HESI PN OBSTETRICS/MATERNITY Final Exam Prep
COMPLETE QUESTIONS AND CORRECT DETAILED
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Monitor uterine contractions. .......Answer.........Assess for
hemorrhage.
The nurse is assessing a full-term newborn's breathing pattern.
Which findings should the nurse assess further? (Select all that
apply.)
Select all that apply
Some correct answers were not selected
Shallow with an irregular rhythm.
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Chest breathing with nasal flaring.
Diaphragmatic with chest retraction.
Abdominal with synchronous chest movements.
Heart rate of 158 beats per minute.
Grunting heard with a stethoscope. .......Answer.........Chest
breathing with nasal flaring.
Diaphragmatic with chest retraction.
Grunting heard with a stethoscope.
An infant born at 37-weeks gestation, weighing 4.1 kg (9.02
pounds) is 2 hours old and appears large for gestational age,
flushed, and tremulous. What procedure should the nurse follow
to implement a glucose screening? (Arrange the examination
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process from first on top to last on the bottom.)
.......Answer.........1. Wrap the infant's foot with a heel warmer for
5 minutes.
2. Collect a spring-loaded automatic puncture device.
3. Restrain the newborn's foot with your free hand.
4. Cleanse puncture site on the later aspect of the heel.
Which client finding should the nurse document as a positive sign
of pregnancy?
Last menstrual cycle occurred 2 months ago.
A urine sample with a positive pregnancy test.
Presence of Braxton Hicks contractions.
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Fetal heart tones (FHT) heard with a doppler.
.......Answer.........Fetal heart tones (FHT) heard with a doppler.
The nurse is caring for a client in active labor and observes V
shape decelerations in the fetal heart rate occurring with the
peak of each contraction. What action should the nurse
implement?
Notify the healthcare provider of fetal status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids.
.......Answer.........Place the client in a side-lying position.