HESI Obstetrics/Maternity Practice Exam
A 23 y/o customer who's receiving Medicaid blessings is pregnant together with her 1st
toddler. Based on expertise of the stats r/t infant mortality, which plan should the nurse
implement w/this client? - ANS-C. Train the purchaser why preserving prenatal care
appointments is crucial.
A 24-hour antique new child has purple papular rash with vesicles superimposed on the
thorax, again, and stomach. What movement need to the nurse put in force? - ANS-C.
Document the finding in the newborns document.
A 26-year-antique, gravida 2, para 1 consumer is admitted to the sanatorium at 28-weeks
gestation in preterm hard work. She is given three doses of terbutaline sulfate (Brethine)
zero.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for
which primary aspect impact of terbutaline sulfate? - ANS-C. Tachycardia and a sense of
anxiousness
a 30 y/o G2P1 consumer is admitted to the medical institution at 26-weeks gestation in
preterm labor. She is given a dose of terbulatine sulfate (Brethine) 0.25 mg subq. Which
evaluation is the best priority for the nurse to display in the course of the administration of
this drug? - ANS-B. Maternal and fetal HRs
A 30-12 months vintage gravida 2. Para 1 purchaser is admitted to the hospital at 26-weeks
gestation in preterm hard work. She is began on am IV answer of terbutaline (Brethine).
Which assessment is the very best precedence for the nurse to monitor for the duration of
the management of the drug? - ANS-B. Maternal and fetal heart costs
A 30-year vintage multiparous female who has a three-y/o and a new child tells the
nurse,"My son is so jealous of my daughter. I do not know how I'll ever manipulate each
children after I get domestic". How should the nurse reply? - ANS-D. "regression in
behaviors inside the older toddler is a regular reaction so he desires attention at the
moment".
A 35-year-vintage primagravida patron with excessive preeclampia is receiving magnesium
sulfate through continuous IV infusion. Which evaluation information would illustrate to the
nurse that the client is experiencing magnesium sulfate toxicity? - ANS-D. Urine output
ninety ml/four hours.
A 38-week primagravida who works as a secretary and sits at a computer eight hours an
afternoon tells the nurse that her feet have began to swell. Which preparation could be
simplest in stopping pooling of blood inside the lower extremities? - ANS-C. Move
approximately each hour
A four-week old premature infant has been receiving epoetin alfa for the closing three
weeks. Which assessment finding indicated to the nurse that the drug is effective? - ANS-C.
Adjustments in apical coronary heart charge from the 180s to the 140s
A 40-week gestation primigravida customer is being prompted with an oxytocin (Pitocin)
secondary infusion and complains of pain in her lower lower back. Which intervention ought
to the nurse enforce? - ANS-D. Practice firm strain to the sacral place.
A forty two-week gestational client is receiving an IV infusion of oxytocin (Pitocin) to augment
early exertions. The nurse ought to d/c the oxytocin infusion for which pattern of
, contractions? - ANS-A. Transition labor with contraction every 2 min, lasting ninety seconds
each.
A client 30-weeks gestation, complaining of strain over the pubic vicinity, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal examination exhibits that her cervix is closed, thick, and high. Based on those
records, which intervention must the nurse put into effect first? - ANS-C. Attain a specimen
for urine evaluation
A patron at 28-weeks gestation calls the antepartal hospital and states that she is
experiencing a small quantity of vaginal bleeding which she describes as bright pink. She in
addition states that she isn't experiencing any uterine contractions or belly pain. What
preparation have to the nurse provide? - ANS-A. Come to the clinic today for an ultrasound.
A purchaser at 32-weeks gestation involves the prenatal clinic with lawsuits of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is maximum vital for the nurse to invite
the client? - ANS-D. Do you have got a history of rheumatic fever?
A customer at 32-weeks gestation is recognized with preeclampsia. Which assessment
locating is maximum indicative of an coming near near convulsion? - ANS-A. Three + DTRs
and hyperclonus
A patron at 32-weeks gestation is recognized with preeclampsia. Which assessment finding
is maximum indicative of an approaching convulsion? - ANS-C. Epigastric ache
A patron at 32-weeks gestation is hospitalized with severe being pregnant-caused high
blood pressure (PIH), and magnesium sulfate is prescribed to control the signs. Which
evaluation locating would suggest that healing drug level has been finished? - ANS-C. A
lower in RR from 24 to sixteen.
A consumer in lively exertions complains of cramps in her leg. What intervention must the
nurse enforce? - ANS-B. Extend the leg and dorsiflex the foot.
A client in active labor is admitted with preeclampsia. Which is assessment finding is
maximum tremendous in making plans this purchaser's care? - ANS-A. Patellar reflex four+
A customer is admitted w/the prognosis of total placenta previa. Which locating is is most
essential for the nurse to document to the healthcare company right away? - ANS-C. Onset
of uterine contractions
A customer receiving epidural anesthesia begins to experience nausea and grow to be pale
and clammy. What aim should the nurse put in force first? - ANS-A. Raise the foot of the
mattress.
A client who brought an infant an hour in the past tells the nurse that she feels wet under her
buttock. The nurse notes that each perineal pads are completely saturated and the patron is
lying in a 6-inch diameter pool of blood. Which action must the nurse enforce subsequent? -
ANS-C. Palpate the firmness of the fundus
A client who gave beginning to a wholesome 8 pound toddler 3 hours in the past is admitted
to the postpartum unit. Which nursing plan is pleasant in assisting the mom to bond with her
new child toddler? - ANS-D. Meet the mother's bodily needs and exhibit warm temperature
closer to the toddler.
A client who has an autosomal dominant inherited disease is exploring circle of relatives
making plans alternatives and the danger of transmission of the ailment to the infant. The
nurse's response should be based totally on what statistics? - ANS-B. Every being pregnant
consists of a 50% threat of inheriting the disorder.
A customer who's attending antepartum instructions asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what knowledge? -
ANS-B. It is difficult to eat 18 mg of additional iron through eating regimen by myself.
A 23 y/o customer who's receiving Medicaid blessings is pregnant together with her 1st
toddler. Based on expertise of the stats r/t infant mortality, which plan should the nurse
implement w/this client? - ANS-C. Train the purchaser why preserving prenatal care
appointments is crucial.
A 24-hour antique new child has purple papular rash with vesicles superimposed on the
thorax, again, and stomach. What movement need to the nurse put in force? - ANS-C.
Document the finding in the newborns document.
A 26-year-antique, gravida 2, para 1 consumer is admitted to the sanatorium at 28-weeks
gestation in preterm hard work. She is given three doses of terbutaline sulfate (Brethine)
zero.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for
which primary aspect impact of terbutaline sulfate? - ANS-C. Tachycardia and a sense of
anxiousness
a 30 y/o G2P1 consumer is admitted to the medical institution at 26-weeks gestation in
preterm labor. She is given a dose of terbulatine sulfate (Brethine) 0.25 mg subq. Which
evaluation is the best priority for the nurse to display in the course of the administration of
this drug? - ANS-B. Maternal and fetal HRs
A 30-12 months vintage gravida 2. Para 1 purchaser is admitted to the hospital at 26-weeks
gestation in preterm hard work. She is began on am IV answer of terbutaline (Brethine).
Which assessment is the very best precedence for the nurse to monitor for the duration of
the management of the drug? - ANS-B. Maternal and fetal heart costs
A 30-year vintage multiparous female who has a three-y/o and a new child tells the
nurse,"My son is so jealous of my daughter. I do not know how I'll ever manipulate each
children after I get domestic". How should the nurse reply? - ANS-D. "regression in
behaviors inside the older toddler is a regular reaction so he desires attention at the
moment".
A 35-year-vintage primagravida patron with excessive preeclampia is receiving magnesium
sulfate through continuous IV infusion. Which evaluation information would illustrate to the
nurse that the client is experiencing magnesium sulfate toxicity? - ANS-D. Urine output
ninety ml/four hours.
A 38-week primagravida who works as a secretary and sits at a computer eight hours an
afternoon tells the nurse that her feet have began to swell. Which preparation could be
simplest in stopping pooling of blood inside the lower extremities? - ANS-C. Move
approximately each hour
A four-week old premature infant has been receiving epoetin alfa for the closing three
weeks. Which assessment finding indicated to the nurse that the drug is effective? - ANS-C.
Adjustments in apical coronary heart charge from the 180s to the 140s
A 40-week gestation primigravida customer is being prompted with an oxytocin (Pitocin)
secondary infusion and complains of pain in her lower lower back. Which intervention ought
to the nurse enforce? - ANS-D. Practice firm strain to the sacral place.
A forty two-week gestational client is receiving an IV infusion of oxytocin (Pitocin) to augment
early exertions. The nurse ought to d/c the oxytocin infusion for which pattern of
, contractions? - ANS-A. Transition labor with contraction every 2 min, lasting ninety seconds
each.
A client 30-weeks gestation, complaining of strain over the pubic vicinity, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability.
Vaginal examination exhibits that her cervix is closed, thick, and high. Based on those
records, which intervention must the nurse put into effect first? - ANS-C. Attain a specimen
for urine evaluation
A patron at 28-weeks gestation calls the antepartal hospital and states that she is
experiencing a small quantity of vaginal bleeding which she describes as bright pink. She in
addition states that she isn't experiencing any uterine contractions or belly pain. What
preparation have to the nurse provide? - ANS-A. Come to the clinic today for an ultrasound.
A purchaser at 32-weeks gestation involves the prenatal clinic with lawsuits of pedal edema,
dyspnea, fatigue, and a moist cough. Which question is maximum vital for the nurse to invite
the client? - ANS-D. Do you have got a history of rheumatic fever?
A customer at 32-weeks gestation is recognized with preeclampsia. Which assessment
locating is maximum indicative of an coming near near convulsion? - ANS-A. Three + DTRs
and hyperclonus
A patron at 32-weeks gestation is recognized with preeclampsia. Which assessment finding
is maximum indicative of an approaching convulsion? - ANS-C. Epigastric ache
A patron at 32-weeks gestation is hospitalized with severe being pregnant-caused high
blood pressure (PIH), and magnesium sulfate is prescribed to control the signs. Which
evaluation locating would suggest that healing drug level has been finished? - ANS-C. A
lower in RR from 24 to sixteen.
A consumer in lively exertions complains of cramps in her leg. What intervention must the
nurse enforce? - ANS-B. Extend the leg and dorsiflex the foot.
A client in active labor is admitted with preeclampsia. Which is assessment finding is
maximum tremendous in making plans this purchaser's care? - ANS-A. Patellar reflex four+
A customer is admitted w/the prognosis of total placenta previa. Which locating is is most
essential for the nurse to document to the healthcare company right away? - ANS-C. Onset
of uterine contractions
A customer receiving epidural anesthesia begins to experience nausea and grow to be pale
and clammy. What aim should the nurse put in force first? - ANS-A. Raise the foot of the
mattress.
A client who brought an infant an hour in the past tells the nurse that she feels wet under her
buttock. The nurse notes that each perineal pads are completely saturated and the patron is
lying in a 6-inch diameter pool of blood. Which action must the nurse enforce subsequent? -
ANS-C. Palpate the firmness of the fundus
A client who gave beginning to a wholesome 8 pound toddler 3 hours in the past is admitted
to the postpartum unit. Which nursing plan is pleasant in assisting the mom to bond with her
new child toddler? - ANS-D. Meet the mother's bodily needs and exhibit warm temperature
closer to the toddler.
A client who has an autosomal dominant inherited disease is exploring circle of relatives
making plans alternatives and the danger of transmission of the ailment to the infant. The
nurse's response should be based totally on what statistics? - ANS-B. Every being pregnant
consists of a 50% threat of inheriting the disorder.
A customer who's attending antepartum instructions asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what knowledge? -
ANS-B. It is difficult to eat 18 mg of additional iron through eating regimen by myself.
