OB-MATERNITY HESI ASSIGNMENT
EXAM QUESTIONS AND ANSWERS
The nurse assesses a high risk neonate under a radiant warmer who has an
umbilical catheter and identifies that the neonate's feet are blanched. What nursing
action should be implemented? - ANSWER-D. Report findings to the healthcare
provider
What nursing action should be implemented when intermittently gavage-feeding a
preterm infant? - ANSWER-A. Allow formula to flow by gravity
Which nonpharmacologic interventions should the nurse implement to provide the
most effective response in decreasing procedural pain in a neonate? - ANSWER-D.
Oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who
was delivered at 37 weeks gestation. What nursing action should be implemented
first? - ANSWER-D. Evaluate the newborn's color and respirations
What action should the nurse implement with the family when an infant is born with
anencephaly? - ANSWER-B. Prepare the family to explore ways to cope with the
imminent death of the infant
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. What action should the nurse implement at
this time? - ANSWER-C. Observe interactions of family members with the newborn
and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what is the most accurate summary of her history? - ANSWER-B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will remain
after pregnancy? - ANSWER-D. Striae gravidarum
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who
delivers the infant 90 minutes later. What medication should the nurse anticipate
administering to the infant? - ANSWER-A. Naloxone (Narcan)
A client in labor receives an epidural block. What intervention should the nurse
implement first? - ANSWER-C. Monitor blood pressure
A client is experiencing "back" labor and complains of intense pain in the lower
lumbar-sacral area. What action should the nurse implement? - ANSWER-C. Apply
counter pressure against the sacrum
, A nulliparous client telephones the labor and delivery unit to report that she is in
labor. What action should the nurse implement? - ANSWER-C. Ask the client to
describe why she thinks she is in labor
A woman who is bottle-feeding her newborn infant calls the clinic 72 hours after
delivery and tells the nurse that both of her breasts are swollen, warm, and tender.
What instructions should the nurse give? - ANSWER-A. Apply ice to the breasts
Which behavior should the nurse anticipate for a new mother with an uncomplicated
vaginal birth on the third postpartum day? - ANSWER-B. Exhibit interest in learning
more about infant care
A client who is breastfeeding develops engorged breasts on the third postpartum
day. Which action should the nurse recommend to relieve breast engorgement? -
ANSWER-B. Continue breastfeeding every 2 hours
The nurse is giving discharge instructions for a client following a suction for
hydatidiform mole. The client asks why oral contraceptives are being recommended
for the next 12 months. What information should the nurse provide? - ANSWER-C.
Diagnostic testing for human chorionic gonadotropin (hCG) levels are elevated by
pregnancy
The nurse is assessing a 12 hour old infant with a maternal history of frequent
alcohol consumption during pregnancy. Which finding should the nurse report that is
most suggestive of fetal alcohol syndrome (FAS)? - ANSWER-C. Flat nasal bridge
Which client finding should the nurse document as a positive sign of pregnancy? -
ANSWER-D. Fetal heart tones (FHT) heard with a doppler
A primigravida at 12 weeks gestation tells the nurse that she does not like dairy
products. Which food should the nurse recommend to increase the client's calcium
intake? - ANSWER-C. Canned sardines
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What
action should the nurse implement next? - ANSWER-A. Determine the firmness of
the fundus
When assessing the integument of a 24 hour old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back, and abdomen. What
action should the nurse implement next? - ANSWER-C. Document the finding as
erythema toxicum
The nurse is teaching a primigravida at 10 weeks gestation about the need to
increase her intake of folic acid. Which explanation should the nurse provide that
supports preventative perinatal care - ANSWER-C. Adequate folic acid during
embryogenesis reduces the incidence of neural tube defects
The nurse tells a client in her first trimester that she should increase her daily intake
of calcium to 1200 mg during pregnancy. The client responds, "I don't like milk."
EXAM QUESTIONS AND ANSWERS
The nurse assesses a high risk neonate under a radiant warmer who has an
umbilical catheter and identifies that the neonate's feet are blanched. What nursing
action should be implemented? - ANSWER-D. Report findings to the healthcare
provider
What nursing action should be implemented when intermittently gavage-feeding a
preterm infant? - ANSWER-A. Allow formula to flow by gravity
Which nonpharmacologic interventions should the nurse implement to provide the
most effective response in decreasing procedural pain in a neonate? - ANSWER-D.
Oral sucrose and nonnutritive sucking
The apnea monitor alarm sounds for the third time during one shift for a neonate who
was delivered at 37 weeks gestation. What nursing action should be implemented
first? - ANSWER-D. Evaluate the newborn's color and respirations
What action should the nurse implement with the family when an infant is born with
anencephaly? - ANSWER-B. Prepare the family to explore ways to cope with the
imminent death of the infant
A client who is stable has family members present when the nurse enters the birthing
suite to assess the mother and newborn. What action should the nurse implement at
this time? - ANSWER-C. Observe interactions of family members with the newborn
and each other
A client at 39 weeks gestation is admitted to the labor and delivery unit. Her
obstetrical history includes 3 live births at 39 weeks, 34 weeks, and 35 weeks. Using
GTPAL, what is the most accurate summary of her history? - ANSWER-B. 4-1-2-0-3
A client delivers her first infant and asks the nurse if her skin changes from
pregnancy are permanent. Which change should the nurse tell the client will remain
after pregnancy? - ANSWER-D. Striae gravidarum
The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who
delivers the infant 90 minutes later. What medication should the nurse anticipate
administering to the infant? - ANSWER-A. Naloxone (Narcan)
A client in labor receives an epidural block. What intervention should the nurse
implement first? - ANSWER-C. Monitor blood pressure
A client is experiencing "back" labor and complains of intense pain in the lower
lumbar-sacral area. What action should the nurse implement? - ANSWER-C. Apply
counter pressure against the sacrum
, A nulliparous client telephones the labor and delivery unit to report that she is in
labor. What action should the nurse implement? - ANSWER-C. Ask the client to
describe why she thinks she is in labor
A woman who is bottle-feeding her newborn infant calls the clinic 72 hours after
delivery and tells the nurse that both of her breasts are swollen, warm, and tender.
What instructions should the nurse give? - ANSWER-A. Apply ice to the breasts
Which behavior should the nurse anticipate for a new mother with an uncomplicated
vaginal birth on the third postpartum day? - ANSWER-B. Exhibit interest in learning
more about infant care
A client who is breastfeeding develops engorged breasts on the third postpartum
day. Which action should the nurse recommend to relieve breast engorgement? -
ANSWER-B. Continue breastfeeding every 2 hours
The nurse is giving discharge instructions for a client following a suction for
hydatidiform mole. The client asks why oral contraceptives are being recommended
for the next 12 months. What information should the nurse provide? - ANSWER-C.
Diagnostic testing for human chorionic gonadotropin (hCG) levels are elevated by
pregnancy
The nurse is assessing a 12 hour old infant with a maternal history of frequent
alcohol consumption during pregnancy. Which finding should the nurse report that is
most suggestive of fetal alcohol syndrome (FAS)? - ANSWER-C. Flat nasal bridge
Which client finding should the nurse document as a positive sign of pregnancy? -
ANSWER-D. Fetal heart tones (FHT) heard with a doppler
A primigravida at 12 weeks gestation tells the nurse that she does not like dairy
products. Which food should the nurse recommend to increase the client's calcium
intake? - ANSWER-C. Canned sardines
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What
action should the nurse implement next? - ANSWER-A. Determine the firmness of
the fundus
When assessing the integument of a 24 hour old newborn, the nurse notes a pink
papular rash with superimposed vesicles on the thorax, back, and abdomen. What
action should the nurse implement next? - ANSWER-C. Document the finding as
erythema toxicum
The nurse is teaching a primigravida at 10 weeks gestation about the need to
increase her intake of folic acid. Which explanation should the nurse provide that
supports preventative perinatal care - ANSWER-C. Adequate folic acid during
embryogenesis reduces the incidence of neural tube defects
The nurse tells a client in her first trimester that she should increase her daily intake
of calcium to 1200 mg during pregnancy. The client responds, "I don't like milk."
