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OB PEDS HESI EXIT EXAM 2024 HESI OB PEDS EXIT EXAM ACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAINS 110 QUESTIONS AND CORRECT ANSWERS

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Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage D. Regional blocks, especially epidural and caudal, often result in assisted delivery due to inability to push effectively in the 2nd stage. 2. Early detection of rheumatoid arthritis can decrease the amount of bone and joint destruction and often the disease will go into remission. What activity recommendations should the nurse provide a client with rheumatoid arthritis? A. Exercise of painful, swollen joints to strengthen them B. Exercise joint to the point of pain so that the pain lessens C. Make Jerky movements during the exercise so that the pain lessens D. Perform exercises slowly and smoothly D. A nurse should advise the client to perform exercises slowly and smoothly so that no extra pain occurs 3. A patient who is 32 weeks gestation has the following symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid abdomen and severe pain. What is the difference between abruptio placentae and placenta previa? A. Aruptio placentae: painless bright red bleeding occurring in the third trimester B. Abruptio placentae: occurs in the second trimester C. Placenta previa: occurs in the second trimester D. Placenta previa: painless bright red bleeding occurring in the third t

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OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL
EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAIN
110 QUESTIONS AND CORRECT ANSWERS
Study online at https://quizlet.com/_g140qa

1. Monitoring for fetal position is important be- D.
cause the mother cannot tell you she has Regional blocks, especially
back pain, which is the cardinal sign of per- epidural and caudal, often
sistant posterior fetal position. Why do the result in assisted delivery
regional blocks, especially epidural and cau- due to inability to push ef-
dal, often result in assisted delivery? fectively in the 2nd stage.
A. inability to push effectively in 3rd stage
B. inability to push effectively in 4th stage
C. inability to push effectively in 1st stage
D. inability to push effectively in 2nd stage

2. Early detection of rheumatoid arthritis can D.
decrease the amount of bone and joint A nurse should advise the
destruction and often the disease will go client to perform exercises
into remission. What activity recommenda- slowly and smoothly so that
tions should the nurse provide a client with no extra pain occurs
rheumatoid arthritis?
A. Exercise of painful, swollen joints to
strengthen them
B. Exercise joint to the point of pain so that
the pain lessens
C. Make Jerky movements during the exer-
cise so that the pain lessens
D. Perform exercises slowly and smoothly

3. A patient who is 32 weeks gestation has D.
the following symptoms: dark, red vaginal The nurse must use knowl-
bleeding, 100 bpm FHR, rigid abdomen and edge base to diffferentiate
severe pain. What is the difference between betewwn abruptia placen-
abruptio placentae and placenta previa? tae from placenta previa.
A. Aruptio placentae: painless bright red
bleeding occurring in the third trimester
B. Abruptio placentae: occurs in the second
trimester
C. Placenta previa: occurs in the second
trimester
D. Placenta previa: painless bright red bleed-
ing occurring in the third trimester


, OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL
EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAIN
110 QUESTIONS AND CORRECT ANSWERS
Study online at https://quizlet.com/_g140qa

4. A patient who is 32 weeks gestation is ex- A.
periencing dark red vaginal bleeding and the The nurse should immedi-
nurse determines the FHR to be 100 bpm and ately notify the healthcare
her abdomen is rigid and board like. What provider and no abdominal
action should the nurse take first? or vaginal manipulation or
A. Administer O2 per face mask exams should be done. Ad-
B. Abdominal manipulation minister O2 per face mask
C. vaginal manipulation and monitor for bleeding at
D. Abdominal exam IV sites and gums due to the
increased risk of DIC

5. A nurse must use knowledge base to dif- D.
ferentiate between abruptio placentae from Patients with abruptio pla-
plaventa previa. What assessments should centae or placventa previa
be done in case of a patient suspected of should have No abdominal
abruptio placentae or placenta previa. or vaginal manipulation. No
A. abdominal or vaginal manipulation Leopold's maneuvers. No
B. Leopold's maneuvers vaginal exams. No rectal ex-
C. internal monitoring ams, enemas, or supposito-
D. Monitor for bleeding at IV sites and gums ries. No internal monitoring
due to increased risk of DIC

6. A patient suspected of abruptio placentae A.
or placenta previa should be monitorized for DIC is related to fe-
bleeding at IV sites and gums due to in- tal demise, infection/sepis,
creased risk of DIC. What isn't DIC related pregnancy-induced hyper-
to? tension ( Preeclampsia)
A. cervical carcinoma and abruptio placentae.
B. fetal demise Cervical carcinoma is relat-
C. infection/sepsis ed to podophyllin
D. pregnancy-induced hypertension

7. If a child is on oral iron medication, the family C.
should be taught by the nurse how it should Iron can be fatal in severe
be administered. Out of the following op- overdose and as a result, it
tions, what oral iron administration advise is should be kept away from
inappropriate?


, OB PEDS HESI EXIT EXAM 2024 / HESI OB PEDS EXIT EXAM ACTUAL
EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM EACH VERSION CONTAIN
110 QUESTIONS AND CORRECT ANSWERS
Study online at https://quizlet.com/_g140qa
A. Oral iron should be given on empty stom- children. Also, do not give
ach with dairy products.
B. Oral iron should be given with citrus
juices
C. Oral iron shoule be given with dairy prod-
ucts
D. A dropper or straw should be used to
avoid discoloring teeth

8. In autosomal recessive disease, both par- C.
ents must be hererozygous, or carriers of With each pregnancy, there
the recessive trait, for the disease to be ex- is a 1:4 chance of the infant
pressed in their offspring. If both parents are having the disease.
heterozygous, what is the chance the baby
to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1

9. When it comes to X-linked recessive linked C.
recessive trait, the trait is carried on the x With each pregnancy of a
chromosome, therefore, usually affects male woman who is a carrier
offspring. What is the chance for a pregnant there is a 25% chance of
woman carrier her offspring to get the dis- having a child with hemo-
ease? philia. If the child is male, he
A. Male child: 75% of having the disease has a 50% chance of hav-
B. Female child: 50% of having the disease ing hemophilia. If the child
C. Male child: 50% of having the disease is female, she has a 50%
D. Female child: 25% of having disease chance of being a carrier.

10. Supplemental iron is not givento clients with C.
sickle cell anemia because the anemia is Hydration is very impor-
not caused by iron deficiency. What aspect tant in treatment of sick-
is very important in treatment of sickle cell le cell disease because
disease because it promotes hemodilution it promotes hemodilution
and circulation of red cells through the blood and curculation of red cells
vessels? through blood vessels

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