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A client who delivered an infant an hour ago tells the nurse the she feels wet
underneath her buttock. The nurse notes that the perineal pad is saturated and
the client is lying in a 6-inch diameter pool of blood. Which action should the
nurse implement first?
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations - CORRECT ANSWER-Correct Answer: C
A firm uterus is needed to control bleeding from the placental site of attachment
on the uterine wall. The nurse should FIRST assess for firmness and massage the
fundus as indicated.
A woman who thinks she could be pregnant calls her neighbor, who is a nurse, to
ask when she should use a home pregnancy test. Which response is appropriate?
OB HESI FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
,A. "A home pregnancy test can be used right after your first missed period."
B. "These tests are most accurate after you missed your second period."
C "Home pregnancy tests often give false positives and should not be trusted."
D. "The test can provide accurate information when used right after ovulation." -
CORRECT ANSWER-Correct Answer: A
Home urine test are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6-8 days after conception. Best detected
at 2 weeks gestation or immediately after first missed period.
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 - CORRECT ANSWER-Correct Answers: A,C
OB HESI FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
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OB HESI FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
, "Postpartum blues" is a common emotional response related to the rapid
decrease in placental hormones after delivery and include mood swings,
teaefulness, feeling low, emotional, and fatigued.
B,D, and E indicate "Postpartum Depression"
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced
hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms.
Which assessment finding indicates the therapeutic drug level has been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp - CORRECT ANSWER-Correct Answer: C
Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12 indicate
toxicity, Urine output should be at least 30 ml/hr
OB HESI FINAL EXAM QUESTIONS WITH CORRECT ANSWERS