OB HESI MATERNITY VERSION 7 EXAM
Questions And Answers
100% Guarantee Pass
This Test Consists Of 55 Questions And Answers
1. A primigravida at 40 weeks gestation is contracting q2 minutes and her
cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The
client is screaming, and her husband is alarmed. Which intervention should
the nurse implement?
a. notify the rapid response team
,b. have delivery table set up
c. ask the husband to step out
d. administer a PRN narcotic
Answer>> b. have delivery table set up
2. The nurse is caring for a client whose fetus died in utero at 32 weeks
gestation. After the fetus is delivered vaginally, the nurse implements routine
demise protocol and identification procedures. What action is most important
for the nurse to take?
a. Explain reasons consent for an infant autopsy is needed
b. create a memory box of a baby's footprints and photographs
c. determine if the mother desires a visit from the clergy
d. encourage the mother to hold and spend time with her baby
Answer>> encourage the mother to hold and spend time with her baby
3. One week after missing her menstrual period, a woman performs an OTC
pregnancy test and it is positive. Which hormone is responsible for producing
the positive result
Answer>> HCG
4. The father of a 3-day old infant who is breast feeding calls the postpartum
help line to report that his wife is acting strangely. She is irritable, cannot cope
,with the baby, and frequently cries for no apparent reason. What information
is most important for the nurse to provide this father?
Answer>> Contact the clinic if the behaviors continue for more than two weeks or
become worse.
5. Clients who are HIV positive are encouraged to bottle-feed their infants
because
Answer>> the HIV virus is transmitted through breastmilk.
6. When fetal movements or contractions compress the umbilical cord, vari-
able decelerations can happen
Answer>> Maternal repositioning can alleviate cord com- pressions
7. A primigravida at 36 weeks gestation, who is Rh negative, experienced
abdominal trauma in a motor vehicle collision. Which assessment finding is
more important for the nurse to report to the HCP?
Answer>> Positive fetal hemoglobin testing
8. Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation.
She is moderately obese and carrying twins and the nurse measures her
fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height
measured at 28 cm. Based on these findings, what should the nurse con-
clude?
,Answer>> Fundal height measurement may indicate intrauterine growth
retardation
,9. The nurse is discussing involution with a postpartum client. Which state-
ment best indicates that the client understands the effect of breastfeeding on
the resumption of menstrual cycle?
Answer>> While i am breastfeeding, my period may be delayed
10. A term multigravida who is receiving oxytocin (Pitocin) for labor augmen-
tation, is requesting pain medication. Review of the client's record indicates
that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and
promethazine (Phenergan) 25 mg IV push. Vaginal exam reveals that the clients
cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the
nurse implement?
Answer>> Instruct the client to use deep breathing during a contraction
11. While caring for a laboring client on continuous fetal monitoring. The
nurse notes an FHR pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
Answer>> Change the maternal position
12. During the admission of a newborn, the nurse identifies a localized
swelling that does not cross the suture line on the posterior area of the parietal
bone. What action should the nurse implement?
Answer>> Notify the pediatrician of the cephalhematoma
, 13. The nurse is teaching a client with gestational diabetes about nutrition and
insulin need for pregnancy. Which content should the nurse include in this
client teaching plan?
Answer>> increase daily caloric intake is needed
14. A 38-week primigravida client who is positive for group A beta strepto-
coccus receives a prescription for cefazolin 2grams IV to be infused over
30mins. The medications available in 2 grams/100ml of normal saline. The
nurse should program the infusion pump to deliver
how many ml/hours?
Answer>> 1.6ml/hr
15. When performing daily head to toe assessment of a 1-day old newborn the
nurse observes yellow tint to the skin on the forehead, sternum and abdomen.
What action should the nurse take?
a. measure bilirubin levels using transcutaneous bilirubinometer.
b. review maternal medical records for blood type and Rh factor
c. Prepare the newborn for phototherapy
d. Evaluate cord Coombs test results
Answer>> a. measure bilirubin levels using transcu- taneous bilirubinometer.
16. A new mother asks the nurse about an area of swelling on her baby head
Questions And Answers
100% Guarantee Pass
This Test Consists Of 55 Questions And Answers
1. A primigravida at 40 weeks gestation is contracting q2 minutes and her
cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The
client is screaming, and her husband is alarmed. Which intervention should
the nurse implement?
a. notify the rapid response team
,b. have delivery table set up
c. ask the husband to step out
d. administer a PRN narcotic
Answer>> b. have delivery table set up
2. The nurse is caring for a client whose fetus died in utero at 32 weeks
gestation. After the fetus is delivered vaginally, the nurse implements routine
demise protocol and identification procedures. What action is most important
for the nurse to take?
a. Explain reasons consent for an infant autopsy is needed
b. create a memory box of a baby's footprints and photographs
c. determine if the mother desires a visit from the clergy
d. encourage the mother to hold and spend time with her baby
Answer>> encourage the mother to hold and spend time with her baby
3. One week after missing her menstrual period, a woman performs an OTC
pregnancy test and it is positive. Which hormone is responsible for producing
the positive result
Answer>> HCG
4. The father of a 3-day old infant who is breast feeding calls the postpartum
help line to report that his wife is acting strangely. She is irritable, cannot cope
,with the baby, and frequently cries for no apparent reason. What information
is most important for the nurse to provide this father?
Answer>> Contact the clinic if the behaviors continue for more than two weeks or
become worse.
5. Clients who are HIV positive are encouraged to bottle-feed their infants
because
Answer>> the HIV virus is transmitted through breastmilk.
6. When fetal movements or contractions compress the umbilical cord, vari-
able decelerations can happen
Answer>> Maternal repositioning can alleviate cord com- pressions
7. A primigravida at 36 weeks gestation, who is Rh negative, experienced
abdominal trauma in a motor vehicle collision. Which assessment finding is
more important for the nurse to report to the HCP?
Answer>> Positive fetal hemoglobin testing
8. Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation.
She is moderately obese and carrying twins and the nurse measures her
fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height
measured at 28 cm. Based on these findings, what should the nurse con-
clude?
,Answer>> Fundal height measurement may indicate intrauterine growth
retardation
,9. The nurse is discussing involution with a postpartum client. Which state-
ment best indicates that the client understands the effect of breastfeeding on
the resumption of menstrual cycle?
Answer>> While i am breastfeeding, my period may be delayed
10. A term multigravida who is receiving oxytocin (Pitocin) for labor augmen-
tation, is requesting pain medication. Review of the client's record indicates
that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and
promethazine (Phenergan) 25 mg IV push. Vaginal exam reveals that the clients
cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the
nurse implement?
Answer>> Instruct the client to use deep breathing during a contraction
11. While caring for a laboring client on continuous fetal monitoring. The
nurse notes an FHR pattern that falls and rises abruptly with a "V" shaped
appearance. What action should the nurse take first?
Answer>> Change the maternal position
12. During the admission of a newborn, the nurse identifies a localized
swelling that does not cross the suture line on the posterior area of the parietal
bone. What action should the nurse implement?
Answer>> Notify the pediatrician of the cephalhematoma
, 13. The nurse is teaching a client with gestational diabetes about nutrition and
insulin need for pregnancy. Which content should the nurse include in this
client teaching plan?
Answer>> increase daily caloric intake is needed
14. A 38-week primigravida client who is positive for group A beta strepto-
coccus receives a prescription for cefazolin 2grams IV to be infused over
30mins. The medications available in 2 grams/100ml of normal saline. The
nurse should program the infusion pump to deliver
how many ml/hours?
Answer>> 1.6ml/hr
15. When performing daily head to toe assessment of a 1-day old newborn the
nurse observes yellow tint to the skin on the forehead, sternum and abdomen.
What action should the nurse take?
a. measure bilirubin levels using transcutaneous bilirubinometer.
b. review maternal medical records for blood type and Rh factor
c. Prepare the newborn for phototherapy
d. Evaluate cord Coombs test results
Answer>> a. measure bilirubin levels using transcu- taneous bilirubinometer.
16. A new mother asks the nurse about an area of swelling on her baby head
