HESI OB/MATERNITY EXAM NEWEST EXAM | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION | JUST RELEASED
A healthcare provider informs the charge nurse of a labor and delivery unit
that a client is coming to the unit suspected abruptio placentae. What
findings should the charge nurse expect the client to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen ---------CORRECT ANSWER-----------------A. dark,red
vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
At 14-weeks gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her abdomen. The
nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abdominal pain and a shoulder
pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. ---------CORRECT ANSWER-----------------
c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask wen she could use a home pregnancy test to diagnose pregnancy.
Which response is best?
a. a home pregnancy test can be used right after your first missed period
,b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be
trusted
d. the test can provide accurate information when used right after ovulation
---------CORRECT ANSWER-----------------a. a home pregnancy test can be
used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for
a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly ---------CORRECT ANSWER-----------------c. a persistent
cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural ---------CORRECT ANSWER-----------------c.
place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the explanation on knowledge that for
the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of
the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of
the week
,c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end
of the second month ---------CORRECT ANSWER-----------------d. anterior
fontanel closes at 12 to 18 months and the posterior by the end of the
second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute ---------CORRECT ANSWER-----------------a. patellar
reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl ---------CORRECT
ANSWER-----------------c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2006. Based on Nagele's rule, what is the estimated
date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 ---------CORRECT ANSWER-----------------b. May 9, 2007
, The nurse is performing a AGA on a full-term newborn during the first hour
of transition using the Dubowitz scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of 40 weeks.
Which findings should the nurse identify to determine if the neonate is
SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position ---------CORRECT
ANSWER-----------------a, b, c
The nurse assess a client admitted to the labor and delivery unit and
obtains the following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated
and uneffaced. Based on these assessment findings, what intervention
should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers ---------CORRECT ANSWER-----------------
c. monitor for bleeding from IV sites
A client who delivered an infant an hour ago tells the nurse that she feels
wet underneath her buttock. The nurse notes that both perineal pads are
completely saturated and the cline is lying in a 6 in diameter pool of blood.
Which action should the nurse implement next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
c. cleanse the perineum
d. palpate the firmness of the fundus ---------CORRECT ANSWER-------------
----d. palpate the firmness of the fundus
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION | JUST RELEASED
A healthcare provider informs the charge nurse of a labor and delivery unit
that a client is coming to the unit suspected abruptio placentae. What
findings should the charge nurse expect the client to demonstrate.
A. dark,red vaginal bleeding
B. lower back pain
C. premature rupture of membranes
D. increased uterine irritability
E. bilateral pitting edema
F. Rigid abdomen ---------CORRECT ANSWER-----------------A. dark,red
vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
At 14-weeks gestation, a client arrives at the Emergency Center
complaining of a dull pain in the right lower quadrant of her abdomen. The
nurse obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abdominal pain and a shoulder
pain. Assessment findings include diaphoresis, a heart rate of 120
beats/minute, and a blood pressure of 86/48. Which action should the
nurse implement next?
a. Check the hematocrit results.
b. Administer pain medication.
c. Increase the rate of IV fluids.
d. Monitor client for contractions. ---------CORRECT ANSWER-----------------
c. increase the rate of IV fluids
A woman who thinks she could be pregnant calls her neighbor, a nurse, to
ask wen she could use a home pregnancy test to diagnose pregnancy.
Which response is best?
a. a home pregnancy test can be used right after your first missed period
,b. these tests are most accurate after you have missed your second period
c. home pregnancy tests often give false positives and should not be
trusted
d. the test can provide accurate information when used right after ovulation
---------CORRECT ANSWER-----------------a. a home pregnancy test can be
used right after your first missed period
A newborn, whose mother is HIV positive, is scheduled for follow-up
assessments. The nurse knows that the most likely presenting symptom for
a pediatric client with AIDS is:
a. shortness of breath
b. joint pain
c. a persistent cold
d. organmegaly ---------CORRECT ANSWER-----------------c. a persistent
cold
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure drops from 120/80 to 90/60. What action
should the nurse take?
a. notify the healthcare provider or anesthesiologist
b. continue to assess the blood pressure q5min
c. place the woman in a lateral position
d. turn off continuous epidural ---------CORRECT ANSWER-----------------c.
place the woman in a lateral position
In developing a teaching plan for expectant parents, the nurse plans to
include information about when the parents can expect the infant's
fontanels to close. The nurse bases the explanation on knowledge that for
the normal newborn, the
a. anterior fontanel closes at 2 to 4 months and the posterior by the end of
the first week
b. anterior fontanel closes at 5 to 7 months and the posterior by the end of
the week
,c. anterior fontanel closes at 8 to 11 months and the posterior by the end of
the second week
d. anterior fontanel closes at 12 to 18 months and the posterior by the end
of the second month ---------CORRECT ANSWER-----------------d. anterior
fontanel closes at 12 to 18 months and the posterior by the end of the
second month
A client in active labor is admitted with preeclampsia. Which assessment
finding is most significant in planning this client's care?
a. patellar reflex 4+
b. blood pressure 158/80
c. four hour urine output 240 ml
d. respiration 12/minute ---------CORRECT ANSWER-----------------a. patellar
reflex 4+
A 4 week old premature infant has been receiving epoetin alfa for the last
three weeks. Which assessment finding indicates to the nurse that the drug
is effective?
a. slowly increasing urine output over the last week
b. respiratory rate changes from the 40s to the 60s
c. changes in apical heart rate from the 180 to the 140s
d. change in indirect bilirubin from 12 mg/dl to 8 mg/dl ---------CORRECT
ANSWER-----------------c. changes in apical rate from the 180s to the 140s
A pregnant client tells the nurse that the first day of her last menstrual
period was August 2, 2006. Based on Nagele's rule, what is the estimated
date of delivery?
a. April 25, 2007
b. May 9, 2007
c. May 29, 2007
d. June 2, 2007 ---------CORRECT ANSWER-----------------b. May 9, 2007
, The nurse is performing a AGA on a full-term newborn during the first hour
of transition using the Dubowitz scale. Based on this assessment, the
nurse determines that the neonate has a maturity rating of 40 weeks.
Which findings should the nurse identify to determine if the neonate is
SGA? (Select all that apply.)
a. admission weight of 4 lbs 15 oz
b. head to heel length of 17 in
c. frontal occipital circumference of 12.5 in
d. skin smooth with visible veins and abundant vernix
e. anterior plantar crease and smooth heel surfaces
f. full flexion of all extremities in resting supine position ---------CORRECT
ANSWER-----------------a, b, c
The nurse assess a client admitted to the labor and delivery unit and
obtains the following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated
and uneffaced. Based on these assessment findings, what intervention
should the nurse implement?
a. insert a fetal monitor
b. assess for cervical changes q1H
c. monitor bleeding from IV sites
d. perform Leopold's maneuvers ---------CORRECT ANSWER-----------------
c. monitor for bleeding from IV sites
A client who delivered an infant an hour ago tells the nurse that she feels
wet underneath her buttock. The nurse notes that both perineal pads are
completely saturated and the cline is lying in a 6 in diameter pool of blood.
Which action should the nurse implement next?
a. obtain a blood pressure
b. inspect the perineum for lacerations
c. cleanse the perineum
d. palpate the firmness of the fundus ---------CORRECT ANSWER-------------
----d. palpate the firmness of the fundus
