OB/ HESI MATERNITY ASSIGNMENT EXAM
COMPLETE QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+ GRADE
GUARANTEED PASS
At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi sampling
(CVS) procedure. What assessment finding requires immediate intervention? - ans
-. Uterine cramping
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting
an average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this
information, what action should the nurse implement? - ans -. Document the
findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture.
What action should the nurse implement first? - ans -. Assess the fetal heart rate
and pattern
Which action should the nurse implement caring for a newborn immediately after
birth? - ans -. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4
hours ago, the nurse notes the client's perineal pad is completely saturated within
15 minutes. What action should the nurse implement next? - ans -. Perform
fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply) - ans -. Chest breathing
with nasal flaring
. Diaphragmatic with chest retraction
. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy? - ans - Place an eyeshield over the eyes
, Which finding indicates to the nurse that a 4 day old infant is receiving adequate
breast milk? - ans . Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most
important for the client to understand? - ans - Report uterine cramping or low
backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a
complaint of bright red, painless vaginal bleeding. For which diagnostic procedure
should the nurse prepare the client? - ans -. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-
gestational diabetes. What is the most important factor affecting this client's
pregnancy outcome? - ans - Degree of glycemic control during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer? - ans - Oxytocin
(Pitocin)
A client states, "During the three months I've been pregnant, it seems like I have
had to go to the bathroom every five minutes." Which explanation should the
nurse provide to this client? - ans - The growing uterus is putting pressure on the
bladder.
The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory
rate 48 breaths/minute. Based on these findings, which action should the nurse
take first? - ans -. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is
the priority nursing intervention? - ans - Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important
for the nurse to use? - ans - Count the heart rate for at least one full minute
COMPLETE QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+ GRADE
GUARANTEED PASS
At 10-weeks gestation, a high-risk multiparous client with a family history of
Down syndrome is admitted for observation following a chorionic villi sampling
(CVS) procedure. What assessment finding requires immediate intervention? - ans
-. Uterine cramping
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting
an average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this
information, what action should the nurse implement? - ans -. Document the
findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture.
What action should the nurse implement first? - ans -. Assess the fetal heart rate
and pattern
Which action should the nurse implement caring for a newborn immediately after
birth? - ans -. Keep the newborn's airway clear
During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4
hours ago, the nurse notes the client's perineal pad is completely saturated within
15 minutes. What action should the nurse implement next? - ans -. Perform
fundal massage
The nurse is assessing a full-term newborn's breathing pattern. Which findings
should the nurse assess further? (Select all that apply) - ans -. Chest breathing
with nasal flaring
. Diaphragmatic with chest retraction
. Grunting heard with a stethoscope
What action should the nurse implement when caring for a newborn receiving
phototherapy? - ans - Place an eyeshield over the eyes
, Which finding indicates to the nurse that a 4 day old infant is receiving adequate
breast milk? - ans . Saturates 6 to 8 diapers per day
The nurse is providing discharge teaching for a gravid client who is being released
from the hospital after placement of cerclage. Which instruction is the most
important for the client to understand? - ans - Report uterine cramping or low
backache
A client at 28 weeks gestation arrives at the labor and delivery unit with a
complaint of bright red, painless vaginal bleeding. For which diagnostic procedure
should the nurse prepare the client? - ans -. Abdominal ultrasound
The nurse is planning for the care of a 30 year old primigravida with pre-
gestational diabetes. What is the most important factor affecting this client's
pregnancy outcome? - ans - Degree of glycemic control during pregnancy
A client with asthma who is 8 hours post delivery is experiencing postpartum
hemorrhage. Which prescription should the nurse administer? - ans - Oxytocin
(Pitocin)
A client states, "During the three months I've been pregnant, it seems like I have
had to go to the bathroom every five minutes." Which explanation should the
nurse provide to this client? - ans - The growing uterus is putting pressure on the
bladder.
The nurse assesses a male newborn and determines that he has the following vital
signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory
rate 48 breaths/minute. Based on these findings, which action should the nurse
take first? - ans -. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is
the priority nursing intervention? - ans - Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important
for the nurse to use? - ans - Count the heart rate for at least one full minute
