HESI MATERNITY OB EXAM VERSION
A, B, C AND PRACTICE EXAM LATEST
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At 14- V
weeks gestation, a client arrives at the Emergency Center complaining of a dull pain i
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n the right lower quadrant of her abdomen. The nurse obtains a blood sample and init
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iates an IV. Thirty minutes after admission, the client reports feeling a sharp abdomina
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l pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 1
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20 beats/minute, and a blood pressure of 86/48. Which action should the nurse impl
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ement next? V
a. Check the hematocrit results.
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b. Administer pain medication.
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c. Increase the rate of IV fluids.
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d. Monitor client for contractions. - answerc. increase the rate of IV fluids
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A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask wen she
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could use a home pregnancy test to diagnose pregnancy. Which response is best?
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a. a home pregnancy test can be used right after your first missed period
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b. these tests are most accurate after you have missed your second period
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c. home pregnancy tests often give false positives and should not be trusted
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d. the test can provide accurate information when used right after ovulation -
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answera. a home pregnancy test can be used right after your first missed period
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A newborn, whose mother is HIV positive, is scheduled for follow-
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up assessments. The nurse knows that the most likely presenting symptom for a pediatr
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ic client with AIDS is:
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a. shortness of breath
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b. joint pain
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c. a persistent cold
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d. organmegaly - answerc. a persistent cold
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Twenty minutes after a continuous epidural anesthetic is administered, a laboring clien
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t's blood pressure drops from 120/80 to 90/60. What action should the nurse take?
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a. notify the healthcare provider or anesthesiologist
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b. continue to assess the blood pressure q5min
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c. place the woman in a lateral position
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d. turn off continuous epidural - answerc. place the woman in a lateral position
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In developing a teaching plan for expectant parents, the nurse plans to include inform
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ation about when the parents can expect the infant's fontanels to close. The nurse bas
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es the explanation on knowledge that for the normal newborn, the
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a. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first we
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ek
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
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c. anterior fontanel closes at 8 to 11 months and the posterior by the end of the secon
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d week
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d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the seco
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nd month -
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answerd. anterior fontanel closes at 12 to 18 months and the posterior by the end of
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the second month
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A client in active labor is admitted with preeclampsia. Which assessment finding is mo
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st significant in planning this client's care?
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a. patellar reflex 4+
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b. blood pressure 158/80
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c. four hour urine output 240 ml
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d. respiration 12/minute - answera. patellar reflex 4+
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A 4 week old premature infant has been receiving epoetin alfa for the last three wee
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ks. Which assessment finding indicates to the nurse that the drug is effective?
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a. slowly increasing urine output over the last week
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b. respiratory rate changes from the 40s to the 60s
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c. changes in apical heart rate from the 180 to the 140s
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d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl -
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answerc. changes in apical rate from the 180s to the 140s
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A pregnant client tells the nurse that the first day of her last menstrual period was Aug
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ust 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
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a. April 25, 2007
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b. May 9, 2007
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c. May 29, 2007
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d. June 2, 2007 - answerb. May 9, 2007
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The nurse is performing a AGA on a full-
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term newborn during the first hour of transition using the Dubowitz scale. Based on this
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assessment, the nurse determines that the neonate has a maturity rating of 40 weeks.
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Which findings should the nurse identify to determine if the neonate is SGA? (Select al
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l that apply.)
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a. admission weight of 4 lbs 15 oz
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b. head to heel length of 17 in
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c. frontal occipital circumference of 12.5 in
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d. skin smooth with visible veins and abundant vernix
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e. anterior plantar crease and smooth heel surfaces
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