HESI OB/Maternity Practice Exam \\Test Bank Exam 2026-2027 |
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A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which
pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate
resting time between contractions, the oxytocin infusion should be
discontinued because placental perfusion is impeded
,Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and
skull which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to
prevent further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3
days
D. a subdural hematoma which can result in lifelong damage
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises
within the
first 24 hours after delivery. Trauma from delivery causes capillary bleeding
between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare
provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise
A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its
covering, the periosteum. Due to the breakdown of the red blood cells within a
hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to
the skin should be reported.
,After each feeding, a 3-day-old newborn is spitting up large amounts of
Enfamil Newborn Formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonate's formula to Simialc Soy Isomil
formula, a soy protein isolate based infant formula. What information should
the nurse provide to the mother about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired
fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be
related to the lactose found in cow's milk formula and is being replaced with
the soy-based formula that contains sucrose, which is well-tolerated in infants
with milk allergies and lactose
intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was
indicated.
, Client teaching is an important part of the maternity nurse's role. Which factor has
the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned
A. The client's readiness to learn
When teaching any client, readiness to learn is the most important criterion. For
example, the client with severe morning sickness in the first trimester may not
be "ready to learn" about labor and delivery, but is probably very "ready to
learn" about ways to relieve morning sickness.
Most Recent Exam Actual Complete Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!!
A 42-week gestational client is receiving an intravenous infusion of oxytocin
(Pitocin) to augment early labor. the nurse should discontinue the oxytocin
infusion for which
pattern of contractions?
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
B. Early labor with contractions every 5 minutes, lasting 40 seconds each
C. Active labor with contractions every 31 minutes, lasting 60 seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70 to 80 seconds
each
A. Transition labor with contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by inadequate
resting time between contractions, the oxytocin infusion should be
discontinued because placental perfusion is impeded
,Twenty-four hours after admission to the newborn nursery, a full-term male
infant develops localized edema on the right side of his head. The nurse knows
that, in the newborn, an accumulation of blood between the periosteum and
skull which does not cross the suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to
prevent further complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3
days
D. a subdural hematoma which can result in lifelong damage
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises
within the
first 24 hours after delivery. Trauma from delivery causes capillary bleeding
between the periosteum and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn
nursery. Which assessment finding should the nurse report to the healthcare
provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise
A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its
covering, the periosteum. Due to the breakdown of the red blood cells within a
hematoma, the infant is at a greater risk for jaundice, so a yellowish tinge to
the skin should be reported.
,After each feeding, a 3-day-old newborn is spitting up large amounts of
Enfamil Newborn Formula, a nonfat cow's milk formula. The pediatric
healthcare provider changes the neonate's formula to Simialc Soy Isomil
formula, a soy protein isolate based infant formula. What information should
the nurse provide to the mother about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies with impaired
fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be
related to the lactose found in cow's milk formula and is being replaced with
the soy-based formula that contains sucrose, which is well-tolerated in infants
with milk allergies and lactose
intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning
immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status (i.e., Apgar
scores at 1 and 5 minutes) and any treatment or resuscitation that was
indicated.
, Client teaching is an important part of the maternity nurse's role. Which factor has
the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned
A. The client's readiness to learn
When teaching any client, readiness to learn is the most important criterion. For
example, the client with severe morning sickness in the first trimester may not
be "ready to learn" about labor and delivery, but is probably very "ready to
learn" about ways to relieve morning sickness.
