hesi ob maternity version 1 v1 exit exam

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2023 HESI OB Maternity Version 1 (V1) ExitExa
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m (All 55 Qs) TB w/Pics Included!! A++ c c c c c c c




1) A client is admitted to the labor and delivery unit with contractions that
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are 3-5 minutes apart, lasting 60-
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70 seconds. She reports that she is leaking fluid. A vaginal exam reveals th
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at her cervix is 80 percent effaced and 4 cm dilated and a -
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1 station. The LPN/LVN knows that theclient is in which phase and stage o
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f labor?
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A) Latent phase, First Stage c c c



B) Active Phase of First Stage c c c c



C) Latent phase of Second Stage c c c c



D) Transition
Ans:
B) Active Phase of First Stage Second
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stage = full dilation until birth
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2) To assess uterine contractions the LPN/LVN would
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A) Asses duration from the beginning of the contraction to the peak ofth
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e same contraction, frequency by measuring the time between the begin
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ning of one contraction to the beginning of the next contraction.
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B) Assess frequency as the time between the end of one contraction andth
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e beginning of the next contraction, duration as the length of time from the
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c beginning to the end of contractions, and palpate the uterus forstrength
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C) Assess duration from beginning to end of each contraction. Assessth
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e strength of the contraction by the external fetal monitor reading. Meas
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ure frequency by measuring the beginning of one contraction toanother
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.
D) Assess duration from beginning to end of each contraction.,fr
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equency by measuring the time between the beginnings of
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, 2022 - c



2023 HESI OB Maternity Version 1 (V1) ExitExa
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m (All 55 Qs) TB w/Pics Included!! A++
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contractions, and palpate the fundus of the uterus for strength.Ans:
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D) Assess duration from beginning to end of each contraction., frequency by
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measuring the time between the beginnings of contractions, and palpatethe fu
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ndus of the uterus for strength.
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3) Which basic type of pelvis includes the correct description and percentageof
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occurrence in women? c c


A) Platypelloid: flattened, wide, shallow; 3% c c c c


B) Anthropoid: resembling the ape; narrower; 10% c c c c c


C) Android: resembling the male; wider oval; 15%
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D) Gynecoid: classic female; heart shaped; 75% c c c c c c


Ans:
A) Platypelloid: flattened, wide, shallow; 3%
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4) What position would be least effective when gravity is desired toas
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sist in fetal descent?
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A) Lithotomy
B) Walking
C) Kneeling
D) Sitting c



Ans:
A) Lithotomy
c




5) The factors that affect the process of labor and birth, knownco
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mmonly as the five Ps, include all EXCEPT:
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A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
D) Pressure.
c

, 2022 - c



2023 HESI OB Maternity Version 1 (V1) ExitExa
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m (All 55 Qs) TB w/Pics Included!! A++
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Ans:
:: The 5 P's are:
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1. Powers (contractions) c



2. Passengers (fetus & placenta) c c c



3. Passageway (birth canal) c c



4. Position (of the mother) c c c



5. Psychological Response c




6) While evaluating an external monitor tracing of a woman in active lab
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or, the nurse notes that the fetal heart rate (FHR) for five sequentialcontr
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actions begins to decelerate late in the contraction, with the nadirof the d
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ecelerations occurring after the peak of the contraction. The
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LPN/LVN first priority is to: c c c c


A) Notify the care provider. c c c



B) Assist with amnioinfusion c c



C) Change the woman's position c c c



D) Insert a scalp electrode. c c c c



Ans:
C) Change the woman's position
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7) During labor a fetus with an average heart rate of 175 beats/min overa 1
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5-minute period would be considered to have:
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A) A normal baseline heart rate.
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B) Bradycardia.
C) Hypoxia.
D) Tachycardia.
Ans:
D) Tachycardia.
c




8) As a perinatal LPN/LVN you realize that a fetal heart rate that is
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