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