OB/Maternity HESI exam
Terms in this set (107)
At 10-weeks gestation, a A. Uterine cramping
high-risk multiparous client
with a family history of
Down syndrome is admitted
for observation following a
chorionic villi sampling
(CVS) procedure. What
assessment finding requires
immediate intervention?
A client states, "During the D. The growing uterus is putting pressure on the bladder.
three months I've been
pregnant, it seems like I
have had to go to the
bathroom every five
minutes." Which explanation
should the nurse provide to
this client?
The nurse assesses a male C. Assess the infant's blood glucose level
newborn and determines
that he has the following
vital signs: axillary
temperature 95.1 F, heart
rate 136 beats/minute, and a
respiratory rate 48
breaths/minute. Based on
these findings, which action
should the nurse take first?
,An infant in respiratory B. Begin humidified oxygen via hood
distress is placed on pulse
ox. The O2 sat is 85%. What
is the priority nursing
intervention?
When assessing a newborn C. Count the heart rate for at least one full minute
infant's heart rate, which
technique is most important
for the nurse to use?
The nurse prepares to B. Explore the mother's concerns about the infant
administer an injection of receiving an injection of vitamin K
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?
The nurse is teaching a new A. Avoid alcohol because it is excreted in breast milk
mother about diet and
breastfeeding. Which
instruction is most
important to include in the
teaching plan?
Which nursing intervention D. Encourage early initiation of breast of formula feeding
best enhances maternal-
infant bonding during the
fourth stage of labor?
A client at 8-weeks D. The heart develops in the third to fifth weeks after
gestation asks the nurse conception
about the risk fora
congenital heart defect
(CHD) in her baby. Which
response best explains
when a CHD may occur?
, A client at 8-months B. The fetus in utero is capable of hearing and does
gestation tells the nurse respond to the mother's voice
that she knows her baby
listens to her, but her
husband thinks she is
imagining things. What
information should the
nurse provide?
A client at 25-weeks B. The fetus can respond to sound by 24-weeks
gestation tells the nurse gestation
that she dropped a cooking
utensil last week and her
baby jumped in response to
the noise. What information
should the nurse provide?
A woman whose pregnancy C. Secretes both estrogen and progesterone
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?
Which cardiovascular A. Decrease in pulse rate
findings should the nurse
assess further in a client
who is at 20-weeks
gestation?
Terms in this set (107)
At 10-weeks gestation, a A. Uterine cramping
high-risk multiparous client
with a family history of
Down syndrome is admitted
for observation following a
chorionic villi sampling
(CVS) procedure. What
assessment finding requires
immediate intervention?
A client states, "During the D. The growing uterus is putting pressure on the bladder.
three months I've been
pregnant, it seems like I
have had to go to the
bathroom every five
minutes." Which explanation
should the nurse provide to
this client?
The nurse assesses a male C. Assess the infant's blood glucose level
newborn and determines
that he has the following
vital signs: axillary
temperature 95.1 F, heart
rate 136 beats/minute, and a
respiratory rate 48
breaths/minute. Based on
these findings, which action
should the nurse take first?
,An infant in respiratory B. Begin humidified oxygen via hood
distress is placed on pulse
ox. The O2 sat is 85%. What
is the priority nursing
intervention?
When assessing a newborn C. Count the heart rate for at least one full minute
infant's heart rate, which
technique is most important
for the nurse to use?
The nurse prepares to B. Explore the mother's concerns about the infant
administer an injection of receiving an injection of vitamin K
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?
The nurse is teaching a new A. Avoid alcohol because it is excreted in breast milk
mother about diet and
breastfeeding. Which
instruction is most
important to include in the
teaching plan?
Which nursing intervention D. Encourage early initiation of breast of formula feeding
best enhances maternal-
infant bonding during the
fourth stage of labor?
A client at 8-weeks D. The heart develops in the third to fifth weeks after
gestation asks the nurse conception
about the risk fora
congenital heart defect
(CHD) in her baby. Which
response best explains
when a CHD may occur?
, A client at 8-months B. The fetus in utero is capable of hearing and does
gestation tells the nurse respond to the mother's voice
that she knows her baby
listens to her, but her
husband thinks she is
imagining things. What
information should the
nurse provide?
A client at 25-weeks B. The fetus can respond to sound by 24-weeks
gestation tells the nurse gestation
that she dropped a cooking
utensil last week and her
baby jumped in response to
the noise. What information
should the nurse provide?
A woman whose pregnancy C. Secretes both estrogen and progesterone
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?
Which cardiovascular A. Decrease in pulse rate
findings should the nurse
assess further in a client
who is at 20-weeks
gestation?
