pg. 1 Evolve Maternity Exam 2025 Latest Test Bank With 390 Exam Prep Questions And Correct Verified Answers With Rationales/ Obstetric Evolve Hesi Exam/ Evolve OB Exam 2025 Qs And Answers (Brand New!)
Morning sickness generally disappears by the end of which month?
Fifth month Third month Fourth month
Second month - ANSWER-Ans: Third month
Because of a decrease in chorionic gonadotropin, morning sickness seldom persists beyond the first trimester. Morning sickness usually ends at the end of the third month, not the second month, when the chorionic gonadotropin level falls. It is still present in the second month because of the high level of chorionic gonadotropin but has usually diminished by the fifth month.
The first day of a client's last menstrual period was July 22. Which is the estimated date of birth (EDB)?
May 7 April 29 April 22
March 6 - ANSWER-Ans: April 29
Her EDB is April 29. Naegeles rule is an indirect, noninvasive method for estimating the date of birth: EDB = last menstrual period + 1 year - 3 months + 7 days. May 7 is beyond the EDB. April 22 and March 6 are both before the EDB. 1 / 4
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When assessing a client who gave birth 1 day ago, the nurse finds the fundus is firm at 1 fingerbreadth below the umbilicus and the perineal pad is saturated with lochia rubra. Which is the nurse's next action?
Recording these expected findings Obtaining a prescription for an oxytocic medication Asking the client when she last changed the perineal pad
Notifying the primary health care provider of excessive bleeding - ANSWER-Ans:
Asking the client when she last changed the perineal pad
The amount of lochia would be excessive if the pad were saturated in 15 minutes; saturating the pad in 2 hours is considered heavy bleeding. If the pad has not been changed for a longer period, this could account for the large quantity of lochia, so asking the client when she last changed the perineal pad is appropriate. These findings cannot be supported or recorded without additional information.Excessive bleeding cannot be established without more information from the client. Oxytocics are administered for uterine atony; the need for this is not supported by the assessment of a firm fundus.
Between contractions that are 2 to 3 minutes apart and last about 45 seconds the internal fetal monitor shows a fetal heart rate (FHR) of 100 beats/min. Which is the priority nursing action?
Notify the health care provider.Resume continuous fetal heart monitoring.Continue to monitor the maternal vital signs. Document the fetal heart rate as an
expected response to contractions. - ANSWER-Ans: Notify the health care
provider.
The expected FHR is 110 to 160 beats/min between contractions. An FHR of 100 2 / 4
pg. 3 beats/min is bradycardia (baseline FHR slower than 110 beats/min) and indicates that the fetus may be compromised, requiring notifying the health care provider and medical intervention. Resuming continuous fetal heart monitoring may be dangerous. The fetus may be compromised, and time should not be spent on monitoring. Continuing to monitor the maternal vital signs is not the priority at this time.Although a fetal heart rate slower than 110 beats/minute should be documented, it is not an expected response.
Which information about adolescent growth and development would the nurse need to understand before discussing changes in body size to a 16-year-old adolescent at 24 weeks' gestation?
Adolescents generally regain their figures 2 weeks after the birth, so size is of moderate concern.Adolescents are in a high-risk category, so weight gain should be limited to prevent complications.Body image is very important to adolescents; therefore, pregnant teenagers are overly concerned about body size.Physiological growth in adolescents is more rapid than in adults, so the gravid size
is larger than that of an adult woman. - ANSWER-Ans: Body image is very
important to adolescents; therefore, pregnant teenagers are overly concerned about body size.
Because of the changes in body size, the pregnant adolescent may feel insecure as she struggles to establish her identity. There are no data to support the statement that adolescents generally regain their figures 2 weeks after the birth. The optimal weight gain for an adolescent is at the upper range for her body mass index; this will help prevent complications, so limiting weight gain does not prevent complications. Although physiological growth is rapid, the adolescent's gravid size falls within the expected parameters for pregnant women and is not larger than that of adult women.
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pg. 4 For which reason would the nurse encourage a client to void during the first stage of labor?
A full bladder is often injured during labor.A full bladder may inhibit the progress of labor.A full bladder jeopardizes the status of the fetus.A full bladder predisposes the client to urinary infection. - ANSWER-Ans: A full bladder may inhibit the progress of labor.
A full bladder inhibits the progress of labor by encroaching on the uterine space and impeding the descent of the fetal head. The bladder may become atonic, but is not physically damaged during the course of labor. A full bladder may lead to prolonged labor but generally does not jeopardize fetal status as long as adequate placental perfusion continues. A full bladder during labor does not predispose the client to
Which instruction would the nurse give to a client in labor who begins to experience dizziness and tingling of her hands?
Breathe into her cupped hands.Pant during the next 3 contractions.Hold her breath with the next contraction. Use a fast, deep, or shallow breathing
pattern. - ANSWER-Ans: Breathe into her cupped hands.
Dizziness and tingling of the hands are signs of respiratory alkalosis, most likely the result of hyperventilating. Breathing into cupped hands or a paper bag promotes the rebreathing of carbon dioxide. Panting during the next 3 contractions could cause the client to hyperventilate more. Holding her breath with the next contraction will not improve the client's respiratory alkalosis. Using a fast, deep, or shallow breathing pattern could cause the client to hyperventilate more.
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