OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
1. A multiparous client has been in labor for 8 hours Assess the fetal heart rate
when her membranes rupture. Which action should and pattern.
the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider.
2. A primigravida at 37 weeks gestation tells the nurse Place the client in the
that her "bag of water" has broken. While inspecting knee-chest position.
the client's perineum, the nurse notes the umbilical
cord protruding from the vagina. Which action should
the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline.
3. The nurse observes a new mother avoiding eye con- Observe the mother for
tact with her newborn. Which action should the nurse other bonding behaviors.
take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers.
4. A client states, "During the three months I've been The growing uterus is
pregnant, it seems like I have had to go to the bath- putting pressure on the
room every five minutes." Which explanation should bladder.
the nurse provide to this client?
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to
body functions.
The growing uterus is putting pressure on the bladder.
5. Which nursing action should be implemented when Allow the formula to flow
intermittently gavage-feeding a preterm infant? by gravity.
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe.
6. A client in her second trimester of pregnancy asks if it Abstinence is strongly
is safe for her to have a drink with dinner. How should recommended through-
the nurse respond to the client? out the pregnancy.
During the second trimester beer can be consumed
without harm to the fetus.
Wine can be consumed several times a week after the
first trimester.
Only one drink with the evening meal is not harmful
to the fetus.
Abstinence is strongly recommended throughout the
pregnancy.
7. The nurse is teaching a new mother about diet and Avoid alcohol because it is
breastfeeding. Which instruction is most important to excreted in breast milk.
include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calo-
ries/day.
Double prenatal milk intake to improve Vitamin D
transfer to the
8. A preterm infant with an apnea monitor experiences Gently rub the infant's feet
an episode of apnea. Which action should the nurse or back to stimulate res-
implement first? pirations and place in the
radiant warmer.
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respi-
rations and place in the radiant warmer.
9. A client delivers twins, one is stillborn and the other is "I am sorry for your loss.
recovering in an intensive care nursery. As the nurse Do you want to talk about
provides assistance to the bathroom, the client, soft- it?"
ly crying, states, "I wish my baby could have lived."
Which response is best for the nurse to provide?
"Don't be sad. You'll need to be strong to care for your
healthy baby."
"Do you want to go to the nursery and see your
baby?"
"I am sorry for your loss. Do you want to talk about
it?"
"It is always sad to lose a baby. Would you like me to
call your minister?"
10. A client in the first stage of active labor is using a Help her breathe into a
shallow pattern of rapid breaths that is twice the nor- paper bag.
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
mal adult breathing rate. The client reports feeling
light-headed and dizzy, and she states that her fingers
are tingling. Which action should the nurse imple-
ment?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing.
11. A client is receiving an oxytocin infusion for induction Document the finding in
of labor. When the client begins active labor, the fetal the client record.
heart rate (FHR) slows at the onset of several con-
tractions with subsequent return to baseline before
each contraction ends. Which action should the nurse
implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record.
12. A gravid client develops maternal hypotension follow- Administer oxygen.
ing regional anesthesia. Which intervention(s) should Increase IV fluids.
the nurse implement? (Select all that apply.) Place the client in a lateral
position.
Administer oxygen. Monitor fetal status.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
Study online at https://quizlet.com/_eq95gl
1. A multiparous client has been in labor for 8 hours Assess the fetal heart rate
when her membranes rupture. Which action should and pattern.
the nurse implement first?
Prepare the client for imminent birth.
Assess the fetal heart rate and pattern.
Document the characteristics of the fluid.
Notify the client's primary healthcare provider.
2. A primigravida at 37 weeks gestation tells the nurse Place the client in the
that her "bag of water" has broken. While inspecting knee-chest position.
the client's perineum, the nurse notes the umbilical
cord protruding from the vagina. Which action should
the nurse implement first?
Administer 10 L of oxygen via face mask.
Give the healthcare provider a status report.
Place the client in the knee-chest position.
Wrap the cord with gauze soaked in saline.
3. The nurse observes a new mother avoiding eye con- Observe the mother for
tact with her newborn. Which action should the nurse other bonding behaviors.
take?
Ask the mother why she won't look at the infant.
Observe the mother for other bonding behaviors.
Examine the newborn's eyes for the ability to focus.
Recognize this as a common reaction in new mothers.
4. A client states, "During the three months I've been The growing uterus is
pregnant, it seems like I have had to go to the bath- putting pressure on the
room every five minutes." Which explanation should bladder.
the nurse provide to this client?
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
The client may have a bladder or kidney infection.
Bladder capacity increases during pregnancy.
During pregnancy, a woman is especially sensitive to
body functions.
The growing uterus is putting pressure on the bladder.
5. Which nursing action should be implemented when Allow the formula to flow
intermittently gavage-feeding a preterm infant? by gravity.
Allow the formula to flow by gravity.
Avoid letting the infant suck on the tube.
Insert feeding tube through nares.
Apply steady pressure to the syringe.
6. A client in her second trimester of pregnancy asks if it Abstinence is strongly
is safe for her to have a drink with dinner. How should recommended through-
the nurse respond to the client? out the pregnancy.
During the second trimester beer can be consumed
without harm to the fetus.
Wine can be consumed several times a week after the
first trimester.
Only one drink with the evening meal is not harmful
to the fetus.
Abstinence is strongly recommended throughout the
pregnancy.
7. The nurse is teaching a new mother about diet and Avoid alcohol because it is
breastfeeding. Which instruction is most important to excreted in breast milk.
include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calo-
ries/day.
Double prenatal milk intake to improve Vitamin D
transfer to the
8. A preterm infant with an apnea monitor experiences Gently rub the infant's feet
an episode of apnea. Which action should the nurse or back to stimulate res-
implement first? pirations and place in the
radiant warmer.
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
Gently rub the infant's feet or back to stimulate respi-
rations and place in the radiant warmer.
9. A client delivers twins, one is stillborn and the other is "I am sorry for your loss.
recovering in an intensive care nursery. As the nurse Do you want to talk about
provides assistance to the bathroom, the client, soft- it?"
ly crying, states, "I wish my baby could have lived."
Which response is best for the nurse to provide?
"Don't be sad. You'll need to be strong to care for your
healthy baby."
"Do you want to go to the nursery and see your
baby?"
"I am sorry for your loss. Do you want to talk about
it?"
"It is always sad to lose a baby. Would you like me to
call your minister?"
10. A client in the first stage of active labor is using a Help her breathe into a
shallow pattern of rapid breaths that is twice the nor- paper bag.
, OB HESI practice 2024
Study online at https://quizlet.com/_eq95gl
mal adult breathing rate. The client reports feeling
light-headed and dizzy, and she states that her fingers
are tingling. Which action should the nurse imple-
ment?
Notify the healthcare provider.
Help her breathe into a paper bag.
Administer oxygen via nasal cannula.
Tell the client to slow her breathing.
11. A client is receiving an oxytocin infusion for induction Document the finding in
of labor. When the client begins active labor, the fetal the client record.
heart rate (FHR) slows at the onset of several con-
tractions with subsequent return to baseline before
each contraction ends. Which action should the nurse
implement?
Insert an internal monitor device.
Change the client's position.
Discontinue the oxytocin infusion.
Document the finding in the client record.
12. A gravid client develops maternal hypotension follow- Administer oxygen.
ing regional anesthesia. Which intervention(s) should Increase IV fluids.
the nurse implement? (Select all that apply.) Place the client in a lateral
position.
Administer oxygen. Monitor fetal status.
Increase IV fluids.
Perform a vaginal examination.
Assist the client to a sitting position.
Place the client in a lateral position.
Monitor fetal status.
