HESI OB Assignment quiz
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide?
A. The kidneys and renal function are not fully developed.
B. Warmth promotes sleep so the infant will grow quickly.
C. A large body surface area favors heat loss to the environment.
D. The thick layer of subcutaneous fat is inadequate for insulation. - ANSWER
Thermoregulation, heat regulation, is critical to the survival of a neonate because the
newborn's larger surface area (C) per unit of weight predisposes to heat loss. While
keeping the infant warm may help the infant to sleep, it promotes transitional
homeostasis, not growth (B). (A) is unrelated to cold stress of the newborn. (D) does
not support the metabolic cascade that results from neonatal heat loss.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait..." Which response what be best for the nurse to make?
- ANSWER Explore mother's concerns about infant receiving vitaK
The nurse is discussing the stages of labor with a group of women in the last month
of pregnancy and provides examples of different positional techniques used during
the second stage of labor. Which position should the nurse address that provides the
best advantage of gravity during delivery?
Lithotomy.
Kneeling.
Squatting.
Walking. - ANSWER Squatting (B) helps to align the fetus with the pelvic outlet and
allows gravity to assist in fetal descent and gives the client an adventitious position
for birth.
A primigravida at 12-weeks gestation who just moved to the United States indicates
she has not received any immunizations. Which immunization(s) should the nurse
administer at this time? (Select all that apply.)
Hepatitis B.
Chickenpox.
Rubella.
Tetanus.
Diphtheria. - ANSWER Tetanus.
Diphtheria.
Hepatitis B.
The father of a newborn tells the nurse, "My son just died." How should the nurse
respond?
"I understand how you feel."
"I am sorry for your loss."
, "There is an angel in heaven."
"You can have other children." - ANSWER "I am sorry for your loss." Correct
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal
assessment, the nurse determines the uterus is boggy and is displaced above and to
the right of the umbilicus. Which action should the nurse implement next?
Observe maternal vital signs.
Document the color of the lochia.
Notify the healthcare provider.
Assist the client to the bathroom. - ANSWER Fundus displacement commonly
occurs in the early hours of the postpartum period due to urinary retention, so
assisting the client to the bathroom (C) to void should be implement next.
An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a
nuchal cord after a 30-minute second stage. The nurse identifies petechiae over the
face and upper back of the newborn. What information should the nurse provide the
parents about this finding?
The pinpoint spots are benign and disappear within 48 hours.
Further assessment is indicated.
Petechiae occurs with forceps delivery.
An increased blood volume causes broken blood vessels. - ANSWER The pinpoint
spots are benign and disappear within 48 hours. Correct
The uterine contractions of a woman early in the active phase of labor are assessed
by an internal uterine pressure catheter (IUPC). The nurse notes that the intrauterine
pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting
tone range is 6 to 10 mm Hg. The uterine contractions occur every 3 to 4 minutes
and last an average of 55 to 60 seconds. On the basis of this information, the nurse
should: - ANSWER Document the findings, because they reflect the expected
contraction pattern for the active phase of labor.
What action should the nurse implement to prevent conductive heat loss in a
newborn? - ANSWER Placing a blanket on the scale provides a barrier to prevent
conductive heat loss
While monitoring a client in active labor, the nurse observes on the fetal monitor a
pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.
Which information should the nurse report during a shift change? - ANSWER This
is a sign of fetal accelerations; indicating fetal well being with labor progression
What action should the nurse implement when caring for a newborn receiving
phototherapy?
Reposition every 6 hours.
Limit the intake of formula.
Apply an oil-based lotion to the skin.
Place an eyeshield over the eyes. - ANSWER Place an eyeshield over the eyes.
A 31-year old woman uses an OTC pregnancy test. She is taking phenytoin
(Dilantin) for epilepsy, under stress, and not sleeping well. What could cause a false-
positive result? - ANSWER anticonvulsants
The mother of a neonate asks the nurse why it is so important to keep the infant
warm. What information should the nurse provide?
A. The kidneys and renal function are not fully developed.
B. Warmth promotes sleep so the infant will grow quickly.
C. A large body surface area favors heat loss to the environment.
D. The thick layer of subcutaneous fat is inadequate for insulation. - ANSWER
Thermoregulation, heat regulation, is critical to the survival of a neonate because the
newborn's larger surface area (C) per unit of weight predisposes to heat loss. While
keeping the infant warm may help the infant to sleep, it promotes transitional
homeostasis, not growth (B). (A) is unrelated to cold stress of the newborn. (D) does
not support the metabolic cascade that results from neonatal heat loss.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait..." Which response what be best for the nurse to make?
- ANSWER Explore mother's concerns about infant receiving vitaK
The nurse is discussing the stages of labor with a group of women in the last month
of pregnancy and provides examples of different positional techniques used during
the second stage of labor. Which position should the nurse address that provides the
best advantage of gravity during delivery?
Lithotomy.
Kneeling.
Squatting.
Walking. - ANSWER Squatting (B) helps to align the fetus with the pelvic outlet and
allows gravity to assist in fetal descent and gives the client an adventitious position
for birth.
A primigravida at 12-weeks gestation who just moved to the United States indicates
she has not received any immunizations. Which immunization(s) should the nurse
administer at this time? (Select all that apply.)
Hepatitis B.
Chickenpox.
Rubella.
Tetanus.
Diphtheria. - ANSWER Tetanus.
Diphtheria.
Hepatitis B.
The father of a newborn tells the nurse, "My son just died." How should the nurse
respond?
"I understand how you feel."
"I am sorry for your loss."
, "There is an angel in heaven."
"You can have other children." - ANSWER "I am sorry for your loss." Correct
A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal
assessment, the nurse determines the uterus is boggy and is displaced above and to
the right of the umbilicus. Which action should the nurse implement next?
Observe maternal vital signs.
Document the color of the lochia.
Notify the healthcare provider.
Assist the client to the bathroom. - ANSWER Fundus displacement commonly
occurs in the early hours of the postpartum period due to urinary retention, so
assisting the client to the bathroom (C) to void should be implement next.
An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a
nuchal cord after a 30-minute second stage. The nurse identifies petechiae over the
face and upper back of the newborn. What information should the nurse provide the
parents about this finding?
The pinpoint spots are benign and disappear within 48 hours.
Further assessment is indicated.
Petechiae occurs with forceps delivery.
An increased blood volume causes broken blood vessels. - ANSWER The pinpoint
spots are benign and disappear within 48 hours. Correct
The uterine contractions of a woman early in the active phase of labor are assessed
by an internal uterine pressure catheter (IUPC). The nurse notes that the intrauterine
pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting
tone range is 6 to 10 mm Hg. The uterine contractions occur every 3 to 4 minutes
and last an average of 55 to 60 seconds. On the basis of this information, the nurse
should: - ANSWER Document the findings, because they reflect the expected
contraction pattern for the active phase of labor.
What action should the nurse implement to prevent conductive heat loss in a
newborn? - ANSWER Placing a blanket on the scale provides a barrier to prevent
conductive heat loss
While monitoring a client in active labor, the nurse observes on the fetal monitor a
pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds.
Which information should the nurse report during a shift change? - ANSWER This
is a sign of fetal accelerations; indicating fetal well being with labor progression
What action should the nurse implement when caring for a newborn receiving
phototherapy?
Reposition every 6 hours.
Limit the intake of formula.
Apply an oil-based lotion to the skin.
Place an eyeshield over the eyes. - ANSWER Place an eyeshield over the eyes.
A 31-year old woman uses an OTC pregnancy test. She is taking phenytoin
(Dilantin) for epilepsy, under stress, and not sleeping well. What could cause a false-
positive result? - ANSWER anticonvulsants
