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HESI OB Maternity Version 6 Exam Questions and Verified Answers, 100% Guarantee Pass 2024

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HESI Obstetrics/Maternity
Course
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Uploaded on
November 11, 2024
Number of pages
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Written in
2024/2025
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OB HESI MATERNITY VERSION 6 EXAM

Questions And Answers

100% Guarantee Pass



This Test Consists Of 54 Questions And Answers




1. A nurse in a providers office is talking with a client who has a prescription

for fexofenadine. The client reports that their allergies remain unaffected.

which of the following questions should the nurse ask the client to determine

If the medication is being absorbed properly?


- Are you still taking your antacids at this time?

- Do you swallow the medication with milk?

,- Do you take this medication at bedtime?

- Are you taking the medication on an empty stomach?

:Answer>> - Are you still takingyour antacids at this time?



The nurse should instruct the client to avoid taking fexofenadine with antacids

containing magnesium or aluminum, because these medications can decrease the

absorption and effectiveness of fexofenadine.

2. A nurse is reviewing laboratory report for a client who is receiving contin-

uous enteral feedings. Which of the following values should the nurse report

to the provider?



- BUN 25 mg/dl

- Negative urine ketones

- Casual blood glucose 190 mg/dl

- Hct 45%

:Answer>> - BUN 25 mg/dl



A BUN level of 25 mg/dl is above the expected reference range of 10 to 20 mg/dl,

and is an indication of dehydration, a complication of enteral feedings. this value

should be reported to the provider.

,3. A nurse is reviewing the medical record of a client who has HIV. Which of

the following information should indicate to the nurse that the client is at risk

for inadequate nutritional intake?



- The client is consuming 4.5 cups/day of fruits and vegetables

- The client is eating six to nine small meals each day.

- The client consumes seafood three times per week

- The client is receiving a daily calorie intake of 20 cal/kg.

:Answer>> - The client is receivinga daily calorie intake of 20 cal/kg.



A client who has HIV should consume a daily intake of at least 25 to 30 cal/kg

depending on activity level, metabolism, and disease state.

,4. A nurse is assessing a client for findings that indicate fluid volume excess.

The client has completed an extensive bike ride, drinking multiple bottles of

water during the ride. The nurse should identify which of the following findings

as an indication of fluid volume excess?

- Extreme agitation

- Sodium 130 mEq/L

- Bradycardia

- Hct 55%

:Answer>> - Sodium 130 mEq/L



A client who consumes too much water without replacing sodium will experience fluid

volume excess and hyponatremia or a decrease in serum sodium. This condition can

lead to convulsions, coma, and even death if left untreated.

5. A nurse is providing teaching to a client who is receiving dentures. Which

of the following information should the nurse include?

- "You will not need a regular dentist assessment once you confirm your

dentures fit."

- "You might need to be re-fit for your dentures if you lose a significant amount

of weight."

,- "Use a commercial tooth powder to scrub your dentures before each meal."

- "Wear your dentures overnight to keep them from becoming warped."

:Answer>> - "You might need to be re-fit for your dentures if you lose a significant

amount of weight."



Weight loss can cause dentures to become ill-fitting, which can lead to lesions on

the gingiva. Therefore, the nurse should instruct the client to monitor the fit of the

dentures if significant weight loss occurs.

6. A nurse is providing dietary teaching for a client who is at 8 weeks of

gestation and was classified as overweight prior to pregnancy based on a

BMI of 27.5. Which of the following statements by the client should the nurse

identify as understanding of the teaching?



- "My weight gain throughout the pregnancy should be about 35 pounds."

- "I should consume an extra 100 calories per day in the first trimester."

- "My vitamin D and calcium needs will not change during my pregnancy."

- "I should add powdered supplements to my foods to increase protein in-

take."

:Answer>> - "My vitamin D and calcium needs will not change during my

, pregnancy."



The nurse should inform the client that vitamin D and calcium requirements do not

increase or change during pregnancy. Nutrients the client should increase during

pregnancy include folate, zinc, and vitamins A, C, and E.

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