HESI Obstetrics/Maternity Assignment Exam
Terms in this set (108)
Which client finding should the nurse Fetal heart tones (FHT) heard with a
doppler. document as a positive sign of pregnancy?
Last menstrual cycle occurred 2 months
ago.
A urine sample with a positive pregnancy
test.
Presence of Braxton Hicks contractions.
Fetal heart tones (FHT) heard with a
doppler.
,The nurse is caring for a client in active Place the client in a side-lying position.
labor and observes V shape decelerations in
the fetal heart rate occurring with the peak
of each contraction. What action should the
nurse implement?
Notify the healthcare provider of fetal
status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids.
While assessing a newborn the nurse Caput succedaneum.
observes diffuse edema of the soft tissues
of the scalp that cross the suture lines.
How should the nurse document this
finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum.
The mother of a neonate asks the nurse why A large body surface area favors heat loss to the
environment. it is so important to keep the infant warm.
What information should the nurse provide?
The kidneys and renal function are not fully
developed.
Warmth promotes sleep so the infant will
grow quickly.
A large body surface area favors heat loss
to the environment.
The thick layer of subcutaneous fat
is inadequate for insulation.
A gravid client develops maternal Administer oxygen.
hypotension following regional anesthesia. Increase IV fluids.
What intervention(s) should the nurse Place the client in a lateral
position. implement? (Select all that apply.) Monitor fetal status.
Select all that apply
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
, A client at 8-months gestation tells the nurse The fetus in utero is capable of hearing and does
respond to that she knows her baby listens to her, but the mother's voice.
her husband thinks she is imagining things.
What information should the nurse provide?
Many women imagine what their baby is like
by interpreting fetal movements.
The fetus in utero is capable of hearing and
does respond to the mother's voice.
The healthcare provider should address her
concerns about her baby's hearing function.
The interaction between the mother's voice
and the fetus's response ensures
bonding.
When assessing a newborn infant's heart Count the heart rate for at least one full minute.
rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart
rate.
Listen at the apex of the heart.
Count the heart rate for at least one full
minute.
Palpate the umbilical cord.
A client is experiencing "back" labor and Apply counter pressure against the
sacrum. complains of intense pain in the lower
lumbar-sacral area. What action should
the nurse implement?
Perform effleurage on the abdomen.
Encourage pant-blow breathing techniques.
Apply counter pressure against the sacrum.
Assist the client in guided imagery.
A client at 28-weeks gestation experiences Changes in fetal heart rate patterns.
blunt abdominal trauma. Which parameter
should the nurse assess first for signs of
internal hemorrhage?
Vaginal bleeding.
Complaints of abdominal pain.
Changes in fetal heart rate patterns.
Alteration in maternal blood pressure.
Which procedure evaluates the effect of Non-stress test (NST).
fetal movement on fetal heart activity?
Sonography.
Contraction test.
Biophysical profile.
Non-stress test (NST).
Terms in this set (108)
Which client finding should the nurse Fetal heart tones (FHT) heard with a
doppler. document as a positive sign of pregnancy?
Last menstrual cycle occurred 2 months
ago.
A urine sample with a positive pregnancy
test.
Presence of Braxton Hicks contractions.
Fetal heart tones (FHT) heard with a
doppler.
,The nurse is caring for a client in active Place the client in a side-lying position.
labor and observes V shape decelerations in
the fetal heart rate occurring with the peak
of each contraction. What action should the
nurse implement?
Notify the healthcare provider of fetal
status.
Give oxygen at 10 L per nasal cannula.
Place the client in a side-lying position.
Increase the flow rate of intravenous fluids.
While assessing a newborn the nurse Caput succedaneum.
observes diffuse edema of the soft tissues
of the scalp that cross the suture lines.
How should the nurse document this
finding?
Molding.
Hemangioma.
Cephalohematoma.
Caput succedaneum.
The mother of a neonate asks the nurse why A large body surface area favors heat loss to the
environment. it is so important to keep the infant warm.
What information should the nurse provide?
The kidneys and renal function are not fully
developed.
Warmth promotes sleep so the infant will
grow quickly.
A large body surface area favors heat loss
to the environment.
The thick layer of subcutaneous fat
is inadequate for insulation.
A gravid client develops maternal Administer oxygen.
hypotension following regional anesthesia. Increase IV fluids.
What intervention(s) should the nurse Place the client in a lateral
position. implement? (Select all that apply.) Monitor fetal status.
Select all that apply
Administer oxygen.
Increase IV fluids.
Perform a vaginal examination.
Assist client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
, A client at 8-months gestation tells the nurse The fetus in utero is capable of hearing and does
respond to that she knows her baby listens to her, but the mother's voice.
her husband thinks she is imagining things.
What information should the nurse provide?
Many women imagine what their baby is like
by interpreting fetal movements.
The fetus in utero is capable of hearing and
does respond to the mother's voice.
The healthcare provider should address her
concerns about her baby's hearing function.
The interaction between the mother's voice
and the fetus's response ensures
bonding.
When assessing a newborn infant's heart Count the heart rate for at least one full minute.
rate, which technique is most important for
the nurse to use?
Quiet the infant before counting the heart
rate.
Listen at the apex of the heart.
Count the heart rate for at least one full
minute.
Palpate the umbilical cord.
A client is experiencing "back" labor and Apply counter pressure against the
sacrum. complains of intense pain in the lower
lumbar-sacral area. What action should
the nurse implement?
Perform effleurage on the abdomen.
Encourage pant-blow breathing techniques.
Apply counter pressure against the sacrum.
Assist the client in guided imagery.
A client at 28-weeks gestation experiences Changes in fetal heart rate patterns.
blunt abdominal trauma. Which parameter
should the nurse assess first for signs of
internal hemorrhage?
Vaginal bleeding.
Complaints of abdominal pain.
Changes in fetal heart rate patterns.
Alteration in maternal blood pressure.
Which procedure evaluates the effect of Non-stress test (NST).
fetal movement on fetal heart activity?
Sonography.
Contraction test.
Biophysical profile.
Non-stress test (NST).
