HESI MATERNITY OB FINAL PAPER TESTED
QUESTIONS WITH FULL SOLUTION
◉ Following a minor motor vehicle collision, a client at 36-weeks
gestation is brought to the emergency center. She is lying supine on a
backboard, is awake, and denies any complaints. Her blood pressure
is 80/50 mmHg and heart rate is 130 bpm. Which action should the
nurse implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV..
Answer: Tilt the backboard sideways to displace the uterus laterally
◉ A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no
problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is
absorbed.".
,Answer: That is called caput succedaneum. It will absorb and cause
no problems
◉ A client at 35 weeks gestation complains of a "pain whenever the
baby moves". On assessment, the nurse notes the client's
temperature to be 101.2F with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are
indicative of which condition?
A. Round ligament strain.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis.
Answer: Chorioamnionitis
◉ An unlicensed assistive personnel (UAP) reports to the charge
nurse that a client who delivers a 7-pound infant 12 hours ago is
reporting a severe headache. The client blood pressure is 110/70
mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm,
and temperature is 98.6F. The client's fundus is firm and one
fingerbreadth above the umbilicus. Which action should the charge
nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery..
, Answer: Determine if the client received anesthesia during delivery
◉ The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why
the nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver..
Answer: Prevent hemorrhagic disorders.
◉ A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include in
this client's nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation.
Answer: Keep an airway at the bedside
◉ A pregnant client presents to the antepartum clinic complaining
of brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client
QUESTIONS WITH FULL SOLUTION
◉ Following a minor motor vehicle collision, a client at 36-weeks
gestation is brought to the emergency center. She is lying supine on a
backboard, is awake, and denies any complaints. Her blood pressure
is 80/50 mmHg and heart rate is 130 bpm. Which action should the
nurse implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV..
Answer: Tilt the backboard sideways to displace the uterus laterally
◉ A new mother asks the nurse about an area of swelling on her
baby's head near the posterior fontanel that lies across the suture
line. How should the nurse respond?
A. "That is called caput succedaneum. It will have to be drained."
B. "That is called caput succedaneum. It will absorb and cause no
problems."
C. "That is called a cephalhematoma. It will cause no problems."
D. "That is called a cephalhematoma. It can cause jaundice as it is
absorbed.".
,Answer: That is called caput succedaneum. It will absorb and cause
no problems
◉ A client at 35 weeks gestation complains of a "pain whenever the
baby moves". On assessment, the nurse notes the client's
temperature to be 101.2F with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are
indicative of which condition?
A. Round ligament strain.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis.
Answer: Chorioamnionitis
◉ An unlicensed assistive personnel (UAP) reports to the charge
nurse that a client who delivers a 7-pound infant 12 hours ago is
reporting a severe headache. The client blood pressure is 110/70
mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm,
and temperature is 98.6F. The client's fundus is firm and one
fingerbreadth above the umbilicus. Which action should the charge
nurse implement first?
A. Notify the healthcare provider of the assessment findings.
B. Obtain a STAT hemoglobin and hematocrit.
C. Assign a practical nurse (PN) to reassess the client's vital signs.
D. Determine if the client received anesthesia during delivery..
, Answer: Determine if the client received anesthesia during delivery
◉ The nurse is preparing to administer phytonadione to a newborn.
Which statement made by the parents indicates understanding why
the nurse is administering this medication?
A. Improve insufficient dietary intake.
B. Stimulate the immune system.
C. Prevent hemorrhagic disorders.
D. Help an immature liver..
Answer: Prevent hemorrhagic disorders.
◉ A 16 year old gravida 1, para 0 client has just been admitted to the
hospital with a diagnosis of eclampsia. She is not presently
convulsing. Which intervention should the nurse plan to include in
this client's nursing care plan?
A. Assess temperature every hour.
B. Monitor blood pressure, pulse, and respirations every 4 hours.
C. Keep an airway at the bedside.
D. Allow family visitation.
Answer: Keep an airway at the bedside
◉ A pregnant client presents to the antepartum clinic complaining
of brownish vaginal bleeding. The nurse notes that she has a greatly
enlarges uterus and is complaining of severe nausea. The client
