HESI RN OB V1
HESI RN OB V1
HESI RN OB V1
, 1. One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and
notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current
vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
2. At 40-week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally
found a comfortable position. What action should the nurse take?
A. Place a pillow under the client’s head and knees.
B. Place a wedge under the client’s right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.
3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help
change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk.
What action should the nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
4. A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment
finding is most important for the nurse to report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a “9” on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.
HESI RN OB V1
HESI RN OB V1
, 1. One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and
notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current
vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
2. At 40-week gestation, a laboring client who is lying is a supine position tells the nurse that she has finally
found a comfortable position. What action should the nurse take?
A. Place a pillow under the client’s head and knees.
B. Place a wedge under the client’s right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.
3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to help
change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast milk.
What action should the nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
4. A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment
finding is most important for the nurse to report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a “9” on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.
