OB MATERNITY HESI EXAM 2024
At 10-weeks gestation, a 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? - ANSWER A.
Uterine cramping
A client states, "During the 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? - ANSWER D. The growing uterus is putting pressure on the
bladder.
The nurse assesses a male 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? - ANSWER C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is
the priority nursing intervention? - ANSWER B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use? - ANSWER C. Count the heart rate for at least one full minute
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? - ANSWER B. Explore the mother's concerns
about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction
is most important to include in the teaching plan? - ANSWER A. Avoid alcohol
because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth
stage of labor? - ANSWER D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart
defect (CHD) in her baby. Which response best explains when a CHD may occur? -
ANSWER D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her,
but her husband thinks she is imagining things. What information should the nurse
provide? - ANSWER B. The fetus in utero is capable of hearing and does respond to
the mother's voice
A client at 25-weeks gestation 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? - ANSWER B. The fetus can respond to sound by 24-weeks
gestation
, 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? - ANSWER C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at
20-weeks gestation? - ANSWER A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do
not indicate that she is pregnant. How should the nurse explain the most likely cause
for obtaining false-positive pregnancy test results? - ANSWER B. Using an
anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at
28-weeks gestation? - ANSWER A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6
months, what information should the nurse provide? - ANSWER B. Make sure to
include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding
of the role of protein during pregnancy? - ANSWER A. "Protein helps the fetus grow
while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink
with dinner. How should the nurse respond to the client? - ANSWER D. Abstinence
is strongly recommended throughout the pregnancy
A female client who wants to deliver at home asks the nurse to explain the role of a
nurse-midwife in providing obstetric care. What information should the nurse
provide? - ANSWER B. The pregnancy should progress normally and be considered
low risk
When discussing birth in a home setting with a group of pregnant women, which
situation should the nurse include about the safety of a home birth? - ANSWER D.
Medical backup should be available quickly in case of complications
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 the best
advantage of gravity during delivery? - ANSWER B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is
twice the normal adult breathing rate. The client complains of feeling light headed,
dizzy, and states that her fingers are tingling. What action should the nurse
implement? - ANSWER B. Help her breathe into a paper bag
At 10-weeks gestation, a 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? - ANSWER A.
Uterine cramping
A client states, "During the 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? - ANSWER D. The growing uterus is putting pressure on the
bladder.
The nurse assesses a male 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? - ANSWER C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is
the priority nursing intervention? - ANSWER B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for
the nurse to use? - ANSWER C. Count the heart rate for at least one full minute
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? - ANSWER B. Explore the mother's concerns
about the infant receiving an injection of vitamin K
The nurse is teaching a new mother about diet and breastfeeding. Which instruction
is most important to include in the teaching plan? - ANSWER A. Avoid alcohol
because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth
stage of labor? - ANSWER D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart
defect (CHD) in her baby. Which response best explains when a CHD may occur? -
ANSWER D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her,
but her husband thinks she is imagining things. What information should the nurse
provide? - ANSWER B. The fetus in utero is capable of hearing and does respond to
the mother's voice
A client at 25-weeks gestation 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? - ANSWER B. The fetus can respond to sound by 24-weeks
gestation
, 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? - ANSWER C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at
20-weeks gestation? - ANSWER A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive
one week after a missed period. At the clinic, the client tells the nurse she takes
phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at
work, and is not sleeping well. The client's physical examination and ultrasound do
not indicate that she is pregnant. How should the nurse explain the most likely cause
for obtaining false-positive pregnancy test results? - ANSWER B. Using an
anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at
28-weeks gestation? - ANSWER A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6
months, what information should the nurse provide? - ANSWER B. Make sure to
include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding
of the role of protein during pregnancy? - ANSWER A. "Protein helps the fetus grow
while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink
with dinner. How should the nurse respond to the client? - ANSWER D. Abstinence
is strongly recommended throughout the pregnancy
A female client who wants to deliver at home asks the nurse to explain the role of a
nurse-midwife in providing obstetric care. What information should the nurse
provide? - ANSWER B. The pregnancy should progress normally and be considered
low risk
When discussing birth in a home setting with a group of pregnant women, which
situation should the nurse include about the safety of a home birth? - ANSWER D.
Medical backup should be available quickly in case of complications
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 the best
advantage of gravity during delivery? - ANSWER B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is
twice the normal adult breathing rate. The client complains of feeling light headed,
dizzy, and states that her fingers are tingling. What action should the nurse
implement? - ANSWER B. Help her breathe into a paper bag
