HESI Obstetrics/Maternity Assignment Quiz And Answers

HESI Obstetrics/Maternity Assignment
Quiz And Answers

Ar30-year-
oldrgravidar2,rparar1rclientrisradmittedrtortherhospitalratr26rweeksrgestationrinrpretermrlabor.
rSherisrstartedronranrIVrsolutionrofrterbutaline.rWhichrassessmentrisrtherhighestrpriorityrforrt

hernursertormonitorrduringrtheradministrationrofrthisrdrug?
r

Maternalrbloodrpressurerandrrespirations.
r

Maternalrandrfetalrheartrrates.
r

Hourlyrurinaryroutput.
r

Deeprtendonrreflexes.r-rCORRECTrrANSWER-B

Ar4-week-
oldrprematurerinfantrhasrbeenrreceivingrepoetinralfarforrtherlastrthreerweeks.rWhichrassess
mentrfindingrindicatesrtorthernurserthatrtherdrugrisreffective?
r

Slowlyrincreasingrurinaryroutputroverrtherlastrweek.
r

Respiratoryrraterchangesrfromr40rtor60rbreaths/minute.
r

Changesrinrapicalrheartrraterfromr180rtor140rbeats/minute.r-rCORRECTrrANSWER-C

Arclientratr32rweeksrgestationrisrdiagnosedrwithrpreeclampsia.rWhichrassessmentrfindingri
srmostrindicativerofranrimpendingrconvulsion?
r

3+rdeeprtendonrreflexes.
r

Periorbitalredema.
r

Epigastricrpain.
r

Decreasedrurineroutput.r-rCORRECTrrANSWER-C

Arclientrinractiverlaborrisradmittedrwithrpreeclampsia.rWhichrassessmentrfindingrisrmostrsig
nificantrinrplanningrthisrclient'srcare?
r

Patellarrreflexr4+.
r

Bloodrpressurer158/80rmmHg.
r

Four-hourrurineroutputr240rmL.r-rCORRECTrrANSWER-A

Arclientrwhordeliveredranrinfantranrhourragortellsrthernurserthatrsherfeelsrwetrunderneathrhe
rrbuttock.rThernursernotesrthatrbothrperinealrpadsrarercompletelyrsaturatedrandrtherclientris
rlyingrinrar6-inchrdiameterrpoolrofrblood.rWhichractionrshouldrthernurserimplementrnext?
r

, Cleansertherperineum.
r

Obtainrarbloodrpressure.
r

Palpatertherfirmnessrofrtherfundus.r-rCORRECTrrANSWER-C

Arclientrwhorisrattendingrantepartumrclassesrasksrthernurserwhyrherrhealthcarerproviderrha
srprescribedrironrtablets.rThernurse'srresponserisrbasedronrwhatrknowledge?
r

Supplementaryrironrisrmorerefficientlyrutilizedrduringrpregnancy.
r

Itrisrdifficultrtorconsumer18rmgrofradditionalrironrbyrdietralone.
r

IronrabsorptionrisrdecreasedrinrtherGIrtractrduringrpregnancy.r-rCORRECTrrANSWER-B

Arclientrwithrnorprenatalrcarerarrivesratrtherlaborrunitrscreaming,r"Therbabyrisrcoming!"rTher
nurserperformsrarvaginalrexaminationrthatrrevealsrthercervixrisr3rcentimetersrdilatedrandr75
%reffaced.rWhatradditionalrinformationrisrmostrimportantrforrthernursertorobtain?
r

Gravidityrandrparity.
r

Timerandramountrofrlastroralrintake.
r

Daterofrlastrnormalrmenstrualrperiod.
r

Frequencyrandrintensityrofrcontractions.r-rCORRECTrrANSWER-C

Arcouple,rconcernedrbecausertherwomanrhasrnotrbeenrablertorconceive,risrreferredrtorarhe
althcarerproviderrforrarfertilityrworkup,randrhysterosalpingographyrisrscheduled.rWhichrco
mplaintrwouldrindicatertorthernurserthatrtherwoman'srfallopianrtubesrarerpatent?
r

Backrpain.
r

Abdominalrpain.
r

Shoulderrpain.
r

Legrcramps.r-rCORRECTrrANSWER-C

Arfull-
termrinfantrisrtransferredrtorthernurseryrfromrlaborrandrdelivery.rWhichrinformationrisrmostri
mportantrforrthernursertorreceiverwhenrplanningrimmediatercarerforrthernewborn?
r

Lengthrofrlaborrandrmethodrofrdelivery.
r

Infant'srconditionratrbirthrandrtreatmentrreceived.
r

Feedingrmethodrchosenrbyrtherparents.
r

Historyrofrdrugsrgivenrtorthermotherrduringrlabor.r-rCORRECTrrANSWER-B

Arfull-
termrinfantrisrtransferredrtorthernurseryrfromrlaborrandrdelivery.rWhichrinformationrisrthermo
strimportantrforrthernursertorreceiverwhenrplanningrimmediatercarerforrthernewborn?
r