OB HESI Practice Questions with Certified Solutions

A 30-year-old multiparous woman who has a 3-year-old boy and a newborn girl tells the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage both children when I get home." How should the nurse respond? A. "Tell the older child that he is a big boy now and should love his new sister." B. "Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him." C. "Let the older child stay with his grandparents for the first six weeks to allow him to adjust to the newborn." D. "Regression in behaviors in the older child is a typical reaction so he needs attention at this time." A A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first? A. Bathe the infant with an antimicrobial soap B. Measure the head and chest circumference C. Obtain the infant's footprints D. Administer vitamin K A A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client's care? A. Patellar reflex 4+ B. Blood pressure 158/80 C. Four-hour urine output 240 ml D. Respiration 12/minute A A pregnany client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to provide this client? A. "Complete bedrest decreases oxygen needs and demands on the heart muscle tissue." B. "We want your baby to be healthy, and this is the only way we can make sure that will happen." C. "I know you're upset. Would you like to talk about some things you could do while in bed?" D. "Labor is difficult and you need to use this time to rest before you have to assume all child-caring duties." CDF The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client's bedside? (Select all that apply) A. Litmus paper B. Fetal scalp electrode C. A sterile glove D. An amnihook E. Sterile vaginal speculum F. Lubricant D The nurse is preparing to give an enema to a laboring client. Which client requires the most caution when carrying out this procedure? A. A gravida 6. para 5 who is 38 years of age and in early labor B. A 37-week primigravida who presents at 100% effacement, 3 cm dilatation, and a -1 station C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor due to post dates D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged D A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain relief. Which assessment finding is most important for the nurse to report to the healthcare provider? A. Cervical dilation of 5 cm with 90% effacement B. White blood cell count of 12,000/mm3 C. Hemoglobin of 12 mg/dl and hematocrit of 38% D. A platelet count of 67,000/mm3 D The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client whose last menstrual period started on December 1. Which date is most accurate? A. August 1 B. August 10 C. September 3 D. September 8 ABC The nurse is performing a gestational age assessment on a full-term newborn during the first hour of transition using the