HESI OB/Maternity
1. Just after delivery, a new mother tells the nurse, "I was d) Provide assistance to
unsuccessful breastfeeding my first child, but I would the mother to begin
like to try with this baby." Which intervention is best breastfeeding as soon as
for the nurse to implement first? possible after delivery.
a) Assess the husband's feelings about his wife's deci- %$^$#!@#@$
#@$#
sion to breastfeed their baby.
b) Ask the client to describe why she was unsuccessful
with breastfeeding her last child.
c) Encourage the client to develop a positive attitude
about breastfeeding to help ensure success.
d) Provide assistance to the mother to begin breast-
feeding as soon as possible after delivery.
2. A mother who is breastfeeding her baby receives in- c) Correctly place the in-
structions from the nurse. Which instruction is most fant on the breast.
effective to prevent nipple soreness?
a) Wear a cotton bra.
b) Increase nursing time gradually.
c) Correctly place the infant on the breast.
d) Manually express a small amount of milk before
nursing.
3. The nurse identifies crepitus when examining the b) Observe for an asym-
chest of a newborn who was delivered vaginally. metrical Moro (startle) re-
Which further assessment should the nurse perform? flex.
a) Elicit a positive scarf sign on the affected side.
b) Observe for an asymmetrical Moro (startle) reflex.
c) Watch for swelling of fingers on the affected side.
d) Note paralysis of affected extremity and muscles.
4. what is the most common cause of nipple soreness incorrect positioning of
the infant on the breast,
, HESI OB/Maternity
e. g., grasping too little
of the areola or grasping
only the nipple
5. A 24-hour-old newborn has a pink papular rash with c) Document%$^$#!@#@$
the finding in
vesicles superimposed on the thorax, back, and ab- the infant's#@$#
record.
domen. What action should the nurse implement?
a) Notify the healthcare provider.
b) Move the newborn to an isolation nursery.
c) Document the finding in the infant's record.
d) Obtain a culture of the vesicles.
6. Erythema toxicum is a newborn rash that is
commonly referred to as
"flea bites," but is a nor-
mal finding that is doc-
umented in the infant's
record, and requires no
further action.
7. Twenty minutes after a continuous epidural anesthet- c) Place the woman in a
ic is administered, a laboring client's blood pressure lateral position.
drops from 120/80 to 90/60. What action will the nurse
take?
a) Notify the healthcare provider or anesthesiologist
immediately.
b) Continue to assess the blood pressure q5 minutes.
c) Place the woman in a lateral position.
d) Turn off the continuous epidural.
8. BP drop in an epidural -immediately turn the
woman to a lateral po-
sition, place a pillow or
, HESI OB/Maternity
wedge under the right hip
to deflect the uterus
-increase the IV fluid
-administer oxygen by
face mask%$^$#!@#@$
#@$#
-if it decreases further or
remains lo then notify the
healthcare provider
9. A client at 30-weeks gestation, complaining of pres- c) Obtain a specimen for
sure over the pubic area, is admitted for observation. urine analysis.
She is contracting irregularly and demonstrates un-
derlying uterine irritability. Vaginal examination re-
veals that her cervix is closed, thick, and high. Based
on these data, which intervention should the nurse
implement first?
a) Provide oral hydration.
b) Have a complete blood count (CBC) drawn.
c) Obtain a specimen for urine analysis.
d) Place the client on strict bedrest.
10. preterm clients with uterine irritability and contrac- often sutter from a UTI so
tions that should be either di-
agnosed or ruled out with
a urine analysis
11. A client with no prenatal care arrives at the labor unit c) Date of last normal
screaming, "The baby is coming!" The nurse performs menstrual period.
a vaginal examination that reveals the cervix is 3 cen-
timeters dilated and 75% effaced. What additional in-
formation is most important for the nurse to obtain?
a) Gravidity and parity.
, HESI OB/Maternity
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions.
12. used to mature lungs in a preterm corticosteroids
%$^$#!@#@$
#@$#
13. The nurse caring for a laboring client encourages her b) An over-distended
to void at least q2h, and records each time the client bladder could be trauma-
empties her bladder. What is the primary reason for tized during labor, as well
implementing this nursing intervention? as prolong the progress of
a) Emptying the bladder during delivery is difficult labor.
because of the position of the presenting fetal part.
b) An over-distended bladder could be traumatized
during labor, as well as prolong the progress of labor.
c) Urine specimens for glucose and protein must be
obtained at certain intervals throughout labor.
d) Frequent voiding minimizes the need for catheter-
ization which increases the chance of bladder infec-
tion.
14. a full bladder during pregnancy -impair the eflciency of
the uterine contractions
and impede the descent
of the fetus
-the bladder can be trau-
matized by the descent of
the fetus
15. The nurse is counseling a couple who has sought in- a) two weeks before men-
formation about conceiving. For teaching purposes, struation
the nurse should know that ovulation usually occurs
a) two weeks before menstruation.
b) immediately after menstruation.
1. Just after delivery, a new mother tells the nurse, "I was d) Provide assistance to
unsuccessful breastfeeding my first child, but I would the mother to begin
like to try with this baby." Which intervention is best breastfeeding as soon as
for the nurse to implement first? possible after delivery.
a) Assess the husband's feelings about his wife's deci- %$^$#!@#@$
#@$#
sion to breastfeed their baby.
b) Ask the client to describe why she was unsuccessful
with breastfeeding her last child.
c) Encourage the client to develop a positive attitude
about breastfeeding to help ensure success.
d) Provide assistance to the mother to begin breast-
feeding as soon as possible after delivery.
2. A mother who is breastfeeding her baby receives in- c) Correctly place the in-
structions from the nurse. Which instruction is most fant on the breast.
effective to prevent nipple soreness?
a) Wear a cotton bra.
b) Increase nursing time gradually.
c) Correctly place the infant on the breast.
d) Manually express a small amount of milk before
nursing.
3. The nurse identifies crepitus when examining the b) Observe for an asym-
chest of a newborn who was delivered vaginally. metrical Moro (startle) re-
Which further assessment should the nurse perform? flex.
a) Elicit a positive scarf sign on the affected side.
b) Observe for an asymmetrical Moro (startle) reflex.
c) Watch for swelling of fingers on the affected side.
d) Note paralysis of affected extremity and muscles.
4. what is the most common cause of nipple soreness incorrect positioning of
the infant on the breast,
, HESI OB/Maternity
e. g., grasping too little
of the areola or grasping
only the nipple
5. A 24-hour-old newborn has a pink papular rash with c) Document%$^$#!@#@$
the finding in
vesicles superimposed on the thorax, back, and ab- the infant's#@$#
record.
domen. What action should the nurse implement?
a) Notify the healthcare provider.
b) Move the newborn to an isolation nursery.
c) Document the finding in the infant's record.
d) Obtain a culture of the vesicles.
6. Erythema toxicum is a newborn rash that is
commonly referred to as
"flea bites," but is a nor-
mal finding that is doc-
umented in the infant's
record, and requires no
further action.
7. Twenty minutes after a continuous epidural anesthet- c) Place the woman in a
ic is administered, a laboring client's blood pressure lateral position.
drops from 120/80 to 90/60. What action will the nurse
take?
a) Notify the healthcare provider or anesthesiologist
immediately.
b) Continue to assess the blood pressure q5 minutes.
c) Place the woman in a lateral position.
d) Turn off the continuous epidural.
8. BP drop in an epidural -immediately turn the
woman to a lateral po-
sition, place a pillow or
, HESI OB/Maternity
wedge under the right hip
to deflect the uterus
-increase the IV fluid
-administer oxygen by
face mask%$^$#!@#@$
#@$#
-if it decreases further or
remains lo then notify the
healthcare provider
9. A client at 30-weeks gestation, complaining of pres- c) Obtain a specimen for
sure over the pubic area, is admitted for observation. urine analysis.
She is contracting irregularly and demonstrates un-
derlying uterine irritability. Vaginal examination re-
veals that her cervix is closed, thick, and high. Based
on these data, which intervention should the nurse
implement first?
a) Provide oral hydration.
b) Have a complete blood count (CBC) drawn.
c) Obtain a specimen for urine analysis.
d) Place the client on strict bedrest.
10. preterm clients with uterine irritability and contrac- often sutter from a UTI so
tions that should be either di-
agnosed or ruled out with
a urine analysis
11. A client with no prenatal care arrives at the labor unit c) Date of last normal
screaming, "The baby is coming!" The nurse performs menstrual period.
a vaginal examination that reveals the cervix is 3 cen-
timeters dilated and 75% effaced. What additional in-
formation is most important for the nurse to obtain?
a) Gravidity and parity.
, HESI OB/Maternity
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions.
12. used to mature lungs in a preterm corticosteroids
%$^$#!@#@$
#@$#
13. The nurse caring for a laboring client encourages her b) An over-distended
to void at least q2h, and records each time the client bladder could be trauma-
empties her bladder. What is the primary reason for tized during labor, as well
implementing this nursing intervention? as prolong the progress of
a) Emptying the bladder during delivery is difficult labor.
because of the position of the presenting fetal part.
b) An over-distended bladder could be traumatized
during labor, as well as prolong the progress of labor.
c) Urine specimens for glucose and protein must be
obtained at certain intervals throughout labor.
d) Frequent voiding minimizes the need for catheter-
ization which increases the chance of bladder infec-
tion.
14. a full bladder during pregnancy -impair the eflciency of
the uterine contractions
and impede the descent
of the fetus
-the bladder can be trau-
matized by the descent of
the fetus
15. The nurse is counseling a couple who has sought in- a) two weeks before men-
formation about conceiving. For teaching purposes, struation
the nurse should know that ovulation usually occurs
a) two weeks before menstruation.
b) immediately after menstruation.
