HESI CASE STUDY: OB EXAM
QUESTIONS AND ANSWERS
Just after delivery, a new mother tells the nurse, "i was unsuccessful breastfeeding my
first child, but i would like to try with this baby." which intervention is best for the nurse to
implement first? - answer-provide assistance to the mother to begin breastfeeding as
soon as possible after delivery
The nurse is teaching a woman how to use her basal body temperature (bbt) pattern as
a tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception? - answer-between the time the temperature falls and rises
A woman who had a miscarriage 6 mothers ago becomes pregnant. Which instruction is
most important for the nurse to provide this client? - answer-take prescribed
multivitamin and mineral supplements
A newborn, whose mother is hiv positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with aids is -
answer-a persistent cold
The nursing is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern? -
answer-edema, basilar rales, and an irregular pulse
A woman with type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement? - answer-describe diet changes that can improve the management of her
diabetes
A client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first? - answer-raise the foot
of the bed
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based on this
finding, which intervention should the nurse implement? - answer-encourage the mother
to breastfeed frequently
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous iv infusion. Which assessment data would indicate to the nurse
that the client is experiencing magnesium sulfate toxicity? - answer-urine output 90 ml/4
hours
, 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? - answer-maternal and fetal heart rates
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptom are
this newborn likely to exhibit? - answer-choking, coughing, and cyanosis
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous at 8-weeks gestation. What type of emotional response should the nurse
anticipate? - answer-greif related to her perceptions about the loss of this child
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class? - answer-feed
your baby every 2 to 3 hours or on demand, whichever comes first
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a
normal finding? - answer-three vessels; two arteries and one vein
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
which explanation should the nurse give to this anxious client? - answer-"there's a
strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair."
The nurse caring for a laboring client encourages her to void at least q2h, and records
each time the client empties her bladder. What is the primary reason for implementing
this nursing intervention? - answer-an over-distended bladder could be traumatized
during labor, an well as prolong the progress of labor
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge? - answer-it is difficult to consume 18mg of additional iron by diet alone
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
she could use a home pregnancy test to diagnose pregnancy. Which response is
appropriate? - answer-"a home pregnancy test can be sued right after your first missed
period."
A full-term infant is transferred to the nursery from labor and delivery. Which information
is most important for the nurse to receive when planning immediate care for the
newborn? - answer-the infant's condition at birth and treatment received
A client in active labor complains of cramps in her leg. What intervention should the
nurse implement? - answer-extend the leg and dorsiflex the foot
QUESTIONS AND ANSWERS
Just after delivery, a new mother tells the nurse, "i was unsuccessful breastfeeding my
first child, but i would like to try with this baby." which intervention is best for the nurse to
implement first? - answer-provide assistance to the mother to begin breastfeeding as
soon as possible after delivery
The nurse is teaching a woman how to use her basal body temperature (bbt) pattern as
a tool to assist her in conceiving a child. Which temperature pattern indicates the
occurrence of ovulation, and therefore, the best time for intercourse to ensure
conception? - answer-between the time the temperature falls and rises
A woman who had a miscarriage 6 mothers ago becomes pregnant. Which instruction is
most important for the nurse to provide this client? - answer-take prescribed
multivitamin and mineral supplements
A newborn, whose mother is hiv positive, is scheduled for follow-up assessments. The
nurse knows that the most likely presenting symptom for a pediatric client with aids is -
answer-a persistent cold
The nursing is caring for a woman with a previously diagnosed heart disease who is in
the second stage of labor. Which assessment findings are of greatest concern? -
answer-edema, basilar rales, and an irregular pulse
A woman with type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic
agents are discontinued. Which intervention is most important for the nurse to
implement? - answer-describe diet changes that can improve the management of her
diabetes
A client receiving epidural anesthesia begins to experience nausea and becomes pale
and clammy. What intervention should the nurse implement first? - answer-raise the foot
of the bed
The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based on this
finding, which intervention should the nurse implement? - answer-encourage the mother
to breastfeed frequently
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium
sulfate via continuous iv infusion. Which assessment data would indicate to the nurse
that the client is experiencing magnesium sulfate toxicity? - answer-urine output 90 ml/4
hours
, 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? - answer-maternal and fetal heart rates
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptom are
this newborn likely to exhibit? - answer-choking, coughing, and cyanosis
The nurse attempts to help an unmarried teenager deal with her feelings following a
spontaneous at 8-weeks gestation. What type of emotional response should the nurse
anticipate? - answer-greif related to her perceptions about the loss of this child
The nurse is teaching breastfeeding to prospective parents in a childbirth education
class. Which instruction should the nurse include as content in the class? - answer-feed
your baby every 2 to 3 hours or on demand, whichever comes first
The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a
normal finding? - answer-three vessels; two arteries and one vein
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot."
which explanation should the nurse give to this anxious client? - answer-"there's a
strong, tough membrane there to protect the baby so you need not be afraid to wash or
comb his/her hair."
The nurse caring for a laboring client encourages her to void at least q2h, and records
each time the client empties her bladder. What is the primary reason for implementing
this nursing intervention? - answer-an over-distended bladder could be traumatized
during labor, an well as prolong the progress of labor
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what
knowledge? - answer-it is difficult to consume 18mg of additional iron by diet alone
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
she could use a home pregnancy test to diagnose pregnancy. Which response is
appropriate? - answer-"a home pregnancy test can be sued right after your first missed
period."
A full-term infant is transferred to the nursery from labor and delivery. Which information
is most important for the nurse to receive when planning immediate care for the
newborn? - answer-the infant's condition at birth and treatment received
A client in active labor complains of cramps in her leg. What intervention should the
nurse implement? - answer-extend the leg and dorsiflex the foot
