HESI_Maternity_OB_Version_5_Exam_Questions_and_Verified_Rationalized

OB HESI MATERNITY VERSION 5 EXAM
xy xy xy xy xy




Questions And Answers xy xy




100% Guarantee Pass xy xy




This Test Consists Of 55 Questions And Answers
xy xy xy xy xy xy xy




1. Which nursing intervention is most helpful in relieving postpartum uterine
xy xy xy xy xy xy xy xy xy




xy contractions or "afterpains?"
xy xy




a. Lying prone with a pillow on the abdomen
xy xy xy xy xy xy xy




b. Using a breast pumpxy xy xy

,c. Massaging the abdomen xy xy




d. Giving oxytocic medications xy xy xy




Answer>> a. Lying prone with a pillow on the abdomen xy xy xy xy xy xy xy xy xy




Lying prone (A) keeps the fundus contracted and is especially useful with multiparas,
xy xy xy xy xy xy xy xy xy xy xy xy




who commonly experience afterpains due to lack of uterine tone.
xy xy xy xy xy xy xy xy xy xy




2. A multigravida client arrives at the labor and delivery unit and tells the
xy xy xy xy xy xy xy xy xy xy xy xy




xy nurse that her bag of water has broken.The nurse identifies the presence of
xy xy xy xy xy xy xy y
x xy xy xy xy xy




xy meconium fluid on the perineum and determines the fetal heart rate is between
xy xy xy xy xy xy xy xy xy xy xy xy




140 to 150 beats/minute.What action should the nurse implement next?
xy xy xy xy y
x xy xy xy xy xy xy




a. Ccmplete a sterile vaginal exam xy xy xy xy




b. Take maternal temperature every 2 hours
xy xy xy xy xy




c. Prepare for an immediate cesarean birth xy xy xy xy xy




d. Obtain sterile suction equipment xy xy xy xy




Answer>> a. Complete a sterile vaginal exam xy xy xy xy xy xy




A vaginal exam (A) should be performed after the rupture of membranes to deter-
xy xy xy xy xy xy xy xy xy xy xy xy xy




xy mine the presence of a prolapsed cord.
xy xy xy xy xy xy




3. When explaining "postpartum blues" to a client who is 1 day postpartum,
xy xy xy xy xy xy xy xy xy xy xy




which symptoms should the nurse include in the teaching plan? (Select all
xy xy xy xy xy xy xy xy xy xy xy xy

,xy that apply.)
xy




a. Mood swings xy




b. Panic attacks xy




c. Tearfulness

d. Decreased need for sleep xy xy xy




e. Disinterest in the infant xy xy xy xy




Answer>> a. Mood swings xy xy xy




c.Tearfulness
y
x




"Postpartum blues" is a common emotional response related to the rapid decrease in
xy xy xy xy xy xy xy xy xy xy xy xy




xy placental hormones after delivery and include mood swings (A), tearfulness (C),
xy xy xy xy xy xy xy xy xy xy




xy feeling low, emotional, and fatigued.
xy xy xy xy




4. A client at 30-weeks gestation,complaining of pressure over the pubic area, is
xy xy xy xy y
x xy xy xy xy xy xy xy




xy admitted for observation. She is contracting irregularly and demonstrates
xy xy xy xy xy xy xy xy




xy underlying uterine irritability.Vaginal examination reveals that her cervix is
xy xy y
x xy xy xy xy xy xy




xy closed, thick, and high. Based on these data, which intervention should the
xy xy xy xy xy xy xy xy xy xy xy




xy nurse implement first?
xy xy




a. Provide oral hydration xy xy




b. Have a complete blood count (CBC) drawn
xy xy xy xy xy xy




c. Obtain a specimen for urine analysis xy xy xy xy xy

, d. Place the client on strict bedrest xy xy xy xy xy xy




Answer>> c. Obtain a specimen for urine analysis xy xy xy xy xy xy xy




Obtaining a urine analysis (C) should be done first because preterm clients with
xy xy xy xy xy xy xy xy xy xy xy xy




xy uterine irritability and contractions are often suffering from a urinary tract infection,
xy xy xy xy xy xy xy xy xy xy xy




xy and this should be ruled out first.
xy xy xy xy xy xy




5. A client in active labor complains of cramps in her leg.What intervention
xy xy xy xy xy xy xy xy xy xy y
x xy




xy should the nurse implement? xy xy xy




a. Ask the client if she takes a daily calcium tablet
xy xy xy xy xy xy xy xy xy




b. Extend the leg and dorsiflex the foot xy xy xy xy xy xy




c. Lower the leg off the side of the bed xy xy xy xy xy xy xy xy




d. Elevate the leg above the heart xy xy xy xy xy xy




Answer>> b. Extend the leg and dorsiflex the foot xy xy xy xy xy xy xy xy




Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy




xy client is capable) (B), and putting the heel of the foot on the floor is the best means of
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy




xy relieving leg cramps. xy xy




6. The nurse is caring for a woman with a previously diagnosed heart disease
xy xy xy xy xy xy xy xy xy xy xy xy




xy who is in the second stage of labor. Which assessment findings are of greatest
xy xy xy xy xy xy xy xy xy xy xy xy xy




xy concern?