HESI MATERNITY OB CERTIFICATION
EVALUATION COMPLETE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
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.
Answer: B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e.,
Apgar scores at 1 and 5 minutes) and any treatment or resuscitation
that was indicated.
◉ Client teaching is an important part of the maternity nurse's role.
Which factor has the greatest influence on successful teaching of the
gravid client?
A. The client's readiness to learn
,B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned.
Answer: A. The client's readiness to learn
When teaching any client, readiness to learn is the most important
criterion. For example, the client with severe morning sickness in
the first trimester may not be "ready to learn" about labor and
delivery, but is probably very "ready to learn" about ways to relieve
morning sickness.
◉ A women with Type 2 diabetes mellitus becomes pregnant, and
her oral hypoglycemic agents are discontinued. Which intervention
is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her
diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic
during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring.
Answer: A. Describe diet changes that can improve the management
of her diabetes
,Diet modifications are effective in managing Type 2 diabetes during
pregnancy, and describing the necessary diet changes is the most
important intervention for the nurse to implement with this client.
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate? (Select all that apply)
A. Dark, red vaginal bleeding
B. Lower back pain
C. Premature rupture of membranes
D. Increased uterine irritability
E. Bilateral pitting edema
F. A rigid abdomen.
Answer: A. Dark, red vaginal bleeding
D. Increased uterine irritability
F. A rigid abdomen
◉ The nurse caring for a laboring client encourages her to void at
least q2h, and records each time the client empties her bladder.
What is the primary reason for implementing this nursing
intervention?
A. Emptying the bladder during delivery is difficult because of the
position of the presenting fetal part
, B. An over-distended bladder could be traumatized during labor, as
well as prolong the progress of labor
C. Urine specimens for glucose and protein must be obtained at
certain intervals throughout labor
D. Frequent voiding minimizes the need for catheterization which
increases the chance of bladder infection.
Answer: B. An over-distended bladder could be traumatized during
labor, as well as prolong the progress of labor
A full bladder can impair the efficiency of the uterine contractions
and impede descent of the fetus during labor. Also, because of the
close proximity of the bladder to the uterus, the bladder can be
traumatized by the descent of the fetus.
◉ The nurse identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further assessment
should the nurse perform?
A. Elicit a positive scarf sign on the affected side
B. Observe for an asymmetrical Moro (startle) reflex
C. Watch for swelling of fingers on the affected side
D. Note paralysis of affected extremity and muscles.
Answer: B. Observe for an asymmetrical Moro (startle) reflex
EVALUATION COMPLETE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
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.
Answer: B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e.,
Apgar scores at 1 and 5 minutes) and any treatment or resuscitation
that was indicated.
◉ Client teaching is an important part of the maternity nurse's role.
Which factor has the greatest influence on successful teaching of the
gravid client?
A. The client's readiness to learn
,B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned.
Answer: A. The client's readiness to learn
When teaching any client, readiness to learn is the most important
criterion. For example, the client with severe morning sickness in
the first trimester may not be "ready to learn" about labor and
delivery, but is probably very "ready to learn" about ways to relieve
morning sickness.
◉ A women with Type 2 diabetes mellitus becomes pregnant, and
her oral hypoglycemic agents are discontinued. Which intervention
is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her
diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic
during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring.
Answer: A. Describe diet changes that can improve the management
of her diabetes
,Diet modifications are effective in managing Type 2 diabetes during
pregnancy, and describing the necessary diet changes is the most
important intervention for the nurse to implement with this client.
◉ A healthcare provider informs the charge nurse of a labor and
delivery unit that a client is coming to the unit with suspected
abruptio placentae. What findings should the charge nurse expect
the client to demonstrate? (Select all that apply)
A. Dark, red vaginal bleeding
B. Lower back pain
C. Premature rupture of membranes
D. Increased uterine irritability
E. Bilateral pitting edema
F. A rigid abdomen.
Answer: A. Dark, red vaginal bleeding
D. Increased uterine irritability
F. A rigid abdomen
◉ The nurse caring for a laboring client encourages her to void at
least q2h, and records each time the client empties her bladder.
What is the primary reason for implementing this nursing
intervention?
A. Emptying the bladder during delivery is difficult because of the
position of the presenting fetal part
, B. An over-distended bladder could be traumatized during labor, as
well as prolong the progress of labor
C. Urine specimens for glucose and protein must be obtained at
certain intervals throughout labor
D. Frequent voiding minimizes the need for catheterization which
increases the chance of bladder infection.
Answer: B. An over-distended bladder could be traumatized during
labor, as well as prolong the progress of labor
A full bladder can impair the efficiency of the uterine contractions
and impede descent of the fetus during labor. Also, because of the
close proximity of the bladder to the uterus, the bladder can be
traumatized by the descent of the fetus.
◉ The nurse identifies crepitus when examining the chest of a
newborn who was delivered vaginally. Which further assessment
should the nurse perform?
A. Elicit a positive scarf sign on the affected side
B. Observe for an asymmetrical Moro (startle) reflex
C. Watch for swelling of fingers on the affected side
D. Note paralysis of affected extremity and muscles.
Answer: B. Observe for an asymmetrical Moro (startle) reflex
