beans with corn tortillas, Spanish rice, green salad, and coffee correct
answer A) Chicken with wild rice, steamed broccoli, sliced tomatoes, a green
salad, and orange juice
A breastfeeding woman develops mastitis. She tells the nurse that she will just
feed her baby formula instead of breastfeeding. The best nursing response is that
A) emptying the breast is important to prevent an abscess.
B) a tight breast binder or bra will help reduce engorgement.
C) she should continue to drink extra fluids while weaning.
D) breastfeeding can continue when her temperature is normal correct answer A)
emptying the breast is important to prevent an abscess.
A fetus is in the posterior position. The woman is complaining of back labor and
the labor is prolonged. The nurse can best assist the mother with this problem by
A) placing her in a hands and knees position.
B) placing her in a prone position.
C) massaging her back.
D) encouraging her to use the whirlpool bath. correct answer A) placing her in a
hands and knees position.
A full-term newborn is placed in phototherapy to decrease serum bilirubin levels.
A nursing diagnosis appropriate for this infant during phototherapy would be
A) risk for injury.
, B) risk for infection.
C) risk for deficient fluid volume
D) ineffective breastfeeding. correct answer C) risk for deficient fluid volume
A gravida 1 woman who is 39 weeks of gestation and has had no prenatal care is
admitted into the labor unit in early labor. During the assessment, the nurse finds
the fetal heart tones in the right upper quadrant. The nurse should anticipate
A) a precipitous labor.
B) a prolonged first stage of labor.
C) a cesarean birth.
D) rupture of membranes. correct answer C) a cesarean birth.
A laboring woman just had an amniotomy performed to augment labor. The nurse
is aware that the assessment times for which vital signs will be altered?
A) Maternal blood pressure
B) Maternal pulse
C) Maternal temperature
D) Maternal respiration correct answer C) Maternal temperature
A large-for-gestational age infant is born outside of the hospital. The infant is
brought to the emergency department 5 hours after birth with tremors,
diaphoresis, and respirations of 75 breaths per minute. The nurse's next action
should be to assess the
A) temperature.
B) cardiac status.
C) bilirubin level.
