HESI OBSTETRICS/MATERNITY PRACTICE EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
Terms in this set (34) QUESTIONS VERIFIED ANSWERS
1) Which nursing intervention is most a. Lying prone with a pillow on the
helpful in relieving postpartum abdomen
uterine contractions or "afterpains?"
a. Lying prone with a pillow on the Lying prone (A) keeps the fundus
abdomen contracted and is especially useful with
b. Using a breast pump multiparas, who commonly experience
c. Massaging the abdomen afterpains due to lack of uterine tone.
d. Giving oxytocic medications
2) A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells the
nurse that her bag of water has A vaginal exam (A) should be performed
broken. The nurse identifies the after the rupture of membranes to
presence of meconium fluid on the determine the presence of a prolapsed
perineum and determines the fetal cord.
, heart rate is between 140 to 150
beats/minute. What action should the
nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2
hours
c. Prepare for an immediate cesarean
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 should the nurse
include in the teaching plan? (Select "Postpartum blues" is a common
all that apply.) emotional response related to the rapid
a. Mood swings decrease in placental hormones after
b. Panic attacks delivery and include mood swings (A),
c. Tearfulness tearfulness (C), feeling low, emotional,
d. Decreased need for sleep and fatigued.
e. Disinterest in the infant
4) A client at 30-weeks gestation, c. Obtain a specimen for urine analysis
complaining of pressure over the
pubic area, is admitted for Obtaining a urine analysis (C) should be
observation. She is contracting done first because preterm clients with
, irregularly and demonstrates uterine irritability and contractions are
underlying uterine irritability. often suffering from a urinary tract
Vaginal examination reveals that her infection, and this should be ruled out
cervix is closed, thick, and high. first.
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
analysis
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
should the nurse implement? Dorsiflexing the foot by puching the sole
a. Ask the client if she takes a daily of the foot forward or by stnading (if the
calcium tablet client is capable) (B), and putting the heel
b. Extend the leg and dorsiflex the of the foot on the floor is the best means
foot of relieving leg cramps.
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
Terms in this set (34) QUESTIONS VERIFIED ANSWERS
1) Which nursing intervention is most a. Lying prone with a pillow on the
helpful in relieving postpartum abdomen
uterine contractions or "afterpains?"
a. Lying prone with a pillow on the Lying prone (A) keeps the fundus
abdomen contracted and is especially useful with
b. Using a breast pump multiparas, who commonly experience
c. Massaging the abdomen afterpains due to lack of uterine tone.
d. Giving oxytocic medications
2) A multigravida client arrives at the a. Complete a sterile vaginal exam
labor and delivery unit and tells the
nurse that her bag of water has A vaginal exam (A) should be performed
broken. The nurse identifies the after the rupture of membranes to
presence of meconium fluid on the determine the presence of a prolapsed
perineum and determines the fetal cord.
, heart rate is between 140 to 150
beats/minute. What action should the
nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2
hours
c. Prepare for an immediate cesarean
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 should the nurse
include in the teaching plan? (Select "Postpartum blues" is a common
all that apply.) emotional response related to the rapid
a. Mood swings decrease in placental hormones after
b. Panic attacks delivery and include mood swings (A),
c. Tearfulness tearfulness (C), feeling low, emotional,
d. Decreased need for sleep and fatigued.
e. Disinterest in the infant
4) A client at 30-weeks gestation, c. Obtain a specimen for urine analysis
complaining of pressure over the
pubic area, is admitted for Obtaining a urine analysis (C) should be
observation. She is contracting done first because preterm clients with
, irregularly and demonstrates uterine irritability and contractions are
underlying uterine irritability. often suffering from a urinary tract
Vaginal examination reveals that her infection, and this should be ruled out
cervix is closed, thick, and high. first.
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
analysis
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
should the nurse implement? Dorsiflexing the foot by puching the sole
a. Ask the client if she takes a daily of the foot forward or by stnading (if the
calcium tablet client is capable) (B), and putting the heel
b. Extend the leg and dorsiflex the of the foot on the floor is the best means
foot of relieving leg cramps.
c. Lower the leg off the side of the
bed
d. Elevate the leg above the heart
