ANALYZED MATERNITY HESI FINAL EXAM QUESTIONS AND ANSWERS

ANALYZED MATERNITY HESI FINAL EXAM QUESTIONS AND ANSWERS 1. Pregnant patient, with contractions that are 5 min apart, goes to the bathroom and you hear a baby crying. What is the best action for the nurse to do? - CORRECT ANSWER -hit the call light to call for help 2. Post partal patient has a spinal headache 24 hours after delivery. Prior to anesthesiologist's arrival what action is best for the nurse to perform? - CORRECT ANSWER -have equipment at bedside 3. Patient 20 weeks gestation has HPV. What is the best information for the nurse to provide? - CORRECT ANSWER -treatment is available but limited due to pregnancy 4. One hour after delivery the nurse is unable to palpate the fundus. Large amount of lochia on pad. Massage umbilicus and get vitals. What intervention does the nurse implement next? - CORRECT ANSWER -palpate for bladder distention 5. Infant with cephalatoma. What action should the nurse do next? - CORRECT ANSWER -assess for jaundice q 8 hours 6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr - CORRECT ANSWER -12 mL/hr 7. Patient receiving Pitocin is experiencing tetanic contractions with variable FHR. What action should the nurse implement? - CORRECT ANSWER -- turn off the Pitocin drip 8. Patient scheduled for cesarean for 0600 tells the nurse that she drank some coffee at 0400 to avoid getting a headache. What action does the nurse take next? - CORRECT ANSWER -tell the anesthesiologist 9. After delivery of a 10 pound baby 2 hours ago, the fundus is above and to the right of the umbilicus. She voids 250 mL in a bed pan, Action to implement? - CORRECT ANSWER -palpate suprapubic region for distention 10. 33 weeks gestation. Moderate bleeding. No contractions. What intervention to implement? - CORRECT ANSWER -Weigh pads 11. Primipara 42 weeks gestation. Pitocin started then stopped. O2 applied. Contractions 5 minutes apart for 20 seconds. Intervention to implement? - CORRECT ANSWER -restart Pitocin per protocol 12. Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v" shaped pattern. Nurse action to take first? - CORRECT ANSWER -change position of patient 13. 28 weeks gestation with twins. Fundal height 27 cm. fundal height measured 28 cm 3 weeks ago. What does the nurse conclude from this? - CORRECT ANSWER -may indicate IUGR 14. Patient received prostaglandin gel vaginally to induce labor. 30 minutes after insertion of gel, patient complains of vaginal warmth. What action should nurse implement first? - CORRECT ANSWER -turn patient to a side lying position 15. Parents tell nurse that baby is trying to walk. Nurse's response? - CORRECT ANSWER -explain it is a normal stepping reflex 16. Patient delivered baby 24 hours ago and complains of urinating every hour or so. She asks the nurse "is that ok?" Nurse's action? - CORRECT ANSWER -measure next voiding