HESI MATERNITY OB LATEST III FINAL PAPER
TESTED QUESTIONS WITH FULL SOLUTION
◉ What accurately describes Stage 2 of labor?
Answer: It begins with full cervical dilation and ends with the birth
of the baby.
◉ When can an epidural be placed during labor?
Answer: Once active labor is established, typically at 6 cm dilation or
greater.
◉ What is the priority nursing action immediately after epidural
placement?
Answer: Monitor blood pressure every 5 to 15 minutes and assess
for hypotension.
◉ What should be done for a newborn with respiratory depression
after the mother received nalbuphine?
Answer: Initiate positive pressure ventilation, call for the neonatal
resuscitation team, and administer naloxone if respiratory
depression is confirmed.
, ◉ What is the significance of recurrent late decelerations in fetal
heart rate monitoring?
Answer: They indicate a Category II tracing requiring intrauterine
resuscitation.
◉ What characterizes early decelerations in fetal heart rate?
Answer: They mirror the contraction in shape and timing due to
fetal head compression.
◉ What is indicated by absent variability with recurrent late
decelerations?
Answer: A Category III tracing requiring immediate delivery
preparation.
◉ What is the correct sequence of actions for a patient with severe
preeclampsia?
Answer: Administer magnesium sulfate, control blood pressure,
notify the provider, prepare for emergent delivery.
◉ What does Stage 3 of labor encompass?
Answer: It begins with the birth of the baby and ends with the
delivery of the placenta.
TESTED QUESTIONS WITH FULL SOLUTION
◉ What accurately describes Stage 2 of labor?
Answer: It begins with full cervical dilation and ends with the birth
of the baby.
◉ When can an epidural be placed during labor?
Answer: Once active labor is established, typically at 6 cm dilation or
greater.
◉ What is the priority nursing action immediately after epidural
placement?
Answer: Monitor blood pressure every 5 to 15 minutes and assess
for hypotension.
◉ What should be done for a newborn with respiratory depression
after the mother received nalbuphine?
Answer: Initiate positive pressure ventilation, call for the neonatal
resuscitation team, and administer naloxone if respiratory
depression is confirmed.
, ◉ What is the significance of recurrent late decelerations in fetal
heart rate monitoring?
Answer: They indicate a Category II tracing requiring intrauterine
resuscitation.
◉ What characterizes early decelerations in fetal heart rate?
Answer: They mirror the contraction in shape and timing due to
fetal head compression.
◉ What is indicated by absent variability with recurrent late
decelerations?
Answer: A Category III tracing requiring immediate delivery
preparation.
◉ What is the correct sequence of actions for a patient with severe
preeclampsia?
Answer: Administer magnesium sulfate, control blood pressure,
notify the provider, prepare for emergent delivery.
◉ What does Stage 3 of labor encompass?
Answer: It begins with the birth of the baby and ends with the
delivery of the placenta.
