NURSING HEALTH: OB-
MATERNAL NEWBORN EXIT
HESI Q & A
OB-Maternal Newborn Exit HESI
1. Client with gestational diabetes; 39 wks gestation; second stage of labor After delivery of
fetal head nurse recognizes shoulder dystocia is occurring.
Assist the client to sharply flex her thighs up against the abdomen
2. During initial newborn assess, nurse finds HR irregular.
Document finding in infant record
3. Within 4 wks of birth client is admitted for disorganized speech, bizarre behavior and
strange thoughts about infant being possessed by demons. “altered thought process,
secondary to”
Postpartum psychosis
4. Infant is treated for intussusceptions with hydrostatic reduction. What instructions in
parents teaching plan
Signs and symptoms of recurrence
5. Nurse teaching primagravida, describes herself as lacto-vegetarian, about nutrition during
pregnancy. Which foods
Cheese, green salad, fruit
6. Four clients present to L & D unit at the same time. Nurse should assess what complaint
first?
Abdominal pain and bright red bleeding
7. Labor 12 hours suddenly has strong urge to have a BM. Action
Perform a sterile vaginal exam
8. Client went into labor at 3:15 am. When did the first stage of labor end
full dilation and effacement at 11:45 am
, NURSING HEALTH: OB-
MATERNAL NEWBORN EXIT
HESI Q & A
9. Pregnant with magnesium level 5.0
watch BP
10. Magnesium antidote
Calcium gluconate
11. Newborn baby with flea-like rash
normal and will disappear
12. How to tell if patient is in labor
Fern test
13. Baby acting jittery
check glucose level
14. Which will NOT increase breast milk supply
supplemental formula feedings
15. 4 patients with conditions of concern-priority
Make sure patient has units of blood available
MATERNAL NEWBORN EXIT
HESI Q & A
OB-Maternal Newborn Exit HESI
1. Client with gestational diabetes; 39 wks gestation; second stage of labor After delivery of
fetal head nurse recognizes shoulder dystocia is occurring.
Assist the client to sharply flex her thighs up against the abdomen
2. During initial newborn assess, nurse finds HR irregular.
Document finding in infant record
3. Within 4 wks of birth client is admitted for disorganized speech, bizarre behavior and
strange thoughts about infant being possessed by demons. “altered thought process,
secondary to”
Postpartum psychosis
4. Infant is treated for intussusceptions with hydrostatic reduction. What instructions in
parents teaching plan
Signs and symptoms of recurrence
5. Nurse teaching primagravida, describes herself as lacto-vegetarian, about nutrition during
pregnancy. Which foods
Cheese, green salad, fruit
6. Four clients present to L & D unit at the same time. Nurse should assess what complaint
first?
Abdominal pain and bright red bleeding
7. Labor 12 hours suddenly has strong urge to have a BM. Action
Perform a sterile vaginal exam
8. Client went into labor at 3:15 am. When did the first stage of labor end
full dilation and effacement at 11:45 am
, NURSING HEALTH: OB-
MATERNAL NEWBORN EXIT
HESI Q & A
9. Pregnant with magnesium level 5.0
watch BP
10. Magnesium antidote
Calcium gluconate
11. Newborn baby with flea-like rash
normal and will disappear
12. How to tell if patient is in labor
Fern test
13. Baby acting jittery
check glucose level
14. Which will NOT increase breast milk supply
supplemental formula feedings
15. 4 patients with conditions of concern-priority
Make sure patient has units of blood available
