HESI OBSTETRICS MATERNITY PRACTICE
SOLUTION BUNDLE ACTUAL QUESTIONS
AND CORRECT ANSWERS FULLY
ELABORATED GUARANTEED TO PASS
⩥ A multigravida client arrives at the labor and delivery unit and tells
the nurse that her bag of water has broken. The nurse identifies the
presence of meconium fluid on the perineum and determines the fetal
heart rate is between 140 to 150 beats/minute. What action should the
nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment.
Answer: a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes
to determine the presence of a prolapsed cord.
⩥ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the teaching
plan? (Select all that apply.)
a. Mood swings
,b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant.
Answer: a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid
decrease in placental hormones after delivery and include mood swings
(A), tearfulness (C), feeling low, emotional, and fatigued.
⩥ A client at 30-weeks gestation, complaining of pressure over the pubic
area, is admitted for observation. She is contracting irregularly and
demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
a. Provide oral hydration
b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest.
Answer: c. Obtain a specimen for urine analysis
, Obtaining a urine analysis (C) should be done first because preterm
clients with uterine irritability and contractions are often suffering from
a urinary tract infection, and this should be ruled out first.
⩥ A client in active labor complains of cramps in her leg. What
intervention should the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart.
Answer: b. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by
stnading (if the client is capable) (B), and putting the heel of the foot on
the floor is the best means of relieving leg cramps.
⩥ The nurse is caring for a woman with a previously diagnosed heart
disease who is in the second stage of labor. Which assessment findings
are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension.
Answer: a. Edema, basilar rales, and an irregular pulse
SOLUTION BUNDLE ACTUAL QUESTIONS
AND CORRECT ANSWERS FULLY
ELABORATED GUARANTEED TO PASS
⩥ A multigravida client arrives at the labor and delivery unit and tells
the nurse that her bag of water has broken. The nurse identifies the
presence of meconium fluid on the perineum and determines the fetal
heart rate is between 140 to 150 beats/minute. What action should the
nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment.
Answer: a. Complete a sterile vaginal exam
A vaginal exam (A) should be performed after the rupture of membranes
to determine the presence of a prolapsed cord.
⩥ When explaining "postpartum blues" to a client who is 1 day
postpartum, which symptoms should the nurse include in the teaching
plan? (Select all that apply.)
a. Mood swings
,b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant.
Answer: a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid
decrease in placental hormones after delivery and include mood swings
(A), tearfulness (C), feeling low, emotional, and fatigued.
⩥ A client at 30-weeks gestation, complaining of pressure over the pubic
area, is admitted for observation. She is contracting irregularly and
demonstrates underlying uterine irritability. Vaginal examination reveals
that her cervix is closed, thick, and high. Based on these data, which
intervention should the nurse implement first?
a. Provide oral hydration
b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest.
Answer: c. Obtain a specimen for urine analysis
, Obtaining a urine analysis (C) should be done first because preterm
clients with uterine irritability and contractions are often suffering from
a urinary tract infection, and this should be ruled out first.
⩥ A client in active labor complains of cramps in her leg. What
intervention should the nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart.
Answer: b. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by puching the sole of the foot forward or by
stnading (if the client is capable) (B), and putting the heel of the foot on
the floor is the best means of relieving leg cramps.
⩥ The nurse is caring for a woman with a previously diagnosed heart
disease who is in the second stage of labor. Which assessment findings
are of greatest concern?
a. edema, basilar rales, and an irregular pulse
b. Increased urinary output, and tachycardia
c. Shortness of breath, bradycardia, and hypertension
d. Regular heart rate, and hypertension.
Answer: a. Edema, basilar rales, and an irregular pulse
