HESI MATERNITY OB LATEST III EXAM SCRIPT
PREMIUM REVIEW ACCURATE QUESTIONS AND
CORRECT ANSWERS
◉ A 38-week primagravida who works as a secretary and sits at a
computer 8 hours a day tells the nurse that her feet have begun to
swell. Which instruction would be most effective in preventing
pooling of blood in the lower extremities?
Answer: C. Move about every hour
◉ During a prenatal visit, the nurse discusses with a client the
effects of smoking on the fetus. When compared with nonsmokers,
mothers who smoke during pregnancy tend to produce infants who
have
Answer: B. lower birth weights
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital
at 28-weeks gestation in preterm labor. She is given 3 doses of
terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her
labor contractions. The nurse plans to monitor for which primary
side effect of terbutaline sulfate?
Answer: C. Tachycardia and a feeling of nervousness
,◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective to prevent nipple
soreness?
Answer: C. correctly place the infant on the breast
◉ A full term infant is transferred to the nursery from L & D. Which
information is most important for the nurse to receive when
planning immediate care for the newborn?
Answer: B. Infant's condition at birth and treatment received.
◉ In developing a teaching plan for expectant parents, the nurse
plans to include information about when the parents can expect the
infant's fontanels to close. The nurse bases the explanation on
knowledge that for the normal newborn, the
Answer: D. anterior fontanel closes at 12-18 mos and the posterior
fontanel by the end of the second month.
◉ When assessing a client who is 12-weeks gestation, the nurse
recommends the she and her husband consider attending childbirth
preparation classes.
What is the best time for the couple to attend these classes?
Answer: D. At 30 weeks gestation.
◉ The nurse should encourage the laboring client to begin pushing
when
, Answer: C. the cervix is completely dilated
◉ The nurse is counseling a couple who has sought information
about conceiving. For teaching purposes, the nurse should know that
ovulation usually occurs
Answer: A. two weeks before menstruation.
◉ The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take?
Answer: C. have the client breath into her cupped hands
◉ When preparing a newborn care for expectant parents, what
content should the nurse teach concerning the newborn infant born
at term gestation?
Answer: C. Vernix is a white, cheesy substance, predominately
located in the skin folds.
◉ Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
Answer: A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks.
PREMIUM REVIEW ACCURATE QUESTIONS AND
CORRECT ANSWERS
◉ A 38-week primagravida who works as a secretary and sits at a
computer 8 hours a day tells the nurse that her feet have begun to
swell. Which instruction would be most effective in preventing
pooling of blood in the lower extremities?
Answer: C. Move about every hour
◉ During a prenatal visit, the nurse discusses with a client the
effects of smoking on the fetus. When compared with nonsmokers,
mothers who smoke during pregnancy tend to produce infants who
have
Answer: B. lower birth weights
◉ A 26-year-old, gravida 2, para 1 client is admitted to the hospital
at 28-weeks gestation in preterm labor. She is given 3 doses of
terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her
labor contractions. The nurse plans to monitor for which primary
side effect of terbutaline sulfate?
Answer: C. Tachycardia and a feeling of nervousness
,◉ A mother who is breastfeeding her baby receives instructions
from the nurse. Which instruction is most effective to prevent nipple
soreness?
Answer: C. correctly place the infant on the breast
◉ A full term infant is transferred to the nursery from L & D. Which
information is most important for the nurse to receive when
planning immediate care for the newborn?
Answer: B. Infant's condition at birth and treatment received.
◉ In developing a teaching plan for expectant parents, the nurse
plans to include information about when the parents can expect the
infant's fontanels to close. The nurse bases the explanation on
knowledge that for the normal newborn, the
Answer: D. anterior fontanel closes at 12-18 mos and the posterior
fontanel by the end of the second month.
◉ When assessing a client who is 12-weeks gestation, the nurse
recommends the she and her husband consider attending childbirth
preparation classes.
What is the best time for the couple to attend these classes?
Answer: D. At 30 weeks gestation.
◉ The nurse should encourage the laboring client to begin pushing
when
, Answer: C. the cervix is completely dilated
◉ The nurse is counseling a couple who has sought information
about conceiving. For teaching purposes, the nurse should know that
ovulation usually occurs
Answer: A. two weeks before menstruation.
◉ The nurse instructs a laboring client to use accelerated-blow
breathing. The client begins to complain of tingling fingers and
dizziness. What action should the nurse take?
Answer: C. have the client breath into her cupped hands
◉ When preparing a newborn care for expectant parents, what
content should the nurse teach concerning the newborn infant born
at term gestation?
Answer: C. Vernix is a white, cheesy substance, predominately
located in the skin folds.
◉ Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
Answer: A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks.
