Evolve OB Exam Version B Exam 2026
Questions and Answers
Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized edema on the right side of his head. The nurse knows that in the
newborn, an accumulation of blood between the periosteum and skull which does
not cross the suture line is a newborn variation known as. - Correct answer-A
cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
The nurse attempts to help an unmarried teenager deal with her feelings following
a spontaneous abortion at 8-weeks gestation. What type of emotional response
should the nurse anticipate? - Correct answer-Grief related to her perceptions about
the loss of this child.
What action should the nurse implement when preparing to measure the fundal
height of a pregnant client? - Correct answer-Have the client empty her bladder.
The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform? - Correct
answer-Observe for an asymmetrical Moro reflex.
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,One hour after giving birth to an 8- pound infant a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The client's
pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM x 1. What action should the nurse take
immediately? - Correct answer-Call the healthcare provider to question the
prescription.
Methergine is contraindicated for clients with elevate blood pressure, so the nurse
should contact the healthcare provider and question the prescription.
The nurse is preparing to give an enema to a laboring client. Which client requires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical
dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted
for induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting
part is not engaged. - Correct answer-D.
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, When the presenting part is ballottable, it is floating out of the pelvis. In such
situation, the cord can descend before the fetus causing a prolapsed cord, which is
a emergency situation.
In evaluating the respiratory effort of a one-hour-old infant using the Silverman-
anderson Index, the nurse determines the infant has synchronized chest and
abdominal movement, just visible lower chest retractions, just visible xiphoid
retractions, minimal and transient nasal flaring, and an expiratory grunt heard only
on auscultation. What Silverman-Anderson score should the nurse assign to this
infant? - Correct answer-4
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client? - Correct answer-Do you have a history
of rheumatic fever?
Clients with a history of rheumatic fever may develop mitral valve prolapse, which
increases the risk for cardiac decompensation due to the increased blood volume
that occurs during pregnancy, so obtaining information about this client's health
history is a priority.
The nurse is assessing a client who is having a NEST at 41-weeks gestation. The
nurse determines that the client is not having contractions, the FHR baseline is 144
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Questions and Answers
Twenty-four hours after admission to the newborn nursery, a full-term male infant
develops localized edema on the right side of his head. The nurse knows that in the
newborn, an accumulation of blood between the periosteum and skull which does
not cross the suture line is a newborn variation known as. - Correct answer-A
cephalohematoma, caused by forceps trauma and may last up to 8 weeks.
The nurse attempts to help an unmarried teenager deal with her feelings following
a spontaneous abortion at 8-weeks gestation. What type of emotional response
should the nurse anticipate? - Correct answer-Grief related to her perceptions about
the loss of this child.
What action should the nurse implement when preparing to measure the fundal
height of a pregnant client? - Correct answer-Have the client empty her bladder.
The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform? - Correct
answer-Observe for an asymmetrical Moro reflex.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,One hour after giving birth to an 8- pound infant a client's lochia rubra has
increased from small to large and her fundus is boggy despite massage. The client's
pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider
prescribes Methergine 0.2 mg IM x 1. What action should the nurse take
immediately? - Correct answer-Call the healthcare provider to question the
prescription.
Methergine is contraindicated for clients with elevate blood pressure, so the nurse
should contact the healthcare provider and question the prescription.
The nurse is preparing to give an enema to a laboring client. Which client requires
the most caution when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical
dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted
for induction of labor due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting
part is not engaged. - Correct answer-D.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, When the presenting part is ballottable, it is floating out of the pelvis. In such
situation, the cord can descend before the fetus causing a prolapsed cord, which is
a emergency situation.
In evaluating the respiratory effort of a one-hour-old infant using the Silverman-
anderson Index, the nurse determines the infant has synchronized chest and
abdominal movement, just visible lower chest retractions, just visible xiphoid
retractions, minimal and transient nasal flaring, and an expiratory grunt heard only
on auscultation. What Silverman-Anderson score should the nurse assign to this
infant? - Correct answer-4
A client at 32-weeks gestation comes to the prenatal clinic with complaints of
pedal edema, dyspnea, fatigue, and a moist cough. Which question is most
important for the nurse to ask this client? - Correct answer-Do you have a history
of rheumatic fever?
Clients with a history of rheumatic fever may develop mitral valve prolapse, which
increases the risk for cardiac decompensation due to the increased blood volume
that occurs during pregnancy, so obtaining information about this client's health
history is a priority.
The nurse is assessing a client who is having a NEST at 41-weeks gestation. The
nurse determines that the client is not having contractions, the FHR baseline is 144
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
