FINAL HESI RN MATERNITY EXAM – COMPLETE TEST BANK WITH VERIFIED ANSWERS | GUARANTEED PASS & SCORED A+

EXPLORED FINAL EXAM HESI tk tk tk




RN OB MATERNITY TEST BANK/V tk tk tk tk




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One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidur
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al and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtai
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ns current vital signs. Which intervention should the nurse implement next?
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A. Document number of pad changes in the last hour
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B. Increase the rate of the oxytocin infusion
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C. Palpate the suprapubic area for bladder distention
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D. Provide bedpan to void if unable to ambulate - CORRECT ANSWER -
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B. Increase the rate of the oxytocin infusion
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At 40- tk




week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally found
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a comfortable position. What action should the nurse take? A. Place a pillow under the client's head and
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knees.

B. Place a wedge under the client's right hip.
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C. Encourage the client to turn on her left side.
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D. Explain to the client that her position is not safe. - CORRECT ANSWER -
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B. Place a wedge under the client's right hip.
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,After breast- tk




feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help change t
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he newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk.
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A. Wipe away the spit-up and assist the mother with the diaper change
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B. Turn the newborn to the side and bulb suction the mouth and nares
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C. Sit the newborn up and burp by rubbing or patting the upper back
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D. Place the newborn in a position with the head lower than the feet
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What action should the nurse implement first? - CORRECT ANSWER -
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B. Turn the newborn to the side and bulb suction the mouth and nares
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A young adult female presents at the emergency center with acute lower abdominal pain. Which assess
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ment finding is most important for the nurse to report to the healthcare provider?
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A. History of irritable bowel syndrome (IBS)
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B. Pain scale rating of a "9" on a 0-10 scale.
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C. Last menstrual period 7 weeks ago.
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D. Reports white, curly vaginal discharge. - CORRECT ANSWER -C. Last menstrual period 7 weeks ago.
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The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her baby using a Medela H
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aberman feeder, which has a valve to control the release of milk and a slit nipple opening. The nurse disc
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usses placing the nipple's elongated tip in the back of the oral cavity. What instruction should the nurse
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provide the mother about feedings? tk tk tk tk




A. Alternate milk with water during the feedings.
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B. Squeeze the nipple base to introduce milk into the mouth.
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C. Position the baby in the left lateral position after feeding.
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D. Hold the newborn in an upright position. - CORRECT ANSWER -
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D. Hold the newborn in an upright position.
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An S3 heart sound is auscultated in a client in her third trimester of pregnancy. What intervention shoul
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d the nurse take?
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, A. Prepare the client for an echocardiogram.
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B. Limit the client's fluids.
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C. Document in the client's record.
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D. Notify the healthcare provider - CORRECT ANSWER -C. Document in the client's record.
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A client delivers a viable infant but begins to have excessive uncontrolled vaginal bleeding after the IV
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Pitocin is infused. When notifying the hcp of the clients condition, what information is most important f
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or the nurse to provide?
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A. Total amount of Pitocin infused
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B. Maternal Blood pressure
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C. Maternal Apical Pulse rate
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D. Time Pitocin infusion completed - CORRECT ANSWER -B. Maternal Blood pressure
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The nurse is caring for a newborn infant who was recently diagnosed with congenital heart defect. Whic
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h assessment finding warrants immediate intervention by the nurse?
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A. Sweating during feedings
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B. Weak peripheral pulse
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C. Bluish tinge to the tongue
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D. Increased respiratory rate - CORRECT ANSWER -C. Bluish tinge to the tongue
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A client who delivered a healthy newborn an hour ago asks the nurse when can she go home. Which informati
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on is most important for the nurse to provide the client?
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A. When there is no significant vaginal bleeding
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B. When ambulating to void does not cause dizziness
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C. After the vitamin K injection is given to the baby
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D. After the baby no longer demonstrates acrocyanosis - CORRECT ANSWER -
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A. When there is no significant vaginal bleeding
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