HESI OB 2021 Notes to fix..
HESIOB2021–Notes(fix)
1 Thenurseisprovidingcareforanewbornwh
owasdeliveredvaginalyassistedby
forceps.Thenurseobservesredmarksontheh
eadwithswelingthatdoesnotcross the
sutureline.Whichconditionshouldthenurs
edocumentsinthemedicalrecord?
A
Caputsuc
ceda
neum B
Hydrocephal
us
C Cephalhematoma
D Microcephaly
2 Aclientat34weeksgestationcomestothebir
thingcentercomplainingofvaginal
bleedingthatbeganonehourago.Thenurseasse
smentrevealsapproximately30MLof
brightredvaginalbleeding.Fetalrateof130-
140beatsperminute,nocontractionsandno
complaintsofpainwhatisthemostlikelycaus
eoftheseclient'sbleeding.
A
AbruptioP
lacenta B
PlacentaP
revia
C
Normalbloodyshowindicti
nginductionoflabor D
Arupturedbloodvesselinth
evaginalvault.
3 Aclientat30weeksgestationreportsthatshe
hasnotfeltthebabymoveinthelast24
hours.Concernedshear
rivesinapanicattheobst
etricclinicwheresheisimmediatelysent
tothehospital.whichasses
smentwar
rantsimmedi
ateinterventionbythenurse.
A FetalHeartrate60beatsperminute
B Rupturedamni
oticmembrane C
onsetofuterine
contractions D
leakingamnioti
cfluid.
4 Aclientat37weeksgestationpresentstolab
oranddeliverywithcontractionseverytwo
minutesthenurseobservesseveralshalowsma
lvesiclesonherpubislabiaandperineum.
thenurseshouldrecognizetheclientsisprohib
itingsymptomsofwhichcondition?
,HESI OB 2021 Notes to fix..
A
Genital
Warts B
Syphili
s
C HerpesSimplexVirus
D GermanMeasles
5 Thenurseisplanningcareforaclienta
t30weeksgestationwhois
experiencingpreterm
laborwhichmaternitydescriptionismostimp
ortantinpreventingthis fetusfrom
developingrespiratorydistress syndrome.
A Ampicilin1gram IVpushq8h
B Betamethasone12mgdeepIM
C Terbutaline0.25mgsubcutaneouslyq15minute
sX3
, HESI OB 2021 Notes to fix..
D Butorphanoltartrate1mgIVpushq2hPRN.
6 A16yearoldgravida1para0clienthasj
ustbeenadmitedtothehospital
withadiagnosisofeclampsia.She'snotprese
ntlyconvulsing.Whichinterventionshouldt
he
nurseplantoincludeinthisclient'snursingc
areplan?
A Alowliberalfamilyvisitation
B Keepanairwayatthebedside
C As
ses
s temperatureeveryhour
D Monitorbloodpres
sure,pulse,andrespiratio
nevery4hours.
7 At12hoursafterthebirthofahealthyinfan
themothercomplainsof feelingconstant
vaginalpres sure.Thenursedeterminesthefun
dusisfirm andatmidlinewithmoderate
rubralochia.whichactionshouldnursetake?
A
Checkthesuprapubicar
eafordistention. B
Inform
theclient
totakeawarm
sitzbath C
Inspectclientsperine
alandrectalareas D
Applyafreshpadandche
ckin1hour.
8 Ifprimigravidaat36we e
ksgestationwhoisRHnegativeexperienced
abdominaltraumainamotorvehiclecolision.W
hichasses
smentfindingismostimportant
forthenursetoreport tothehealthcareprovide
r?
A
Fetalheartrateat16
2beats/minute B
Mildcontractionsev
ery10minutes. C
Traceofproteininth
eurine
D.Positivefetalhem
oglobintesting
9 InTheBalardGestationalAgeAsses
sment
Tool,thenursedeterminesthata 15-month-
oldinfantasagestationalageof42weeks.Bas
edonthisfindingwhich
interventionismostimportantforthenurseto
implement.
A Provideblowbyoxygen
HESIOB2021–Notes(fix)
1 Thenurseisprovidingcareforanewbornwh
owasdeliveredvaginalyassistedby
forceps.Thenurseobservesredmarksontheh
eadwithswelingthatdoesnotcross the
sutureline.Whichconditionshouldthenurs
edocumentsinthemedicalrecord?
A
Caputsuc
ceda
neum B
Hydrocephal
us
C Cephalhematoma
D Microcephaly
2 Aclientat34weeksgestationcomestothebir
thingcentercomplainingofvaginal
bleedingthatbeganonehourago.Thenurseasse
smentrevealsapproximately30MLof
brightredvaginalbleeding.Fetalrateof130-
140beatsperminute,nocontractionsandno
complaintsofpainwhatisthemostlikelycaus
eoftheseclient'sbleeding.
A
AbruptioP
lacenta B
PlacentaP
revia
C
Normalbloodyshowindicti
nginductionoflabor D
Arupturedbloodvesselinth
evaginalvault.
3 Aclientat30weeksgestationreportsthatshe
hasnotfeltthebabymoveinthelast24
hours.Concernedshear
rivesinapanicattheobst
etricclinicwheresheisimmediatelysent
tothehospital.whichasses
smentwar
rantsimmedi
ateinterventionbythenurse.
A FetalHeartrate60beatsperminute
B Rupturedamni
oticmembrane C
onsetofuterine
contractions D
leakingamnioti
cfluid.
4 Aclientat37weeksgestationpresentstolab
oranddeliverywithcontractionseverytwo
minutesthenurseobservesseveralshalowsma
lvesiclesonherpubislabiaandperineum.
thenurseshouldrecognizetheclientsisprohib
itingsymptomsofwhichcondition?
,HESI OB 2021 Notes to fix..
A
Genital
Warts B
Syphili
s
C HerpesSimplexVirus
D GermanMeasles
5 Thenurseisplanningcareforaclienta
t30weeksgestationwhois
experiencingpreterm
laborwhichmaternitydescriptionismostimp
ortantinpreventingthis fetusfrom
developingrespiratorydistress syndrome.
A Ampicilin1gram IVpushq8h
B Betamethasone12mgdeepIM
C Terbutaline0.25mgsubcutaneouslyq15minute
sX3
, HESI OB 2021 Notes to fix..
D Butorphanoltartrate1mgIVpushq2hPRN.
6 A16yearoldgravida1para0clienthasj
ustbeenadmitedtothehospital
withadiagnosisofeclampsia.She'snotprese
ntlyconvulsing.Whichinterventionshouldt
he
nurseplantoincludeinthisclient'snursingc
areplan?
A Alowliberalfamilyvisitation
B Keepanairwayatthebedside
C As
ses
s temperatureeveryhour
D Monitorbloodpres
sure,pulse,andrespiratio
nevery4hours.
7 At12hoursafterthebirthofahealthyinfan
themothercomplainsof feelingconstant
vaginalpres sure.Thenursedeterminesthefun
dusisfirm andatmidlinewithmoderate
rubralochia.whichactionshouldnursetake?
A
Checkthesuprapubicar
eafordistention. B
Inform
theclient
totakeawarm
sitzbath C
Inspectclientsperine
alandrectalareas D
Applyafreshpadandche
ckin1hour.
8 Ifprimigravidaat36we e
ksgestationwhoisRHnegativeexperienced
abdominaltraumainamotorvehiclecolision.W
hichasses
smentfindingismostimportant
forthenursetoreport tothehealthcareprovide
r?
A
Fetalheartrateat16
2beats/minute B
Mildcontractionsev
ery10minutes. C
Traceofproteininth
eurine
D.Positivefetalhem
oglobintesting
9 InTheBalardGestationalAgeAsses
sment
Tool,thenursedeterminesthata 15-month-
oldinfantasagestationalageof42weeks.Bas
edonthisfindingwhich
interventionismostimportantforthenurseto
implement.
A Provideblowbyoxygen
