HESI MATERNITY OBSTETRICS 2000 EXAM
PREP UPDATED STUDY GUIDE SOLVED
QUESTIONS AND ANSWERS
◉ A client in active labor is becoming increasingly fearful because
her contractions are occurring more often than she had expected.
Her partner is also becoming anxious. Which of the following should
be the focus of the nurse's response?
A.Telling the client and her partner that the labor process is often
unpredictable
B.Informing the client that this means she will give birth sooner than
expected
C.Asking the client and her partner if they would like the nurse to
stay in the room
D.Affirming that the fetal heart rate is remaining within normal
limits.
Answer: C.Asking the client and her partner if they would like the
nurse to stay in the room
,Rationale: Offering to remain with the client and her partner offers
support without providing false reassurance. The length of labor is
not always predictable, but options A and B do not offer the client
the support that is needed at this time. Option D may be reassuring
regarding the fetal heart rate but does not provide the client the
emotional support she needs at this time during the labor process.
◉ When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
A.At 16 weeks of gestation
B.At 20 weeks of gestation
C.At 24 weeks of gestation
D.At 30 weeks of gestation.
Answer: D.At 30 weeks of gestation
Rationale: Learning is facilitated by an interested pupil. The couple
is most interested in childbirth toward the end of the pregnancy,
when they are beginning to anticipate the onset of labor and the
birth of their child. Option D is closest to the time when parents
,would be ready for such classes. Options A, B, and C are not the best
times during a pregnancy for the couple to attend childbirth
education classes. At these times they will have other teaching
needs. Early pregnancy classes often include topics such as
nutrition, physiologic changes, coping with normal discomforts of
pregnancy, fetal development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
◉ The nurse is evaluating a full-term multigravida who was induced
3 hours ago. The nurse determines that the client is dilated 7 cm and
is 100% effaced at 0 station, with intact membranes. The monitor
indicates that the FHR decelerates at the onset of several
contractions and returns to baseline before each contraction ends.
Which action should the nurse take?
A.Reapply the external transducer.
B.Insert the intrauterine pressure catheter.
C.Discontinue the oxytocin infusion.
D.Continue to monitor labor progress.
Answer: D.Continue to monitor labor progress
, Rationale: The fetal heart rate indicates early decelerations, which
are not an ominous sign, so the nurse should continue to monitor
the labor progress and document the findings in the client's record.
There is no reason to reapply the external transducer if the FHR
tracings are being captured. Options B and C are not indicated at this
time.
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take?
A.Administer oxygen by facemask.
B.Notify the health care provider of the client's symptoms.
C.Have the client breathe into her cupped hands.
D.Check the client's blood pressure and fetal heart rate..
Answer: C.Have the client breathe into her cupped hands.
Rationale:
Tingling fingers and dizziness are signs of hyperventilation (blowing
off too much carbon dioxide). Hyperventilation is treated by
retaining carbon dioxide. This can be facilitated by breathing into a
PREP UPDATED STUDY GUIDE SOLVED
QUESTIONS AND ANSWERS
◉ A client in active labor is becoming increasingly fearful because
her contractions are occurring more often than she had expected.
Her partner is also becoming anxious. Which of the following should
be the focus of the nurse's response?
A.Telling the client and her partner that the labor process is often
unpredictable
B.Informing the client that this means she will give birth sooner than
expected
C.Asking the client and her partner if they would like the nurse to
stay in the room
D.Affirming that the fetal heart rate is remaining within normal
limits.
Answer: C.Asking the client and her partner if they would like the
nurse to stay in the room
,Rationale: Offering to remain with the client and her partner offers
support without providing false reassurance. The length of labor is
not always predictable, but options A and B do not offer the client
the support that is needed at this time. Option D may be reassuring
regarding the fetal heart rate but does not provide the client the
emotional support she needs at this time during the labor process.
◉ When assessing a client at 12 weeks of gestation, the nurse
recommends that she and her husband consider attending childbirth
preparation classes. When is the best time for the couple to attend
these classes?
A.At 16 weeks of gestation
B.At 20 weeks of gestation
C.At 24 weeks of gestation
D.At 30 weeks of gestation.
Answer: D.At 30 weeks of gestation
Rationale: Learning is facilitated by an interested pupil. The couple
is most interested in childbirth toward the end of the pregnancy,
when they are beginning to anticipate the onset of labor and the
birth of their child. Option D is closest to the time when parents
,would be ready for such classes. Options A, B, and C are not the best
times during a pregnancy for the couple to attend childbirth
education classes. At these times they will have other teaching
needs. Early pregnancy classes often include topics such as
nutrition, physiologic changes, coping with normal discomforts of
pregnancy, fetal development, maternal and fetal risk factors, and
evolving roles of the mother and her significant others.
◉ The nurse is evaluating a full-term multigravida who was induced
3 hours ago. The nurse determines that the client is dilated 7 cm and
is 100% effaced at 0 station, with intact membranes. The monitor
indicates that the FHR decelerates at the onset of several
contractions and returns to baseline before each contraction ends.
Which action should the nurse take?
A.Reapply the external transducer.
B.Insert the intrauterine pressure catheter.
C.Discontinue the oxytocin infusion.
D.Continue to monitor labor progress.
Answer: D.Continue to monitor labor progress
, Rationale: The fetal heart rate indicates early decelerations, which
are not an ominous sign, so the nurse should continue to monitor
the labor progress and document the findings in the client's record.
There is no reason to reapply the external transducer if the FHR
tracings are being captured. Options B and C are not indicated at this
time.
◉ The nurse instructs a laboring client to use accelerated blow
breathing. The client begins to complain of tingling fingers and
dizziness. Which action should the nurse take?
A.Administer oxygen by facemask.
B.Notify the health care provider of the client's symptoms.
C.Have the client breathe into her cupped hands.
D.Check the client's blood pressure and fetal heart rate..
Answer: C.Have the client breathe into her cupped hands.
Rationale:
Tingling fingers and dizziness are signs of hyperventilation (blowing
off too much carbon dioxide). Hyperventilation is treated by
retaining carbon dioxide. This can be facilitated by breathing into a
