2024 HESI Maternity OB Exam Questions and Answers OB (HESI)

A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving process, which intervention is most important for the nurse to implement? a. Provide an opportunity for the parents to hold their infant in privacy. b. Assist the couple in completing a request for autopsy. c. Encourage the couple to seek family counseling within the next few weeks. d. Explain the possible causes of fetal demise. a. Provide an opportunity for the parents to hold their infant in privacy. What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula? a. Body temperature. b. Level of pain. c. Time of first void. d. Number of vessels in the cord. a. Body temperature. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation? a. Maternal blood pressure. b. Level of pain sensation c. Station of presenting part. d. Variability of fetal heart rate. a. Maternal blood pressure. 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500ml with magnesium sulfate 20 grams at the rate of 3g/hr. How many ml/hr should the nurse program the infusion pump? (Enter numeric value only.) 75ml/hr A 6-year-old with heart failure (HF) gained 2 pounds in the last 24 hours. Which intervention is more important for the nurse to implement? a. Graph the daily weight for the past week. FIF b. Decrease IV flow rate. c. Assess bilateral lung sounds. d. Restrict intake of oral fluids. c. Assess bilateral lung sounds. A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse respond? (Select all that apply.) a. Explain that newborns get milk from their mothers in this way. b. Reassure the older brother that is does not hurt his mother. c. Remind him that his mother breastfed him too. d. Suggest that the baby can also drink from a bottle. e. Clarify the breastfeeding is his mother's choice. a. Explain that newborns get milk from their mothers in this way. b. Reassure the older brother that is does not hurt his mother. c. Remind him that his mother breastfed him too. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? a. Place the infant in side-lying position to facilitate the exam. b. Hold the penis and retract the foreskin gently. c. Cleanse the penis with an antiseptic-soaked pad. d. Place the infant in a warm room and use a calm approach. d. Place the infant in a warm room and use a calm approach. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory syndrome? a. Betamethasone (Celestone) 12mg deep IM. b. Butorphanol 1mg IV push q2h PRN pain. c. Ampicillin 1g IV push q8h. d. Terbutaline (Brethine) 0.25mg subcutaneously q15 minutes x3. a. Betamethasone (Celestone) 12mg deep IM. Insulin therapy isinitiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse it include in the child's plan of care? a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R). b. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N). c. Demonstrate to parents how to program an insulin pen for daily glucose regulation. d. Consult with healthcare provider about use of insulin detemir (Levemir Flex Pen). a. Monitor serum glucose for adjustment in infusion rate of regular insulin (Novolin R). A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4hrs to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticarial, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take? a. Auscultate the lungs for respiratory pneumonia. b. Change to latex-free gloves when handling infant. c. Draw blood to analyze forstreptococcal infection. d. Apply zinc oxide to perineum with each diaper change. b. Change to latex-free gloves when handling infant. The healthcare provider prescribes Amoxicillin 500mg PO every 8hrs for a child who weighs 22 pounds. The available suspension is labeled, Amoxicillin Suspension 250mg/5ml. The recommended maximum dose is 50mg/kg/24hr. How many mlshould the nurse administer in a single dose based on the child's weight? (Enter numerical value only. If rounding is required, round to the whole number.) 10 ml The nurse is caring for a female client, a primigravida with preeclampsia. Findings include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry vision and a sever frontal headache. Which medication should the nurse anticipate for this client? a. Clonidine hydrochloride. b. Carbamazepine c. Furosemide d. Magnesium sulfate. d. Magnesium sulfate. A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client'stemperature to be 101.2 F (38.4 C), with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of what condition? a. Round ligamentstrain. b. Chorioamnionitis. c. Abruptio placenta. d. Viral infection. b. Chorioamnionitis.