2024 HESI MATERNITY OB EXAM VERSION 5
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1. Which nursing intervention is most a. Lying prone with a pillow on the abdomen
helpful in relieving postpartum uter- Lying prone (A) keeps the fundus contracted and
ine contractions or "afterpains?" is especially useful with multiparas, who commonly
a. Lying prone with a pillow on the experience afterpains due to lack of uterine tone.
abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications
2. A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells A vaginal exam (A) should be performed after the
the nurse that her bag of water rupture of membranes to determine the presence of
has broken. The nurse identifies the a prolapsed cord.
presence of meconium fluid on the
perineum and determines the fetal
heart rate is between 140 to 150
beats/minute. What action should
the nurse implement next?
a. Complete a sterile vaginal exam
b. Take maternal temperature every
2 hours
c. Prepare for an immediate cesare-
an birth
d. Obtain sterile suction equipment
3. When explaining "postpartum blues" a. Mood swings
to a client who is 1 day postpartum, c. Tearfulness
which symptoms "Postpartum blues" is a common emotional response
should the nurse include in the related to the rapid decrease in
teaching plan? (Select all that apply.) placental hormones after delivery and include mood
a. Mood swings swings (A), tearfulness (C), feeling
b. Panic attacks low, emotional, and fatigued
, 2024 HESI MATERNITY OB EXAM VERSION 5
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c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant
4. A client at 30-weeks gestation, com- c. Obtain a specimen for urine analysis
plaining of pressure over the pu- Obtaining a urine analysis (C) should be done first
bic area, is admitted for observa- because preterm clients with uterine irritability and
tion. She is contracting irregularly contractions are often suffering from a urinary tract
and demonstrates underlying uter- infection, and this should be ruled out first
ine irritability. Vaginal examination
reveals that her cervix is closed,
thick, and high. Based on these data,
which intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count
(CBC) drawn
c. Obtain a specimen for urine analy-
sis
d. Place the client on strict bedrest
5. A client in active labor complains of b. Extend the leg and dorsiflex the foot
cramps in her leg. What intervention Dorsiflexing the foot by pushing the sole of the foot
should the nurse implement? forward or by standing (if the client is capable) (B)
a. Ask the client if she takes a daily and putting the heel of the foot on the floor is the best
calcium tablet means of relieving leg cramps.
b. Extend the leg and dorsiflex the
foot
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
, 2024 HESI MATERNITY OB EXAM VERSION 5
Study online at https://quizlet.com/_fpjgqx
6. The nurse is caring for a woman with a. edema, basilar rales, and an irregular pulse
a previously diagnosed heart disease Edema, basilar rales, and an irregular pulse (A) indi-
who is in the second stage of la- cate cardiac decompensation and require immediate
bor. Which assessment findings are intervention.
of greatest concern?
a. edema, basilar rales, and an irreg-
ular pulse
b. Increased urinary output, and
tachycardia
c. Shortness of breath, bradycardia,
and hypertension
d. Regular heart rate, and hyperten-
sion
7. The nurse is teaching a woman how a. Between the time the temperature falls and rises
to use her basal body temperature In most women, the BBT drops slightly 24 to 36
(BBT) pattern as a tool to assist her hours before ovulation and rises 24 to 72 hours after
in conceiving a child. Which temper- ovulation, when the corpus luteum of the ruptured
ature pattern indicates the occur- ovary produces progesterone. Therefore, intercourse
rence of ovulation, and there for, the between the time of the temperature fall and rise (A)
best time for intercourse to ensure is the best time for conception
conception?
a. Between the time the temperature
falls and rises
b. Between 36 and 48 hours after the
temperature rises
c. When the temperature falls and
remains low for 36 hours
d. Within 72 hours before the tem-
perature falls
8.
, 2024 HESI MATERNITY OB EXAM VERSION 5
Study online at https://quizlet.com/_fpjgqx
A client who is in the second d. It is important that you want to take part in your
trimester of pregnancy tells the care
nurse that she wants to use herbal The emphasis of alternative and complementary ther-
therapy. Which response is best for apies, such as herbal therapy, is that the client is
the nurse to provide? viewed as a whole being, capable of decision-making
a. Herbs are a corner stone of good and an integral part of the health care team, so (D)
health to include in your treatment recognizes the client's request
b. Touch is also therapeutic in reliev-
ing discomfort and anxiety
c. Your healthcare provider should
direct treatment options for herbal
therapy
d. It is important that you want to
take part in your care
9. A mother who is breastfeeding her c. Correctly place the infant on the breast
baby receives instructions from the The most common cause of nipple soreness is incor-
nurse. Which rect positioning (C) of the infant on the breast, e.g.,
instruction is most effective to pre- grasping too little of the areola or grasping on the
vent nipple soreness? nipple
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the
breast
d. Manually express a small amount
of milk before nursing
10. The nurse is counseling a woman c. January 30-31
who wants to become pregnant. The This woman can expect her next period to begin 36
woman tells the nurse that she has a days from the first day of her last menstrual period -
36-day menstrual cycle and the first the cycle begins at the first day of the cycle and con-
day of her menstrual period was Jan- tinues to the first day of the next cycle. Her next period
Study online at https://quizlet.com/_fpjgqx
1. Which nursing intervention is most a. Lying prone with a pillow on the abdomen
helpful in relieving postpartum uter- Lying prone (A) keeps the fundus contracted and
ine contractions or "afterpains?" is especially useful with multiparas, who commonly
a. Lying prone with a pillow on the experience afterpains due to lack of uterine tone.
abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications
2. A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells A vaginal exam (A) should be performed after the
the nurse that her bag of water rupture of membranes to determine the presence of
has broken. The nurse identifies the a prolapsed cord.
presence of meconium fluid on the
perineum and determines the fetal
heart rate is between 140 to 150
beats/minute. What action should
the nurse implement next?
a. Complete a sterile vaginal exam
b. Take maternal temperature every
2 hours
c. Prepare for an immediate cesare-
an birth
d. Obtain sterile suction equipment
3. When explaining "postpartum blues" a. Mood swings
to a client who is 1 day postpartum, c. Tearfulness
which symptoms "Postpartum blues" is a common emotional response
should the nurse include in the related to the rapid decrease in
teaching plan? (Select all that apply.) placental hormones after delivery and include mood
a. Mood swings swings (A), tearfulness (C), feeling
b. Panic attacks low, emotional, and fatigued
, 2024 HESI MATERNITY OB EXAM VERSION 5
Study online at https://quizlet.com/_fpjgqx
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant
4. A client at 30-weeks gestation, com- c. Obtain a specimen for urine analysis
plaining of pressure over the pu- Obtaining a urine analysis (C) should be done first
bic area, is admitted for observa- because preterm clients with uterine irritability and
tion. She is contracting irregularly contractions are often suffering from a urinary tract
and demonstrates underlying uter- infection, and this should be ruled out first
ine irritability. Vaginal examination
reveals that her cervix is closed,
thick, and high. Based on these data,
which intervention should the nurse
implement first?
a. Provide oral hydration
b. Have a complete blood count
(CBC) drawn
c. Obtain a specimen for urine analy-
sis
d. Place the client on strict bedrest
5. A client in active labor complains of b. Extend the leg and dorsiflex the foot
cramps in her leg. What intervention Dorsiflexing the foot by pushing the sole of the foot
should the nurse implement? forward or by standing (if the client is capable) (B)
a. Ask the client if she takes a daily and putting the heel of the foot on the floor is the best
calcium tablet means of relieving leg cramps.
b. Extend the leg and dorsiflex the
foot
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
, 2024 HESI MATERNITY OB EXAM VERSION 5
Study online at https://quizlet.com/_fpjgqx
6. The nurse is caring for a woman with a. edema, basilar rales, and an irregular pulse
a previously diagnosed heart disease Edema, basilar rales, and an irregular pulse (A) indi-
who is in the second stage of la- cate cardiac decompensation and require immediate
bor. Which assessment findings are intervention.
of greatest concern?
a. edema, basilar rales, and an irreg-
ular pulse
b. Increased urinary output, and
tachycardia
c. Shortness of breath, bradycardia,
and hypertension
d. Regular heart rate, and hyperten-
sion
7. The nurse is teaching a woman how a. Between the time the temperature falls and rises
to use her basal body temperature In most women, the BBT drops slightly 24 to 36
(BBT) pattern as a tool to assist her hours before ovulation and rises 24 to 72 hours after
in conceiving a child. Which temper- ovulation, when the corpus luteum of the ruptured
ature pattern indicates the occur- ovary produces progesterone. Therefore, intercourse
rence of ovulation, and there for, the between the time of the temperature fall and rise (A)
best time for intercourse to ensure is the best time for conception
conception?
a. Between the time the temperature
falls and rises
b. Between 36 and 48 hours after the
temperature rises
c. When the temperature falls and
remains low for 36 hours
d. Within 72 hours before the tem-
perature falls
8.
, 2024 HESI MATERNITY OB EXAM VERSION 5
Study online at https://quizlet.com/_fpjgqx
A client who is in the second d. It is important that you want to take part in your
trimester of pregnancy tells the care
nurse that she wants to use herbal The emphasis of alternative and complementary ther-
therapy. Which response is best for apies, such as herbal therapy, is that the client is
the nurse to provide? viewed as a whole being, capable of decision-making
a. Herbs are a corner stone of good and an integral part of the health care team, so (D)
health to include in your treatment recognizes the client's request
b. Touch is also therapeutic in reliev-
ing discomfort and anxiety
c. Your healthcare provider should
direct treatment options for herbal
therapy
d. It is important that you want to
take part in your care
9. A mother who is breastfeeding her c. Correctly place the infant on the breast
baby receives instructions from the The most common cause of nipple soreness is incor-
nurse. Which rect positioning (C) of the infant on the breast, e.g.,
instruction is most effective to pre- grasping too little of the areola or grasping on the
vent nipple soreness? nipple
a. Wear a cotton bra
b. Increase nursing time gradually
c. Correctly place the infant on the
breast
d. Manually express a small amount
of milk before nursing
10. The nurse is counseling a woman c. January 30-31
who wants to become pregnant. The This woman can expect her next period to begin 36
woman tells the nurse that she has a days from the first day of her last menstrual period -
36-day menstrual cycle and the first the cycle begins at the first day of the cycle and con-
day of her menstrual period was Jan- tinues to the first day of the next cycle. Her next period
