2024 HESI MATERNITY OB EXAM VERSION 4 Qu JKU JKU JKU JKU JKU JKU JKU
estions And Answers Verified A+ JKU JKU JKU JKU
During labor, the nurse determines that a full-
JKU JKU JKU JKU JKU JKU JKU
term client is demonstrating late decelerations. In which sequence should the nurse implement th
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ese nursing actions? (Arrange in order.) - correct answers-1. Reposition the client
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
2. Increase IV fluids
JKU JKU JKU JKU
3. Provide oxygen via face mask
JKU JKU JKU JKU JKU JKU
4. Call the healthcare provider
JKU JKU JKU JKU
To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal blood sup
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ply, the laboring client should be repositioned (1) to displace the gravid uterus and improve fetal
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
perfusion. Secondly, to optimize oxygenation of the circulatory blood volume, oxygen via face mas
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
k (2) should be applied to the mother. Next, the IV fluids should be increased (3) to expand the
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
maternal circulating blood volume. Then, the primary healthcare provider should be notified (4) fo
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
r additional interventions to resolve the fetal stress.
JKU JKU JKU JKU JKU JKU JKU
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurs
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
e performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU J
What additional information is most important for the nurse to obtain? - correct answers-
KU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Date of last normal menstrual period:
JKU JKU JKU JKU JKU
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and adminis
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ter corticosteroids to mature the lungs of the fetus.
JKU JKU JKU JKU JKU JKU JKU JKU
A 38- JKU
week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU J
nurse that her feet have begun to swell. Which instruction would be most effective in preventing
KU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JK
pooling of blood in the lower extremities? - correct answers-Move about every hour:
U JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Pooling of blood in the lower extremities results from the enlarged uterus exerting
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
veins and increase venous return.
JKU JKU JKU JKU
2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg s
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ubcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side e
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ffect of terbutaline sulfate? - correct answers-Tachycardia and a feeling of nervousness:
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
, Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
JKU JKU JKU JKU JKU JKU JKU
adrenergic receptors in the uterine muscle to stop contractions. The beta-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restless
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ness, headache, and a feeling of "nervousness"
JKU JKU JKU JKU JKU JKU
When do the anterior and posterior fontanels close? - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
When assessing a client who is at 12-
JKU JKU JKU JKU JKU JKU JKU
weeks gestation, the nurse recommends that she and her husband consider attending childbirth pr
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
eparation classes. When is the best time for the couple to attend these classes? -
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
correct answers-30 weeks gestation:
JKU JKU JKU JKU
at 30 weeks gestation is closest (of the options) to the time parents would be ready for
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
such classes. Learning is facilitated by an interested pupil! The couple is most
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
interested in childbirth toward the end of the pregnancy when they are psychologically
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ready for the termination of the pregnancy, and the birth of their child is an immediate
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
concern
The nurse should encourage the laboring client to begin pushing when... - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the cervix is completely dilated:
JKU JKU JKU JKU
Pushing begins with the second stage of labor, i.e., when the cervix is completely
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
can become edematous and may never completely dilate, necessitating an operative delivery. Man
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
y primigravida's begin active labor 100% effaced and then proceed to dilate.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
The nurse instructs a laboring client to use accelerated-
JKU JKU JKU JKU JKU JKU JKU JKU
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JK
the nurse take? - correct answers-Have the client breathe into her cupped hands:
U JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon dioxide).
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by breathing into a
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
paper bag or cupped hands JKU JKU JKU JKU
Twenty-four hours after admission to the newborn nursery, a full-
JKU JKU JKU JKU JKU JKU JKU JKU JKU
term male infant develops localized edema on the right side of his head. The nurse knows that, in
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the newborn, an accumulation of blood between the periosteum and skull which does not cross
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the suture line is a newborn variation known as... - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks:
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the first 24 h
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ours after delivery. Trauma from delivery causes capillary bleeding between the periosteum and th
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
e skull.
JKU
estions And Answers Verified A+ JKU JKU JKU JKU
During labor, the nurse determines that a full-
JKU JKU JKU JKU JKU JKU JKU
term client is demonstrating late decelerations. In which sequence should the nurse implement th
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ese nursing actions? (Arrange in order.) - correct answers-1. Reposition the client
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
2. Increase IV fluids
JKU JKU JKU JKU
3. Provide oxygen via face mask
JKU JKU JKU JKU JKU JKU
4. Call the healthcare provider
JKU JKU JKU JKU
To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal blood sup
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ply, the laboring client should be repositioned (1) to displace the gravid uterus and improve fetal
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
perfusion. Secondly, to optimize oxygenation of the circulatory blood volume, oxygen via face mas
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
k (2) should be applied to the mother. Next, the IV fluids should be increased (3) to expand the
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
maternal circulating blood volume. Then, the primary healthcare provider should be notified (4) fo
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
r additional interventions to resolve the fetal stress.
JKU JKU JKU JKU JKU JKU JKU
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurs
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
e performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU J
What additional information is most important for the nurse to obtain? - correct answers-
KU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Date of last normal menstrual period:
JKU JKU JKU JKU JKU
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and adminis
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ter corticosteroids to mature the lungs of the fetus.
JKU JKU JKU JKU JKU JKU JKU JKU
A 38- JKU
week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU J
nurse that her feet have begun to swell. Which instruction would be most effective in preventing
KU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JK
pooling of blood in the lower extremities? - correct answers-Move about every hour:
U JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Pooling of blood in the lower extremities results from the enlarged uterus exerting
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
veins and increase venous return.
JKU JKU JKU JKU
2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg s
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ubcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side e
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ffect of terbutaline sulfate? - correct answers-Tachycardia and a feeling of nervousness:
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
, Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-
JKU JKU JKU JKU JKU JKU JKU
adrenergic receptors in the uterine muscle to stop contractions. The beta-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restless
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ness, headache, and a feeling of "nervousness"
JKU JKU JKU JKU JKU JKU
When do the anterior and posterior fontanels close? - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
When assessing a client who is at 12-
JKU JKU JKU JKU JKU JKU JKU
weeks gestation, the nurse recommends that she and her husband consider attending childbirth pr
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
eparation classes. When is the best time for the couple to attend these classes? -
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
correct answers-30 weeks gestation:
JKU JKU JKU JKU
at 30 weeks gestation is closest (of the options) to the time parents would be ready for
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
such classes. Learning is facilitated by an interested pupil! The couple is most
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
interested in childbirth toward the end of the pregnancy when they are psychologically
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ready for the termination of the pregnancy, and the birth of their child is an immediate
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
concern
The nurse should encourage the laboring client to begin pushing when... - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the cervix is completely dilated:
JKU JKU JKU JKU
Pushing begins with the second stage of labor, i.e., when the cervix is completely
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
can become edematous and may never completely dilate, necessitating an operative delivery. Man
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
y primigravida's begin active labor 100% effaced and then proceed to dilate.
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
The nurse instructs a laboring client to use accelerated-
JKU JKU JKU JKU JKU JKU JKU JKU
blow breathing. The client begins to complain of tingling fingers and dizziness. What action should
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JK
the nurse take? - correct answers-Have the client breathe into her cupped hands:
U JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon dioxide).
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by breathing into a
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
paper bag or cupped hands JKU JKU JKU JKU
Twenty-four hours after admission to the newborn nursery, a full-
JKU JKU JKU JKU JKU JKU JKU JKU JKU
term male infant develops localized edema on the right side of his head. The nurse knows that, in
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the newborn, an accumulation of blood between the periosteum and skull which does not cross
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
the suture line is a newborn variation known as... - correct answers-
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
a cephalohematoma, caused by forceps trauma and may last up to 8 weeks:
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
Cephalohematoma, a slight abnormal variation of the newborn, usually arises within the first 24 h
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
ours after delivery. Trauma from delivery causes capillary bleeding between the periosteum and th
JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU JKU
e skull.
JKU
