2024 HESI MATERNITY OB EXAM VERSION 2
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Extra Practical 4 (4.1 & 4.2) Sexual Reproductive Health Unit 3: The Intrapartal Period Pre-Ter
78 terms 34 terms 27 terms 26 terms
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1. The nurse is providing care for a newborn C. Cephalhematoma
who was delivered vaginally assisted by
forceps.
The nurseobserves red marks on the head
with swelling that does not cross the suture
line.
Which condition should the nurse
documents in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
2. A client at 34 weeks gestation comes to B. Placenta Previa
the birthing center complaining of vaginal
bleeding
that began one hour ago. The nurse
assessment reveals approximately 30ML of
bright red
vaginal bleeding. Fetal rate of 130 - 140
beats per minute, no contractions and no
complaints of pain what is the most likely
cause of these client's bleeding.
A Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicting induction
of labor
D. A ruptured blood vessel in the vaginal
vault.
, 3. A client at 30 weeks gestation reports A. Fetal Heart rate 60 beats per minute
that she has not felt the baby move in the
last 24 hours. Concerned she arrives in a
panic at the obstetric clinic where she is
immediately sent to the hospital. which
assessment warrants immediate
intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
C. onset of uterine contractions
D. leaking amniotic fluid.
4. A client at 37 weeks gestation presents C. Herpes Simplex Virus
to labor and delivery with contractions
every two
minutesthe nurse observes several shallow
small vesicles on her pubis labia and
perineum. the nurse should recognize the
clients is prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
5. The nurse is planning care for a client at B. Betamethasone 12 mg deep IM
30 weeks gestation who is experiencing
preterm labor which maternity prescription
is most important in preventing this fetus
from developing respiratory distress
syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15
minutes X 3
D. Butorphanol tartrate 1mg IV push q2h
PRN.
6. A 16 year old gravida 1 para 0 client has B. Keep an airway at the bedside
just been admitted to the hospital with a
diagnosis of eclampsia. She's not presently
convulsing. Which intervention should the
nurse plan to include in this client's nursing
care plan?
A Allow liberal family visitation
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and
respiration every 4 hours.
Save
Students also studied
Extra Practical 4 (4.1 & 4.2) Sexual Reproductive Health Unit 3: The Intrapartal Period Pre-Ter
78 terms 34 terms 27 terms 26 terms
hiidontknow76 Preview janelle_pineda6 Preview Bdogg802 Preview Cen
1. The nurse is providing care for a newborn C. Cephalhematoma
who was delivered vaginally assisted by
forceps.
The nurseobserves red marks on the head
with swelling that does not cross the suture
line.
Which condition should the nurse
documents in the medical record?
A. Caput succedaneum
B. Hydrocephalus
C. Cephalhematoma
D. Microcephaly
2. A client at 34 weeks gestation comes to B. Placenta Previa
the birthing center complaining of vaginal
bleeding
that began one hour ago. The nurse
assessment reveals approximately 30ML of
bright red
vaginal bleeding. Fetal rate of 130 - 140
beats per minute, no contractions and no
complaints of pain what is the most likely
cause of these client's bleeding.
A Abruptio Placenta
B. Placenta Previa
C. Normal bloody show indicting induction
of labor
D. A ruptured blood vessel in the vaginal
vault.
, 3. A client at 30 weeks gestation reports A. Fetal Heart rate 60 beats per minute
that she has not felt the baby move in the
last 24 hours. Concerned she arrives in a
panic at the obstetric clinic where she is
immediately sent to the hospital. which
assessment warrants immediate
intervention by the nurse?
A. Fetal Heart rate 60 beats per minute
B. Ruptured amniotic membrane
C. onset of uterine contractions
D. leaking amniotic fluid.
4. A client at 37 weeks gestation presents C. Herpes Simplex Virus
to labor and delivery with contractions
every two
minutesthe nurse observes several shallow
small vesicles on her pubis labia and
perineum. the nurse should recognize the
clients is prohibiting symptoms of which
condition?
A Genital Warts
B. Syphilis
C. Herpes Simplex Virus
D. German Measles
5. The nurse is planning care for a client at B. Betamethasone 12 mg deep IM
30 weeks gestation who is experiencing
preterm labor which maternity prescription
is most important in preventing this fetus
from developing respiratory distress
syndrome.
A. Ampicillin 1 gram IV push q8h
B. Betamethasone 12 mg deep IM
C. Terbutaline 0.25 mg subcutaneously q 15
minutes X 3
D. Butorphanol tartrate 1mg IV push q2h
PRN.
6. A 16 year old gravida 1 para 0 client has B. Keep an airway at the bedside
just been admitted to the hospital with a
diagnosis of eclampsia. She's not presently
convulsing. Which intervention should the
nurse plan to include in this client's nursing
care plan?
A Allow liberal family visitation
B. Keep an airway at the bedside
C. Assess temperature every hour
D. Monitor blood pressure, pulse, and
respiration every 4 hours.
