OB MATERNITY HESI EXIT 2024 VERSION 1
2 AND 3 TEST BANK NEXTGEN FORMAT
COMPLETE STUDY GUIDE 100% CORRECT
2026
⩥ A client who had her first baby three months ago and is breastfeeding
her infant tells the nurse that she is currently using the same diaphragm
that she used before becoming pregnant. Which information should the
nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has
been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is
obtained.. Answer: Use an alternate form of contraceptive until a new
diaphragm is obtained.
⩥ A 30- year-old primigravida delivers a 9-pound infant vaginally after a
30- hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
,D. Assess the blood pressure for hypertension.. Answer: Observe for
signs of uterine hemorrhage.
⩥ At 0600 while admitting a woman for a scheduled repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.. Answer: Inform the anesthesia care
provider
⩥ The nurse is caring for a postpartum client who is exhibiting
symptoms of a spinal headache 24 hours following delivery of a normal
newborn. Prior to the anesthesiologist arrival on the unit, which action
should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.. Answer: Place procedure
equipment at bedside
⩥ The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chest
, circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia. Answer: Hypoglycemia
⩥ The nurse is caring for a 35-week gestation infant delivered by
cesarean section 2 hours ago. The nurse observes the infant's respiratory
rate is 72 breaths/minute with nasal flaring, grunting, and retractions.
The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.. Answer: Transient tachypnea of the
newborn
⩥ A primipara client at 42 weeks gestation is admitted for induction.
within one hour after initiating an oxytocin infusion, her cervix is 100%
effaced and 6 cm dilated, contractions are occurring every 1 minute with
a 75 second duration. when nurse stops the oxytocin and starts oxygen.
After 30 minutes of uterine rest, the contractions are occurring every 5
minutes with 20 second duration. Which intervention should the nurse
implement?
A. Notify nursery about the client's response.
2 AND 3 TEST BANK NEXTGEN FORMAT
COMPLETE STUDY GUIDE 100% CORRECT
2026
⩥ A client who had her first baby three months ago and is breastfeeding
her infant tells the nurse that she is currently using the same diaphragm
that she used before becoming pregnant. Which information should the
nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has
been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the
diaphragm is safe to use.
D.Use an alternate form of contraceptive until a new diaphragm is
obtained.. Answer: Use an alternate form of contraceptive until a new
diaphragm is obtained.
⩥ A 30- year-old primigravida delivers a 9-pound infant vaginally after a
30- hour labor. What is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
,D. Assess the blood pressure for hypertension.. Answer: Observe for
signs of uterine hemorrhage.
⩥ At 0600 while admitting a woman for a scheduled repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician.. Answer: Inform the anesthesia care
provider
⩥ The nurse is caring for a postpartum client who is exhibiting
symptoms of a spinal headache 24 hours following delivery of a normal
newborn. Prior to the anesthesiologist arrival on the unit, which action
should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter.. Answer: Place procedure
equipment at bedside
⩥ The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a chest
, circumference of 10 inches. Based on these physical findings,
assessment for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia. Answer: Hypoglycemia
⩥ The nurse is caring for a 35-week gestation infant delivered by
cesarean section 2 hours ago. The nurse observes the infant's respiratory
rate is 72 breaths/minute with nasal flaring, grunting, and retractions.
The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia.. Answer: Transient tachypnea of the
newborn
⩥ A primipara client at 42 weeks gestation is admitted for induction.
within one hour after initiating an oxytocin infusion, her cervix is 100%
effaced and 6 cm dilated, contractions are occurring every 1 minute with
a 75 second duration. when nurse stops the oxytocin and starts oxygen.
After 30 minutes of uterine rest, the contractions are occurring every 5
minutes with 20 second duration. Which intervention should the nurse
implement?
A. Notify nursery about the client's response.
