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Exam (elaborations)

HESI OB MATERNITY QUESTIONS AND ANSWERS

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HESI OB MATERNITY QUESTIONS AND
ANSWERS

1.​ A sixteen 12 months old gravida 1, para zero consumer has simply been admitted to the
sanatorium with a analysis of eclampsia. She is not currently convulsing. Which
intervention need to the nurse plan to consist of on this client's nursing care plan?
A. Assess temperature each hour.
B. Monitor blood pressure, pulse, and respirations each four hours.
C. Keep an airway on the bedside.
D. Allow family visitation - Keep an airway on the bedside
2.​ A 17 12 months vintage client gave delivery 12 hours in the past she states that she
would not recognise the way to take care of her baby. To sell determine little one
attachment behaviors which intervention need to the nurse put into effect.
A. Ask if she has help to take care of the baby at home.
B. Provide a video on new child safety and care.
C. Explored the basis of fears with the patron.
D. Encourage rooming in even as in the sanatorium. - Encourage rooming in even as
in the hospital
3.​ A 3-hour vintage male infants hands and feet as cyanotic, and has an axillary
temperature of 96.Five degrees Fahrenheit 35.8 levels centigrade a breathing fee of
forty breaths according to minute and a coronary heart rate of one hundred sixty five
beats in line with minute what nursing action have to nurse put into effect.
A Administer oxygen by means of mouth at 2L/min
B Gradually heat the little one beneath a radiant warmness supply.
C Notify the pediatrician of the toddler's crucial symptoms
D Perform a heel-stick with preserve blood glucose stage - Gradually warm the toddler
underneath a radiant heat source
4.​ A 30- year-antique primigravida delivers a 9-pound little one vaginally after a 30- hour
labor. What is the concern nursing motion for this client?
A. Gently rub down the fundus each 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the little one.
D. Assess the blood strain for hypertension. - Observe for signs and symptoms of
uterine hemorrhage.
5.​ A 38-week primigravida is admitted to hard work and delivert after a non-reactive strain
test (NST). The nurse begins a contraction strain test (CST) with an oxytocin infusion.
Which locating is maximum essential for the nurse to file to the health care provider.
A. A pattern of fetal past due decelerations.
B. Fetal heart fee accelerations with fetal motion.
C. Absence of uterine contractions within 20 minutes.
D. Spontaneous rupture of membranes. - A pattern of fetal late decelerations

, 6.​ A client at 30 weeks gestation reviews that she has not felt the toddler circulate within
the last 24 hours. Concerned she arrives in a panic at the obstetric health facility where
she is without delay sent to the health facility. Which evaluation warrants immediate
intervention by way of the nurse.
A Fetal Heart fee 60 beats in keeping with minute
B Ruptured amniotic membrane
C onset of uterine contractions
D leaking amniotic fluid. - Fetal Heart rate 60 beats in line with minute
7.​ A customer at 31 weeks gestation with a fundal peak size of 25 c is scheduled for a
series of ultrasounds to be achieved each weeks. Which rationalization ought to the
nurse offer.
A. Assessment for congenital anomalies.
B. Recalculation of gestational age.
C. Evaluation of fetal increase.
D. Determination of fetal presentation. - Evaluation of fetal growth
8.​ A purchaser at 34 weeks gestation comes to the birthing middle complaining of vaginal
bleeding that started one hour ago. The nurse assessment reveals approximately 30ML
of bright red vaginal bleeding. Fetal price of 130 - a hundred and forty beats according to
minute, no contractions and no proceedings of ache what is the most probable purpose
of these consumer's bleeding.
A Abruptio Placenta
B Placenta Previa
C Normal bloody display indicting induction of hard work
D A ruptured blood vessel inside the vaginal vault. - Placenta Previa
9.​ A client at 35 weeks gestation complains of a "pain every time the child actions". On
evaluation, the nurse notes the purchaser's temperature to be a hundred and one.2F
with severe abdominal or uterine tenderness on palpation. The nurse is aware of that
those findings are indicative of which condition?
A. Round ligament stress.
B. Viral infection
C. Abruptio placenta
D. Chorioamnionitis - Chorioamnionitis
10.​A client at 37 weeks gestation offers to exertions and shipping with contractions every
minutes the nurse observes several shallow small vesicles on her pubis labia and
perineum. The nurse must recognize the clients is prohibiting signs of which
circumstance?
1. German measles
2. Herpes simplex virus
three. Syphilis
four. Genital warts - herpes simplex virus
11.​A purchaser at 38 weeks gestation is admitted to hard work and delivery with a
complaint of contraction five mins apart even as the patron is in the toilet changing into a
health facility gown the nurse hears the noise of a baby what need to the nurse take
first?
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