Hesi OB 2022
1. A client at 37 weeks gestation presents to labor and delivery
with contrac- tions every two minutes the nurse observes
several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting
symptoms of which condition?: herpes simplex virus
2. A client who had her first baby three months ago and is
breastfeeding her infant tells the nurse that she is currently
using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this
client?: Use alternative form of birth control until new diaphragm
can be obtained.
3. A 30- year-old primigravida delivers a 9-pound infant
vaginally after a 30- hour labor. What is the priority nursing
action for this client?: Massage the fundus Q 4 hours
4. At 0600 while admitting a woman for a scheduled repeat
cesarean section (C Section), the client tells the nurse that she
drank a cup a coffee at 0400 because she wanted to avoid
getting a headache. Which action should the nurse take first?:
Inform the anesthesia care provider
5. The nurse is caring for a postpartum client who is exhibiting
symptoms of a spinal headache 24 hours following delivery of
a normal newborn. Prior to the anesthesiologist arrival on the
unit, which action should the nurse perform? -: Place
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, procedure equipment at bedside
6. The nurse is caring for a newborn who is 18 inches long,
weighs 4 pounds, 14 ounces, has a head circumference of 13
inches, and a chest circumfer- ence of 10 inches. Based on
these physical findings, assessment for which condition has
the highest priority?: Hypoglycemia
7. the nurse is caring for a 35 week gestation infant delivered
by cesarean section 2 hours ago. the nurse observes the
infants respiratory rate is 72 breaths minute with nasal flaring,
grunting, and retractions. the nurse should recognize these
finding indicate which complication?: transient tachypnea of
the newborn
8. A primipara client at 42 weeks gestation is admitted for
induction. within one hour after initiating an oxytocin infusion,
her cervix is 100% effaced and 6 cm dilated, contractions are
occuring every 1 minute with a 75 second duration. when
nurse stops the oxytocin and starts oxygen. after 30 minutes
of uterine rest, the contractions are occuring every 5 minutes
with 20 sec- ond duration. which intervention should the nurse
implement?: Restart the oxytocin per oxytocin protocol
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9
1. A client at 37 weeks gestation presents to labor and delivery
with contrac- tions every two minutes the nurse observes
several shallow small vesicles on her pubis labia and
perineum. the nurse should recognize the clients is prohibiting
symptoms of which condition?: herpes simplex virus
2. A client who had her first baby three months ago and is
breastfeeding her infant tells the nurse that she is currently
using the same diaphragm that she used before becoming
pregnant. Which information should the nurse provide this
client?: Use alternative form of birth control until new diaphragm
can be obtained.
3. A 30- year-old primigravida delivers a 9-pound infant
vaginally after a 30- hour labor. What is the priority nursing
action for this client?: Massage the fundus Q 4 hours
4. At 0600 while admitting a woman for a scheduled repeat
cesarean section (C Section), the client tells the nurse that she
drank a cup a coffee at 0400 because she wanted to avoid
getting a headache. Which action should the nurse take first?:
Inform the anesthesia care provider
5. The nurse is caring for a postpartum client who is exhibiting
symptoms of a spinal headache 24 hours following delivery of
a normal newborn. Prior to the anesthesiologist arrival on the
unit, which action should the nurse perform? -: Place
1/
9
, procedure equipment at bedside
6. The nurse is caring for a newborn who is 18 inches long,
weighs 4 pounds, 14 ounces, has a head circumference of 13
inches, and a chest circumfer- ence of 10 inches. Based on
these physical findings, assessment for which condition has
the highest priority?: Hypoglycemia
7. the nurse is caring for a 35 week gestation infant delivered
by cesarean section 2 hours ago. the nurse observes the
infants respiratory rate is 72 breaths minute with nasal flaring,
grunting, and retractions. the nurse should recognize these
finding indicate which complication?: transient tachypnea of
the newborn
8. A primipara client at 42 weeks gestation is admitted for
induction. within one hour after initiating an oxytocin infusion,
her cervix is 100% effaced and 6 cm dilated, contractions are
occuring every 1 minute with a 75 second duration. when
nurse stops the oxytocin and starts oxygen. after 30 minutes
of uterine rest, the contractions are occuring every 5 minutes
with 20 sec- ond duration. which intervention should the nurse
implement?: Restart the oxytocin per oxytocin protocol
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9
