Obstetrics/Maternity HESI Practice Quizzes & Answers

A client with no prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and dilated and 75% effaced. What additional information is most important for the nurse to obtain? A. Gravidity and parity B. Time and amount of last oral intake C. Date of last normal menstrual period. D. Frequency and intensity of contractions - ANSWER ANS: C Date of last normal menstrual period. Rationale: Evaluating the gestation of the pregnancy (C) takes priority. If the fetus is preterm and the fetal heart pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer corticosteroids to mature the longs of the fetus. (A, B, and D) are all important to evaluate and incorporate into the plan of care, but establishing gestation takes priority. A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26- weeks gestation in preterm labor. She is started on an IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of this drug? A. Maternal blood pressure and respirations. B. Maternal and fetal heart rates. C. Hourly urinary output. D. Deep tendon reflexes. - ANSWER ANS: B Maternal and fetal heart rates. Which action should the nurse implement when preparing to measure the fundal height of a pregnant client? A. Have the client empty her bladder. B. Request the client lie on her left side. C. Perform Leopold's maneuvers first. D. Give the client some cold juice to drink. - ANSWER ANS: A Have the client empty her bladder. A client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock. The nurse notes that both perineal pad are completely saturated and the client is lying in a 6-inch diameter pool of blood. Which action should the nurse implement next? A. Cleanse the perineum. B. Obtain a blood pressure. C. Palpate the firmness of the fundus. D. Inspect the perineum for lacerations. - ANSWER ANS: C Palpate the firmness of the fundus. In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week. B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week. C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month. D. anterior fontanel closes at 12 to 18 months a