OB HESI ACTUAL TEST BANK FULL
SOLUTION WITH TESTED QUESTIONS AND
ANSWERS
●● A primigravida at 37 weeks gestation tells the nurse that her "bag of
water" has broken. While inspecting 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..
Answer: Place the client in the knee-chest position.
●● The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse 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..
Answer: Observe the mother for other bonding behaviors.
,●● A client states, "During the three months I've been pregnant, it seems
like I have had to go to the bathroom every five minutes." Which
explanation should the nurse provide to this client?
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..
Answer: The growing uterus is putting pressure on the bladder.
●● Which nursing action should be implemented when intermittently
gavage-feeding a preterm infant?
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..
Answer: Allow the formula to flow by gravity.
●● A client in her second trimester of pregnancy asks if it is safe for her
to have a drink with dinner. How should the nurse respond to the client?
,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..
Answer: Abstinence is strongly recommended throughout the pregnancy.
●● The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the.
Answer: Avoid alcohol because it is excreted in breast milk.
●● A preterm infant with an apnea monitor experiences an episode of
apnea. Which action should the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
, Gently rub the infant's feet or back to stimulate respirations and place in
the radiant warmer..
Answer: Gently rub the infant's feet or back to stimulate respirations and
place in the radiant warmer.
●● A client delivers twins, one is stillborn and the other is recovering in
an intensive care nursery. As the nurse provides assistance to the
bathroom, the client, softly 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?".
Answer: "I am sorry for your loss. Do you want to talk about it?"
●● A client in the first stage of active labor is using a shallow pattern of
rapid breaths that is twice the normal adult breathing rate. The client
reports feeling light-headed and dizzy, and she states that her fingers are
tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
SOLUTION WITH TESTED QUESTIONS AND
ANSWERS
●● A primigravida at 37 weeks gestation tells the nurse that her "bag of
water" has broken. While inspecting 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..
Answer: Place the client in the knee-chest position.
●● The nurse observes a new mother avoiding eye contact with her
newborn. Which action should the nurse 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..
Answer: Observe the mother for other bonding behaviors.
,●● A client states, "During the three months I've been pregnant, it seems
like I have had to go to the bathroom every five minutes." Which
explanation should the nurse provide to this client?
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..
Answer: The growing uterus is putting pressure on the bladder.
●● Which nursing action should be implemented when intermittently
gavage-feeding a preterm infant?
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..
Answer: Allow the formula to flow by gravity.
●● A client in her second trimester of pregnancy asks if it is safe for her
to have a drink with dinner. How should the nurse respond to the client?
,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..
Answer: Abstinence is strongly recommended throughout the pregnancy.
●● The nurse is teaching a new mother about diet and breastfeeding.
Which instruction is most important to include in the teaching plan?
Avoid alcohol because it is excreted in breast milk.
Avoid spicy foods to prevent infant colic.
Increase caloric intake by approximately 500 calories/day.
Double prenatal milk intake to improve Vitamin D transfer to the.
Answer: Avoid alcohol because it is excreted in breast milk.
●● A preterm infant with an apnea monitor experiences an episode of
apnea. Which action should the nurse implement first?
Ventilate with an Ambu bag.
Perform nasal and airway suctioning.
Administer supplemental oxygen.
, Gently rub the infant's feet or back to stimulate respirations and place in
the radiant warmer..
Answer: Gently rub the infant's feet or back to stimulate respirations and
place in the radiant warmer.
●● A client delivers twins, one is stillborn and the other is recovering in
an intensive care nursery. As the nurse provides assistance to the
bathroom, the client, softly 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?".
Answer: "I am sorry for your loss. Do you want to talk about it?"
●● A client in the first stage of active labor is using a shallow pattern of
rapid breaths that is twice the normal adult breathing rate. The client
reports feeling light-headed and dizzy, and she states that her fingers are
tingling. Which action should the nurse implement?
Notify the healthcare provider.
Help her breathe into a paper bag.
