2024 HESI practice OB EXAM RN

At ten weeks gestation, a high risk multiparous client with a Fhx of downs syndrome is admitted for observation following a CVS. What assessment findings requires immediate action? A) Uterine Cramping B) Systolic BP 100 C) Abdominal tenderness D) Intermittent Nausea - ANSWER A A nurse assesses a male newborn and determines that he has the following vital signs: Axillary temp of 95.1 F, HR of 136, RR of 48. Based on these findings, which action should the nurse take first? A) Check the infants ABG B) Notify the pediatrician of the vital signs C) Encourage the infant to breastfeed or drink sugar water D) Assess the infant's glucose level - ANSWER D An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the priority nursing intervention? A) Begin humidified oxygen B) Place the infant under a radiant warmer C) Evaluate the blood pH D) Stimulate infant to cry - ANSWER A When assessing a newborn infant's HR, what technique is most important for the nurse to use? A) palpate the umbilical cord B) Count the HR for at least one full minute C) Quiet the infant before counting HR D) Listen at the apex of the heart - ANSWER B The nurse prepares to administer an injection of Vitamin K to a newborn infant. The mother tells the nurse, "Wait! I don't want my baby to have a shot" Which response would be best for the nurse to make? A) Explain that the Vit K shot is required by state law and compliance is mandatory B) inform the mother that the injection was prescribed by the Dr. C) Explore the mother's concerns about the infant receiving the shot. D) Remind the mother that all babies receive this shot and it is relatively painless. - ANSWER C The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? A)Increase caloric intake by approximately 500kcal/day B)Avoid alcohol because it is excreted in breast milk C) avoid spicy foods to prevent infant colic D) Double prenatal milk intake to improve Vit D transfer to infant - ANSWER B A client at 8 weeks gestation asks the nurse about the risk for congenital heart defects in her baby. Which response best explains why these defects occur? A) they usually occur in the first trimester B) The heart develops in the third - fifth weeks after conception C) it depends on what the causative factors are for the defect D) We really don't know why they occur. - ANSWER B A client at 25 weeks tells the nurse that she dropped a cooking utensil last week and her baby jumped in response to the noise. What information should the nurse provide? A) This is a demonstration of the fetus's acoustical reflex B) It is a coincidence the fetus responded at the same time C) Report the behavior to the Dr. D) The fetus can respond to sound by 24 weeks - ANSWER D A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is in early pregnancy. What information supports the explanation that the nurse should provide? A) Secretes both estrogen and progesterone B) Excretes prolactin and insulin C) Forms a protective impenetrable barrier D) Produces nutrients for fetal nutrition. - ANSWER A Which cardiovascular findings should the nurse assess further in a client at 20 weeks? A) A decrease in BP B) Increase in RBC production C) Decrease in pulse D) increase in heart sounds - ANSWER C A 31-year-old woman uses an over-the-counter pregnancy test that is positive one week after a missed period. At the clinic the client tells the nurse she takes epilepsy medication, has a hx of irregular periods, is under stress at work, and has not been sleeping well. The client's physical exam and ultrasound do not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining a false- positive? A) being under too much stress at work B)Having an irregular menstrual cycle C) Using an anticonvulsant for epilepsy D) Taking the pregnancy test too early - ANSWER C Which GI finding should the nurse be concerned about in a client at 28 weeks? A)Pyrosis B) PICA C) Ptyalism D) Decreased peristalsis - ANSWER B During a prenatal counseling session for women trying to get pregnant in 3-6 months, what information should the nurse provide? A) Lose weight so more weight is gained during pregnancy B) Make sure to include adequate folic acid in the diet C) Discontinue all forms of contraception D) Continue to take any medications that are taken regularly - ANSWER B Which statement by a client who is pregnant indicates to the nurse an understanding of the role of protein during pregnancy? A) Anemia is averted by consuming enough protein B) Protein helps the fetus grow while I am pregnant C) My baby will develop strong teeth after he is born D) Gestational diabetes is prevented by eating protein - ANSWER B Which action should the nurse implement when caring for a newborn immediately after birth? A) Foster parent-newborn attachment B) administer eye prophylaxis at vitamin K C) dry the newborn and wrapping in a blanket D) Keep the newborn's airway clear - ANSWER D The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? (Select all) A) Shallow with an irregular rhythm B) Diaphragmatic with chest retraction C) Rate of 58 per minute D) Abdominal with synchronous chest movements E) Grunting heard with a stethoscope F) Chest breathing with nasal flaring - ANSWER BEF What action should the nurse implement when caring for a newborn receiving phototherapy? A) Reposition every 6 hours B) Limit the intake of forumla C) Apply an oil based lotion to the skin D) Place an eyeshield over the eyes - ANSWER D Which finding indicates to the nurse that a 4 day old infant is receiving adequate breast milk? A) Gains 1-2 ounces per week