NURS 3550 HESI
OB MATERNITY V 1 EXAM
QUESTIONS WITH CORRECT ANSWERS
1. |A |3-day |postpartum |client, |who |is |not |immune |to |rubella, |is |to |receive |the |vaccine |at |discharge. |Which |of |the
|following |must |the |nurse |include |in |her |discharge |teaching |regarding |the |vaccine?
1. The |woman |should |not |become |pregnant |for |at |least |4 |weeks.
2. The |woman |should |pump |and |dump |her |breast |milk |for |1 |week.
3. The |mother |must |wear |a |surgical |mask |when |she |cares |for |the |baby.
4. Passive |antibodies |transported |across |the |placenta |will |protect |the |baby.
208 |MATERNAL|AND |NEWBORN |SUCCESS
|
2. |A |3-day-postpartum |client |questions |why |she |is |to |receive |the |rubella |vaccine |before |leaving |the |hospital.
|Which |of |the |following |rationales |should |guide |the |nurse’s |response?
1. The |client’s |obstetric |status |is |optimal |for |receiving |the |vaccine.
2. The |client’s |immune |system |is |highly |responsive |during |the |postpartum |period.
3. The |client’s |baby |will |be |high |risk |for |acquiring |rubella |if |the |woman |does |not
receive |the |vaccine.
|
4. The |client’s |insurance |company |will |pay |for |the |shot |if |it |is |given |during |the |immediate
postpartum |period.
|
3. |A |patient, |G2P1102, |who |delivered |her |baby |8 |hours |ago, |now |has |a |temperature |of |100.2ºF. |Which |of |the
|following |is |the |appropriate |nursing |intervention |at |this |time?
1. Notify |the |doctor |to |get |an |order |for |acetaminophen.
2. Request |an |infectious |disease |consult |from |the |doctor.
3. Provide |the |woman |with |cool |compresses.
4. Encourage |intake |of |water |and |other |fluids.
4. |To |prevent |infection, |the |nurse |teaches |the |postpartum |client |to |perform |which |of |the |following |tasks?
1. Apply |antibiotic |ointment |to |the |perineum |daily.
2. Change |the |peripad |at |each |voiding.
3. Void |at |least |every |two |hours.
4. Spray |the |perineum |with |a |povidone-iodine |solution |after |toileting.
5. A |3-day-postpartum |breastfeeding |woman |is |being |assessed. |Her |breasts |are |firm |and |warm |to |the |touch. |When
|asked |when |she |last |fed |the |baby |her |reply |is, |“I |fed |the |baby |last |evening. |I |let |the |nurses |feed |him |in |the|nursery
,last |night. |I |needed |to |rest.” |Which |of |the |following |actions |should |the |nurse |take |at |this |time?
|
1. Encourage |the |woman |exclusively |to |breastfeed |her |baby.
2. Have |the |woman |massage |her |breasts |hourly.
3. Obtain |an |order |to |culture |her |expressed |breast |milk.
4. Take |the |temperature |and |pulse |rate |of |the |woman.
6. |A |breastfeeding |woman |has |been |counseled |on |how |to |prevent |engorgement.
, Which |of |the |following |actions |by |the |mother |shows |that |the |teaching |was |effective?
1. She |pumps |her |breasts |after |each |feeding.
2. She |feeds |her |baby |every |2 |to |3 |hours.
3. She |feeds |her |baby |10 |minutes |on |each |side.
4. She |supplements |each |feeding |with |formula.
7. |A |2-day-postpartum |breastfeeding |woman |states, |“I |am |sick |of |being |fat. |When |can |I |go |on |a |diet?” |Which |of|the
|following |responses |is |appropriate?
1. “It |is |fine |for |you |to |start |dieting |right |now |as |long |as |you |drink |plenty |of |milk.”
2. “Your |breast |milk |will |be |low |in |vitamins |if |you |start |to |diet |while |breastfeeding.”
3. “You |must |eat |at |least |3000 |calories |per |day |in |order |to |produce |enough |milk |for |your |baby.”
4. “Many |mothers |lose |weight |when |they |breastfeed |because |the |baby |consumes |about |600 |calories |a |day.”
8. |A |G2P2002, |who |is |postpartum |6 |hours |from |a |spontaneous |vaginal |delivery, |is |assessed. |The |nurse |notes |that|the
|fundus |is |firm |at |the |umbilicus, |there |is |heavy |lochia, |and |perineal |sutures |are |intact. |Which |of |the |following
|actions |should |the |nurse |take |at |this |time?
1. Do |nothing. |This |is |a |normal |finding.
2. Massage |the |woman’s |fundus.
3. Take |the |woman |to |the |bathroom |to |void.
4. Notify |the |woman’s |primary |health |care |provider.
9. |A |client |informs |the |nurse |that |she |intends |to |bottlefeed |her |baby. |Which |of |the |following |actions |should |the
|nurse |encourage |the |client |to |perform?
1. Increase |her |fluid |intake |for |a |few |days.
2. Massage |her |breasts |every |4 |hours.
3. Apply |heat |packs |to |her |axillae.
4. Wear |a |supportive |bra |24 |hours |a |day.
10. |The |nurse |in |the |obstetric |clinic |received |a |telephone |call |from |a |bottlefeeding |mother |of |a |3-day-old. |The
|client |states |that |her |breasts |are |firm, |red, |and |warm |to |the |touch. |Which |of |the |following |is |the |best |action |for|the
|nurse |to |advise |the |client |to |perform?
1. Intermittently |apply |ice |packs |to |her |axillae |and |breasts.
2. Apply |lanolin |to |her |breasts |and |nipples |every |3 |hours.
3. Express |milk |from |the |breasts |every |3 |hours.
4. Ask |the |primary |health |care |provider |to |order |a |milk |suppressant.
11. |A |multigravid, |postpartum |woman |reports |severe |abdominal |cramping |whenever |she |nurses |her |infant.
|Which |of |the |following |responses |by |the |nurse |is |appropriate?
1. Suggest |that |the |woman |bottlefeed |for |a |few |days.
2. Instruct |the |patient |on |how |to |massage |her |fundus.
3. Instruct |the |patient |to |feed |using |an |alternate |position.
OB MATERNITY V 1 EXAM
QUESTIONS WITH CORRECT ANSWERS
1. |A |3-day |postpartum |client, |who |is |not |immune |to |rubella, |is |to |receive |the |vaccine |at |discharge. |Which |of |the
|following |must |the |nurse |include |in |her |discharge |teaching |regarding |the |vaccine?
1. The |woman |should |not |become |pregnant |for |at |least |4 |weeks.
2. The |woman |should |pump |and |dump |her |breast |milk |for |1 |week.
3. The |mother |must |wear |a |surgical |mask |when |she |cares |for |the |baby.
4. Passive |antibodies |transported |across |the |placenta |will |protect |the |baby.
208 |MATERNAL|AND |NEWBORN |SUCCESS
|
2. |A |3-day-postpartum |client |questions |why |she |is |to |receive |the |rubella |vaccine |before |leaving |the |hospital.
|Which |of |the |following |rationales |should |guide |the |nurse’s |response?
1. The |client’s |obstetric |status |is |optimal |for |receiving |the |vaccine.
2. The |client’s |immune |system |is |highly |responsive |during |the |postpartum |period.
3. The |client’s |baby |will |be |high |risk |for |acquiring |rubella |if |the |woman |does |not
receive |the |vaccine.
|
4. The |client’s |insurance |company |will |pay |for |the |shot |if |it |is |given |during |the |immediate
postpartum |period.
|
3. |A |patient, |G2P1102, |who |delivered |her |baby |8 |hours |ago, |now |has |a |temperature |of |100.2ºF. |Which |of |the
|following |is |the |appropriate |nursing |intervention |at |this |time?
1. Notify |the |doctor |to |get |an |order |for |acetaminophen.
2. Request |an |infectious |disease |consult |from |the |doctor.
3. Provide |the |woman |with |cool |compresses.
4. Encourage |intake |of |water |and |other |fluids.
4. |To |prevent |infection, |the |nurse |teaches |the |postpartum |client |to |perform |which |of |the |following |tasks?
1. Apply |antibiotic |ointment |to |the |perineum |daily.
2. Change |the |peripad |at |each |voiding.
3. Void |at |least |every |two |hours.
4. Spray |the |perineum |with |a |povidone-iodine |solution |after |toileting.
5. A |3-day-postpartum |breastfeeding |woman |is |being |assessed. |Her |breasts |are |firm |and |warm |to |the |touch. |When
|asked |when |she |last |fed |the |baby |her |reply |is, |“I |fed |the |baby |last |evening. |I |let |the |nurses |feed |him |in |the|nursery
,last |night. |I |needed |to |rest.” |Which |of |the |following |actions |should |the |nurse |take |at |this |time?
|
1. Encourage |the |woman |exclusively |to |breastfeed |her |baby.
2. Have |the |woman |massage |her |breasts |hourly.
3. Obtain |an |order |to |culture |her |expressed |breast |milk.
4. Take |the |temperature |and |pulse |rate |of |the |woman.
6. |A |breastfeeding |woman |has |been |counseled |on |how |to |prevent |engorgement.
, Which |of |the |following |actions |by |the |mother |shows |that |the |teaching |was |effective?
1. She |pumps |her |breasts |after |each |feeding.
2. She |feeds |her |baby |every |2 |to |3 |hours.
3. She |feeds |her |baby |10 |minutes |on |each |side.
4. She |supplements |each |feeding |with |formula.
7. |A |2-day-postpartum |breastfeeding |woman |states, |“I |am |sick |of |being |fat. |When |can |I |go |on |a |diet?” |Which |of|the
|following |responses |is |appropriate?
1. “It |is |fine |for |you |to |start |dieting |right |now |as |long |as |you |drink |plenty |of |milk.”
2. “Your |breast |milk |will |be |low |in |vitamins |if |you |start |to |diet |while |breastfeeding.”
3. “You |must |eat |at |least |3000 |calories |per |day |in |order |to |produce |enough |milk |for |your |baby.”
4. “Many |mothers |lose |weight |when |they |breastfeed |because |the |baby |consumes |about |600 |calories |a |day.”
8. |A |G2P2002, |who |is |postpartum |6 |hours |from |a |spontaneous |vaginal |delivery, |is |assessed. |The |nurse |notes |that|the
|fundus |is |firm |at |the |umbilicus, |there |is |heavy |lochia, |and |perineal |sutures |are |intact. |Which |of |the |following
|actions |should |the |nurse |take |at |this |time?
1. Do |nothing. |This |is |a |normal |finding.
2. Massage |the |woman’s |fundus.
3. Take |the |woman |to |the |bathroom |to |void.
4. Notify |the |woman’s |primary |health |care |provider.
9. |A |client |informs |the |nurse |that |she |intends |to |bottlefeed |her |baby. |Which |of |the |following |actions |should |the
|nurse |encourage |the |client |to |perform?
1. Increase |her |fluid |intake |for |a |few |days.
2. Massage |her |breasts |every |4 |hours.
3. Apply |heat |packs |to |her |axillae.
4. Wear |a |supportive |bra |24 |hours |a |day.
10. |The |nurse |in |the |obstetric |clinic |received |a |telephone |call |from |a |bottlefeeding |mother |of |a |3-day-old. |The
|client |states |that |her |breasts |are |firm, |red, |and |warm |to |the |touch. |Which |of |the |following |is |the |best |action |for|the
|nurse |to |advise |the |client |to |perform?
1. Intermittently |apply |ice |packs |to |her |axillae |and |breasts.
2. Apply |lanolin |to |her |breasts |and |nipples |every |3 |hours.
3. Express |milk |from |the |breasts |every |3 |hours.
4. Ask |the |primary |health |care |provider |to |order |a |milk |suppressant.
11. |A |multigravid, |postpartum |woman |reports |severe |abdominal |cramping |whenever |she |nurses |her |infant.
|Which |of |the |following |responses |by |the |nurse |is |appropriate?
1. Suggest |that |the |woman |bottlefeed |for |a |few |days.
2. Instruct |the |patient |on |how |to |massage |her |fundus.
3. Instruct |the |patient |to |feed |using |an |alternate |position.
