OB_HESI_Maternity_Version_4_Exam_Questions_and_Verified_Answers

OB HESI MATERNITY VERSION 4 EXAM

Questions And Answers

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This Test Consists Of 55 Questions And Answers




1. An infant born at 37 weeks gestation, weighing 4.1 kg (9.04 pounds) is

2 hours old and appears large for gestational age, flushed, and tremulous.

Which procedure should the nurse follow to implement a glucose screening?

(Arrange the examination process from first on top to last on the bottom.)


1. Restrain the newborn's foot with your free hand.

2. Cleanse the puncture site on the lateral aspect of the heel.

3. Collect a spring-loaded automatic puncture device.

4. Wrap the infant's foot with a heel warmer for 5 minutes Ans>1. Wrap the

infant'sfoot 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 the puncture site on the lateral aspect of the heel.

2. Which cardiovascular findings should the nurse assess further in a client

who is at 20-weeks gestation?



a. Decrease in pulse rate.

b. Decrease in blood pressure.

c. Increase in heart sounds (S1, S2).

d. Increase in red blood cell production Ans>a. Decrease in pulse rate.

3. Which prescription should the nurse administer to a newborn to reduce

complications related to birth trauma?



a. Silver nitrate.

b. Erythromycin.

c. Ceftriaxone.

d. Vitamin KAns>d. Vitamin K.

4. 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

,a. Shallow with an irregular rhythm.

b. Chest breathing with nasal flaring.

c. Diaphragmatic with chest retraction.

d. Abdominal with synchronous chest movements.

e. Rate of 58 breaths per minute.

f. Grunting is heard with a stethoscope Ans>b. Chest breathing with nasal

flaring.

c. Diaphragmatic with chest retraction.

f. Grunting is heard with a stethoscope.

, 5. A newborn infant who is 24 hours old is on a 4-
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hour feeding schedule of formula. To meet daily caloric needs, how many oun
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ces are recommended ateach feeding?
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a. 2 ounces. K




b. 4 ounces. K




c. 1.5 ounces. K




d. 3.5 ounces Ans>3.5 ounces.
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6. A primigravida at 37 weeks gestation tells the nurse that her "bag of water"h
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as broken. While inspecting the client's perineum, the nurse notes the umbili-
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cal cord protruding from the vagina. Which action should the nurse implementfi
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rst?



a. Administer 10 L of oxygen via face mask. K K K K K K K




b. Give the healthcare provider a status report.
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c. Place the client in the knee-chest position.
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d. Wrap the cord with gauze soaked in saline Ans>Place the client in the knee-
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chestposition. K




7. At 10 weeks gestation, a high-
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risk multiparous client with a family historyof Down syndrome is admitted fo
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