HESI Maternity OB Exam Version 2 V2 Questions and Answers 2024

The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse observes red marks on the head with swelling that does not cross the suture line. Which condition should the nurse documents in the medical record? - Cephalhematoma A client at 34 weeks gestation comes to the birthing center complaining of vaginal bleeding that began one hour ago. The nurse assessment reveals approximately 30ML of bright red vaginal bleeding. Fetal rate of 130 - 140 beats per minute, no contractions and no complaints of pain what is the most likely cause of these client's bleeding. - Placenta Previa A client at 30 weeks gestation reports that she has not felt the baby move in the last 24 hours. Concerned she arrives in a panic at the obstetric clinic where she is immediately sent to the hospital. which assessment warrants immediate intervention by the nurse. - Fetal Heart rate 60 beats per minute A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition? - Herpes Simplex Virus The nurse is planning care for a client at 30 weeks gestation who is experiencing preterm labor which maternity description is most important in preventing this fetus from developing respiratory distress syndrome. - Betamethasone 12 mg deep IM A 16-year-old gravida 1 para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? - Keep an airway at the bedside At 12 hours after the birth of a healthy infant the mother complains of feeling constant vaginal pressure. The nurse determines the fundus is firm and at midline with moderate rubra lochia. Which action should nurse take? - Inspect clients perineal and rectal areas If primigravida at 36 weeks gestation who is RH negative experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the health care provider? - Mild contractions every 10 minutes In The Ballard Gestational Age Assessment Tool, the nurse determines that a 15- month-old infant as a gestational age of 42 weeks. Based on this finding which intervention is most important for the nurse to implement. - Provide a capillary blood glucose A new mother who is a lacto-ovo vegetarian plans to breast feed her infant. Which information should the nurse provide prior to discharge. - Continue prenatal vitamins with B12 While breastfeeding What should be the primary focus of nursing care in the transitional phase of Labor for a client who anticipates an unmedicated delivery. - Assessing the strength of uterine contractions A care provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously for clients with preeclampsia. The IV bag contains magnesium sulfate 20 grams how much in ml/Hr. should a nurse program the infusion pump enter numerical value only. - 100 ml