HESI OB/MATERNITY Practice
s s
Ats14-
weekssgestation,sasclientsarrivessatsthesEmergencysCenterscomplainingsofsasdullspainsinsthe
srightslowersquadrantsofshersabdomen.sThesnursesobtainssasbloodssamplesandsinitiatessansI
V.sThirtysminutessaftersadmission,sthesclientsreportssfeelingsassharpsabdominalspainsandsass
houlderspain.sAssessmentsfindingssincludesdiaphoresis,sasheartsratesofs120sbeats/minute,s
andsasbloodspressuresofs86/48.sWhichsactionsshouldsthesnursesimplementsnext?
sa.sCheckstheshematocritsresults.
sb.sAdministerspainsmedication.
sc.sIncreasesthesratesofsIVsfluids.s
sd.sMonitorsclientsforscontractions.s-sAnswer-sc.sincreasesthesratesofsIVsfluids
Aswomanswhosthinkssshescouldsbespregnantscallsshersneighbor,sasnurse,stosaskswensshesco
uldsusesashomespregnancysteststosdiagnosespregnancy.sWhichsresponsesissbest?
a.sashomespregnancystestscansbesusedsrightsaftersyoursfirstsmissedsperiod
b.sthesestestssaresmostsaccuratesaftersyoushavesmissedsyourssecondsperiod
c.shomespregnancystestssoftensgivesfalsespositivessandsshouldsnotsbestrusted
d.sthestestscansprovidesaccuratesinformationswhensusedsrightsaftersovulations-sAnswer-
sa.sa shomespregnancystestscansbesusedsrightsaftersyoursfirstsmissedsperiod
Asnewborn,swhosesmothersissHIVspositive,sissscheduledsforsfollow-
upsassessments.sThesnursesknowssthatsthesmostslikelyspresentingssymptomsforsaspediatrics
clientswithsAIDSsis:
a.sshortnesssofsbreath
b.sjointspain
c.saspersistentscold
d.sorganmegalys-sAnswer-sc.saspersistentscold
Twentysminutessaftersascontinuoussepiduralsanestheticsissadministered,saslaboringsclient'ss
bloodspressuresdropssfroms120/80stos90/60.sWhatsactionsshouldsthesnursestake?
a.snotifystheshealthcaresprovidersorsanesthesiologist
b.scontinuestosassesssthesbloodspressuresq5min
c.splacestheswomansinsaslateralsposition
d.sturnsoffscontinuoussepidurals-sAnswer-sc.splacestheswomansinsaslateralsposition
Insdevelopingsasteachingsplansforsexpectantsparents,sthesnursesplansstosincludesinformation
saboutswhensthesparentsscansexpectsthesinfant'ssfontanelsstosclose.sThesnursesbasessthesex
planationsonsknowledgesthatsforsthesnormalsnewborn,sthe
a.santeriorsfontanelsclosessats2stos4smonthssandsthesposteriorsbysthesendsofsthesfirstsweek
b.santeriorsfontanelsclosessats5stos7smonthssandsthesposteriorsbysthesendsofsthesweek
c.santeriorsfontanelsclosessats8stos11smonthssandsthesposteriorsbysthesendsofsthessecondswe
ek
d.santeriorsfontanelsclosessats12stos18smonthssandsthesposteriorsbysthesendsofsthessecondsm
onths-sAnswer-
,d.santeriorsfontanelsclosessats12stos18smonthssandsthesposteriorsbysthesendsofsthesseconds
s
month
Asclientsinsactiveslaborsissadmittedswithspreeclampsia.sWhichsassessmentsfindingsissmostssi
gnificantsinsplanningsthissclient'sscare?
a.spatellarsreflexs4+
b.sbloodspressures158/80
c.sfourshoursurinesoutputs240sml
d.srespirations12/minutes-sAnswer-sa.spatellarsreflexs4+
As4sweeksoldsprematuresinfantshassbeensreceivingsepoetinsalfasforstheslaststhreesweeks.sWh
ichsassessmentsfindingsindicatesstosthesnursesthatsthesdrugsisseffective?
a.sslowlysincreasingsurinesoutputsoverstheslastsweek
b.srespiratorysrateschangessfromsthes40sstosthes60s
c.schangessinsapicalsheartsratesfromsthes180stosthes140s
d.schangesinsindirectsbilirubinsfroms12smg/dlstos8smg/dls-sAnswer-
sc.schangessinsapicalsratesfromsthes180sstosthes140s
AspregnantsclientstellssthesnursesthatsthesfirstsdaysofsherslastsmenstrualsperiodswassAugusts2
,s2006.sBasedsonsNagele'ssrule,swhatsissthesestimatedsdatesofsdelivery?
a.sAprils25,s2007
b.sMays9,s2007
c.sMays29,s2007
d.sJunes2,s2007s-sAnswer-sb.sMays9,s2007
ThesnursesissperformingsasAGAsonsasfull-
termsnewbornsduringsthesfirstshoursofstransitionsusingsthesDubowitzsscale.sBasedsonsthissas
sessment,sthesnursesdeterminessthatsthesneonateshassasmaturitysratingsofs40sweeks.sWhic
hsfindingssshouldsthesnursesidentifystosdeterminesifsthesneonatesissSGA?s(Selectsallsthatsapp
ly.)
a.sadmissionsweightsofs4slbss15soz
b.sheadstosheelslengthsofs17sin
c.sfrontalsoccipitalscircumferencesofs12.5sin
d.sskinssmoothswithsvisiblesveinssandsabundantsvernix
e.santeriorsplantarscreasesandssmoothsheelssurfaces
f.sfullsflexionsofsallsextremitiessinsrestingssupinespositions-sAnswer-sa,sb,sc
Thesnursesassesssasclientsadmittedstostheslaborsandsdeliverysunitsandsobtainssthesfollowings
data:sBPs110/68,sFHRs110sbpm,scervixs1scmsdilatedsandsuneffaced.sBasedsonsthesesasses
smentsfindings,swhatsinterventionsshouldsthesnursesimplement?
a.sinsertsasfetalsmonitor
b.sassesssforscervicalschangessq1H
c.smonitorsbleedingsfromsIVssites
d.sperformsLeopold'ssmaneuverss-sAnswer-sc.smonitorsforsbleedingsfromsIVssites
,Immediatelysaftersbirthsasnewbornsinfantsisssuctioned,sdried,sandsplacedsundersasradiantswa
rmer.sThesinfantshassspontaneoussrespirationssandsthesnursesassesssansapicalsheartsrateso
fs80sbpmsandsrespirationss20.sWhatsactionsshouldsthesnursesperformsnext?
a.sinitiatespositivespressuresventilation
b.sintervenesaftersonesminutesAPGARsissassessed
c.sinitiatesCPRsonsthesinfant
d.sassesssthesinfant'ssbloodsglucoseslevels-sAnswer-sa.sinitiatespositivespressuresventilation
Asclientswithsnosprenatalscaresarrivessatstheslaborsunitsscreaming,s"Thesbabysisscoming!"sTh
esnursesperformssasvaginalsexaminationsthatsrevealssthescervixsiss3scmsdilatedsands75%seff
aced.sWhatsadditionalsinformationsissmostsimportantsforsthesnursestosobtain?
a.sgraviditysandsparity
b.stimesandsamountsofslastsoralsintake
c.sdatesofslastsnormalsmenstrualsperiod
d.sfrequencysandsintensitysofscontractionss-sAnswer-
sc.sdatesofslastsnormalsmenstrualsperiod
Asmutigravidasclientsats41sweekssgestationspresentsinstheslaborsandsdeliverysunitsaftersasno
n-
stressstestsindicatedsthatsthesfetussissexperiencingssomesdifficultiessinsutero.sWhichsdiagno
sticstestsshouldsthesnursespreparesthesclientsforsadditionalsinformationsaboutsfetalsstatus?
a.sbiophysicalsprofile
b.sultrasoundsforsfetalsabnormalities
c.smaternalsserumsalpha-fetoproteinsscreening
d.spercutaneoussumbilicalsbloodssamplings-sAnswer-sa.sbiophysicalsprofile
Asclientsreceivingsepiduralsanesthesiasbeginsstosexperiencesnauseasandsbecomesspalesan
dsclammy.sWhatsinterventionsshouldsthesnursesimplementsfirst?
a.sraisesthesfootsofsthesbed
b.sassesssforsvaginalsbleeding
c.sevaluatesthesfetalsheartsrate
d.stakesthesclient'ssbloodspressures-sAnswer-sa.sraisesthesfootsofsthesbed
Asclientsats28sweekssgestationscallssthesantepartalsclinicsandsstatessthatsshesissexperiencin
gsassmallsamountsofsvaginalsbleedingswhichsshesdescribessassbrightsred.sShesfurthersstatess
thatsshesissnotsexperiencingsanysuterinescontractionssorsabdominalspain.sWhatsinstructionss
houldsthesnursesprovide?
a.scomestosthesclinicstodaysforsansultrasound
b.sgosimmediatelystosthesemergencysroom
c.sliesonsyoursleftssidesforsaboutsoneshoursandsseesifsthesbleedingsstops
d.sbringsasurinesspecimenstostheslabstomorrowstosdeterminesifsyoushavesasUTIs-sAnswer-
sa.scomestosthesclinicstodaysforsansultrasound
Whichsnursingsinterventionsisshelpfulsinsrelievings"afterpains"?
a.susingsrelaxationsbreathingstechniques
b.susingsasbreastspump
, c.smassagingsthesabdomen
d.sgivingsoxytocicsmedicationss-sAnswer-sa.susingsrelaxationsbreathingstechniques
Thesnursesisscounselingsascoupleswhoshasssoughtsinformationsaboutsconceiving.sForsteach
ingspurposes,sthesnursessshouldsknowsthatsovulationsusuallysoccurs
a.stwosweekssbeforesmenstruation
b.simmediatelysaftersmenstruation
c.simmediatelysbeforesmenstruation
d.sthreesweekssbeforesmenstruations-sAnswer-sa.stwosweekssbeforesmenstruation
Asclientswhoshassansautosomalsdominantsinheritedsdisordersissexploringsfamilysplanningsop
tionssandsthesrisksofstransmissionsofsthesdisorderstosansinfant.sThesnurses'ssresponsesshoul
dsbesbasedsonswhatsinformation?
a.smalessinheritsthesdisorderswithsasgreatersfrequencysthansfemales
b.seachspregnancyscarriessas50%schancesofsinheritingsthesdisorder
c.sthesdisordersoccurssins25%sofspregnancies
d.sallschildrenswillsbescarrierssofsthesdisorders-sAnswer-
sb.seachspregnancyscarriess50%schancesofsinheritingsthesdisorder
Thesnursesissassessingsas3sdaysoldsinfantswithsascephalohematomasinsthesnewbornsnursery
.sWhichsassessmentsfindingsshouldsthesnursesreportstostheshealthcaresprovider?
a.syellowishstingestosthesskin
b.sBabinskisreflexspresentsbilaterally
c.spinkspapularsrashsonsthesface
d.sMorosreflexsnotedsaftersasloudsnoises-sAnswer-sa.syellowishstingestosthesskin
Aswomanswhoshadsasmiscarriages6smonthssagosbecomesspregnant.sWhichsinstructionsissm
ostsimportantsforsthesnursestosprovidesthissclient?
a.selevateslowerslegsswhilesresting
b.sincreasescaloricsintakesbys200stos300scaloriesspersday
c.sincreaseswatersintakestos8sfullsglassesspersday
d.stakesprescribedsmultivitaminsandsmineralssupplementss-sAnswer-
sd.stakesprescribedsmultivitaminsandsmineralssupplements
Whichsassessmentsfindingsshouldsthesnurserysnursesreportstosthespediatricshealthcaresprov
ider?
a.sbloodsglucoseslevelsofs45
b.sbloodspressuresofs82/45
c.snon-bulgingsanteriorsfontanel
d.scentralscyanosisswhenscryings-sAnswer-sd.scentralscyanosisswhenscrying
As28syearsoldsclientsinsactiveslaborscomplainssofscrampssinshersleg.sWhatsinterventionsshoul
dsthesnursesimplement?
a.smassagesthescalfsandsfoot
b.sextendstheslegsandsdorsiflexsthesfoot
c.slowerstheslegsoffsthessidesofsthesbed
s s
Ats14-
weekssgestation,sasclientsarrivessatsthesEmergencysCenterscomplainingsofsasdullspainsinsthe
srightslowersquadrantsofshersabdomen.sThesnursesobtainssasbloodssamplesandsinitiatessansI
V.sThirtysminutessaftersadmission,sthesclientsreportssfeelingsassharpsabdominalspainsandsass
houlderspain.sAssessmentsfindingssincludesdiaphoresis,sasheartsratesofs120sbeats/minute,s
andsasbloodspressuresofs86/48.sWhichsactionsshouldsthesnursesimplementsnext?
sa.sCheckstheshematocritsresults.
sb.sAdministerspainsmedication.
sc.sIncreasesthesratesofsIVsfluids.s
sd.sMonitorsclientsforscontractions.s-sAnswer-sc.sincreasesthesratesofsIVsfluids
Aswomanswhosthinkssshescouldsbespregnantscallsshersneighbor,sasnurse,stosaskswensshesco
uldsusesashomespregnancysteststosdiagnosespregnancy.sWhichsresponsesissbest?
a.sashomespregnancystestscansbesusedsrightsaftersyoursfirstsmissedsperiod
b.sthesestestssaresmostsaccuratesaftersyoushavesmissedsyourssecondsperiod
c.shomespregnancystestssoftensgivesfalsespositivessandsshouldsnotsbestrusted
d.sthestestscansprovidesaccuratesinformationswhensusedsrightsaftersovulations-sAnswer-
sa.sa shomespregnancystestscansbesusedsrightsaftersyoursfirstsmissedsperiod
Asnewborn,swhosesmothersissHIVspositive,sissscheduledsforsfollow-
upsassessments.sThesnursesknowssthatsthesmostslikelyspresentingssymptomsforsaspediatrics
clientswithsAIDSsis:
a.sshortnesssofsbreath
b.sjointspain
c.saspersistentscold
d.sorganmegalys-sAnswer-sc.saspersistentscold
Twentysminutessaftersascontinuoussepiduralsanestheticsissadministered,saslaboringsclient'ss
bloodspressuresdropssfroms120/80stos90/60.sWhatsactionsshouldsthesnursestake?
a.snotifystheshealthcaresprovidersorsanesthesiologist
b.scontinuestosassesssthesbloodspressuresq5min
c.splacestheswomansinsaslateralsposition
d.sturnsoffscontinuoussepidurals-sAnswer-sc.splacestheswomansinsaslateralsposition
Insdevelopingsasteachingsplansforsexpectantsparents,sthesnursesplansstosincludesinformation
saboutswhensthesparentsscansexpectsthesinfant'ssfontanelsstosclose.sThesnursesbasessthesex
planationsonsknowledgesthatsforsthesnormalsnewborn,sthe
a.santeriorsfontanelsclosessats2stos4smonthssandsthesposteriorsbysthesendsofsthesfirstsweek
b.santeriorsfontanelsclosessats5stos7smonthssandsthesposteriorsbysthesendsofsthesweek
c.santeriorsfontanelsclosessats8stos11smonthssandsthesposteriorsbysthesendsofsthessecondswe
ek
d.santeriorsfontanelsclosessats12stos18smonthssandsthesposteriorsbysthesendsofsthessecondsm
onths-sAnswer-
,d.santeriorsfontanelsclosessats12stos18smonthssandsthesposteriorsbysthesendsofsthesseconds
s
month
Asclientsinsactiveslaborsissadmittedswithspreeclampsia.sWhichsassessmentsfindingsissmostssi
gnificantsinsplanningsthissclient'sscare?
a.spatellarsreflexs4+
b.sbloodspressures158/80
c.sfourshoursurinesoutputs240sml
d.srespirations12/minutes-sAnswer-sa.spatellarsreflexs4+
As4sweeksoldsprematuresinfantshassbeensreceivingsepoetinsalfasforstheslaststhreesweeks.sWh
ichsassessmentsfindingsindicatesstosthesnursesthatsthesdrugsisseffective?
a.sslowlysincreasingsurinesoutputsoverstheslastsweek
b.srespiratorysrateschangessfromsthes40sstosthes60s
c.schangessinsapicalsheartsratesfromsthes180stosthes140s
d.schangesinsindirectsbilirubinsfroms12smg/dlstos8smg/dls-sAnswer-
sc.schangessinsapicalsratesfromsthes180sstosthes140s
AspregnantsclientstellssthesnursesthatsthesfirstsdaysofsherslastsmenstrualsperiodswassAugusts2
,s2006.sBasedsonsNagele'ssrule,swhatsissthesestimatedsdatesofsdelivery?
a.sAprils25,s2007
b.sMays9,s2007
c.sMays29,s2007
d.sJunes2,s2007s-sAnswer-sb.sMays9,s2007
ThesnursesissperformingsasAGAsonsasfull-
termsnewbornsduringsthesfirstshoursofstransitionsusingsthesDubowitzsscale.sBasedsonsthissas
sessment,sthesnursesdeterminessthatsthesneonateshassasmaturitysratingsofs40sweeks.sWhic
hsfindingssshouldsthesnursesidentifystosdeterminesifsthesneonatesissSGA?s(Selectsallsthatsapp
ly.)
a.sadmissionsweightsofs4slbss15soz
b.sheadstosheelslengthsofs17sin
c.sfrontalsoccipitalscircumferencesofs12.5sin
d.sskinssmoothswithsvisiblesveinssandsabundantsvernix
e.santeriorsplantarscreasesandssmoothsheelssurfaces
f.sfullsflexionsofsallsextremitiessinsrestingssupinespositions-sAnswer-sa,sb,sc
Thesnursesassesssasclientsadmittedstostheslaborsandsdeliverysunitsandsobtainssthesfollowings
data:sBPs110/68,sFHRs110sbpm,scervixs1scmsdilatedsandsuneffaced.sBasedsonsthesesasses
smentsfindings,swhatsinterventionsshouldsthesnursesimplement?
a.sinsertsasfetalsmonitor
b.sassesssforscervicalschangessq1H
c.smonitorsbleedingsfromsIVssites
d.sperformsLeopold'ssmaneuverss-sAnswer-sc.smonitorsforsbleedingsfromsIVssites
,Immediatelysaftersbirthsasnewbornsinfantsisssuctioned,sdried,sandsplacedsundersasradiantswa
rmer.sThesinfantshassspontaneoussrespirationssandsthesnursesassesssansapicalsheartsrateso
fs80sbpmsandsrespirationss20.sWhatsactionsshouldsthesnursesperformsnext?
a.sinitiatespositivespressuresventilation
b.sintervenesaftersonesminutesAPGARsissassessed
c.sinitiatesCPRsonsthesinfant
d.sassesssthesinfant'ssbloodsglucoseslevels-sAnswer-sa.sinitiatespositivespressuresventilation
Asclientswithsnosprenatalscaresarrivessatstheslaborsunitsscreaming,s"Thesbabysisscoming!"sTh
esnursesperformssasvaginalsexaminationsthatsrevealssthescervixsiss3scmsdilatedsands75%seff
aced.sWhatsadditionalsinformationsissmostsimportantsforsthesnursestosobtain?
a.sgraviditysandsparity
b.stimesandsamountsofslastsoralsintake
c.sdatesofslastsnormalsmenstrualsperiod
d.sfrequencysandsintensitysofscontractionss-sAnswer-
sc.sdatesofslastsnormalsmenstrualsperiod
Asmutigravidasclientsats41sweekssgestationspresentsinstheslaborsandsdeliverysunitsaftersasno
n-
stressstestsindicatedsthatsthesfetussissexperiencingssomesdifficultiessinsutero.sWhichsdiagno
sticstestsshouldsthesnursespreparesthesclientsforsadditionalsinformationsaboutsfetalsstatus?
a.sbiophysicalsprofile
b.sultrasoundsforsfetalsabnormalities
c.smaternalsserumsalpha-fetoproteinsscreening
d.spercutaneoussumbilicalsbloodssamplings-sAnswer-sa.sbiophysicalsprofile
Asclientsreceivingsepiduralsanesthesiasbeginsstosexperiencesnauseasandsbecomesspalesan
dsclammy.sWhatsinterventionsshouldsthesnursesimplementsfirst?
a.sraisesthesfootsofsthesbed
b.sassesssforsvaginalsbleeding
c.sevaluatesthesfetalsheartsrate
d.stakesthesclient'ssbloodspressures-sAnswer-sa.sraisesthesfootsofsthesbed
Asclientsats28sweekssgestationscallssthesantepartalsclinicsandsstatessthatsshesissexperiencin
gsassmallsamountsofsvaginalsbleedingswhichsshesdescribessassbrightsred.sShesfurthersstatess
thatsshesissnotsexperiencingsanysuterinescontractionssorsabdominalspain.sWhatsinstructionss
houldsthesnursesprovide?
a.scomestosthesclinicstodaysforsansultrasound
b.sgosimmediatelystosthesemergencysroom
c.sliesonsyoursleftssidesforsaboutsoneshoursandsseesifsthesbleedingsstops
d.sbringsasurinesspecimenstostheslabstomorrowstosdeterminesifsyoushavesasUTIs-sAnswer-
sa.scomestosthesclinicstodaysforsansultrasound
Whichsnursingsinterventionsisshelpfulsinsrelievings"afterpains"?
a.susingsrelaxationsbreathingstechniques
b.susingsasbreastspump
, c.smassagingsthesabdomen
d.sgivingsoxytocicsmedicationss-sAnswer-sa.susingsrelaxationsbreathingstechniques
Thesnursesisscounselingsascoupleswhoshasssoughtsinformationsaboutsconceiving.sForsteach
ingspurposes,sthesnursessshouldsknowsthatsovulationsusuallysoccurs
a.stwosweekssbeforesmenstruation
b.simmediatelysaftersmenstruation
c.simmediatelysbeforesmenstruation
d.sthreesweekssbeforesmenstruations-sAnswer-sa.stwosweekssbeforesmenstruation
Asclientswhoshassansautosomalsdominantsinheritedsdisordersissexploringsfamilysplanningsop
tionssandsthesrisksofstransmissionsofsthesdisorderstosansinfant.sThesnurses'ssresponsesshoul
dsbesbasedsonswhatsinformation?
a.smalessinheritsthesdisorderswithsasgreatersfrequencysthansfemales
b.seachspregnancyscarriessas50%schancesofsinheritingsthesdisorder
c.sthesdisordersoccurssins25%sofspregnancies
d.sallschildrenswillsbescarrierssofsthesdisorders-sAnswer-
sb.seachspregnancyscarriess50%schancesofsinheritingsthesdisorder
Thesnursesissassessingsas3sdaysoldsinfantswithsascephalohematomasinsthesnewbornsnursery
.sWhichsassessmentsfindingsshouldsthesnursesreportstostheshealthcaresprovider?
a.syellowishstingestosthesskin
b.sBabinskisreflexspresentsbilaterally
c.spinkspapularsrashsonsthesface
d.sMorosreflexsnotedsaftersasloudsnoises-sAnswer-sa.syellowishstingestosthesskin
Aswomanswhoshadsasmiscarriages6smonthssagosbecomesspregnant.sWhichsinstructionsissm
ostsimportantsforsthesnursestosprovidesthissclient?
a.selevateslowerslegsswhilesresting
b.sincreasescaloricsintakesbys200stos300scaloriesspersday
c.sincreaseswatersintakestos8sfullsglassesspersday
d.stakesprescribedsmultivitaminsandsmineralssupplementss-sAnswer-
sd.stakesprescribedsmultivitaminsandsmineralssupplements
Whichsassessmentsfindingsshouldsthesnurserysnursesreportstosthespediatricshealthcaresprov
ider?
a.sbloodsglucoseslevelsofs45
b.sbloodspressuresofs82/45
c.snon-bulgingsanteriorsfontanel
d.scentralscyanosisswhenscryings-sAnswer-sd.scentralscyanosisswhenscrying
As28syearsoldsclientsinsactiveslaborscomplainssofscrampssinshersleg.sWhatsinterventionsshoul
dsthesnursesimplement?
a.smassagesthescalfsandsfoot
b.sextendstheslegsandsdorsiflexsthesfoot
c.slowerstheslegsoffsthessidesofsthesbed
