EVOLVE MATERNITY WOMEN’S
HEALTH/DISORDERS EXAM 2025 LATEST TEST
BANK WITH 500 EXAM PREP QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES/
OBSTETRIC EVOLVE HESI EXAM/ EVOLVE OB EXAM
2025 QS AND ANSWERS (BRAND NEW!)
A client who is pregnant for the first time asks the nurse about the changes in her
body. While describing the changes in each body system, the nurse mentions that
the system that undergoes the most profound change of all during pregnancy is the:
1
Urinary system
2
Endocrine system
3
Cardiovascular system
4
Gastrointestinal system - ANSWER-3
Total blood volume increases by 50%, making it necessary for the heart to pump
harder and work more to accommodate this increase. Although the renal threshold
is lowered, the major changes occur in the cardiovascular system. Changes in
hormone levels occur, but they are not as profound as changes in the
cardiovascular system. Pressure from the growing uterus can result in digestive
discomfort and altered patterns of elimination, but these changes are not as
significant as those in the cardiovascular system.
While conducting prenatal teaching, a nurse should explain to clients that there is
an increase in vaginal secretions during pregnancy called leukorrhea. What causes
this increase?
,1
Decreased metabolic rate
2
Increased production of estrogen
3
Secretion from the Bartholin glands
4
Supply of sodium chloride to the vaginal cells - ANSWER-2
Increased estrogen production during pregnancy causes hyperplasia of the vaginal
mucosa, which leads to increased production of mucus by the endocervical glands.
The mucus contains exfoliated epithelial cells. Increased metabolism leads to
systemic changes but does not increase vaginal discharge. The amount of secretion
from the Bartholin glands, which lubricates the vagina during intercourse, remains
unchanged during pregnancy. There is no additional supply of sodium chloride to
the vaginal cells during pregnancy.
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 - ANSWER-3
antibiotics for bact endocarditis
,A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain.
Her history reveals amenorrhea for the last 2 months and pregnancy confirmation
after her first missed period. What type of abortion is suspected?
1
Missed
2
Inevitable
3
Threatened
4
Incomplete - ANSWER-3
Spotting in the first trimester may indicate that the client is having a threatened
abortion; any client with the possibility of hemorrhage should not be left alone, so
her admission to the hospital helps ensure her safety. A missed abortion may not
cause any outward signs or symptoms, except that the signs of pregnancy
disappear. An inevitable abortion can be confirmed only if vaginal examination
reveals cervical dilation. With an incomplete abortion some, but not all, of the
products of conception have been expelled.
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
, 4
Physiologic hyperbilirubinemia - ANSWER-a
A client is to undergo a tuberculin test as part of her prenatal workup. Before
administering the test, what information about the client should the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis - ANSWER-3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is
experiencing severe nausea and frequent vomiting. The nurse suspects that the
client has hyperemesis gravidarum. What factor is frequently associated with this
disorder?
1
History of cholecystitis
2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid - ANSWER-3
HEALTH/DISORDERS EXAM 2025 LATEST TEST
BANK WITH 500 EXAM PREP QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES/
OBSTETRIC EVOLVE HESI EXAM/ EVOLVE OB EXAM
2025 QS AND ANSWERS (BRAND NEW!)
A client who is pregnant for the first time asks the nurse about the changes in her
body. While describing the changes in each body system, the nurse mentions that
the system that undergoes the most profound change of all during pregnancy is the:
1
Urinary system
2
Endocrine system
3
Cardiovascular system
4
Gastrointestinal system - ANSWER-3
Total blood volume increases by 50%, making it necessary for the heart to pump
harder and work more to accommodate this increase. Although the renal threshold
is lowered, the major changes occur in the cardiovascular system. Changes in
hormone levels occur, but they are not as profound as changes in the
cardiovascular system. Pressure from the growing uterus can result in digestive
discomfort and altered patterns of elimination, but these changes are not as
significant as those in the cardiovascular system.
While conducting prenatal teaching, a nurse should explain to clients that there is
an increase in vaginal secretions during pregnancy called leukorrhea. What causes
this increase?
,1
Decreased metabolic rate
2
Increased production of estrogen
3
Secretion from the Bartholin glands
4
Supply of sodium chloride to the vaginal cells - ANSWER-2
Increased estrogen production during pregnancy causes hyperplasia of the vaginal
mucosa, which leads to increased production of mucus by the endocervical glands.
The mucus contains exfoliated epithelial cells. Increased metabolism leads to
systemic changes but does not increase vaginal discharge. The amount of secretion
from the Bartholin glands, which lubricates the vagina during intercourse, remains
unchanged during pregnancy. There is no additional supply of sodium chloride to
the vaginal cells during pregnancy.
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 - ANSWER-3
antibiotics for bact endocarditis
,A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain.
Her history reveals amenorrhea for the last 2 months and pregnancy confirmation
after her first missed period. What type of abortion is suspected?
1
Missed
2
Inevitable
3
Threatened
4
Incomplete - ANSWER-3
Spotting in the first trimester may indicate that the client is having a threatened
abortion; any client with the possibility of hemorrhage should not be left alone, so
her admission to the hospital helps ensure her safety. A missed abortion may not
cause any outward signs or symptoms, except that the signs of pregnancy
disappear. An inevitable abortion can be confirmed only if vaginal examination
reveals cervical dilation. With an incomplete abortion some, but not all, of the
products of conception have been expelled.
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
, 4
Physiologic hyperbilirubinemia - ANSWER-a
A client is to undergo a tuberculin test as part of her prenatal workup. Before
administering the test, what information about the client should the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis - ANSWER-3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is
experiencing severe nausea and frequent vomiting. The nurse suspects that the
client has hyperemesis gravidarum. What factor is frequently associated with this
disorder?
1
History of cholecystitis
2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid - ANSWER-3
