2025 HESI OB MATERNITY ONLINE PRACTICE
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Twenty minutes after a continuous epidural anesthetic is C. Place the woman in a lateral position
administered, a laboring client's blood pressure drops
from 120/80 to 90/60. What action will the nurse take? These symptoms are suggestive of hypotension which is a side effect of epidural
A. Notify the healthcare provider or anesthesiologist anesthesia. Raising the foot of the bed will increase venous return and provide
immediately blood to the vital areas. Increasing the IV fluid rate using a balanced non-
B. Continue to assess the blood pressure q5 minutes dextrose solution and ensuring that the client is in a lateral position are also
C. Place the woman in a lateral position appropriate interventions, and then checking the patients blood pressure.
D. Turn off the continuous epidural
A newborn infant is brought to the nursery from the C. Check the infant's oxygen saturation rate
birthing suite. The nurse notices that the infant is
breathing satisfactorily but appears dusky. What action When possible, the nurse should first obtain measurable objective data; an
should the nurse take first? oxygen saturation rate provides such information.
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side
,The nurse is teaching breastfeeding to prospective C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
parents in a childbirth education class. Which instruction
should the nurse include as content in the class? Breastfeeding infants should be kept in the room with the mother and fed every 2
A. Begin as soon as your baby is born to establish a four- to 3 hours or on demand--whichever comes first.
hour feeding schedule
B. Resting helps with milk production. Ask that your baby
be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
D. Do not allow your baby to nurse any longer than the
prescribed number of minutes
A client is admitted with the diagnosis of total placenta C. Onset of uterine contractions
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately? Total (complete) placenta previa involves the placenta covering the entire cervical
A. Heart rate of 100 beats/minute os (opening). The onset of uterine contractions places the client at risk for dilation
B. Variable fetal heart rate and placental separation, which causes painless hemorrhaging.
C. Onset of uterine contractions
D. Burning on urination
A 42-week gestational client is receiving an intravenous A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which When oxytocin causes uterine hyperstimulation as evidence by inadequate
pattern of contractions? resting time between contractions, the oxytocin infusion should be discontinued
A. Transition labor with contractions every 2 minutes, because placental perfusion is impeded
lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting
40 seconds each
C. Active labor with contractions every 31 minutes, lasting
60 seconds each
D. Active labor with contractions every 3 to 3 minutes,
lasting 70 to 80 seconds each
, Twenty-four hours after admission to the newborn A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
nursery, a full-term male infant develops localized edema
on the right side of his head. The nurse knows that, in the Cephalhematoma, a slight abnormal variation of the newborn, usually arises within
newborn, an accumulation of blood between the the first 24 hours after delivery. Trauma from delivery causes capillary bleeding
periosteum and skull which does not cross the suture line between the periosteum and the skull.
is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and
may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent further complications
C. molding, caused by pressure during labor and will
disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong
damage
The nurse is assessing a 3-day old infant with a A. Yellowish tinge to the skin
cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the
healthcare provider? Cephalohematomas are characterized by bleeding between the bone and its
A. Yellowish tinge to the skin covering, the periosteum. Due to the breakdown of the red blood cells within a
B. Babinski reflex present bilaterally hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to the
C. Pink papular rash on the face skin should be reported.
D. Moro reflex noted after a loud noise
After each feeding, a 3-day-old newborn is spitting up D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
large amounts of Enfamil Newborn Formula, a nonfat
cow's milk formula. The pediatric healthcare provider The nurse should explain that the newborn's feeding intolerance may be related
changes the neonate's formula to Simialc Soy Isomil to the lactose found in cow's milk formula and is being replaced with the soy-
formula, a soy protein isolate based infant formula. What based formula that contains sucrose, which is well-tolerated in infants with milk
information should the nurse provide to the mother about allergies and lactose intolerance.
the newly prescribed formula?
A. The new formula is a coconut milk formula used with
babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is
needed with diarrhea
C. The new formula is a casein protein source that is low
in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that
contains sucrose
A full term infant is transferred to the nursery from labor B. Infant's condition at birth and treatment received
and delivery. Which information is most important for the
nurse to receive when planning immediate care for the
newborn? Immediate care is most dependent on the infant's current status (i.e., Apgar scores
A. Length of labor and method of delivery at 1 and 5 minutes) and any treatment or resuscitation that was indicated.
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ | LATEST
VERSION (JUST RELEASED)
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
OB Exam 3 NEW CONTENT ONLY NFDN 2004 Midterm (Units 1-4) NR 327 Exam 2 2026 COMPREHENSI... Matern
Teacher 117 terms Teacher 286 terms Teacher 151 terms 8 terms
P tanya_faith Preview P Samuel_Jackson1914 Preview Dr_Eric_karimi2 Preview P nje_
Terms in this set (100) Hide definitions
Twenty minutes after a continuous epidural anesthetic is C. Place the woman in a lateral position
administered, a laboring client's blood pressure drops
from 120/80 to 90/60. What action will the nurse take? These symptoms are suggestive of hypotension which is a side effect of epidural
A. Notify the healthcare provider or anesthesiologist anesthesia. Raising the foot of the bed will increase venous return and provide
immediately blood to the vital areas. Increasing the IV fluid rate using a balanced non-
B. Continue to assess the blood pressure q5 minutes dextrose solution and ensuring that the client is in a lateral position are also
C. Place the woman in a lateral position appropriate interventions, and then checking the patients blood pressure.
D. Turn off the continuous epidural
A newborn infant is brought to the nursery from the C. Check the infant's oxygen saturation rate
birthing suite. The nurse notices that the infant is
breathing satisfactorily but appears dusky. What action When possible, the nurse should first obtain measurable objective data; an
should the nurse take first? oxygen saturation rate provides such information.
A. Notify the pediatrician immediately
B. Suction the infant's nares, then the oral cavity FYI. The pediatrician should be notified if the oxygen saturation rate is below 90%
C. Check the infant's oxygen saturation rate
D. Position the infant on the right side
,The nurse is teaching breastfeeding to prospective C. Feed your baby every 2 to 3 hours or on demand, whichever comes first
parents in a childbirth education class. Which instruction
should the nurse include as content in the class? Breastfeeding infants should be kept in the room with the mother and fed every 2
A. Begin as soon as your baby is born to establish a four- to 3 hours or on demand--whichever comes first.
hour feeding schedule
B. Resting helps with milk production. Ask that your baby
be fed at night in the nursery
C. Feed your baby every 2 to 3 hours or on demand,
whichever comes first
D. Do not allow your baby to nurse any longer than the
prescribed number of minutes
A client is admitted with the diagnosis of total placenta C. Onset of uterine contractions
previa. Which finding is most important for the nurse to
report to the healthcare provider immediately? Total (complete) placenta previa involves the placenta covering the entire cervical
A. Heart rate of 100 beats/minute os (opening). The onset of uterine contractions places the client at risk for dilation
B. Variable fetal heart rate and placental separation, which causes painless hemorrhaging.
C. Onset of uterine contractions
D. Burning on urination
A 42-week gestational client is receiving an intravenous A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
infusion of oxytocin (Pitocin) to augment early labor. the
nurse should discontinue the oxytocin infusion for which When oxytocin causes uterine hyperstimulation as evidence by inadequate
pattern of contractions? resting time between contractions, the oxytocin infusion should be discontinued
A. Transition labor with contractions every 2 minutes, because placental perfusion is impeded
lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting
40 seconds each
C. Active labor with contractions every 31 minutes, lasting
60 seconds each
D. Active labor with contractions every 3 to 3 minutes,
lasting 70 to 80 seconds each
, Twenty-four hours after admission to the newborn A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
nursery, a full-term male infant develops localized edema
on the right side of his head. The nurse knows that, in the Cephalhematoma, a slight abnormal variation of the newborn, usually arises within
newborn, an accumulation of blood between the the first 24 hours after delivery. Trauma from delivery causes capillary bleeding
periosteum and skull which does not cross the suture line between the periosteum and the skull.
is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and
may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent further complications
C. molding, caused by pressure during labor and will
disappear withing 2 to 3 days
D. a subdural hematoma which can result in lifelong
damage
The nurse is assessing a 3-day old infant with a A. Yellowish tinge to the skin
cephalohematoma in the newborn nursery. Which
assessment finding should the nurse report to the
healthcare provider? Cephalohematomas are characterized by bleeding between the bone and its
A. Yellowish tinge to the skin covering, the periosteum. Due to the breakdown of the red blood cells within a
B. Babinski reflex present bilaterally hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to the
C. Pink papular rash on the face skin should be reported.
D. Moro reflex noted after a loud noise
After each feeding, a 3-day-old newborn is spitting up D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
large amounts of Enfamil Newborn Formula, a nonfat
cow's milk formula. The pediatric healthcare provider The nurse should explain that the newborn's feeding intolerance may be related
changes the neonate's formula to Simialc Soy Isomil to the lactose found in cow's milk formula and is being replaced with the soy-
formula, a soy protein isolate based infant formula. What based formula that contains sucrose, which is well-tolerated in infants with milk
information should the nurse provide to the mother about allergies and lactose intolerance.
the newly prescribed formula?
A. The new formula is a coconut milk formula used with
babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is
needed with diarrhea
C. The new formula is a casein protein source that is low
in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that
contains sucrose
A full term infant is transferred to the nursery from labor B. Infant's condition at birth and treatment received
and delivery. Which information is most important for the
nurse to receive when planning immediate care for the
newborn? Immediate care is most dependent on the infant's current status (i.e., Apgar scores
A. Length of labor and method of delivery at 1 and 5 minutes) and any treatment or resuscitation that was indicated.
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
