OB/MATERNITY HESI ASSIGNMENT
EXAM QUESTIONS AND ANSWERS
Aty10-weeksygestation,yayhigh-
riskymultiparousyclientywithyayfamilyyhistoryyofyDownysyndromeyisyadmittedyforyobservat
ionyfollowingyaychorionicyvilliysamplingy(CVS)yprocedure.yWhatyassessmentyfindingyreq
uiresyimmediateyintervention?y-yanswer--A.yUterineycramping
Ayclientystates,y"DuringytheythreeymonthsyI'veybeenypregnant,yityseemsylikeyIyhaveyhadyt
oygoytoytheybathroomyeveryyfiveyminutes."yWhichyexplanationyshouldytheynurseyprovide
ytoythisyclient?y-yanswer--D.yTheygrowingyuterusyisyputtingypressureyonytheybladder.
Theynurseyassessesyaymaleynewbornyandydeterminesythatyheyhasytheyfollowingyvitalysi
gns:yaxillaryytemperaturey95.1yF,yheartyratey136ybeats/
minute,yandyayrespiratoryyratey48ybreaths/
minute.yBasedyonytheseyfindings,ywhichyactionyshouldytheynurseytakeyfirst?y-yanswer--
C.yAssessytheyinfant'sybloodyglucoseylevel
Anyinfantyinyrespiratoryydistressyisyplacedyonypulseyox.yTheyO2ysatyisy85%.yWhatyisythey
priorityynursingyintervention?y-yanswer--B.yBeginyhumidifiedyoxygenyviayhood
Whenyassessingyaynewbornyinfant'syheartyrate,ywhichytechniqueyisymostyimportantyforyt
heynurseytoyuse?y-yanswer--C.yCountytheyheartyrateyforyatyleastyoneyfullyminute
TheynurseypreparesytoyadministeryanyinjectionyofyvitaminyKytoyaynewbornyinfant.yTheym
otherytellsytheynurse,y"Wait!
yIydon'tywantymyybabyytoyhaveyayshot."yWhichyresponseywouldybeybestyforytheynurseytoy
make?y-yanswer--
B.yExploreytheymother'syconcernsyaboutytheyinfantyreceivingyanyinjectionyofyvitaminyK
Theynurseyisyteachingyaynewymotheryaboutydietyandybreastfeeding.yWhichyinstructionyi
symostyimportantytoyincludeyinytheyteachingyplan?y-yanswer--
A.yAvoidyalcoholybecauseyityisyexcretedyinybreastymilk
Whichynursingyinterventionybestyenhancesymaternal-
infantybondingyduringytheyfourthystageyofylabor?y-yanswer--
D.yEncourageyearlyyinitiationyofybreastyofyformulayfeeding
Ayclientyaty8-
weeksygestationyasksytheynurseyaboutytheyriskyforaycongenitalyheartydefecty(CHD)yinyh
erybaby.yWhichyresponseybestyexplainsywhenyayCHDymayyoccur?y-yanswer--
D.yTheyheartydevelopsyinytheythirdytoyfifthyweeksyafteryconception
, Ayclientyaty8-
monthsygestationytellsytheynurseythatysheyknowsyherybabyylistensytoyher,ybutyheryhusba
ndythinksysheyisyimaginingythings.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--
B.yTheyfetusyinyuteroyisycapableyofyhearingyandydoesyrespondytoytheymother'syvoice
Ayclientyaty25-
weeksygestationytellsytheynurseythatysheydroppedyaycookingyutensilylastyweekyandyhery
babyyjumpedyinyresponseytoytheynoise.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--B.yTheyfetusycanyrespondytoysoundybyy24-weeksygestation
Aywomanywhoseypregnancyyisyconfirmedyasksytheynurseywhatytheyfunctionyofytheyplac
entayisyinyearlyypregnancy.yWhatyinformationysupportsytheyexplanationythatytheynurseys
houldyprovide?y-yanswer--C.ySecretesybothyestrogenyandyprogesterone
Whichycardiovascularyfindingsyshouldytheynurseyassessyfurtheryinyayclientywhoyisyaty20-
weeksygestation?y-yanswer--A.yDecreaseyinypulseyrate
Ay31-year-oldywomanyusesyanyover-the-
countery(OTC)ypregnancyytestythatyisypositiveyoneyweekyafteryaymissedyperiod.yAtytheyc
linic,ytheyclientytellsytheynurseysheytakesyphenytoiny(Dilantin)yforyepilepsy,yhasyayhistory
yofyirregularyperiods,yisyunderystressyatywork,yandyisynotysleepingywell.yTheyclient'syphys
icalyexaminationyandyultrasoundydoynotyindicateythatysheyisypregnant.yHowyshouldythey
nurseyexplainytheymostylikelyycauseyforyobtainingyfalse-
positiveypregnancyytestyresults?y-yanswer--B.yUsingyanyanticonvulsantyforyepilepsy
Whichygastrointestinalyfindingsyshouldytheynurseybeyconcernedyaboutyinyayclientyaty28-
weeksygestation?y-yanswer--A.yPICA
Duringyaypreconceptionycounselingysessionyforywomenytryingytoygetypregnantyiny3ytoy6y
months,ywhatyinformationyshouldytheynurseyprovide?y-yanswer--
B.yMakeysureytoyincludeyadequateyfolicyacidyinytheydiet
Whichystatementybyyayclientywhoyisypregnantyindicatesytoytheynurseyanyunderstandingy
ofytheyroleyofyproteinyduringypregnancy?y-yanswer--
A.y"ProteinyhelpsytheyfetusygrowywhileyIyamypregnant."
Ayclientyinyherysecondytrimesteryofypregnancyyasksyifyityisysafeyforyherytoyhaveyaydrinkywi
thydinner.yHowyshouldytheynurseyrespondytoytheyclient?y-yanswer--
D.yAbstinenceyisystronglyyrecommendedythroughoutytheypregnancy
Ayfemaleyclientywhoywantsytoydeliveryatyhomeyasksytheynurseytoyexplainytheyroleyofyaynu
rse-midwifeyinyprovidingyobstetricycare.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--B.yTheypregnancyyshouldyprogressynormallyyandybeyconsideredylowyrisk
Whenydiscussingybirthyinyayhomeysettingywithyaygroupyofypregnantywomen,ywhichysitua
tionyshouldytheynurseyincludeyaboutytheysafetyyofyayhomeybirth?y-yanswer--
D.yMedicalybackupyshouldybeyavailableyquicklyyinycaseyofycomplications
EXAM QUESTIONS AND ANSWERS
Aty10-weeksygestation,yayhigh-
riskymultiparousyclientywithyayfamilyyhistoryyofyDownysyndromeyisyadmittedyforyobservat
ionyfollowingyaychorionicyvilliysamplingy(CVS)yprocedure.yWhatyassessmentyfindingyreq
uiresyimmediateyintervention?y-yanswer--A.yUterineycramping
Ayclientystates,y"DuringytheythreeymonthsyI'veybeenypregnant,yityseemsylikeyIyhaveyhadyt
oygoytoytheybathroomyeveryyfiveyminutes."yWhichyexplanationyshouldytheynurseyprovide
ytoythisyclient?y-yanswer--D.yTheygrowingyuterusyisyputtingypressureyonytheybladder.
Theynurseyassessesyaymaleynewbornyandydeterminesythatyheyhasytheyfollowingyvitalysi
gns:yaxillaryytemperaturey95.1yF,yheartyratey136ybeats/
minute,yandyayrespiratoryyratey48ybreaths/
minute.yBasedyonytheseyfindings,ywhichyactionyshouldytheynurseytakeyfirst?y-yanswer--
C.yAssessytheyinfant'sybloodyglucoseylevel
Anyinfantyinyrespiratoryydistressyisyplacedyonypulseyox.yTheyO2ysatyisy85%.yWhatyisythey
priorityynursingyintervention?y-yanswer--B.yBeginyhumidifiedyoxygenyviayhood
Whenyassessingyaynewbornyinfant'syheartyrate,ywhichytechniqueyisymostyimportantyforyt
heynurseytoyuse?y-yanswer--C.yCountytheyheartyrateyforyatyleastyoneyfullyminute
TheynurseypreparesytoyadministeryanyinjectionyofyvitaminyKytoyaynewbornyinfant.yTheym
otherytellsytheynurse,y"Wait!
yIydon'tywantymyybabyytoyhaveyayshot."yWhichyresponseywouldybeybestyforytheynurseytoy
make?y-yanswer--
B.yExploreytheymother'syconcernsyaboutytheyinfantyreceivingyanyinjectionyofyvitaminyK
Theynurseyisyteachingyaynewymotheryaboutydietyandybreastfeeding.yWhichyinstructionyi
symostyimportantytoyincludeyinytheyteachingyplan?y-yanswer--
A.yAvoidyalcoholybecauseyityisyexcretedyinybreastymilk
Whichynursingyinterventionybestyenhancesymaternal-
infantybondingyduringytheyfourthystageyofylabor?y-yanswer--
D.yEncourageyearlyyinitiationyofybreastyofyformulayfeeding
Ayclientyaty8-
weeksygestationyasksytheynurseyaboutytheyriskyforaycongenitalyheartydefecty(CHD)yinyh
erybaby.yWhichyresponseybestyexplainsywhenyayCHDymayyoccur?y-yanswer--
D.yTheyheartydevelopsyinytheythirdytoyfifthyweeksyafteryconception
, Ayclientyaty8-
monthsygestationytellsytheynurseythatysheyknowsyherybabyylistensytoyher,ybutyheryhusba
ndythinksysheyisyimaginingythings.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--
B.yTheyfetusyinyuteroyisycapableyofyhearingyandydoesyrespondytoytheymother'syvoice
Ayclientyaty25-
weeksygestationytellsytheynurseythatysheydroppedyaycookingyutensilylastyweekyandyhery
babyyjumpedyinyresponseytoytheynoise.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--B.yTheyfetusycanyrespondytoysoundybyy24-weeksygestation
Aywomanywhoseypregnancyyisyconfirmedyasksytheynurseywhatytheyfunctionyofytheyplac
entayisyinyearlyypregnancy.yWhatyinformationysupportsytheyexplanationythatytheynurseys
houldyprovide?y-yanswer--C.ySecretesybothyestrogenyandyprogesterone
Whichycardiovascularyfindingsyshouldytheynurseyassessyfurtheryinyayclientywhoyisyaty20-
weeksygestation?y-yanswer--A.yDecreaseyinypulseyrate
Ay31-year-oldywomanyusesyanyover-the-
countery(OTC)ypregnancyytestythatyisypositiveyoneyweekyafteryaymissedyperiod.yAtytheyc
linic,ytheyclientytellsytheynurseysheytakesyphenytoiny(Dilantin)yforyepilepsy,yhasyayhistory
yofyirregularyperiods,yisyunderystressyatywork,yandyisynotysleepingywell.yTheyclient'syphys
icalyexaminationyandyultrasoundydoynotyindicateythatysheyisypregnant.yHowyshouldythey
nurseyexplainytheymostylikelyycauseyforyobtainingyfalse-
positiveypregnancyytestyresults?y-yanswer--B.yUsingyanyanticonvulsantyforyepilepsy
Whichygastrointestinalyfindingsyshouldytheynurseybeyconcernedyaboutyinyayclientyaty28-
weeksygestation?y-yanswer--A.yPICA
Duringyaypreconceptionycounselingysessionyforywomenytryingytoygetypregnantyiny3ytoy6y
months,ywhatyinformationyshouldytheynurseyprovide?y-yanswer--
B.yMakeysureytoyincludeyadequateyfolicyacidyinytheydiet
Whichystatementybyyayclientywhoyisypregnantyindicatesytoytheynurseyanyunderstandingy
ofytheyroleyofyproteinyduringypregnancy?y-yanswer--
A.y"ProteinyhelpsytheyfetusygrowywhileyIyamypregnant."
Ayclientyinyherysecondytrimesteryofypregnancyyasksyifyityisysafeyforyherytoyhaveyaydrinkywi
thydinner.yHowyshouldytheynurseyrespondytoytheyclient?y-yanswer--
D.yAbstinenceyisystronglyyrecommendedythroughoutytheypregnancy
Ayfemaleyclientywhoywantsytoydeliveryatyhomeyasksytheynurseytoyexplainytheyroleyofyaynu
rse-midwifeyinyprovidingyobstetricycare.yWhatyinformationyshouldytheynurseyprovide?y-
yanswer--B.yTheypregnancyyshouldyprogressynormallyyandybeyconsideredylowyrisk
Whenydiscussingybirthyinyayhomeysettingywithyaygroupyofypregnantywomen,ywhichysitua
tionyshouldytheynurseyincludeyaboutytheysafetyyofyayhomeybirth?y-yanswer--
D.yMedicalybackupyshouldybeyavailableyquicklyyinycaseyofycomplications
