2024 HESI MATERNITY OB EXAM
VERSION 3 LATEST VERSION
QUESTIONS AND ANSWERS
GRADED A+ {with practice
exams}EXAM ERABORATION
A 38-week primagravida who works as a secretary and sits at a computer
8 hours a day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities? - CORRECT ANSWER C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have - CORRECT
ANSWER B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate? - CORRECT ANSWER C. Tachycardia and a feeling
of nervousness
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective to prevent nipple soreness? -
CORRECT ANSWER C. correctly place the infant on the breast
,A full term infant is transferred to the nursery from L & D. Which
information is most important for the nurse to receive when planning
immediate care for the newborn? - CORRECT ANSWER B. Infant's
condition at birth and treatment received.
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 - CORRECT ANSWER D. anterior fontanel
closes at 12-18 mos and the posterior fontanel by the end of the second
month.
When assessing a client who is 12-weeks gestation, the nurse
recommends the she and her husband consider attending childbirth
preparation classes.
What is the best time for the couple to attend these classes? - CORRECT
ANSWER D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when -
CORRECT ANSWER C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs - CORRECT ANSWER A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-blow breathing.
The client begins to complain of tingling fingers and dizziness. What
action should the nurse take? - CORRECT ANSWER C. have the client
breath into her cupped hands
When preparing a newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term
, gestation? - CORRECT ANSWER C. Vernix is a white, cheesy substance,
predominately located in the skin folds.
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 - CORRECT ANSWER A. a
cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her
mind". He states she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
much. What recommendation should the nurse make to the expectant
father? - CORRECT ANSWER D. Let him know that these behaviors are
part of normal maternal/fetal bonding which occurs once the mother
feels fetal movement.
A new mother asks the nurse, "How do I know my daughter is getting
enough breast milk? Which explanation will the nurse provide? -
CORRECT ANSWER B. "your milk is sufficient if the baby is voiding pale
straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw
the baby in the recovery room. She has a funny looking head". Which
response by the nurse is the best? - CORRECT ANSWER C. That is
normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is
admitted to the postpartum unit. Which nursing plan is best in assisting
the mother to bond with her newborn infant? - CORRECT ANSWER D.
Meet the mother's physical needs and demonstrate warmth toward the
infant.
VERSION 3 LATEST VERSION
QUESTIONS AND ANSWERS
GRADED A+ {with practice
exams}EXAM ERABORATION
A 38-week primagravida who works as a secretary and sits at a computer
8 hours a day tells the nurse that her feet have begun to swell. Which
instruction would be most effective in preventing pooling of blood in the
lower extremities? - CORRECT ANSWER C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of
smoking on the fetus. When compared with nonsmokers, mothers who
smoke during pregnancy tend to produce infants who have - CORRECT
ANSWER B. lower birth weights
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-
weeks gestation in preterm labor. She is given 3 doses of terbutaline
sulfate (Brethine) 0.25 mg subcutaneously to stop her labor
contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate? - CORRECT ANSWER C. Tachycardia and a feeling
of nervousness
A mother who is breastfeeding her baby receives instructions from the
nurse. Which instruction is most effective to prevent nipple soreness? -
CORRECT ANSWER C. correctly place the infant on the breast
,A full term infant is transferred to the nursery from L & D. Which
information is most important for the nurse to receive when planning
immediate care for the newborn? - CORRECT ANSWER B. Infant's
condition at birth and treatment received.
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 - CORRECT ANSWER D. anterior fontanel
closes at 12-18 mos and the posterior fontanel by the end of the second
month.
When assessing a client who is 12-weeks gestation, the nurse
recommends the she and her husband consider attending childbirth
preparation classes.
What is the best time for the couple to attend these classes? - CORRECT
ANSWER D. At 30 weeks gestation.
The nurse should encourage the laboring client to begin pushing when -
CORRECT ANSWER C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs - CORRECT ANSWER A. two weeks before menstruation.
The nurse instructs a laboring client to use accelerated-blow breathing.
The client begins to complain of tingling fingers and dizziness. What
action should the nurse take? - CORRECT ANSWER C. have the client
breath into her cupped hands
When preparing a newborn care for expectant parents, what content
should the nurse teach concerning the newborn infant born at term
, gestation? - CORRECT ANSWER C. Vernix is a white, cheesy substance,
predominately located in the skin folds.
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 - CORRECT ANSWER A. a
cephalhematoma, caused by forceps trauma and may last up to 8 weeks.
An expectant father tells the nurse he fears that his wife "is losing her
mind". He states she is constantly rubbing her abdomen and talking to
the baby and that she actually reprimands the baby when it moves too
much. What recommendation should the nurse make to the expectant
father? - CORRECT ANSWER D. Let him know that these behaviors are
part of normal maternal/fetal bonding which occurs once the mother
feels fetal movement.
A new mother asks the nurse, "How do I know my daughter is getting
enough breast milk? Which explanation will the nurse provide? -
CORRECT ANSWER B. "your milk is sufficient if the baby is voiding pale
straw-colored urine 6-10 times a day.
A new mother who has just had her first baby says to the nurse, "I saw
the baby in the recovery room. She has a funny looking head". Which
response by the nurse is the best? - CORRECT ANSWER C. That is
normal, the head will return to a round shape within 7-10 days.
A client who gave birth to a healthy 8 pound infant 3 hours ago is
admitted to the postpartum unit. Which nursing plan is best in assisting
the mother to bond with her newborn infant? - CORRECT ANSWER D.
Meet the mother's physical needs and demonstrate warmth toward the
infant.
