OB FINAL HESI STUDY GUIDE FULL
QUESTIONS WITH DETAILED ANSWERS
●● A small-for-gestational-age (SGA) newborn has just been admitted to
the nursery. Nursing assessment reveals a high-pitched cry, jitteriness,
and irregular respirations. With which condition are these signs
associated?
1. Hypervolemia
2. Hypoglycemia
3. Hypercalcemia
4. Hypothyroidism
Answer: Correct
2. Hypoglycemia
●● During the postpartum period a client with heart disease and type 2
diabetes asks a nurse, "Which contraceptives will I be able to use to
prevent pregnancy in the near future?" How should the nurse respond?
,1. "You may use oral contraceptives—they're almost completely
effective in preventing pregnancy."
2. "You should use foam with a condom to prevent pregnancy—this is
the safest method for women with your illnesses."
3. "You'll find that the intrauterine device is best for you, because it
prevents a fertilized ovum from implanting in the uterus."
4. "You have little to worry about regarding becoming pregnant in the
near future, because women with your illnesses usually become
infertile."
Answer: Correct
2. "You should use foam with a condom to prevent pregnancy—this is
the safest method for women with your illnesses."
●● A client arrives at the clinic with swollen, tender breasts and flulike
symptoms. A diagnosis of mastitis is made. What does the nurse plan to
do?
1. Help her wean the infant gradually.
2. Teach her to empty her breasts frequently.
,3. Review breastfeeding techniques with her.
4. Send a sample of her milk to the laboratory for testing.
Answer: Correct
2. Teach her to empty her breasts frequently.
●● The nurse suspects that a newborn is experiencing opioid
withdrawal. Which assessment finding supports this suspicion?
1. Lethargy and constipation
2. Grunting and low-pitched cry
3. Irritability and nasal congestion
4. Watery eyes and rapid respirations
Answer: Correct
3. Irritability and nasal congestion
●● A nurse is assessing a newborn with caput succedaneum. How does
the nurse explain the cause of this fetal condition to the new mother?
1. Overlap of fetal bones as they pass through the maternal birth canal
, 2. Swelling of the soft tissue of the scalp as a result of pressure during
labor
3. Hemorrhage of ruptured blood vessels that does not cross the suture
lines
4. Accumulation of fluid resulting from partial blockage of cerebrospinal
fluid drainage
Answer: Correct
2. Swelling of the soft tissue of the scalp as a result of pressure during
labor
●● A new mother exclaims to the nurse, "My baby looks like a
conehead!" How should the nurse respond?
1. "Are you disappointed in how your baby looks?"
2. "Don't worry—your baby's head will be round in a few days."
3. "Is there anyone in your family whose head shape is similar to your
baby's?"
QUESTIONS WITH DETAILED ANSWERS
●● A small-for-gestational-age (SGA) newborn has just been admitted to
the nursery. Nursing assessment reveals a high-pitched cry, jitteriness,
and irregular respirations. With which condition are these signs
associated?
1. Hypervolemia
2. Hypoglycemia
3. Hypercalcemia
4. Hypothyroidism
Answer: Correct
2. Hypoglycemia
●● During the postpartum period a client with heart disease and type 2
diabetes asks a nurse, "Which contraceptives will I be able to use to
prevent pregnancy in the near future?" How should the nurse respond?
,1. "You may use oral contraceptives—they're almost completely
effective in preventing pregnancy."
2. "You should use foam with a condom to prevent pregnancy—this is
the safest method for women with your illnesses."
3. "You'll find that the intrauterine device is best for you, because it
prevents a fertilized ovum from implanting in the uterus."
4. "You have little to worry about regarding becoming pregnant in the
near future, because women with your illnesses usually become
infertile."
Answer: Correct
2. "You should use foam with a condom to prevent pregnancy—this is
the safest method for women with your illnesses."
●● A client arrives at the clinic with swollen, tender breasts and flulike
symptoms. A diagnosis of mastitis is made. What does the nurse plan to
do?
1. Help her wean the infant gradually.
2. Teach her to empty her breasts frequently.
,3. Review breastfeeding techniques with her.
4. Send a sample of her milk to the laboratory for testing.
Answer: Correct
2. Teach her to empty her breasts frequently.
●● The nurse suspects that a newborn is experiencing opioid
withdrawal. Which assessment finding supports this suspicion?
1. Lethargy and constipation
2. Grunting and low-pitched cry
3. Irritability and nasal congestion
4. Watery eyes and rapid respirations
Answer: Correct
3. Irritability and nasal congestion
●● A nurse is assessing a newborn with caput succedaneum. How does
the nurse explain the cause of this fetal condition to the new mother?
1. Overlap of fetal bones as they pass through the maternal birth canal
, 2. Swelling of the soft tissue of the scalp as a result of pressure during
labor
3. Hemorrhage of ruptured blood vessels that does not cross the suture
lines
4. Accumulation of fluid resulting from partial blockage of cerebrospinal
fluid drainage
Answer: Correct
2. Swelling of the soft tissue of the scalp as a result of pressure during
labor
●● A new mother exclaims to the nurse, "My baby looks like a
conehead!" How should the nurse respond?
1. "Are you disappointed in how your baby looks?"
2. "Don't worry—your baby's head will be round in a few days."
3. "Is there anyone in your family whose head shape is similar to your
baby's?"
