2023 HESI OB Maternity Version 1 (V1) Exit Exam
(All 55 Qs) TB w/Pics Included!! A++
1) A client is admitted to the labor and delivery unit with contractions
that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is
leaking fluid. A vaginal exam reveals that her cervix is 80 percent
effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the
client is in which phase and stage of labor?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans:
B) Active Phase of First Stage
Second stage = full dilation until birth
2) To assess uterine contractions the LPN/LVN would
A) Asses duration from the beginning of the contraction to the peak of
the same contraction, frequency by measuring the time between the
beginning of one contraction to the beginning of the next contraction.
B) Assess frequency as the time between the end of one contraction and
the beginning of the next contraction, duration as the length of time
from the beginning to the end of contractions, and palpate the uterus for
strength
C) Assess duration from beginning to end of each contraction. Assess
the strength of the contraction by the external fetal monitor reading.
Measure frequency by measuring the beginning of one contraction to
another.
D) Assess duration from beginning to end of each contraction.,
frequency by measuring the time between the beginnings of
,contractions, and palpate the fundus of the uterus for strength.
Ans:
D) Assess duration from beginning to end of each contraction., frequency
by measuring the time between the beginnings of contractions, and palpate
the fundus of the uterus for strength.
3) Which basic type of pelvis includes the correct description and percentage
of occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped; 75%
Ans:
A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is desired to
assist in fetal descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sitting
Ans:
A) Lithotomy
5) The factors that affect the process of labor and birth, known
commonly as the five Ps, include all EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
D) Pressure.
, Ans:
:: The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
6) While evaluating an external monitor tracing of a woman in active
labor, the nurse notes that the fetal heart rate (FHR) for five sequential
contractions begins to decelerate late in the contraction, with the nadir
of the decelerations occurring after the peak of the contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp electrode.
Ans:
C) Change the woman's position
7) During labor a fetus with an average heart rate of 175 beats/min over
a 15-minute period would be considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia.
Ans:
D) Tachycardia.
8) As a perinatal LPN/LVN you realize that a fetal heart rate that is
(All 55 Qs) TB w/Pics Included!! A++
1) A client is admitted to the labor and delivery unit with contractions
that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is
leaking fluid. A vaginal exam reveals that her cervix is 80 percent
effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the
client is in which phase and stage of labor?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans:
B) Active Phase of First Stage
Second stage = full dilation until birth
2) To assess uterine contractions the LPN/LVN would
A) Asses duration from the beginning of the contraction to the peak of
the same contraction, frequency by measuring the time between the
beginning of one contraction to the beginning of the next contraction.
B) Assess frequency as the time between the end of one contraction and
the beginning of the next contraction, duration as the length of time
from the beginning to the end of contractions, and palpate the uterus for
strength
C) Assess duration from beginning to end of each contraction. Assess
the strength of the contraction by the external fetal monitor reading.
Measure frequency by measuring the beginning of one contraction to
another.
D) Assess duration from beginning to end of each contraction.,
frequency by measuring the time between the beginnings of
,contractions, and palpate the fundus of the uterus for strength.
Ans:
D) Assess duration from beginning to end of each contraction., frequency
by measuring the time between the beginnings of contractions, and palpate
the fundus of the uterus for strength.
3) Which basic type of pelvis includes the correct description and percentage
of occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped; 75%
Ans:
A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is desired to
assist in fetal descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sitting
Ans:
A) Lithotomy
5) The factors that affect the process of labor and birth, known
commonly as the five Ps, include all EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
D) Pressure.
, Ans:
:: The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
6) While evaluating an external monitor tracing of a woman in active
labor, the nurse notes that the fetal heart rate (FHR) for five sequential
contractions begins to decelerate late in the contraction, with the nadir
of the decelerations occurring after the peak of the contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp electrode.
Ans:
C) Change the woman's position
7) During labor a fetus with an average heart rate of 175 beats/min over
a 15-minute period would be considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia.
Ans:
D) Tachycardia.
8) As a perinatal LPN/LVN you realize that a fetal heart rate that is
