OB\MATERNITY HESI ASSIGNMENT EXAM
WITH CORRECT ANSWESR.
A client at 8-months gestation tells the nurse that she knows her baby
listens to her, but her husband thinks she is imagining things. What
information should the nurse provide? - CorreCt Answers -B. The fetus in
utero is capable of hearing and does respond to the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking
utensil last week and her baby jumped in response to the noise. What
information should the nurse provide? - CorreCt Answers -B. The fetus can
respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function
of the placenta is in early pregnancy. What information supports the
explanation that the nurse should provide? - CorreCt Answers -C. Secretes
both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client
who is at 20-weeks gestation? - CorreCt Answers -A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the
nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular
periods, is under stress at work, and is not sleeping well. The client's
physical examination and ultrasound do not indicate that she is pregnant.
How should the nurse explain the most likely cause for obtaining false-
positive pregnancy test results? - CorreCt Answers -B. Using an
anticonvulsant for epilepsy
,Which gastrointestinal findings should the nurse be concerned about in a
client at 28-weeks gestation? - CorreCt Answers -A. PICA
During a preconception counseling session for women trying to get
pregnant in 3 to 6 months, what information should the nurse provide? -
CorreCt Answers -B. Make sure to include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an
understanding of the role of protein during pregnancy? - CorreCt Answers -
A. "Protein helps the fetus grow while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have
a drink with dinner. How should the nurse respond to the client? - CorreCt
Answers -D. Abstinence is strongly recommended throughout the
pregnancy
A female client who wants to deliver at home asks the nurse to explain the
role of a nurse-midwife in providing obstetric care. What information
should the nurse provide? - CorreCt Answers -B. The pregnancy should
progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women,
which situation should the nurse include about the safety of a home birth? -
CorreCt Answers -D. Medical backup should be available quickly in case of
complications
The nurse is discussing the stages of labor with a group of women in the last
month of pregnancy and provides examples of different positional
, techniques used during the second stage of labor. Which position should
the nurse address the best advantage of gravity during delivery? - CorreCt
Answers -B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths
that is twice the normal adult breathing rate. The client complains of feeling
light headed, dizzy, and states that her fingers are tingling. What action
should the nurse implement? - CorreCt Answers -B. Help her breathe into a
paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet
sensation on the perineum. The nurse notices pale, straw-colored fluid with
small white particles. After reviewing the fetal monitor strip for fetal
disturbance, what action should the nurse take? - CorreCt Answers -C.
Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes,
lasting an average of 55 to 60 seconds. An internal uterine pressure
catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mmHg at
the peak. Based on this information, what action should the nurse
implement? - CorreCt Answers -D. Document the findings in the client
record
A multiparous client has been in labor for 8 hours when her membranes
rupture. What action should the nurse implement first? - CorreCt Answers -
B. Assess the fetal heart rate and pattern
Which action should the nurse implement caring for a newborn
immediately after birth? - CorreCt Answers -A. Keep the newborn's airway
clear
WITH CORRECT ANSWESR.
A client at 8-months gestation tells the nurse that she knows her baby
listens to her, but her husband thinks she is imagining things. What
information should the nurse provide? - CorreCt Answers -B. The fetus in
utero is capable of hearing and does respond to the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking
utensil last week and her baby jumped in response to the noise. What
information should the nurse provide? - CorreCt Answers -B. The fetus can
respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function
of the placenta is in early pregnancy. What information supports the
explanation that the nurse should provide? - CorreCt Answers -C. Secretes
both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client
who is at 20-weeks gestation? - CorreCt Answers -A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is
positive one week after a missed period. At the clinic, the client tells the
nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular
periods, is under stress at work, and is not sleeping well. The client's
physical examination and ultrasound do not indicate that she is pregnant.
How should the nurse explain the most likely cause for obtaining false-
positive pregnancy test results? - CorreCt Answers -B. Using an
anticonvulsant for epilepsy
,Which gastrointestinal findings should the nurse be concerned about in a
client at 28-weeks gestation? - CorreCt Answers -A. PICA
During a preconception counseling session for women trying to get
pregnant in 3 to 6 months, what information should the nurse provide? -
CorreCt Answers -B. Make sure to include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an
understanding of the role of protein during pregnancy? - CorreCt Answers -
A. "Protein helps the fetus grow while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have
a drink with dinner. How should the nurse respond to the client? - CorreCt
Answers -D. Abstinence is strongly recommended throughout the
pregnancy
A female client who wants to deliver at home asks the nurse to explain the
role of a nurse-midwife in providing obstetric care. What information
should the nurse provide? - CorreCt Answers -B. The pregnancy should
progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women,
which situation should the nurse include about the safety of a home birth? -
CorreCt Answers -D. Medical backup should be available quickly in case of
complications
The nurse is discussing the stages of labor with a group of women in the last
month of pregnancy and provides examples of different positional
, techniques used during the second stage of labor. Which position should
the nurse address the best advantage of gravity during delivery? - CorreCt
Answers -B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths
that is twice the normal adult breathing rate. The client complains of feeling
light headed, dizzy, and states that her fingers are tingling. What action
should the nurse implement? - CorreCt Answers -B. Help her breathe into a
paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet
sensation on the perineum. The nurse notices pale, straw-colored fluid with
small white particles. After reviewing the fetal monitor strip for fetal
disturbance, what action should the nurse take? - CorreCt Answers -C.
Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes,
lasting an average of 55 to 60 seconds. An internal uterine pressure
catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mmHg at
the peak. Based on this information, what action should the nurse
implement? - CorreCt Answers -D. Document the findings in the client
record
A multiparous client has been in labor for 8 hours when her membranes
rupture. What action should the nurse implement first? - CorreCt Answers -
B. Assess the fetal heart rate and pattern
Which action should the nurse implement caring for a newborn
immediately after birth? - CorreCt Answers -A. Keep the newborn's airway
clear
