1|Page
Evolve Maternity/ Obstetrics Exam) With
150+ Practice Questions and Correct Verified
Answers WITH RATIONALES / Obstetric
Evolve Hesi Exam/ Evolve OB Exam 2025 Qs
And Answers (Brand New!) GRADED A+
A pregnant woman with a history of heart disease visits the prenatal clinic at the end of her second
trimester. What does the nurse anticipate about the care she will need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses –
Correct Answer-3 antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative client. The nurse explains that an
indirect Coombs test will be performed to predict whether the fetus is at risk for:
1
Acute hemolytic anemia
2
Respiratory distress syndrome
3
Protein metabolism deficiency
,2|Page
4
Physiologic hyperbilirubinemia - Correct Answer-a
A nurse suspects that a preterm neonate, who is being fed by means of gavage, may have necrotizing
enterocolitis (NEC). What clinical manifestation of NEC did the nurse identify?
1
Increased number of explosive stools
2
Circumoral pallor that develops during feeding
3
Several episodes of projectile vomiting of formula
4
Large amounts of residual formula withdrawn before a feedin –
Correct Answer-4Primary manifestations of NEC include feeding intolerance, an increased gastric residual
volume of undigested formula, and bile-stained emesis. An increased number of explosive stools occurs
with diarrhea; stools of infants with NEC are generally reduced in number and contain glucose and blood.
Circumoral pallor that develops during a feeding may occur with a cardiac anomaly, not NEC. Pyloric
stenosis, not NEC, may involve several episodes of projectile vomiting of formula.
A nurse is reviewing the laboratory report of a newborn whose hematocrit level is 45%. What value
denotes a healthy infant?
1
Less than 40%
2
More than 75%
3
Between 45% and 65%
4
Between 65% and 75% - Correct Answer-3
What should the care of a newborn infant whose mother has had untreated syphilis since the second
trimester of pregnancy include?
,3|Page
1
Examining for a cleft palate
2
Testing for congenital syphilis
3
Assessing the infant for muscle hypotonicity
4
Inspecting the soles for maculopapular lesion - Correct Answer-2Because physical signs of congenital
syphilis are difficult to detect at birth, the infant should be screened immediately to determine whether
treatment is necessary. Cleft palate is a congenital defect that occurs in the first trimester; Treponema
pallidum does not affect a fetus before the 16th week of gestation. Muscle hypotonicity is found in
children with Down syndrome, not those with congenital syphilis. Maculopapular lesions of the soles do
not manifest in the infant with congenital syphilis until about 3 months of age.
A primigravida who is at 40 weeks' gestation arrives at the birthing center with abdominal cramping and a
bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm of
dilation and the presenting part at −1 station. After obtaining the fetal heart rate and maternal vital signs,
what should the nurse do next?
1
Teach the client how to push with each contraction.
2
Encourage the client to perform patterned, paced breathing.
3
Provide the client with comfort measures used for women in labor.
4
Prepare to have the client's blood typed and crossmatched in the event of the need for a transfusion. -
Correct Answer-3The client is experiencing the expected discomforts of labor; the nurse should initiate
measures that will promote relaxation. The client is in early first-stage labor; pushing commences during
the second stage. Patterned, paced breathing should be used in the transition phase, not the early phase
of the first stage of labor. There is no evidence that the client's bleeding is excessive.
A newborn is being treated with phototherapy for hyperbilirubinemia. What is the nurse's role when
providing phototherapy?
, 4|Page
1
Turning the infant every 2 hours
2
Measuring the bilirubin level every 2 hours
3
Maintaining the infant on daily 24-hour phototherapy
4
Applying a sterile gauze pad to the infant's umbilical stump - Correct Answer-1The infant's position is
changed every 2 hours to expose all skin surfaces to the phototherapy for maximum effect. The infant may
be removed from the lights for feeding and the eye patches removed to assess the eyes for irritation. The
lights will dry the cord more quickly, which is a desirable effect. Measuring the bilirubin level every 2 hours
is not necessary.
The first outward change of puberty in females is:
A. breast development.
B. broadening of the hips.
C. appearance of pubic hair.
D. the first menstrual period. - Correct Answer-A. breast development
Ovulation generally occurs:
A. 7 days before the end of menstruation.
B. 7 days after the last day of menstruation.
C. 14 days after the last day of the menstrual cycle.
D. 14 days before the onset of the next menstrual cycle. - Correct Answer-D. 14 days before the onset of
the next menstrual cycle.
A mother reports that her 10-year-old daughter's breasts recently began to develop and asks when her
daughter might begin to menstruate. The nurse instructs her that:
A. "It will be several years before her menstrual cycle begins."
Evolve Maternity/ Obstetrics Exam) With
150+ Practice Questions and Correct Verified
Answers WITH RATIONALES / Obstetric
Evolve Hesi Exam/ Evolve OB Exam 2025 Qs
And Answers (Brand New!) GRADED A+
A pregnant woman with a history of heart disease visits the prenatal clinic at the end of her second
trimester. What does the nurse anticipate about the care she will need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses –
Correct Answer-3 antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative client. The nurse explains that an
indirect Coombs test will be performed to predict whether the fetus is at risk for:
1
Acute hemolytic anemia
2
Respiratory distress syndrome
3
Protein metabolism deficiency
,2|Page
4
Physiologic hyperbilirubinemia - Correct Answer-a
A nurse suspects that a preterm neonate, who is being fed by means of gavage, may have necrotizing
enterocolitis (NEC). What clinical manifestation of NEC did the nurse identify?
1
Increased number of explosive stools
2
Circumoral pallor that develops during feeding
3
Several episodes of projectile vomiting of formula
4
Large amounts of residual formula withdrawn before a feedin –
Correct Answer-4Primary manifestations of NEC include feeding intolerance, an increased gastric residual
volume of undigested formula, and bile-stained emesis. An increased number of explosive stools occurs
with diarrhea; stools of infants with NEC are generally reduced in number and contain glucose and blood.
Circumoral pallor that develops during a feeding may occur with a cardiac anomaly, not NEC. Pyloric
stenosis, not NEC, may involve several episodes of projectile vomiting of formula.
A nurse is reviewing the laboratory report of a newborn whose hematocrit level is 45%. What value
denotes a healthy infant?
1
Less than 40%
2
More than 75%
3
Between 45% and 65%
4
Between 65% and 75% - Correct Answer-3
What should the care of a newborn infant whose mother has had untreated syphilis since the second
trimester of pregnancy include?
,3|Page
1
Examining for a cleft palate
2
Testing for congenital syphilis
3
Assessing the infant for muscle hypotonicity
4
Inspecting the soles for maculopapular lesion - Correct Answer-2Because physical signs of congenital
syphilis are difficult to detect at birth, the infant should be screened immediately to determine whether
treatment is necessary. Cleft palate is a congenital defect that occurs in the first trimester; Treponema
pallidum does not affect a fetus before the 16th week of gestation. Muscle hypotonicity is found in
children with Down syndrome, not those with congenital syphilis. Maculopapular lesions of the soles do
not manifest in the infant with congenital syphilis until about 3 months of age.
A primigravida who is at 40 weeks' gestation arrives at the birthing center with abdominal cramping and a
bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm of
dilation and the presenting part at −1 station. After obtaining the fetal heart rate and maternal vital signs,
what should the nurse do next?
1
Teach the client how to push with each contraction.
2
Encourage the client to perform patterned, paced breathing.
3
Provide the client with comfort measures used for women in labor.
4
Prepare to have the client's blood typed and crossmatched in the event of the need for a transfusion. -
Correct Answer-3The client is experiencing the expected discomforts of labor; the nurse should initiate
measures that will promote relaxation. The client is in early first-stage labor; pushing commences during
the second stage. Patterned, paced breathing should be used in the transition phase, not the early phase
of the first stage of labor. There is no evidence that the client's bleeding is excessive.
A newborn is being treated with phototherapy for hyperbilirubinemia. What is the nurse's role when
providing phototherapy?
, 4|Page
1
Turning the infant every 2 hours
2
Measuring the bilirubin level every 2 hours
3
Maintaining the infant on daily 24-hour phototherapy
4
Applying a sterile gauze pad to the infant's umbilical stump - Correct Answer-1The infant's position is
changed every 2 hours to expose all skin surfaces to the phototherapy for maximum effect. The infant may
be removed from the lights for feeding and the eye patches removed to assess the eyes for irritation. The
lights will dry the cord more quickly, which is a desirable effect. Measuring the bilirubin level every 2 hours
is not necessary.
The first outward change of puberty in females is:
A. breast development.
B. broadening of the hips.
C. appearance of pubic hair.
D. the first menstrual period. - Correct Answer-A. breast development
Ovulation generally occurs:
A. 7 days before the end of menstruation.
B. 7 days after the last day of menstruation.
C. 14 days after the last day of the menstrual cycle.
D. 14 days before the onset of the next menstrual cycle. - Correct Answer-D. 14 days before the onset of
the next menstrual cycle.
A mother reports that her 10-year-old daughter's breasts recently began to develop and asks when her
daughter might begin to menstruate. The nurse instructs her that:
A. "It will be several years before her menstrual cycle begins."
