OB HESI EXAMS 1 version 1,2,3

OB HESI EXAMS 1 version 1,2,3 LATEST UPDATE DETAILED SOLUTIONS WITH NGN 1. A postpartum patient who has hada vaginal birthasks thenurse, “I was wondering if mycervix will return to its previous shape before Ihadthe baby?” Which is the best response by the nurse? Ans. The cervix will now have aslit-like shape. 2. A patient who is 6 months pregnant has sought medicalattention,sayingshefelldown the stairs. Which scenario would cause an emergency department nurse to suspect that the womanhas beenbattered? Ans. The woman has injuries on various parts of her body that are indifferent stages of healing. 3. The nurse is reviewing the principles of family-centered care with a primiparouspatient. Which patient statement will the nurse needtocorrect? Ans. “Because childbirth is normal, after my baby’s birth our familydynamics will not change.” 4. The nurse in labor andbirthis caring fora Muslim patient duringtheactive phaseof labor. The nurse notes that the patient quickly draws away when touched. Which interventionshouldthe nurse implement? Ans. Limit touching to a minimum because physical contact may not beacceptable in her culture. 5. The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse explain is responsible for milk production after the birth ofthe placenta? Ans. Prolactin. 6. A patient tells the nurse at a prenatal interview that she has quit smoking, andonly has one glass of wine with dinner. Which response by the nurse will be mosthelpful inpromoting a lifestylechange? Ans. “Youhave made some goodprogress towardhaving a healthybaby. Let’s talkabout thechanges you have made.” 7. A 35-year-oldpatienthas anamniocentesisperformedto identify whether herbaby has a chromosomal defect. Which statement indicates that the patient understands the situation? Ans. “When all the lab results come back, my husband and I will make adecisionabout the pregnancy.” 8. The patient indicates to the clinic nurse that she is trying to become pregnant.The clinic nurse reviews the patient’s chart and notes the following laboratory values: Blood type O−, RPR nonreactive, rubella non-immune, HCT 35%. Which laboratory value is most concerning tothe nurse? Ans. Rubella non-immune. 9. One of the assessments performed in the birth room is checking the umbilicalcord for blood vessels. Which finding is considered to be within normal limits? Ans. Two arteries andonevein. 10.The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding dizygotic twin development should the nurse include in theteachingsession? Ans. Dizygotic twins arise from two fertilized ova and may be the same sexor different sexes. 11.The nurse isexplaining the functionof the placentatoa pregnant patient. Whichstatement indicates to thenurse that further clarification is necessary? Ans. “Theplacentahelps maintainastabletemperature for mybaby.” 12.Anexpectant mother says to the nurse, “When mysister’sbaby was born, it was covered in a cheese-like coating. What is the purpose of this coating?” The correct response by the nurse is to explain that the purpose of vernix caseosa is toAns. protect the fetal skin from the amniotic fluid. 13.A pregnant patientasksthe nurse how her babygets oxygentobreathe. What is the nurse’s best response? Ans. “Oxygen-rich blood is delivered throughthe umbilical veintothe baby.” 14.During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing interventionis mostappropriate? Ans. Have the patient turn to her left side and recheck her blood pressurein 5 minutes. 15.A pregnant woman notices that she is beginning to develop dark skin patches onher face. She denies using any different type of facial products as a cleansing solutionor makeup. What wouldthe priority nursing intervention be inresponse tothis situation? Ans. Let the patient know that this is a common finding that occurs duringpregnancy. 16. Whileproviding educationtoaprimiparous patient regardingthe normalchangesof pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions? Ans. These occur throughout pregnancy, but you may not feel them untilthe thirdtrimester. 17. Physiologicanemiaoften occursduring pregnancydue toAns. Dilutionof hemoglobinconcentration. 18. Whichcomment made bya patient in her first trimester indicatesambivalentfeelings? Ans. “I wantedto become pregnant,but I’m scared about beinga mother.” 19. Anexpectant patient inher thirdtrimester reports that shedevelopedastrongtie to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse interprets this as the development of which maternaltaskof pregnancy? Ans. Developing attachment withthe baby. 20.The patienthas just learnedthat sheis pregnant and overhears the gynecologistsaying that she has a positive Chadwick’s sign. When the patient asks the nurse what this means, how wouldthe nurse respond? Ans. “This sign occurs normally in pregnancy, when estrogen causesincreased blood flow in the areaof the cervix.” 21. An expected change during pregnancy is a darkly pigmented verticalmidabdominal line. The nurse recognizes this alteration as Ans. Linea nigra. 22. Whichfinding is a positive signof pregnancy?Ans. Visualizationof fetusby ultrasound. 23. Whichadvice to the patient is oneof the mosteffective methods forpreventingvenousstasis? Ans. Restoften withthe feet elevated. 24.A gravida 1patientat 32 weeks of gestationreports thatshe hassevere lower backpain. Whatshould thenurse’s assessment include? Ans. Observationofposture and body mechanics. 25. When documenting a patientencounter, whichterm will the nurse usetodescribe the woman who is in the28th weekof her firstpregnancy? Ans. Primigravida. 26. Determine theobstetrichistoryofa patient inher fifthpregnancy whohas hadtwo spontaneous abortions in the first trimester, one infant at 32 weeks’ gestation,andone infant at 38 weeks’gestation. Ans. G5 T1 P1 A2 L2. 27.The nurse isschedulingthe next appointment forahealthyprimigravida currentlyat28 weeks gestation. When will the nurseschedulethe next prenatal visit? Ans.2 weeks. 28. Whichtype ofcutaneous stimulation involves massage of the abdomen?Ans. Effleurage