Ob Hesi Practice 2024 Questions And Answers

OB HESI PRACTICE 2024 QUESTIONS
AND ANSWERS

Aymultiparousyclientyhasybeenyinylaboryfory8yhoursywhenyherymembranesyrupture.yWhic
hyactionyshouldytheynurseyimplementyfirst?

Prepareytheyclientyforyimminentybirth.
Assessytheyfetalyheartyrateyandypattern.
Documentytheycharacteristicsyofytheyfluid.
Notifyytheyclient'syprimaryyhealthcareyprovider.y-yanswer--
Assessytheyfetalyheartyrateyandypattern.

Ayprimigravidayaty37yweeksygestationytellsytheynurseythatyhery"bagyofywater"yhasybroke
n.yWhileyinspectingytheyclient'syperineum,ytheynurseynotesytheyumbilicalycordyprotrudin
gyfromytheyvagina.yWhichyactionyshouldytheynurseyimplementyfirst?

Administery10yLyofyoxygenyviayfaceymask.
Giveytheyhealthcareyprovideryaystatusyreport.
Placeytheyclientyinytheyknee-chestyposition.
Wrapytheycordywithygauzeysoakedyinysaline.y-yanswer--Placeytheyclientyinytheyknee-
chestyposition.

Theynurseyobservesyaynewymotheryavoidingyeyeycontactywithyherynewborn.yWhichyacti
onyshouldytheynurseytake?

Askytheymotherywhyysheywon'tylookyatytheyinfant.
Observeytheymotheryforyotherybondingybehaviors.
Examineytheynewborn'syeyesyforytheyabilityytoyfocus.
Recognizeythisyasyaycommonyreactionyinynewymothers.y-yanswer--
Observeytheymotheryforyotherybondingybehaviors.

Ayclientystates,y"DuringytheythreeymonthsyI'veybeenypregnant,yityseemsylikeyIyhaveyhadyt
oygoytoytheybathroomyeveryyfiveyminutes."yWhichyexplanationyshouldytheynurseyprovide
ytoythisyclient?



Theyclientymayyhaveyaybladderyorykidneyyinfection.
Bladderycapacityyincreasesyduringypregnancy.
Duringypregnancy,yaywomanyisyespeciallyysensitiveytoybodyyfunctions.
Theygrowingyuterusyisyputtingypressureyonytheybladder.y-yanswer--
Theygrowingyuterusyisyputtingypressureyonytheybladder.

Whichynursingyactionyshouldybeyimplementedywhenyintermittentlyygavage-
feedingyaypretermyinfant?

,Allowytheyformulaytoyflowybyygravity.
Avoidylettingytheyinfantysuckyonytheytube.
Insertyfeedingytubeythroughynares.
Applyysteadyypressureytoytheysyringe.y-yanswer--Allowytheyformulaytoyflowybyygravity.

Ayclientyinyherysecondytrimesteryofypregnancyyasksyifyityisysafeyforyherytoyhaveyaydrinkywi
thydinner.yHowyshouldytheynurseyrespondytoytheyclient?

Duringytheysecondytrimesterybeerycanybeyconsumedywithoutyharmytoytheyfetus.
Wineycanybeyconsumedyseveralytimesyayweekyafterytheyfirstytrimester.
Onlyyoneydrinkywithytheyeveningymealyisynotyharmfulytoytheyfetus.
Abstinenceyisystronglyyrecommendedythroughoutytheypregnancy.y-yanswer--
Abstinenceyisystronglyyrecommendedythroughoutytheypregnancy.

Theynurseyisyteachingyaynewymotheryaboutydietyandybreastfeeding.yWhichyinstructionyi
symostyimportantytoyincludeyinytheyteachingyplan?

Avoidyalcoholybecauseyityisyexcretedyinybreastymilk.
Avoidyspicyyfoodsytoypreventyinfantycolic.
Increaseycaloricyintakeybyyapproximatelyy500ycalories/day.
DoubleyprenatalymilkyintakeytoyimproveyVitaminyDytransferytoythey-yanswer--
Avoidyalcoholybecauseyityisyexcretedyinybreastymilk.

Aypretermyinfantywithyanyapneaymonitoryexperiencesyanyepisodeyofyapnea.yWhichyacti
onyshouldytheynurseyimplementyfirst?

VentilateywithyanyAmbuybag.
Performynasalyandyairwayysuctioning.
Administerysupplementalyoxygen.
Gentlyyrubytheyinfant'syfeetyorybackytoystimulateyrespirationsyandyplaceyinytheyradiantyw
armer.y-yanswer--
Gentlyyrubytheyinfant'syfeetyorybackytoystimulateyrespirationsyandyplaceyinytheyradiantyw
armer.

Ayclientydeliversytwins,yoneyisystillbornyandytheyotheryisyrecoveringyinyanyintensiveycarey
nursery.yAsytheynurseyprovidesyassistanceytoytheybathroom,ytheyclient,ysoftlyycrying,yst
ates,y"Iywishymyybabyycouldyhaveylived."yWhichyresponseyisybestyforytheynurseytoyprovi
de?

"Don'tybeysad.yYou'llyneedytoybeystrongytoycareyforyyouryhealthyybaby."
"Doyyouywantytoygoytoytheynurseryyandyseeyyourybaby?"
"Iyamysorryyforyyouryloss.yDoyyouywantytoytalkyaboutyit?"
"Ityisyalwaysysadytoyloseyaybaby.yWouldyyouylikeymeytoycallyyouryminister?"y-
yanswer--"Iyamysorryyforyyouryloss.yDoyyouywantytoytalkyaboutyit?"



Ayclientyinytheyfirstystageyofyactiveylaboryisyusingyayshallowypatternyofyrapidybreathsythaty
isytwiceytheynormalyadultybreathingyrate.yTheyclientyreportsyfeelingylight-
headedyandydizzy,yandysheystatesythatyheryfingersyareytingling.yWhichyactionyshouldyth
eynurseyimplement?

, Notifyytheyhealthcareyprovider.
Helpyherybreatheyintoyaypaperybag.
Administeryoxygenyviaynasalycannula.
Tellytheyclientytoyslowyherybreathing.y-yanswer--Helpyherybreatheyintoyaypaperybag.

Ayclientyisyreceivingyanyoxytocinyinfusionyforyinductionyofylabor.yWhenytheyclientybeginsy
activeylabor,ytheyfetalyheartyratey(FHR)yslowsyatytheyonsetyofyseveralycontractionsywithy
subsequentyreturnytoybaselineybeforeyeachycontractionyends.yWhichyactionyshouldythey
nurseyimplement?

Insertyanyinternalymonitorydevice.
Changeytheyclient'syposition.
Discontinueytheyoxytocinyinfusion.
Documentytheyfindingyinytheyclientyrecord.y-yanswer--
Documentytheyfindingyinytheyclientyrecord.

Aygravidyclientydevelopsymaternalyhypotensionyfollowingyregionalyanesthesia.yWhichyi
ntervention(s)yshouldytheynurseyimplement?y(Selectyallythatyapply.)

Administeryoxygen.
IncreaseyIVyfluids.
Performyayvaginalyexamination.
Assistytheyclientytoyaysittingyposition.
Placeytheyclientyinyaylateralyposition.
Monitoryfetalystatus.y-yanswer--Administeryoxygen.
IncreaseyIVyfluids.
Placeytheyclientyinyaylateralyposition.
Monitoryfetalystatus.

Duringyanyassessmentyofyaymultiparousyclientywhoydeliveredyany8-poundy7-
ounceyinfanty4yhoursyago,ytheynurseynotesytheyclient'syperinealypadyisycompletelyysatur
atedywithiny15yminutes.yWhichyactionyshouldytheynurseyimplementynext?

Performyfundalymassage.
Assessybloodypressure.
Notifyytheyhealthcareyprovider.
Encourageytheyclientytoyvoid.y-yanswer--Performyfundalymassage.

Theynurseynotesyaypatternyofytheyfetalyheartyrateydecreasingyafteryeachycontraction.yW
hichyactionyshouldytheynurseyimplement?

Givey10ylitersyofyoxygenyviayfaceymask.
Prepareyforyanyemergencyycesareanysection.
Continueytoymonitorytheyfetalyheartyrateypattern.
Obtainyanyoralymaternalytemperature.y-yanswer--
Givey10ylitersyofyoxygenyviayfaceymask.

Aymultiparousyclientydeliveredyay7-pound,y10-
ounceyinfanty5yhoursyago.yUponyfundalyassessment,ytheynurseydeterminesytheyuterusyi