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OB MATERNITY HESI EXAM|QUESTIONS AND 100% CORRECT WELL DETAILED ANSWERS|LATEST!!!!2025/2026|GUARANTEED PASS|GRADED A+

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OB MATERNITY HESI EXAM|QUESTIONS AND 100% CORRECT WELL DETAILED ANSWERS|LATEST!!!!2025/2026|GUARANTEED PASS|GRADED A+

Institution
Maternity Hesi
Course
Maternity hesi










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Institution
Maternity hesi
Course
Maternity hesi

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Uploaded on
December 27, 2025
Number of pages
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Written in
2025/2026
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CORRECT WELL DETAILED
ANSWERS|LATEST!!!!2025/2026|GUARANTEED



Which position would the nurse instruct the patient to assume during labor to promote fetal
oxygenation? - ANSWER Lateral



Which statement demonstrates the physiologic change that must occur in the uterus to
preserve the cervical changes during labor? - ANSWER The myometrial cells become
longer with each contraction



Muscle cells in the uterus remain shorter at the end of a contraction



Which physiologic change is associated with an increased risk for peripartum venous
thrombosis? - ANSWER Increased number of clotting factors




Rationale: fibrinolysis decreases during labor to promote coagulation at the placental site,
and the increase in clotting factors raises the mothers risk for venous thrombosis during and
after pregnancy.



which intervention would the nurse choose to facilitate the process of labor for a pt who is
6cm dilated and 100% effaced, at 1+ station, contracting every 4 mins, and has a pain rating
of 6/10? - ANSWER Assisting the pt in relaxing



Rationale: maternal catecholamines are secreted in response to anxiety and fear and can
inhibit uterine contractility and placental blood flow. However, relaxation augments the
natural process of labor.



1

,Which physiologic change would the nurse anticipate in the active phase of labor -
ANSWER Internal fetal rotation




Rationale: transitional phase: maternal tremors, complete cervical dilation; second stage of
labor: involuntary pushing response



which change in the intensity of the uterine tone during the interval period of a contraction
pattern occurs during labor? - ANSWER relaxed



rationale: the uterine muscle would be relaxed during the interval period of a uterine
contraction. the interval period is also known as the resting tone. During this period, most
fetal exchange of oxygen, nutrients, and waste products occurs.



which statement describes a fetal protective mechanism that allows for tolerance of
interrupted blood supply during a contraction? SATA - ANSWER The fetal cardiac
output is high



the fetal hematocrit is elevated



fetal hemoglobin more readily takes on oxygen



carbon dioxide is easily released from the hemoglobin



rationale: the placental circulation usually has a high enough reserve over the fetal base
needs to tolerate the intermittent interruption of blood flow. an elevated FHR is not
intended to be a protective mechanism that allows for the tolerance of interrupted blood
supply during a contraction.



which info about the amniotic fluid would the nurse include in a documented summary for a
pt with ruptured amniotic membranes? SATA - ANSWER Time


2

, odor



color



clarity



amount



based on the pt's history, for which complication would the nurse anticipate monitoring?



Assessment data:

39 weeks gestation

gravida 9, para 6

1 spontaneous abortion

1 elective termination - ANSWER Postpartum hemorrhage



Rationale: the pt has a high parity. a parity of 5 or more is associated with a risk of
postpartum hemorrhage. women who have had several spontaneous abortions or who have
given birth to infants with abnormalities may have an increased risk for having an infant with
a birth defect. the pt is not at risk for prolonged labor or placental abruption.



what change has occurred in the cervix of a pt 10cm dilated and 100% effaced? -
ANSWER the cervix merges with the lower uterine segment



rationale: the cervix merges with the lower uterine segment when it is 100% effaced;
therefore, it will lose the characteristic of a distinct cylindrical structure. the cervix is not a
muscle that pushes the fetus into the birth canal. the cervis is drawn up into the body of the
lower uterine segment, allowing for the passage of the baby into the birth canal. the cervix
does not create opposing contractions with the upper uterine segment.


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