OB HESI Practice Exam (Questions & Answers)

OB HESI Practice Exam A primigravida at 12 weeks gestation who just moved to the United States indicates she has not received any immunizations. Which Immunizations should the nurse administer at this time? (Select all that apply) A. Tetanus C. Diphtheria E. Hepatitis B A gravid client develops maternal hypotension following regional anesthesia. What interventions should the nurse implement? (Select all that apply) A. Administer oxygen B. Increase IV fluids E. Place the client in a lateral position F. Monitor fetal status A client at 29 weeks gestation with possible placental insufficiency is being prepared for prenatal testing. Information about which diagnostic study should the nurse provide information to the client? A. amniocentesis B. ultrasonography C. chorionic villus sampling D. maternal serum alpha-fetoprotein The mother of a neonate asks the nurse why it is so important to keep the infant warm. What information should the nurse provide? A. kidneys and renal function are not fully developed B. warmth promotes sleep so the infant will grow quickly C. a large body surface area favors heat loss to the environment D. thick layer of subcut fat is inadequate for insulation The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurse take? A. ask mother why she won't look at infant B. observe the mother for other attachment behaviors C. examine the newborns eyes for ability to focus D. recognize this as a common reaction in new mothers The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic infant. How should the nurse document this finding? A. acrocyanosis B. mongolian spots C. erythema toxicum D. harlequin sign An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the nurse implement? A. maintain NPO B. monitor temp C. apply skin lotion as prescribed D. change t-shirt every 3 hours A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory distress, tahcycardia, and a cutaneous rash. What nursing intervention should be implemented first? A. inform HCP B. stop the transfusion C. administer calcium gluconate D. monitor VS electronically The nurse assesses a high risk neonate under a radiant warmer who has an umbilical catheter and identifies that the neonate's feet are blanched. What nursing action should be implemented? A. place socks on infant B. elevate feet 15 degrees C. wrap feet loosely in prewired blanket D. report findings to HCP