OB HESI practice REAL EXAM
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A multiparous client has been in labor
for 8 hours when her membranes rup-
ture. Which action should the nurse im-
plement first?
Assess the fetal heart rate and pattern.
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare
provider.
A primigravida at 37 weeks gestation
tells the nurse that her "bag of water"
has broken. While inspecting the client's
perineum, the nurse notes the umbilical
cord protruding from the vagina. Which
action should the nurse implement first?
Place the client in the knee-chest posi-
Administer 10 L of oxygen via face mask. tion.
Give the healthcare provider a status re-
port.
Place the client in the knee-chest posi-
tion.
Wrap the cord with gauze soaked in
saline.
The nurse observes a new mother avoid-
ing eye contact with her newborn. Which
action should the nurse take?
Ask the mother why she won't look at the
infant. Observe the mother for other bonding
Observe the mother for other bonding behaviors.
behaviors.
Examine the newborn's eyes for the abil-
ity to focus.
Recognize this as a common reaction in
new mothers.
A client states, "During the three months
I've been pregnant, it seems like I have
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
had to go to the bathroom every five
minutes." Which explanation should the
nurse provide to this client?
The client may have a bladder or kidney
infection. The growing uterus is putting pressure
Bladder capacity increases during preg- on the bladder.
nancy.
During pregnancy, a woman is especially
sensitive to body functions.
The growing uterus is putting pressure
on the bladder.
Which nursing action should be im-
plemented when intermittently gav-
age-feeding a preterm infant?
Allow the formula to flow by gravity.
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe.
A client in her second trimester of preg-
nancy asks if it is safe for her to have a
drink with dinner. How should the nurse
respond to the client?
During the second trimester beer can be
Abstinence is strongly recommended
consumed without harm to the fetus.
throughout the pregnancy.
Wine can be consumed several times a
week after the first trimester.
Only one drink with the evening meal is
not harmful to the fetus.
Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother
about diet and breastfeeding. Which in-
struction is most important to include in
the teaching plan?
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
Avoid alcohol because it is excreted in
breast milk.
Avoid spicy foods to prevent infant colic.
Avoid alcohol because it is excreted in
Increase caloric intake by approximately
breast milk.
500 calories/day.
Double prenatal milk intake to improve
Vitamin D transfer to the
A preterm infant with an apnea monitor
experiences an episode of apnea. Which
action should the nurse implement first?
Gently rub the infant's feet or back to
Ventilate with an Ambu bag.
stimulate respirations and place in the
Perform nasal and airway suctioning.
radiant warmer.
Administer supplemental oxygen.
Gently rub the infant's feet or back to
stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn
and the other is recovering in an in-
tensive care nursery. As the nurse pro-
vides assistance to the bathroom, the
client, softly crying, states, "I wish my
baby could have lived." Which response
is best for the nurse to provide?
"I am sorry for your loss. Do you want to
"Don't be sad. You'll need to be strong to talk about it?"
care for your healthy baby."
"Do you want to go to the nursery and
see your baby?"
"I am sorry for your loss. Do you want to
talk about it?"
"It is always sad to lose a baby. Would
you like me to call your minister?"
A client in the first stage of active labor is
using a shallow pattern of rapid breaths
that is twice the normal adult breathing
rate. The client reports feeling light-head-
ed and dizzy, and she states that her
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
fingers are tingling. Which action should
the nurse implement?
Notify the healthcare provider. Help her breathe into a paper bag.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing.
A client is receiving an oxytocin infusion
for induction of labor. When the client
begins active labor, the fetal heart rate
(FHR) slows at the onset of several con-
tractions with subsequent return to base-
line before each contraction ends. Which
Document the finding in the client record.
action should the nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record.
A gravid client develops maternal hy-
potension following regional anesthesia.
Which intervention(s) should the nurse
implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Administer oxygen.
Place the client in a lateral position.
Increase IV fluids.
Monitor fetal status.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
During an assessment of a multiparous
client who delivered an 8-pound 7-ounce
infant 4 hours ago, the nurse notes the
client's perineal pad is completely sat-
Perform fundal massage.
urated within 15 minutes. Which action
should the nurse implement next?
Perform fundal massage.
Study online at https://quizlet.com/_hm0k58
A multiparous client has been in labor
for 8 hours when her membranes rup-
ture. Which action should the nurse im-
plement first?
Assess the fetal heart rate and pattern.
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare
provider.
A primigravida at 37 weeks gestation
tells the nurse that her "bag of water"
has broken. While inspecting the client's
perineum, the nurse notes the umbilical
cord protruding from the vagina. Which
action should the nurse implement first?
Place the client in the knee-chest posi-
Administer 10 L of oxygen via face mask. tion.
Give the healthcare provider a status re-
port.
Place the client in the knee-chest posi-
tion.
Wrap the cord with gauze soaked in
saline.
The nurse observes a new mother avoid-
ing eye contact with her newborn. Which
action should the nurse take?
Ask the mother why she won't look at the
infant. Observe the mother for other bonding
Observe the mother for other bonding behaviors.
behaviors.
Examine the newborn's eyes for the abil-
ity to focus.
Recognize this as a common reaction in
new mothers.
A client states, "During the three months
I've been pregnant, it seems like I have
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
had to go to the bathroom every five
minutes." Which explanation should the
nurse provide to this client?
The client may have a bladder or kidney
infection. The growing uterus is putting pressure
Bladder capacity increases during preg- on the bladder.
nancy.
During pregnancy, a woman is especially
sensitive to body functions.
The growing uterus is putting pressure
on the bladder.
Which nursing action should be im-
plemented when intermittently gav-
age-feeding a preterm infant?
Allow the formula to flow by gravity.
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe.
A client in her second trimester of preg-
nancy asks if it is safe for her to have a
drink with dinner. How should the nurse
respond to the client?
During the second trimester beer can be
Abstinence is strongly recommended
consumed without harm to the fetus.
throughout the pregnancy.
Wine can be consumed several times a
week after the first trimester.
Only one drink with the evening meal is
not harmful to the fetus.
Abstinence is strongly recommended
throughout the pregnancy.
The nurse is teaching a new mother
about diet and breastfeeding. Which in-
struction is most important to include in
the teaching plan?
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
Avoid alcohol because it is excreted in
breast milk.
Avoid spicy foods to prevent infant colic.
Avoid alcohol because it is excreted in
Increase caloric intake by approximately
breast milk.
500 calories/day.
Double prenatal milk intake to improve
Vitamin D transfer to the
A preterm infant with an apnea monitor
experiences an episode of apnea. Which
action should the nurse implement first?
Gently rub the infant's feet or back to
Ventilate with an Ambu bag.
stimulate respirations and place in the
Perform nasal and airway suctioning.
radiant warmer.
Administer supplemental oxygen.
Gently rub the infant's feet or back to
stimulate respirations and place in the
radiant warmer.
A client delivers twins, one is stillborn
and the other is recovering in an in-
tensive care nursery. As the nurse pro-
vides assistance to the bathroom, the
client, softly crying, states, "I wish my
baby could have lived." Which response
is best for the nurse to provide?
"I am sorry for your loss. Do you want to
"Don't be sad. You'll need to be strong to talk about it?"
care for your healthy baby."
"Do you want to go to the nursery and
see your baby?"
"I am sorry for your loss. Do you want to
talk about it?"
"It is always sad to lose a baby. Would
you like me to call your minister?"
A client in the first stage of active labor is
using a shallow pattern of rapid breaths
that is twice the normal adult breathing
rate. The client reports feeling light-head-
ed and dizzy, and she states that her
, OB HESI practice REAL EXAM
Study online at https://quizlet.com/_hm0k58
fingers are tingling. Which action should
the nurse implement?
Notify the healthcare provider. Help her breathe into a paper bag.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing.
A client is receiving an oxytocin infusion
for induction of labor. When the client
begins active labor, the fetal heart rate
(FHR) slows at the onset of several con-
tractions with subsequent return to base-
line before each contraction ends. Which
Document the finding in the client record.
action should the nurse implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record.
A gravid client develops maternal hy-
potension following regional anesthesia.
Which intervention(s) should the nurse
implement? (Select all that apply.)
Administer oxygen.
Increase IV fluids.
Administer oxygen.
Place the client in a lateral position.
Increase IV fluids.
Monitor fetal status.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
During an assessment of a multiparous
client who delivered an 8-pound 7-ounce
infant 4 hours ago, the nurse notes the
client's perineal pad is completely sat-
Perform fundal massage.
urated within 15 minutes. Which action
should the nurse implement next?
Perform fundal massage.
