OB HESI Exam- Possible Questions with complete Answers Graded A+

OB HESI Exam- Possible Questions with complete Answers Graded A+ The amniotic membranes of a client in active labor spontaneously rupture. The fluid is greenish brown with a foul odor. What action is a priority for the nurse? A. Evaluate the labor pattern. B. Administer oxygen. C. Place the client into the knee-chest position. D. Apply internal fetal heart monitor and note the time of membrane rupture ANS: D Rationale: In the presence of greenish brown amniotic fluid, the fetal heart rate should be monitored continuously using an internal fetal heart rate monitor, and the time of membrane rupture should be noted since birth should occur within 24 hours of the rupture of membranes. A primigravida in labor has complete cervical dilatation. Contractions are occurring every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the nurse determines that birth is imminent because what has occurred? A. An increase in bloody show B. Perineum is bulging. C. Perineum is flattened. D. Crowning ANS: D The nurse, assessing a client who is 32 weeks pregnant during a routine visit, is concerned that the fetus is in the breech presentation. What did the nurse assess in the client? Fetal heart rate above the umbilicus. A client in the last trimester of pregnancy is prescribed sulfonamide for a urinary tract infection. What risk will this medication be to the developing fetus? Jaundice The fetal heart rate of a client in active labor shows variable decelerations. The cervix is 7cm dilated and the membranes are intact. What intervention should the nurse implement first? Assist client with turning to the left side. An Rh negative mother and an Rh positive father are expecting a child. Screening revealed a positive indirect coombs test. Which statement regarding this result is correct? There is no need to administer RhoGAM to this woman. A client, pregnant with her first child, tells the nurse that she is vegan. When discussing the client's nutritional needs, what should the nurse include? Use fortified soy or rice milk to meet dairy needs. A woman in the first trimester of her pregnancy has a Hemoglobin level of 11 mg/dl and MCV of 113 fL. What action should the nurse take? Determine folate and Vitamin B12 levels. A woman in the active phase of labor takes slow, deep breaths at the beginning of each contraction, while increasing the rate and decreasing the depth of her breaths as she reaches the peak of the contraction. Once the contraction is over, her breathing becomes slower and deeper again. What breathing pattern does the nurse recognize this client is using? Modified-paced breathing A pregnant client at risk for preterm labor has received betamethasone (Celestone) for 2 days. What is most important for the nurse to monitor? Blood glucose level The nurse is preparing a presentation on the organs of the developing fetus for a group of expecting families. When preparing this material, the nurse will include which organ system as being the most developed by 3 weeks of gestation? Cardiovascular system