OB/Maternity v HESI v Assignment v exam v graded v A+ v answers v At v 10-weeks v gestation, v a v high-risk v multiparous v client v with v a v family v history v of v Down v syndrome v is v admitted v for v observation v following v a v chorionic v villi v sampling v (CVS) v procedure. v What v assessment v finding v requires v immediate v intervention? v - v correct v answers -A. v Uterine v cramping A v client v states, v "During v the v three v months v I've v been v pregnant, v it v seems v like v I v have v had v to v go v to v the v bathroom v every v five v minutes." v Which v explanation v should v the v nurse v provide v to v this v client? v - v correct v answers -D. v The v growing v uterus v is v putting v pressure v on v the v bladder. The v nurse v assesses v a v male v newborn v and v determines v that v he v has v the v following v vital v signs: v axillary v temperature v 95.1 v F, v heart v rate v 136 v beats/minute, v and v a v respiratory v rate v 48 v breaths/minute. v Based v on v these v findings, v which v action v should v the v nurse v take v first? v - v correct v answers -C. v Assess v the v infant's v blood v glucose v level An v infant v in v respiratory v distress v is v placed v on v pulse v ox. v The v O2 v sat v is v 85%. v What v is v the v priority v nursing v intervention? v - v correct v answers -B. v Begin v humidified v oxygen v via v hood When v assessing v a v newborn v infant's v heart v rate, v which v technique v is v most v important v for v the v nurse v to v use? v - v correct v answers -C. v Count v the v heart v rate v for v at v least v one v full v minute The v nurse v prepares v to v administer v an v injection v of v vitamin v K v to v a v newborn v infant. v The v mother v tells v the v nurse, v "Wait! v I v don't v want v my v baby v to v have v a v shot." v Which v response v would v be v best v for v the v nurse v to v make? v - v correct v answers -B. v Explore v the v mother's v concerns v about v the v infant v receiving v an v injection v of v vitamin v K The v nurse v is v teaching v a v new v mother v about v diet v and v breastfeeding. v Which v instruction v is v most v important v to v include v in v the v teaching v plan? v - v correct v answers -A. v Avoid v alcohol v because v it v is v excreted v in v breast v milk Which v nursing v intervention v best v enhances v maternal -infant v bonding v during v the v fourth v stage v of v labor? v - v correct v answers -D. v Encourage v early v initiation v of v breast v of v formula v feeding A v client v at v 8-weeks v gestation v asks v the v nurse v about v the v risk v fora v congenital v heart v defect v (CHD) v in v her v baby. v Which v response v best v explains v when v a v CHD v may v occur? v - v correct v answers -D. v The v heart v develops v in v the v third v to v fifth v weeks v after v conception A v client v at v 8-months v gestation v tells v the v nurse v that v she v knows v her v baby v listens v to v her, v but v her v husband v thinks v she v is v imagining v things. v What v information v should v the v nurse v provide? v - v correct v answers -B. v The v fetus v in v utero v is v capable v of v hearing v and v does v respond v to v the v mother's v voice A v client v at v 25-weeks v gestation v tells v the v nurse v that v she v dropped v a v cooking v utensil v last v week v and v her v baby v jumped v in v response v to v the v noise. v What v information v should v the v nurse v provide? v - v correct v answers -B. v The v fetus v can v respond v to v sound v by v 24-
weeks v gestation A v woman v whose v pregnancy v is v confirmed v asks v the v nurse v what v the v function v of v the v placenta v is v in v early v pregnancy. v What v information v supports v the v explanation v that v the v nurse v should v provide? v - v correct v answers -C. v Secretes v both v estrogen v and v progesterone Which v cardiovascular v findings v should v the v nurse v assess v further v in v a v client v who v is v at v 20-weeks v gestation? v - v correct v answers -A. v Decrease v in v pulse v rate A v 31-year-old v woman v uses v an v over-the-counter v (OTC) v pregnancy v test v that v is v positive v one v week v after v a v missed v period. v At v the v clinic, v the v client v tells v the v nurse v she v takes v phenytoin v (Dilantin) v for v epilepsy, v has v a v history v of v irregular v periods, v is v under v stress v at v work, v and v is v not v sleeping v well. v The v client's v physical v examination v and v ultrasound v do v not v indicate v that v she v is v pregnant. v How v should v the v nurse v explain v the v most v likely v cause v for v obtaining v false -positive v pregnancy v test v results? v - v correct v answers -B. v Using v an v anticonvulsant v for v epilepsy Which v gastrointestinal v findings v should v the v nurse v be v concerned v about v in v a v client v at v 28-weeks v gestation? v - v correct v answers -A. v PICA During v a v preconception v counseling v session v for v women v trying v to v get v pregnant v in v 3 v to v 6 v months, v what v information v should v the v nurse v provide? v - v correct v answers -B. v Make v sure v to v include v adequate v folic v acid v in v the v diet Which v statement v by v a v client v who v is v pregnant v indicates v to v the v nurse v an v understanding v of v the v role v of v protein v during v pregnancy? v - v correct v answers -A. v "Protein v helps v the v fetus v grow v while v I v am v pregnant." A v client v in v her v second v trimester v of v pregnancy v asks v if v it v is v safe v for v her v to v have v a v drink v with v dinner. v How v should v the v nurse v respond v to v the v client? v - v correct v answers -D. v Abstinence v is v strongly v recommended v throughout v the v pregnancy A v female v client v who v wants v to v deliver v at v home v asks v the v nurse v to v explain v the v role v of v a v nurse -midwife v in v providing v obstetric v care. v What v information v should v the v nurse v provide? v - v correct v answers -B. v The v pregnancy v should v progress v normally v and v be v considered v low v risk When v discussing v birth v in v a v home v setting v with v a v group v of v pregnant v women, v which v situation v should v the v nurse v include v about v the v safety v of v a v home v birth? v - v correct v answers -D. v Medical v backup v should v be v available v quickly v in v case v of v complications The v nurse v is v discussing v the v stages v of v labor v with v a v group v of v women v in v the v last v month v of v pregnancy v and v provides v examples v of v different v positional v techniques v used v during v the v second v stage v of v labor. v Which v position v should v the v nurse v address v the v best v advantage v of v gravity v during v delivery? v - v correct v answers -B. v Squatting A v client v in v the v first v stage v of v labor v is v using v a v shallow v pattern v of v rapid v breaths v that v is v twice v the v normal v adult v breathing v rate. v The v client v complains v of v feeling v light v headed, v dizzy, v and v states v that v her v fingers v are v tingling. v What v action v should v the v nurse v implement? v - v correct v answers -B. v Help v her v breathe v into v a v paper v bag A v client v in v active v labor v at v 39-weeks v gestation v tells v the v nurse v she v feels v a v wet v sensation v on v the v perineum. v The v nurse v notices v pale, v straw -colored v fluid v with v small v white v particles. v After v reviewing v the v fetal v monitor v strip v for v fetal v disturbance, v what v action v should v the v nurse v take? v - v correct v answers -C. v Perform v a v nitrazine v test A v client v in v early v labor v is v having v uterine v contractions v every v 3 v to v 4 v minutes, v lasting v an v average v of v 55 v to v 60 v seconds. v An v internal v uterine v pressure v catheter v (IUPC) v is v inserted. v The v intrauterine v pressure v is v 65 v to v 70 v mmHg v at v the v peak. v Based v on v this v
weeks v gestation A v woman v whose v pregnancy v is v confirmed v asks v the v nurse v what v the v function v of v the v placenta v is v in v early v pregnancy. v What v information v supports v the v explanation v that v the v nurse v should v provide? v - v correct v answers -C. v Secretes v both v estrogen v and v progesterone Which v cardiovascular v findings v should v the v nurse v assess v further v in v a v client v who v is v at v 20-weeks v gestation? v - v correct v answers -A. v Decrease v in v pulse v rate A v 31-year-old v woman v uses v an v over-the-counter v (OTC) v pregnancy v test v that v is v positive v one v week v after v a v missed v period. v At v the v clinic, v the v client v tells v the v nurse v she v takes v phenytoin v (Dilantin) v for v epilepsy, v has v a v history v of v irregular v periods, v is v under v stress v at v work, v and v is v not v sleeping v well. v The v client's v physical v examination v and v ultrasound v do v not v indicate v that v she v is v pregnant. v How v should v the v nurse v explain v the v most v likely v cause v for v obtaining v false -positive v pregnancy v test v results? v - v correct v answers -B. v Using v an v anticonvulsant v for v epilepsy Which v gastrointestinal v findings v should v the v nurse v be v concerned v about v in v a v client v at v 28-weeks v gestation? v - v correct v answers -A. v PICA During v a v preconception v counseling v session v for v women v trying v to v get v pregnant v in v 3 v to v 6 v months, v what v information v should v the v nurse v provide? v - v correct v answers -B. v Make v sure v to v include v adequate v folic v acid v in v the v diet Which v statement v by v a v client v who v is v pregnant v indicates v to v the v nurse v an v understanding v of v the v role v of v protein v during v pregnancy? v - v correct v answers -A. v "Protein v helps v the v fetus v grow v while v I v am v pregnant." A v client v in v her v second v trimester v of v pregnancy v asks v if v it v is v safe v for v her v to v have v a v drink v with v dinner. v How v should v the v nurse v respond v to v the v client? v - v correct v answers -D. v Abstinence v is v strongly v recommended v throughout v the v pregnancy A v female v client v who v wants v to v deliver v at v home v asks v the v nurse v to v explain v the v role v of v a v nurse -midwife v in v providing v obstetric v care. v What v information v should v the v nurse v provide? v - v correct v answers -B. v The v pregnancy v should v progress v normally v and v be v considered v low v risk When v discussing v birth v in v a v home v setting v with v a v group v of v pregnant v women, v which v situation v should v the v nurse v include v about v the v safety v of v a v home v birth? v - v correct v answers -D. v Medical v backup v should v be v available v quickly v in v case v of v complications The v nurse v is v discussing v the v stages v of v labor v with v a v group v of v women v in v the v last v month v of v pregnancy v and v provides v examples v of v different v positional v techniques v used v during v the v second v stage v of v labor. v Which v position v should v the v nurse v address v the v best v advantage v of v gravity v during v delivery? v - v correct v answers -B. v Squatting A v client v in v the v first v stage v of v labor v is v using v a v shallow v pattern v of v rapid v breaths v that v is v twice v the v normal v adult v breathing v rate. v The v client v complains v of v feeling v light v headed, v dizzy, v and v states v that v her v fingers v are v tingling. v What v action v should v the v nurse v implement? v - v correct v answers -B. v Help v her v breathe v into v a v paper v bag A v client v in v active v labor v at v 39-weeks v gestation v tells v the v nurse v she v feels v a v wet v sensation v on v the v perineum. v The v nurse v notices v pale, v straw -colored v fluid v with v small v white v particles. v After v reviewing v the v fetal v monitor v strip v for v fetal v disturbance, v what v action v should v the v nurse v take? v - v correct v answers -C. v Perform v a v nitrazine v test A v client v in v early v labor v is v having v uterine v contractions v every v 3 v to v 4 v minutes, v lasting v an v average v of v 55 v to v 60 v seconds. v An v internal v uterine v pressure v catheter v (IUPC) v is v inserted. v The v intrauterine v pressure v is v 65 v to v 70 v mmHg v at v the v peak. v Based v on v this v
