OB/Maternity HESI Assignment exam
A 31-12 months-antique girl makes use of an over the counter (OTC) pregnancy test that is
high-quality one week after a ignored period. At the sanatorium, the patron tells the nurse
she takes phenytoin (Dilantin) for epilepsy, has a records of abnormal durations, is below
pressure at work, and is not napping properly. The patron's physical exam and ultrasound do
now not suggest that she is pregnant. How need to the nurse give an explanation for the
maximum likely cause for obtaining false-superb pregnancy test outcomes? - ANS-B. Using
an anticonvulsant for epilepsy
A 36 week gestation consumer with being pregnant brought about high blood pressure is
receiving an IV infusion of magnesium sulfate. Which assessment finding need to the nurse
file to the healthcare issuer? - ANS-D. Respiratory fee of eleven breaths/minute
A patron at 25-weeks gestation tells the nurse that she dropped a cooking utensil closing
week and her child jumped in reaction to the noise. What statistics should the nurse offer? -
ANS-B. The fetus can reply to sound through 24-weeks gestation
A patron at 28 weeks gestation arrives on the hard work and transport unit with a criticism of
shiny crimson, painless vaginal bleeding. For which diagnostic system need to the nurse put
together the purchaser? - ANS-C. Abdominal ultrasound
A consumer at 28 weeks gestation experiences blunt stomach trauma. Which parameter
should the nurse determine first for signs and symptoms of internal hemorrhage? - ANS-C.
Changes in fetal heart price styles
A client at 28 weeks gestation is concerned approximately her weight advantage of 17 kilos.
What records must the nurse offer this consumer? - ANS-D. The weight advantage is
suitable for the variety of weeks pregnant
A patron at 29 weeks gestation with viable placental insufficiency is being prepared for
prenatal checking out. Information about which diagnostic have a look at have to the nurse
provide information to the customer? - ANS-B. Ultrasonography
A client at 35 weeks gestation visits the health facility for a prenatal test up. Which grievance
through the client warrants further evaluation by using the nurse? - ANS-A. Periodic stomach
ache
A customer at 39 weeks gestation is admitted to the exertions and delivery unit. Her
obstetrical records includes three live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what's the most correct summary of her records? - ANS-B. Four-1-2-0-3
A customer at eight-months gestation tells the nurse that she knows her baby listens to her,
however her husband thinks she is imagining matters. What statistics need to the nurse
offer? - ANS-B. The fetus in utero is capable of listening to and does respond to the mom's
voice
A customer at eight-weeks gestation asks the nurse about the hazard fora congenital heart
defect (CHD) in her child. Which response fine explains when a CHD can also arise? -
ANS-D. The coronary heart develops within the third to 5th weeks after concept
A consumer comes in to the clinic for her six week postpartum check up and complains that
her left breast is eythematous and painful. The patron asks, "Can I nonetheless breastfeed
my baby?" What is the pleasant response for the nurse to provide? - ANS-B. Inform the
patron to keep breastfeeding
, A consumer delivers her first little one and asks the nurse if her pores and skin modifications
from pregnancy are permanent. Which exchange ought to the nurse inform the customer will
continue to be after pregnancy? - ANS-D. Striae gravidarum
A customer offers twins, one is stillborn and the opposite is improving in in depth care
nursery. As the nurse provides assistance to the bathroom, the client softly crying, states, "I
want my child may want to have lived." Which reaction is nice for the nurse to offer? -
ANS-C. "I am sorry to your loss. Do you need to talk approximately it?"
A customer in energetic hard work at 39-weeks gestation tells the nurse she feels a wet
sensation at the perineum. The nurse notices light, straw-coloured fluid with small white
particles. After reviewing the fetal monitor strip for fetal disturbance, what movement must
the nurse take? - ANS-C. Perform a nitrazine check
A purchaser in early exertions is having uterine contractions every three to four minutes,
lasting a median of fifty five to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is sixty five to 70 mmHg at the peak. Based on this
statistics, what action have to the nurse enforce? - ANS-D. Document the findings in the
customer report
A patron in her 2nd trimester of pregnancy asks if it's miles safe for her to have a drink with
dinner. How need to the nurse reply to the consumer? - ANS-D. Abstinence is strongly
advocated at some point of the being pregnant
A consumer in hard work receives an epidural block. What intervention ought to the nurse
implement first? - ANS-C. Monitor blood stress
A client in the first level of labor is using a shallow sample of rapid breaths that is twice the
normal grownup breathing fee. The client complains of feeling light headed, dizzy, and states
that her fingers are tingling. What movement should the nurse put in force? - ANS-B. Help
her breathe into a paper bag
A patron is experiencing "back" labor and complains of intense ache in the decrease
lumbar-sacral place. What motion need to the nurse put in force? - ANS-C. Apply counter
stress against the sacrum
A consumer is receiving an oxytocin infusion for induction of exertions. When the patron
starts offevolved lively labor, the fetal coronary heart price slows at the onset of numerous
contractions with next go back to baseline. What action need to the nurse implement? -
ANS-D. Document the finding within the consumer record
A customer states, "During the 3 months I've been pregnant, it looks like I have needed to go
to the rest room every five minutes." Which rationalization should the nurse offer to this
patron? - ANS-D. The growing uterus is setting pressure at the bladder.
A purchaser who's at 24 weeks gestation presents to the emergency department holding her
arm and complaining of pain. The purchaser reviews she fell down the stairs. Which
observation need to alert the nurse to a possible battering scenario? - ANS-C. Other parts of
her body have accidents which can be in different levels of recovery
A patron who's breastfeeding develops engorged breasts on the 0.33 postpartum day. Which
action should the nurse advocate to alleviate breast engorgement? - ANS-B. Continue
breastfeeding every 2 hours
A customer who is strong has circle of relatives members gift while the nurse enters the
birthing suite to assess the mother and newborn. What movement must the nurse put in
force right now? - ANS-C. Observe interactions of family participants with the new child and
every other
A patron with asthma who's eight hours publish shipping is experiencing postpartum
hemorrhage. Which prescription must the nurse administer? - ANS-A. Oxytocin (Pitocin)
A 31-12 months-antique girl makes use of an over the counter (OTC) pregnancy test that is
high-quality one week after a ignored period. At the sanatorium, the patron tells the nurse
she takes phenytoin (Dilantin) for epilepsy, has a records of abnormal durations, is below
pressure at work, and is not napping properly. The patron's physical exam and ultrasound do
now not suggest that she is pregnant. How need to the nurse give an explanation for the
maximum likely cause for obtaining false-superb pregnancy test outcomes? - ANS-B. Using
an anticonvulsant for epilepsy
A 36 week gestation consumer with being pregnant brought about high blood pressure is
receiving an IV infusion of magnesium sulfate. Which assessment finding need to the nurse
file to the healthcare issuer? - ANS-D. Respiratory fee of eleven breaths/minute
A patron at 25-weeks gestation tells the nurse that she dropped a cooking utensil closing
week and her child jumped in reaction to the noise. What statistics should the nurse offer? -
ANS-B. The fetus can reply to sound through 24-weeks gestation
A patron at 28 weeks gestation arrives on the hard work and transport unit with a criticism of
shiny crimson, painless vaginal bleeding. For which diagnostic system need to the nurse put
together the purchaser? - ANS-C. Abdominal ultrasound
A consumer at 28 weeks gestation experiences blunt stomach trauma. Which parameter
should the nurse determine first for signs and symptoms of internal hemorrhage? - ANS-C.
Changes in fetal heart price styles
A client at 28 weeks gestation is concerned approximately her weight advantage of 17 kilos.
What records must the nurse offer this consumer? - ANS-D. The weight advantage is
suitable for the variety of weeks pregnant
A patron at 29 weeks gestation with viable placental insufficiency is being prepared for
prenatal checking out. Information about which diagnostic have a look at have to the nurse
provide information to the customer? - ANS-B. Ultrasonography
A client at 35 weeks gestation visits the health facility for a prenatal test up. Which grievance
through the client warrants further evaluation by using the nurse? - ANS-A. Periodic stomach
ache
A customer at 39 weeks gestation is admitted to the exertions and delivery unit. Her
obstetrical records includes three live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what's the most correct summary of her records? - ANS-B. Four-1-2-0-3
A customer at eight-months gestation tells the nurse that she knows her baby listens to her,
however her husband thinks she is imagining matters. What statistics need to the nurse
offer? - ANS-B. The fetus in utero is capable of listening to and does respond to the mom's
voice
A customer at eight-weeks gestation asks the nurse about the hazard fora congenital heart
defect (CHD) in her child. Which response fine explains when a CHD can also arise? -
ANS-D. The coronary heart develops within the third to 5th weeks after concept
A consumer comes in to the clinic for her six week postpartum check up and complains that
her left breast is eythematous and painful. The patron asks, "Can I nonetheless breastfeed
my baby?" What is the pleasant response for the nurse to provide? - ANS-B. Inform the
patron to keep breastfeeding
, A consumer delivers her first little one and asks the nurse if her pores and skin modifications
from pregnancy are permanent. Which exchange ought to the nurse inform the customer will
continue to be after pregnancy? - ANS-D. Striae gravidarum
A customer offers twins, one is stillborn and the opposite is improving in in depth care
nursery. As the nurse provides assistance to the bathroom, the client softly crying, states, "I
want my child may want to have lived." Which reaction is nice for the nurse to offer? -
ANS-C. "I am sorry to your loss. Do you need to talk approximately it?"
A customer in energetic hard work at 39-weeks gestation tells the nurse she feels a wet
sensation at the perineum. The nurse notices light, straw-coloured fluid with small white
particles. After reviewing the fetal monitor strip for fetal disturbance, what movement must
the nurse take? - ANS-C. Perform a nitrazine check
A purchaser in early exertions is having uterine contractions every three to four minutes,
lasting a median of fifty five to 60 seconds. An internal uterine pressure catheter (IUPC) is
inserted. The intrauterine pressure is sixty five to 70 mmHg at the peak. Based on this
statistics, what action have to the nurse enforce? - ANS-D. Document the findings in the
customer report
A patron in her 2nd trimester of pregnancy asks if it's miles safe for her to have a drink with
dinner. How need to the nurse reply to the consumer? - ANS-D. Abstinence is strongly
advocated at some point of the being pregnant
A consumer in hard work receives an epidural block. What intervention ought to the nurse
implement first? - ANS-C. Monitor blood stress
A client in the first level of labor is using a shallow sample of rapid breaths that is twice the
normal grownup breathing fee. The client complains of feeling light headed, dizzy, and states
that her fingers are tingling. What movement should the nurse put in force? - ANS-B. Help
her breathe into a paper bag
A patron is experiencing "back" labor and complains of intense ache in the decrease
lumbar-sacral place. What motion need to the nurse put in force? - ANS-C. Apply counter
stress against the sacrum
A consumer is receiving an oxytocin infusion for induction of exertions. When the patron
starts offevolved lively labor, the fetal coronary heart price slows at the onset of numerous
contractions with next go back to baseline. What action need to the nurse implement? -
ANS-D. Document the finding within the consumer record
A customer states, "During the 3 months I've been pregnant, it looks like I have needed to go
to the rest room every five minutes." Which rationalization should the nurse offer to this
patron? - ANS-D. The growing uterus is setting pressure at the bladder.
A purchaser who's at 24 weeks gestation presents to the emergency department holding her
arm and complaining of pain. The purchaser reviews she fell down the stairs. Which
observation need to alert the nurse to a possible battering scenario? - ANS-C. Other parts of
her body have accidents which can be in different levels of recovery
A patron who's breastfeeding develops engorged breasts on the 0.33 postpartum day. Which
action should the nurse advocate to alleviate breast engorgement? - ANS-B. Continue
breastfeeding every 2 hours
A customer who is strong has circle of relatives members gift while the nurse enters the
birthing suite to assess the mother and newborn. What movement must the nurse put in
force right now? - ANS-C. Observe interactions of family participants with the new child and
every other
A patron with asthma who's eight hours publish shipping is experiencing postpartum
hemorrhage. Which prescription must the nurse administer? - ANS-A. Oxytocin (Pitocin)
