Maternity OB Preparation/HESI Maternity OB Practice Exam
With Complete 55 Questions And Correct Detailed Answers
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1. A client at 37 weeks gestation presents to labor and delivery with
contractions every two minutes the nurse observes several shallow small
vesicles on her pubis labia and perineum. the nurse should recognize the
clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
4. A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that
she is currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
Use alternative form of birth control until new diaphragm
can be obtained.
7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the
priority nursing action for this client?
Massage the fundus Q 4 hours
9. At 0600 while admitting a woman for a scheduled repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take first?
,Inform the anesthesia care provider
, 10. The nurse is caring for a postpartum client who is exhibiting symptoms of a
spinal headache 24 hours following delivery of a normal newborn. Prior to the
anesthesiologist arrival on the unit, which action should the nurse perform?
- Place procedure equipment at bedside
11. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14
ounces, has a head circumference of 13 inches, and a chest circumference of 10
inches. Based on these physical findings, assessment for which condition has the
highest priority?
Hypoglycemia
13. the nurse is caring for a 35 week gestation infant delivered by cesarean
section 2 hours ago. the nurse observes the infants respiratory rate is 72 breaths
minute with nasal flaring, grunting, and retractions. the nurse should recognize
these finding indicate which complication?
- B – transient tachypnea of the newborn
14. A primipara client at 42 weeks gestation is admitted for induction. within one
hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm
dilated, contractions are occuring every 1 minute with a 75 second duration.
when nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine
rest, the contractions are occuring every 5 minutes with 20 second duration.
which intervention should the nurse implement?
Restart the oxytocin per oxytocin protocol