OB HESI MATERNITY VERSION 1 EXAM
Questions And Answers 100% Guarantee Pass
1. A client at 10 weeks' gestation, a high-risk multiparous client with a
family history of Down syndrome, is admitted for observation following a
chorionic villus sampling (CVS) procedure. Which assessment finding
requires immediate intervention?
A. Uterine cramping
B. Intermittent nausea
C. Systolic blood pressure <100 mmHg
D. Abdominal tenderness
CORRECT ANSWER: A. Uterine cramping
,Explanation: Mild cramping can occur after CVS, but significant or persistent
uterine cramping may indicate a complication such as uterine irritation or
possible pregnancy loss and requires prompt assessment. The nurse should
evaluate the severity, frequency, associated bleeding, and fetal status and notify
the healthcare provider as indicated.
2. A client states, "During the three months I've been pregnant, it seems like
I have had to go to the bathroom every five minutes." Which explanation
should the nurse provide to this client?
A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. During pregnancy, a woman is especially sensitive to body functions.
D. The growing uterus is putting pressure on the bladder.
CORRECT ANSWER: D. The growing uterus is putting pressure on the
bladder.
Explanation: Urinary frequency is common during early pregnancy because
hormonal changes increase renal blood flow and the enlarging uterus places
pressure on the bladder. The symptom is generally expected unless accompanied
by dysuria, fever, urgency, or other findings suggestive of infection.
,3. The nurse assesses a male newborn and determines that he has the
following vital signs: axillary temperature 95.1°F, heart rate 136
beats/minute, and respiratory rate 48 breaths/minute. Based on these
findings, which action should the nurse take first?
A. Notify the pediatrician of the infant's vital signs.
B. Encourage the infant to take the breast or sugar water.
C. Assess the infant's blood glucose level.
D. Check the infant's arterial blood gases.
CORRECT ANSWER: C. Assess the infant's blood glucose level.
Explanation: A temperature of 95.1°F indicates neonatal hypothermia. Cold
stress increases metabolic demands and can contribute to hypoglycemia.
Therefore, blood glucose should be assessed promptly while the infant is
stabilized and rewarmed appropriately.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen
saturation indicates 85%. What is the priority nursing intervention?
A. Evaluate the blood pH.
B. Begin humidified oxygen via hood.
C. Place the infant under a radiant warmer.
D. Stimulate infant crying.
, CORRECT ANSWER: B. Begin humidified oxygen via hood.
Explanation: An oxygen saturation of 85% indicates significant hypoxemia in a
newborn with respiratory distress. Supporting oxygenation is the immediate
priority. Humidified oxygen by oxygen hood can improve oxygen delivery while
the infant is further evaluated and treated.
5. When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?
A. Count the heart rate for at least one full minute.
B. Quiet the infant before counting the heart rate.
C. Palpate the umbilical cord.
D. Listen at the apex of the heart.
CORRECT ANSWER: A. Count the heart rate for at least one full minute.
Explanation: Newborn heart rates can be irregular and can change with activity
and respirations. Counting for a complete 60 seconds provides the most accurate
assessment of the newborn's heart rate and rhythm.
Questions And Answers 100% Guarantee Pass
1. A client at 10 weeks' gestation, a high-risk multiparous client with a
family history of Down syndrome, is admitted for observation following a
chorionic villus sampling (CVS) procedure. Which assessment finding
requires immediate intervention?
A. Uterine cramping
B. Intermittent nausea
C. Systolic blood pressure <100 mmHg
D. Abdominal tenderness
CORRECT ANSWER: A. Uterine cramping
,Explanation: Mild cramping can occur after CVS, but significant or persistent
uterine cramping may indicate a complication such as uterine irritation or
possible pregnancy loss and requires prompt assessment. The nurse should
evaluate the severity, frequency, associated bleeding, and fetal status and notify
the healthcare provider as indicated.
2. A client states, "During the three months I've been pregnant, it seems like
I have had to go to the bathroom every five minutes." Which explanation
should the nurse provide to this client?
A. The client may have a bladder or kidney infection.
B. Bladder capacity increases during pregnancy.
C. During pregnancy, a woman is especially sensitive to body functions.
D. The growing uterus is putting pressure on the bladder.
CORRECT ANSWER: D. The growing uterus is putting pressure on the
bladder.
Explanation: Urinary frequency is common during early pregnancy because
hormonal changes increase renal blood flow and the enlarging uterus places
pressure on the bladder. The symptom is generally expected unless accompanied
by dysuria, fever, urgency, or other findings suggestive of infection.
,3. The nurse assesses a male newborn and determines that he has the
following vital signs: axillary temperature 95.1°F, heart rate 136
beats/minute, and respiratory rate 48 breaths/minute. Based on these
findings, which action should the nurse take first?
A. Notify the pediatrician of the infant's vital signs.
B. Encourage the infant to take the breast or sugar water.
C. Assess the infant's blood glucose level.
D. Check the infant's arterial blood gases.
CORRECT ANSWER: C. Assess the infant's blood glucose level.
Explanation: A temperature of 95.1°F indicates neonatal hypothermia. Cold
stress increases metabolic demands and can contribute to hypoglycemia.
Therefore, blood glucose should be assessed promptly while the infant is
stabilized and rewarmed appropriately.
4. An infant in respiratory distress is placed on pulse oximetry. The oxygen
saturation indicates 85%. What is the priority nursing intervention?
A. Evaluate the blood pH.
B. Begin humidified oxygen via hood.
C. Place the infant under a radiant warmer.
D. Stimulate infant crying.
, CORRECT ANSWER: B. Begin humidified oxygen via hood.
Explanation: An oxygen saturation of 85% indicates significant hypoxemia in a
newborn with respiratory distress. Supporting oxygenation is the immediate
priority. Humidified oxygen by oxygen hood can improve oxygen delivery while
the infant is further evaluated and treated.
5. When assessing a newborn infant's heart rate, which technique is most
important for the nurse to use?
A. Count the heart rate for at least one full minute.
B. Quiet the infant before counting the heart rate.
C. Palpate the umbilical cord.
D. Listen at the apex of the heart.
CORRECT ANSWER: A. Count the heart rate for at least one full minute.
Explanation: Newborn heart rates can be irregular and can change with activity
and respirations. Counting for a complete 60 seconds provides the most accurate
assessment of the newborn's heart rate and rhythm.
