OB HESI QUIZ QUESTIONS WITH
COMPLETE ANSWERS
T
he parents of a male newborn have signed an informed consent for circumcision.
which intervention should the nurse implement upon completion of the circumcision?
a. Place petroleum gauze dressings on the site
b. wrap the infant in warm receiving blankets
c. Give a PRN dose of liquid acetaminophen
d. Offer a pacifier dipped in glucose water - Answer-a. Place petroleum gauze dressings
on the site
After delivery of a normal infant, the mother tells the nurses that she would like to use
oral contraceptive. Which finding in the client's health history is a contraindication of the
use of contraceptives?
a. Previously used intrauterine device (IUD)
b. Reported history of stroke within family
c. Diagnosed with diabetes mellitus 2 years ago
d. Smoked cigarettes prior to becoming pregnant - Answer-d. Smoked cigarettes prior to
becoming pregnant
A pregnant, homeless woman who has received no prenatal care presents to the clinic
in her third trimester because she is having vaginal bleeding but reports that she is not
in pain. Ultrasound reveals a placenta previa. Which actions should the nurse
implement - Answer-Schedule weekly prenatal appointments
A new mother who is breastfeeding her 4-week old infant and has type 1 diabetes,
reports that her insulins needs have decreased since the birth of her child. What action
should the nurse implement? - Answer-a. Inform her that a decrease for insulin occurs
while breastfeeding
The healthcare provides prescribes 10units/L of oxytocin (Pitocin) via IV drips to
augment a client labor because she is experiencing a prolonged active phase. Which
finding would cause the nurse to immediately discontinue the oxytocin?
a. uterus soft
b. contraction duration of 100 seconds
c. four contractions in 10 minutes
d. Early deceleration of fetal heart rate - Answer-b. contraction duration of 100 seconds
The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of
respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the
nurse implement first? - Answer-a. Position radiant warmer over the crib
, The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which
immediate treatment is indicated for this client? - Answer-Administration of antibodies
A client at 38- weeks' gestation complaints of severe abdominal pain. Upon the nurse
notes that the abdomen is rigid. - Answer-c. Abruptio placenta
A woman who delivered a 9-pound baby boy by cesarean section under spinal
anesthesia is recovering in the post anesthesia care unit. Her fundus is firm at the
umbilicus and a continues to trickle bright red blood with no clots from the vagina is
observed by the nurse. Which actions should the nurse implemented.
a. Massage the fundus
b. Assess her blood pressure
c. Apply ice pack to perineum
d. Let the infant breast feed - Answer-Assess her blood pressure
term multigravida, who is receiving oxytocin for labor augmentation is requesting pain
medication. Review of the clients record indication that she was medicated 30minutes
ago with butorphanol (Stadol) 2mg and promethazine (Phenergan) 25mg IV push.
Vaginal examination reveals that the client cervical dilation is 3cm, 70% effaced, and at
a 0 station. What action should the nurse implement
Discontinue the Pitocin infusion
b. Medicate the client with an additional 1mg of Stadol IV push
c. Notify the healthcare provider
d. Instruct the client to use deep breathing during contraction - Answer-d. Instruct the
client to use deep breathing during contraction
A new mother asks the nurse about an area of swelling on her baby head near the
posterior fontanel that lies across the suture lines. How should the nurse respond? -
Answer-That's called caput succedaneum. It will absorb and cause no problems
he nurse is teaching a client with gestational diabetes about nutrition and insulin need
for pregnancy. Which content should the nurse include in this client teaching plan? -
Answer-a. increase daily caloric intake is neede
While caring for a laboring client on continuous fetal monitoring. The nurse notes an
FHR pattern that falls and rises abruptly with a "V" shaped appearance. What action
should the nurse take first? - Answer-Change the maternal position
PKU - Answer-prenatal history. When both parents are carriers of an autosomal
recessive gene,
such as PKU, each child has a 25% change of being healthy.
When fetal movements or contractions compress the umbilical cord, variable
COMPLETE ANSWERS
T
he parents of a male newborn have signed an informed consent for circumcision.
which intervention should the nurse implement upon completion of the circumcision?
a. Place petroleum gauze dressings on the site
b. wrap the infant in warm receiving blankets
c. Give a PRN dose of liquid acetaminophen
d. Offer a pacifier dipped in glucose water - Answer-a. Place petroleum gauze dressings
on the site
After delivery of a normal infant, the mother tells the nurses that she would like to use
oral contraceptive. Which finding in the client's health history is a contraindication of the
use of contraceptives?
a. Previously used intrauterine device (IUD)
b. Reported history of stroke within family
c. Diagnosed with diabetes mellitus 2 years ago
d. Smoked cigarettes prior to becoming pregnant - Answer-d. Smoked cigarettes prior to
becoming pregnant
A pregnant, homeless woman who has received no prenatal care presents to the clinic
in her third trimester because she is having vaginal bleeding but reports that she is not
in pain. Ultrasound reveals a placenta previa. Which actions should the nurse
implement - Answer-Schedule weekly prenatal appointments
A new mother who is breastfeeding her 4-week old infant and has type 1 diabetes,
reports that her insulins needs have decreased since the birth of her child. What action
should the nurse implement? - Answer-a. Inform her that a decrease for insulin occurs
while breastfeeding
The healthcare provides prescribes 10units/L of oxytocin (Pitocin) via IV drips to
augment a client labor because she is experiencing a prolonged active phase. Which
finding would cause the nurse to immediately discontinue the oxytocin?
a. uterus soft
b. contraction duration of 100 seconds
c. four contractions in 10 minutes
d. Early deceleration of fetal heart rate - Answer-b. contraction duration of 100 seconds
The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of
respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the
nurse implement first? - Answer-a. Position radiant warmer over the crib
, The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which
immediate treatment is indicated for this client? - Answer-Administration of antibodies
A client at 38- weeks' gestation complaints of severe abdominal pain. Upon the nurse
notes that the abdomen is rigid. - Answer-c. Abruptio placenta
A woman who delivered a 9-pound baby boy by cesarean section under spinal
anesthesia is recovering in the post anesthesia care unit. Her fundus is firm at the
umbilicus and a continues to trickle bright red blood with no clots from the vagina is
observed by the nurse. Which actions should the nurse implemented.
a. Massage the fundus
b. Assess her blood pressure
c. Apply ice pack to perineum
d. Let the infant breast feed - Answer-Assess her blood pressure
term multigravida, who is receiving oxytocin for labor augmentation is requesting pain
medication. Review of the clients record indication that she was medicated 30minutes
ago with butorphanol (Stadol) 2mg and promethazine (Phenergan) 25mg IV push.
Vaginal examination reveals that the client cervical dilation is 3cm, 70% effaced, and at
a 0 station. What action should the nurse implement
Discontinue the Pitocin infusion
b. Medicate the client with an additional 1mg of Stadol IV push
c. Notify the healthcare provider
d. Instruct the client to use deep breathing during contraction - Answer-d. Instruct the
client to use deep breathing during contraction
A new mother asks the nurse about an area of swelling on her baby head near the
posterior fontanel that lies across the suture lines. How should the nurse respond? -
Answer-That's called caput succedaneum. It will absorb and cause no problems
he nurse is teaching a client with gestational diabetes about nutrition and insulin need
for pregnancy. Which content should the nurse include in this client teaching plan? -
Answer-a. increase daily caloric intake is neede
While caring for a laboring client on continuous fetal monitoring. The nurse notes an
FHR pattern that falls and rises abruptly with a "V" shaped appearance. What action
should the nurse take first? - Answer-Change the maternal position
PKU - Answer-prenatal history. When both parents are carriers of an autosomal
recessive gene,
such as PKU, each child has a 25% change of being healthy.
When fetal movements or contractions compress the umbilical cord, variable
