HESI Obstetrics/Maternity Practice Exam
A 23 y/o purchaser who is receiving Medicaid advantages is pregnant together with her 1st
child. Based on know-how of the stats r/t infant mortality, which plan need to the nurse put
into effect w/this purchaser? - ANS-C. Teach the consumer why preserving prenatal care
appointments is vital.
A 24-hour antique new child has pink papular rash with vesicles superimposed at the thorax,
back, and abdomen. What movement should the nurse enforce? - ANS-C. Document the
finding within the newborns record.
A 26-yr-vintage, gravida 2, para 1 customer is admitted to the sanatorium at 28-weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) zero.25 mg
subcutaneously to stop her exertions contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate? - ANS-C. Tachycardia and a sense of anxiousness
a 30 y/o G2P1 client is admitted to the health facility at 26-weeks gestation in preterm
exertions. She is given a dose of terbulatine sulfate (Brethine) zero.25 mg subq. Which
evaluation is the very best precedence for the nurse to screen during the management of
this drug? - ANS-B. Maternal and fetal HRs
A 30-year vintage gravida 2. Para 1 consumer is admitted to the hospital at 26-weeks
gestation in preterm hard work. She is started out on am IV solution of terbutaline (Brethine).
Which evaluation is the highest precedence for the nurse to screen at some stage in the
management of the drug? - ANS-B. Maternal and fetal heart quotes
A 30-12 months vintage multiparous lady who has a three-y/o and a new child tells the
nurse,"My son is so jealous of my daughter. I do not know how I'll ever manipulate each
youngsters after I get home". How ought to the nurse respond? - ANS-D. "regression in
behaviors in the older baby is a typical reaction so he wishes attention at the moment".
A 35-year-old primagravida purchaser with intense preeclampia is receiving magnesium
sulfate via non-stop IV infusion. Which assessment statistics might indicate to the nurse that
the purchaser is experiencing magnesium sulfate toxicity? - ANS-D. Urine output 90 ml/4
hours.
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells
the nurse that her toes have all started to swell. Which instruction might be simplest in
stopping pooling of blood within the lower extremities? - ANS-C. Move approximately each
hour
A 4-week vintage premature toddler has been receiving epoetin alfa for the ultimate 3
weeks. Which assessment locating indicated to the nurse that the drug is powerful? -
ANS-C. Changes in apical heart fee from the 180s to the 140s
A 40-week gestation primigravida client is being triggered with an oxytocin (Pitocin)
secondary infusion and complains of pain in her lower back. Which intervention need to the
nurse put in force? - ANS-D. Observe firm stress to the sacral region.
A 42-week gestational purchaser is receiving an IV infusion of oxytocin (Pitocin) to reinforce
early hard work. The nurse have to d/c the oxytocin infusion for which pattern of
contractions? - ANS-A. Transition labor with contraction every 2 min, lasting ninety seconds
every.
, A purchaser 30-weeks gestation, complaining of strain over the pubic location, is admitted
for statement. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal exam well-knownshows that her cervix is closed, thick, and high. Based on these
facts, which intervention need to the nurse put into effect first? - ANS-C. Reap a specimen
for urine analysis
A purchaser at 28-weeks gestation calls the antepartal health center and states that she is
experiencing a small quantity of vaginal bleeding which she describes as vibrant purple. She
further states that she isn't experiencing any uterine contractions or abdominal ache. What
practise need to the nurse offer? - ANS-A. Come to the health center nowadays for an
ultrasound.
A purchaser at 32-weeks gestation involves the prenatal health facility with proceedings of
pedal edema, dyspnea, fatigue, and a moist cough. Which query is most essential for the
nurse to ask the patron? - ANS-D. Do you have got a history of rheumatic fever?
A patron at 32-weeks gestation is diagnosed with preeclampsia. Which evaluation finding is
most indicative of an imminent convulsion? - ANS-A. Three + DTRs and hyperclonus
A purchaser at 32-weeks gestation is identified with preeclampsia. Which evaluation finding
is most indicative of an drawing close convulsion? - ANS-C. Epigastric pain
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced high blood
pressure (PIH), and magnesium sulfate is prescribed to manipulate the signs and symptoms.
Which evaluation locating might suggest that healing drug degree has been accomplished? -
ANS-C. A lower in RR from 24 to 16.
A patron in lively hard work complains of cramps in her leg. What intervention must the
nurse put into effect? - ANS-B. Extend the leg and dorsiflex the foot.
A purchaser in lively exertions is admitted with preeclampsia. Which is evaluation locating is
most full-size in planning this client's care? - ANS-A. Patellar reflex 4+
A purchaser is admitted w/the diagnosis of overall placenta previa. Which locating is is most
crucial for the nurse to document to the healthcare provider straight away? - ANS-C. Onset
of uterine contractions
A consumer receiving epidural anesthesia starts offevolved to enjoy nausea and come to be
pale and clammy. What purpose ought to the nurse put into effect first? - ANS-A. Raise the
foot of the bed.
A consumer who introduced an toddler an hour in the past tells the nurse that she feels wet
under her buttock. The nurse notes that each perineal pads are completely saturated and
the patron is mendacity in a 6-inch diameter pool of blood. Which motion should the nurse
implement subsequent? - ANS-C. Palpate the firmness of the fundus
A purchaser who gave start to a wholesome eight pound toddler 3 hours in the past is
admitted to the postpartum unit. Which nursing plan is pleasant in assisting the mom to bond
with her new child infant? - ANS-D. Meet the mother's physical needs and display warmth in
the direction of the little one.
A patron who has an autosomal dominant inherited disease is exploring own family making
plans alternatives and the chance of transmission of the sickness to the little one. The
nurse's response must be primarily based on what statistics? - ANS-B. Every pregnancy
incorporates a 50% danger of inheriting the ailment.
A customer who is attending antepartum lessons asks the nurse why her healthcare provider
has prescribed iron drugs. The nurse's response is based on what information? - ANS-B. It is
tough to consume 18 mg of additional iron by way of diet alone.
A 23 y/o purchaser who is receiving Medicaid advantages is pregnant together with her 1st
child. Based on know-how of the stats r/t infant mortality, which plan need to the nurse put
into effect w/this purchaser? - ANS-C. Teach the consumer why preserving prenatal care
appointments is vital.
A 24-hour antique new child has pink papular rash with vesicles superimposed at the thorax,
back, and abdomen. What movement should the nurse enforce? - ANS-C. Document the
finding within the newborns record.
A 26-yr-vintage, gravida 2, para 1 customer is admitted to the sanatorium at 28-weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) zero.25 mg
subcutaneously to stop her exertions contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate? - ANS-C. Tachycardia and a sense of anxiousness
a 30 y/o G2P1 client is admitted to the health facility at 26-weeks gestation in preterm
exertions. She is given a dose of terbulatine sulfate (Brethine) zero.25 mg subq. Which
evaluation is the very best precedence for the nurse to screen during the management of
this drug? - ANS-B. Maternal and fetal HRs
A 30-year vintage gravida 2. Para 1 consumer is admitted to the hospital at 26-weeks
gestation in preterm hard work. She is started out on am IV solution of terbutaline (Brethine).
Which evaluation is the highest precedence for the nurse to screen at some stage in the
management of the drug? - ANS-B. Maternal and fetal heart quotes
A 30-12 months vintage multiparous lady who has a three-y/o and a new child tells the
nurse,"My son is so jealous of my daughter. I do not know how I'll ever manipulate each
youngsters after I get home". How ought to the nurse respond? - ANS-D. "regression in
behaviors in the older baby is a typical reaction so he wishes attention at the moment".
A 35-year-old primagravida purchaser with intense preeclampia is receiving magnesium
sulfate via non-stop IV infusion. Which assessment statistics might indicate to the nurse that
the purchaser is experiencing magnesium sulfate toxicity? - ANS-D. Urine output 90 ml/4
hours.
A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells
the nurse that her toes have all started to swell. Which instruction might be simplest in
stopping pooling of blood within the lower extremities? - ANS-C. Move approximately each
hour
A 4-week vintage premature toddler has been receiving epoetin alfa for the ultimate 3
weeks. Which assessment locating indicated to the nurse that the drug is powerful? -
ANS-C. Changes in apical heart fee from the 180s to the 140s
A 40-week gestation primigravida client is being triggered with an oxytocin (Pitocin)
secondary infusion and complains of pain in her lower back. Which intervention need to the
nurse put in force? - ANS-D. Observe firm stress to the sacral region.
A 42-week gestational purchaser is receiving an IV infusion of oxytocin (Pitocin) to reinforce
early hard work. The nurse have to d/c the oxytocin infusion for which pattern of
contractions? - ANS-A. Transition labor with contraction every 2 min, lasting ninety seconds
every.
, A purchaser 30-weeks gestation, complaining of strain over the pubic location, is admitted
for statement. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal exam well-knownshows that her cervix is closed, thick, and high. Based on these
facts, which intervention need to the nurse put into effect first? - ANS-C. Reap a specimen
for urine analysis
A purchaser at 28-weeks gestation calls the antepartal health center and states that she is
experiencing a small quantity of vaginal bleeding which she describes as vibrant purple. She
further states that she isn't experiencing any uterine contractions or abdominal ache. What
practise need to the nurse offer? - ANS-A. Come to the health center nowadays for an
ultrasound.
A purchaser at 32-weeks gestation involves the prenatal health facility with proceedings of
pedal edema, dyspnea, fatigue, and a moist cough. Which query is most essential for the
nurse to ask the patron? - ANS-D. Do you have got a history of rheumatic fever?
A patron at 32-weeks gestation is diagnosed with preeclampsia. Which evaluation finding is
most indicative of an imminent convulsion? - ANS-A. Three + DTRs and hyperclonus
A purchaser at 32-weeks gestation is identified with preeclampsia. Which evaluation finding
is most indicative of an drawing close convulsion? - ANS-C. Epigastric pain
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced high blood
pressure (PIH), and magnesium sulfate is prescribed to manipulate the signs and symptoms.
Which evaluation locating might suggest that healing drug degree has been accomplished? -
ANS-C. A lower in RR from 24 to 16.
A patron in lively hard work complains of cramps in her leg. What intervention must the
nurse put into effect? - ANS-B. Extend the leg and dorsiflex the foot.
A purchaser in lively exertions is admitted with preeclampsia. Which is evaluation locating is
most full-size in planning this client's care? - ANS-A. Patellar reflex 4+
A purchaser is admitted w/the diagnosis of overall placenta previa. Which locating is is most
crucial for the nurse to document to the healthcare provider straight away? - ANS-C. Onset
of uterine contractions
A consumer receiving epidural anesthesia starts offevolved to enjoy nausea and come to be
pale and clammy. What purpose ought to the nurse put into effect first? - ANS-A. Raise the
foot of the bed.
A consumer who introduced an toddler an hour in the past tells the nurse that she feels wet
under her buttock. The nurse notes that each perineal pads are completely saturated and
the patron is mendacity in a 6-inch diameter pool of blood. Which motion should the nurse
implement subsequent? - ANS-C. Palpate the firmness of the fundus
A purchaser who gave start to a wholesome eight pound toddler 3 hours in the past is
admitted to the postpartum unit. Which nursing plan is pleasant in assisting the mom to bond
with her new child infant? - ANS-D. Meet the mother's physical needs and display warmth in
the direction of the little one.
A patron who has an autosomal dominant inherited disease is exploring own family making
plans alternatives and the chance of transmission of the sickness to the little one. The
nurse's response must be primarily based on what statistics? - ANS-B. Every pregnancy
incorporates a 50% danger of inheriting the ailment.
A customer who is attending antepartum lessons asks the nurse why her healthcare provider
has prescribed iron drugs. The nurse's response is based on what information? - ANS-B. It is
tough to consume 18 mg of additional iron by way of diet alone.
