OB FINAL HESI TEST PAPER COMPLETE
SOLUTIONS AND ACCURATE RESPONSES
●● A client at 30-weeks' gestation is admitted to the hospital with a
diagnosis of low-lying placenta previa with slight vaginal bleeding. The
client is stabilized and bleeding ceases. What is the nurse's primary
focus when providing discharge teaching about care at home for this
client?
1.Stay on strict bed rest and use a bedpan.
2. Maintain a calm and quiet environment.
3. Check fetal status with a stethoscope daily.
4. Avoid anything that may stimulate the cervix or uterus.
Answer: Correct
4. Avoid anything that may stimulate the cervix or uterus.
●● 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 i
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
SOLUTIONS AND ACCURATE RESPONSES
●● A client at 30-weeks' gestation is admitted to the hospital with a
diagnosis of low-lying placenta previa with slight vaginal bleeding. The
client is stabilized and bleeding ceases. What is the nurse's primary
focus when providing discharge teaching about care at home for this
client?
1.Stay on strict bed rest and use a bedpan.
2. Maintain a calm and quiet environment.
3. Check fetal status with a stethoscope daily.
4. Avoid anything that may stimulate the cervix or uterus.
Answer: Correct
4. Avoid anything that may stimulate the cervix or uterus.
●● 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 i
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
