OB HESI Exam- Possible Questions with correct answers 100%

OB HESI Exam- Possible Questions The amniotic membranes of a client in active labor spontaneously rupture. The fluid is greenish brown with a foul odor. What action is a priority for the nurse? A. Evaluate the labor pattern. B. Administer oxygen. C. Place the client into the knee-chest position. D. Apply internal fetal heart monitor and note the time of membrane rupture - ANSWER ANS: D Rationale: In the presence of greenish brown amniotic fluid, the fetal heart rate should be monitored continuously using an internal fetal heart rate monitor, and the time of membrane rupture should be noted since birth should occur within 24 hours of the rupture of membranes. A primigravida in labor has complete cervical dilatation. Contractions are occurring every 1 1/2 to 2 minutes lasting 60 to 90 seconds. Upon examination, the nurse determines that birth is imminent because what has occurred? A. An increase in bloody show B. Perineum is bulging. C. Perineum is flattened. D. Crowning - ANSWER ANS: D The nurse, assessing a client who is 32 weeks pregnant during a routine visit, is concerned that the fetus is in the breech presentation. What did the nurse assess in the client? - ANSWER Fetal heart rate above the umbilicus. A client in the last trimester of pregnancy is prescribed sulfonamide for a urinary tract infection. What risk will this medication be to the developing fetus? - ANSWER Jaundice The fetal heart rate of a client in active labor shows variable decelerations. The cervix is 7cm dilated and the membranes are intact. What intervention should the nurse implement first? - ANSWER Assist client with turning to the left side.