OBSTETRICS HESI PRACTICE TEST 2020 Graded A

OB HESI PRACTICE TEST 1. While breastfeeding, a new mother strokes the top of her baby's head and asks the nurse about the baby's swollen scalp. The nurse responds that the swelling is caput succedaneum. Which additional information should the nurse provide this new mother? A) The infant should be positioned to reduce the swelling. Feedback: INCORRECT B) The swelling is a subperiosteal collection of blood. Feedback: INCORRECT C) The pediatrician will aspirate the blood if it gets larger. Feedback: INCORRECT D) The scalp edema will subside in a few days after birth. Feedback: CORRECT Feedback: Caput succedaneum is edema of the fetal scalp that crosses over the suture lines and is caused by pressure on the fetal head against the cervix during labor; it subside in a few days after birth without treatment. Cephalohematoma, a subperiosteal collection of blood that does not cross the suture lines and is a common benign birth injury. 2. A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine 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. Feedback: INCORRECT B) Have a complete blood count (CBC) drawn. Feedback: INCORRECT C) Obtain a specimen for urine analysis. Feedback: CORRECT D) Place the client on strict bedrest. Feedback: INCORRECT Feedback: Obtaining a urine analysis (C) should be done first because preterm clients with uterine irritability and contractions are often suffering from a urinary tract infection, and this should be ruled out first. 3. 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. Feedback: INCORRECT B) Joint pain. Feedback: INCORRECT C) A persistent cold. Feedback: CORRECT D) organomegaly. Feedback: INCORRECT Feedback: Respiratory tract infections commonly occur in the pediatric population. However, the child with AIDS has a decreased ability to defend the body against these infections and often the presenting symptom