OB HESI review v1
1. A three - day postpartum patron , who isn't always proof against rubella , is to get hold of
the vaccine at discharge . Which of the subsequent have to the nurse encompass in her
discharge coaching regarding the vaccine ?
1. The girl have to no longer end up pregnant for at least 4 weeks .
2. The girl need to pump and sell off her breast milk for 1 week .
Three. The mom need to wear a surgical masks whilst she cares for the baby .
4. Passive antibodies transported across the placenta will shield the baby . - ANS-1. The girl
ought to no longer turn out to be pregnant for as a minimum 4 weeks .
10. The nurse inside the obstetric sanatorium received a telephone name from a
bottlefeeding mom of a three - day - vintage . The purchaser states that her breasts are firm ,
pink , and heat to touch . Which of the subsequent is the exceptional movement for the
nurse to advocate the customer to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples each 3 hours .
Three. Express milk from the breasts each three hours .
Four. Ask the number one fitness care provider to reserve a milk suppressant . - ANS-1.
Intermittently follow ice packs to her axillae and breasts .
One hundred. Intermittent nice pressure boots had been ordered for a customer who had an
emergency cesarean phase . Which of the subsequent is the purpose for that order ?
1. Postpartum customers are excessive risk for thrombus formation .
2. Post - cesarean clients are high risk for fluid volume deficit .
Three. Postpartum clients are high danger for varicose vein development .
Four. Post - cesarean clients are excessive risk for bad milk ejection reflex . - ANS-1.
Postpartum clients are excessive chance for thrombus formation .
Eleven. A multigravid , postpartum female reports intense belly cramping whenever she
nurses her toddler . Which of the subsequent responses through the nurse is suitable ?
1. Suggest that the lady bottlefeed for a few days .
2. Instruct the patient on the way to rubdown her fundus .
Three. Instruct the patient to feed the usage of an alternate position .
4. Discuss the movement of breastfeeding hormones . - ANS-four. Discuss the movement of
breastfeeding hormones .
12. The nurse is caring for a breastfeeding mother who asks advice on foods to be able to
offer both diet A and iron . Which of the subsequent must the nurse advocate ?
1. Half cup uncooked celery dipped in 1 ounce cream cheese
2.8 ounce yogurt combined with 1 medium banana .
Three. 12 ounce strawberry milk shake .
Four. Eleven/2 cup raw broccoli . - ANS-4. 11/2 cup uncooked broccoli .
13. A breastfeeding mother states that she has sore nipples . In reaction to the grievance ,
the nurse assists with " latch on " and recommends that the mom do which of the following ?
1. Use a nipple defend at every breastfeeding .
2. Cleanse the nipples with soap three times an afternoon .
3. Rotate infant positions at every feed .
,Four. Bottle feed for 2 days then resume breastfeeding . - ANS-three. Rotate toddler
positions at each feed .
14. Which of the following statements is actual approximately breastfeeding moms as
compared to bottlefeeding moms ?
1. Breastfeeding moms normally involute completely by way of 3 weeks postpartum .
2. Breastfeeding moms have reduced prevalence of diabetes mellitus later in existence .
Three. Breastfeeding mothers display better tiers of bone density after menopause .
Four. Breastfeeding mothers are susceptible to fewer bouts of contamination right now
postpartum . - ANS-2. Breastfeeding moms have reduced prevalence of diabetes mellitus
later in existence .
15. A breastfeeding female , eleven/2 months postdelivery , calls the nurse in the
obstetrician's workplace and states , " I am very embarrassed however I want help . Last
night I had an orgasm whilst my husband and I had been making love . You need to have
seen the milk . We have been each soaking wet . What is wrong with me ? " The nurse have
to base the reaction to the client on which of the subsequent ?
1. The woman is displaying signs and symptoms of pathological galactorrhea .
2. The equal hormone stimulates orgasms and the milk ejection reflex .
Three. The woman ought to have a serum galactosemia evaluation executed .
4. The infant is stimulating the lady to supply an excessive amount of milk . - ANS-2. The
same hormone stimulates orgasms and the milk ejection reflex .
16. A purchaser who's three days postpartum asks the nurse , " When may my husband and
I start having sexual relations once more ? " The nurse ought to encourage the couple to
attend until after which of the following has came about ?
1. The patron has had her six - week postpartum take a look at - up .
2. The episiotomy has healed and the lochia has stopped .
Three. The lochia has became to crimson and the vagina is no longer gentle .
4. The client has had her first postpartum menstrual period . - ANS-1. The patron has had
her six - week postpartum test - up .
18. The nurse video display units his or her postpartum customers carefully because which
of the subsequent physiological modifications occurs for the duration of the early postpartum
duration ?
1. Decreased urinary output .
2. Increased blood strain .
3. Decreased blood quantity .
Four. Increased estrogen level . - ANS-three. Decreased blood volume .
19. A female , 24 hours postpartum , is complaining of profuse diaphoresis . She has no
other complaints . Which of the subsequent movements by the nurse is appropriate ?
1. Obtain female's temperature .
2. Advise the girl to lower her fluid consumption .
3. Reassure the woman that that is normal .
4. Inform the neonate's pediatrician . - ANS-three. Reassure the girl that that is everyday .
2. A 3 - day - postpartum patron questions why she is to acquire the rubella vaccine before
leaving the clinic . Which of the following rationales ought to manual the nurse's response ?
1. The customer's obstetric repute is ideal for receiving the vaccine .
2. The consumer's immune device is noticeably responsive at some point of the postpartum
period .
Three. The client's child can be high risk for obtaining rubella if the lady does now not
receive the vaccine . Four. The client's insurance corporation pays for the shot if it's miles
, given throughout the instantaneous postpartum duration . - ANS-1. The patron's obstetric
repute is most appropriate for receiving the vaccine .
20. Which of the subsequent laboratory values might the nurse expect to peer in a everyday
postpartum lady ?
1. Hematocrit 39 % .
2. White blood mobile depend sixteen,000 cells / mm3 .
Three. Red blood cellular depend 5 million cells / mm3 .
Four. Hemoglobin 15 grams / dL . - ANS-2. White blood cell rely sixteen,000 cells / mm3 .
21. Which of the following patron statements suggests a want for added teaching about
selfcare during pregnancy ?
1. " I should use nonskid pads after I take a bath or bathtub . "
2 . " I should keep away from the use of soap on my nipples to save you drying .
" 3. " I must take a seat in a warm bathtub for 20 mins to loosen up after operating .
" four " I must avoid douching although my vaginal secretions boom . " - ANS-three. " I ought
to sit down in a warm tub for 20 minutes to loosen up after running . "
22. The nurse is discussing the importance of doing Kegel physical activities at some stage
in the postpartum period . Which of the subsequent should be blanketed in the teaching plan
?
1. She need to repeatedly agreement and relax her rectal and thigh muscle groups .
2. She need to exercise by stopping the urine go with the flow midstream whenever she
voids .
Three. She ought to get on her fingers and knees each time appearing the physical activities
.
Four. She need to gain knowledge of that toned pubococcygeal muscular tissues decrease
blood loss . - ANS-2. She should exercise by using stopping the urine waft midstream
whenever she voids .
23. The nurse is comparing the involution of a woman who is 3 days postpartum . Which of
the subsequent findings could the nurse compare as ordinary ?
1. Fundus 1 cm above the umbilicus , lochia rosa .
2. Fundus 2 cm above the umbilicus , lochia alba .
3. Fundus 2 cm underneath the umbilicus , lochia rubra .
4. Fundus three cm below the umbilicus , lochia serosa . - ANS-four. Fundus three cm below
the umbilicus , lochia serosa .
24. During a home visit , the nurse assesses a client 2 weeks after shipping . Which of the
subsequent signs and symptoms / symptoms must the nurse expect to look ?
1. Diaphoresis .
2. Lochia alba .
Three. Cracked nipples .
Four. Hypertension . - ANS-2. Lochia alba .
25. The day after transport a woman , whose fundus is company at 1 cm underneath the
umbilicus and who has moderate 26. A breastfeeding purchaser , G10P6408 , delivered 10
mins ago . Which of the subsequent checks is maximum crucial for the nurse to perform at
this time ?
1. Pulse .
2. Fundus .
Three. Bladder .
4. Breast . - ANS-2. Fundus .
1. A three - day postpartum patron , who isn't always proof against rubella , is to get hold of
the vaccine at discharge . Which of the subsequent have to the nurse encompass in her
discharge coaching regarding the vaccine ?
1. The girl have to no longer end up pregnant for at least 4 weeks .
2. The girl need to pump and sell off her breast milk for 1 week .
Three. The mom need to wear a surgical masks whilst she cares for the baby .
4. Passive antibodies transported across the placenta will shield the baby . - ANS-1. The girl
ought to no longer turn out to be pregnant for as a minimum 4 weeks .
10. The nurse inside the obstetric sanatorium received a telephone name from a
bottlefeeding mom of a three - day - vintage . The purchaser states that her breasts are firm ,
pink , and heat to touch . Which of the subsequent is the exceptional movement for the
nurse to advocate the customer to perform ?
1. Intermittently apply ice packs to her axillae and breasts
2. Apply lanolin to her breasts and nipples each 3 hours .
Three. Express milk from the breasts each three hours .
Four. Ask the number one fitness care provider to reserve a milk suppressant . - ANS-1.
Intermittently follow ice packs to her axillae and breasts .
One hundred. Intermittent nice pressure boots had been ordered for a customer who had an
emergency cesarean phase . Which of the subsequent is the purpose for that order ?
1. Postpartum customers are excessive risk for thrombus formation .
2. Post - cesarean clients are high risk for fluid volume deficit .
Three. Postpartum clients are high danger for varicose vein development .
Four. Post - cesarean clients are excessive risk for bad milk ejection reflex . - ANS-1.
Postpartum clients are excessive chance for thrombus formation .
Eleven. A multigravid , postpartum female reports intense belly cramping whenever she
nurses her toddler . Which of the subsequent responses through the nurse is suitable ?
1. Suggest that the lady bottlefeed for a few days .
2. Instruct the patient on the way to rubdown her fundus .
Three. Instruct the patient to feed the usage of an alternate position .
4. Discuss the movement of breastfeeding hormones . - ANS-four. Discuss the movement of
breastfeeding hormones .
12. The nurse is caring for a breastfeeding mother who asks advice on foods to be able to
offer both diet A and iron . Which of the subsequent must the nurse advocate ?
1. Half cup uncooked celery dipped in 1 ounce cream cheese
2.8 ounce yogurt combined with 1 medium banana .
Three. 12 ounce strawberry milk shake .
Four. Eleven/2 cup raw broccoli . - ANS-4. 11/2 cup uncooked broccoli .
13. A breastfeeding mother states that she has sore nipples . In reaction to the grievance ,
the nurse assists with " latch on " and recommends that the mom do which of the following ?
1. Use a nipple defend at every breastfeeding .
2. Cleanse the nipples with soap three times an afternoon .
3. Rotate infant positions at every feed .
,Four. Bottle feed for 2 days then resume breastfeeding . - ANS-three. Rotate toddler
positions at each feed .
14. Which of the following statements is actual approximately breastfeeding moms as
compared to bottlefeeding moms ?
1. Breastfeeding moms normally involute completely by way of 3 weeks postpartum .
2. Breastfeeding moms have reduced prevalence of diabetes mellitus later in existence .
Three. Breastfeeding mothers display better tiers of bone density after menopause .
Four. Breastfeeding mothers are susceptible to fewer bouts of contamination right now
postpartum . - ANS-2. Breastfeeding moms have reduced prevalence of diabetes mellitus
later in existence .
15. A breastfeeding female , eleven/2 months postdelivery , calls the nurse in the
obstetrician's workplace and states , " I am very embarrassed however I want help . Last
night I had an orgasm whilst my husband and I had been making love . You need to have
seen the milk . We have been each soaking wet . What is wrong with me ? " The nurse have
to base the reaction to the client on which of the subsequent ?
1. The woman is displaying signs and symptoms of pathological galactorrhea .
2. The equal hormone stimulates orgasms and the milk ejection reflex .
Three. The woman ought to have a serum galactosemia evaluation executed .
4. The infant is stimulating the lady to supply an excessive amount of milk . - ANS-2. The
same hormone stimulates orgasms and the milk ejection reflex .
16. A purchaser who's three days postpartum asks the nurse , " When may my husband and
I start having sexual relations once more ? " The nurse ought to encourage the couple to
attend until after which of the following has came about ?
1. The patron has had her six - week postpartum take a look at - up .
2. The episiotomy has healed and the lochia has stopped .
Three. The lochia has became to crimson and the vagina is no longer gentle .
4. The client has had her first postpartum menstrual period . - ANS-1. The patron has had
her six - week postpartum test - up .
18. The nurse video display units his or her postpartum customers carefully because which
of the subsequent physiological modifications occurs for the duration of the early postpartum
duration ?
1. Decreased urinary output .
2. Increased blood strain .
3. Decreased blood quantity .
Four. Increased estrogen level . - ANS-three. Decreased blood volume .
19. A female , 24 hours postpartum , is complaining of profuse diaphoresis . She has no
other complaints . Which of the subsequent movements by the nurse is appropriate ?
1. Obtain female's temperature .
2. Advise the girl to lower her fluid consumption .
3. Reassure the woman that that is normal .
4. Inform the neonate's pediatrician . - ANS-three. Reassure the girl that that is everyday .
2. A 3 - day - postpartum patron questions why she is to acquire the rubella vaccine before
leaving the clinic . Which of the following rationales ought to manual the nurse's response ?
1. The customer's obstetric repute is ideal for receiving the vaccine .
2. The consumer's immune device is noticeably responsive at some point of the postpartum
period .
Three. The client's child can be high risk for obtaining rubella if the lady does now not
receive the vaccine . Four. The client's insurance corporation pays for the shot if it's miles
, given throughout the instantaneous postpartum duration . - ANS-1. The patron's obstetric
repute is most appropriate for receiving the vaccine .
20. Which of the subsequent laboratory values might the nurse expect to peer in a everyday
postpartum lady ?
1. Hematocrit 39 % .
2. White blood mobile depend sixteen,000 cells / mm3 .
Three. Red blood cellular depend 5 million cells / mm3 .
Four. Hemoglobin 15 grams / dL . - ANS-2. White blood cell rely sixteen,000 cells / mm3 .
21. Which of the following patron statements suggests a want for added teaching about
selfcare during pregnancy ?
1. " I should use nonskid pads after I take a bath or bathtub . "
2 . " I should keep away from the use of soap on my nipples to save you drying .
" 3. " I must take a seat in a warm bathtub for 20 mins to loosen up after operating .
" four " I must avoid douching although my vaginal secretions boom . " - ANS-three. " I ought
to sit down in a warm tub for 20 minutes to loosen up after running . "
22. The nurse is discussing the importance of doing Kegel physical activities at some stage
in the postpartum period . Which of the subsequent should be blanketed in the teaching plan
?
1. She need to repeatedly agreement and relax her rectal and thigh muscle groups .
2. She need to exercise by stopping the urine go with the flow midstream whenever she
voids .
Three. She ought to get on her fingers and knees each time appearing the physical activities
.
Four. She need to gain knowledge of that toned pubococcygeal muscular tissues decrease
blood loss . - ANS-2. She should exercise by using stopping the urine waft midstream
whenever she voids .
23. The nurse is comparing the involution of a woman who is 3 days postpartum . Which of
the subsequent findings could the nurse compare as ordinary ?
1. Fundus 1 cm above the umbilicus , lochia rosa .
2. Fundus 2 cm above the umbilicus , lochia alba .
3. Fundus 2 cm underneath the umbilicus , lochia rubra .
4. Fundus three cm below the umbilicus , lochia serosa . - ANS-four. Fundus three cm below
the umbilicus , lochia serosa .
24. During a home visit , the nurse assesses a client 2 weeks after shipping . Which of the
subsequent signs and symptoms / symptoms must the nurse expect to look ?
1. Diaphoresis .
2. Lochia alba .
Three. Cracked nipples .
Four. Hypertension . - ANS-2. Lochia alba .
25. The day after transport a woman , whose fundus is company at 1 cm underneath the
umbilicus and who has moderate 26. A breastfeeding purchaser , G10P6408 , delivered 10
mins ago . Which of the subsequent checks is maximum crucial for the nurse to perform at
this time ?
1. Pulse .
2. Fundus .
Three. Bladder .
4. Breast . - ANS-2. Fundus .
