2023 OB Maternity HESI EXIT VERSION 1, 2 AND 3 TEST BANK: NEXTGEN FORMAT - ALL BRAND NEW
QUESTIONS & 100% CORRECT – GUARANTEED A+
A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is
currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm is obtained. - (ANSWER)D. Use an
alternate form of contraceptive until a new diaphragm is obtained.
The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman who is HIV
positive. How much do you administer? (?) - (ANSWER)10
The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In
conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - (ANSWER)D. Evaluate infant feeding
technique prior to discharge.
A 30-year-old primigravida delivers a 9-pound (4082 gram) infant vaginally after a 30-hour labor. What
is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - (ANSWER)A. Gently massage the fundus every 4
hours.
,A multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of
membranes. Which action should the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. - (ANSWER)D. Prepare for a cesarean section.
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - (ANSWER)D. Hypoglycemia
While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture
spontaneously and the nurse notices that the amniotic fluid is meconium stained. Which additional
finding is most important for the nurse to report to the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. - (ANSWER)A. Maternal blood pressure of 130/85 mmHg.
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse
observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting, and
retractions. The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - (ANSWER)B. Transient tachypnea of the newborn.
,A primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an
oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of
uterine rest, the contractions are occurring every 5 minutes with 20 second duration. What
intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - (ANSWER)D. Restart oxytocin infusion rate per
protocol.
At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse
that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action
would the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - (ANSWER)B. Inform the anesthesia care provider.
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours
following delivery of a normal newborn. Prior to the anesthesiologists arrival on the unit, which action
should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - (ANSWER)B. Place procedure equipment at bedside.
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor.
The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140
beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment
finding confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
, C. Cervical dilations is 1cm.
D. Membranes are intact. - (ANSWER)A. Contractions decrease with walking.
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an effective
contraction pattern. The available solution is Lactacted Ringer's 1,000 mL with oxytocin 20 units. The
nurse should program the infusion pump to deliver how many mL/hr? - (ANSWER)12
A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for induction
of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical
changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - (ANSWER)D. Begin oxytocin 4hrs after misoprostol
is given.
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine fetal demise protocol and identification procedures.
Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs. - (ANSWER)B. Encourage the mother to
hold and spend time with her baby.
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency
center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is
80/50 mmHg and heart rate is 130 bpm. Which action should the nurse implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. - (ANSWER)B. Tilt the backboard sideways to
displace the uterus laterally.
QUESTIONS & 100% CORRECT – GUARANTEED A+
A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is
currently using the same diaphragm that she used before becoming pregnant. Which information
should the nurse provide this client?
A. After ceasing breastfeeding, the diaphragm should be resized.
B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated.
C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
D. Use an alternate form of contraceptive until a new diaphragm is obtained. - (ANSWER)D. Use an
alternate form of contraceptive until a new diaphragm is obtained.
The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman who is HIV
positive. How much do you administer? (?) - (ANSWER)10
The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In
conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. - (ANSWER)D. Evaluate infant feeding
technique prior to discharge.
A 30-year-old primigravida delivers a 9-pound (4082 gram) infant vaginally after a 30-hour labor. What
is the priority nursing action for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
D. Assess the blood pressure for hypertension. - (ANSWER)A. Gently massage the fundus every 4
hours.
,A multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of
membranes. Which action should the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. - (ANSWER)D. Prepare for a cesarean section.
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings,
assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia - (ANSWER)D. Hypoglycemia
While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture
spontaneously and the nurse notices that the amniotic fluid is meconium stained. Which additional
finding is most important for the nurse to report to the healthcare provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. - (ANSWER)A. Maternal blood pressure of 130/85 mmHg.
The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse
observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting, and
retractions. The nurse should recognize these findings indicate which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. - (ANSWER)B. Transient tachypnea of the newborn.
,A primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an
oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of
uterine rest, the contractions are occurring every 5 minutes with 20 second duration. What
intervention should the nurse implement?
A. Notify nursery about the client's response.
B. Check for clonus in both feet.
C. Stop oxygen per cannula.
D. Restart oxytocin infusion rate per protocol. - (ANSWER)D. Restart oxytocin infusion rate per
protocol.
At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse
that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action
would the nurse take first?
A. Ensure preoperative lab results are available.
B. Inform the anesthesia care provider.
C. Start prescribed IV with Lactated Ringer's.
D. Contact the client's obstetrician. - (ANSWER)B. Inform the anesthesia care provider.
The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours
following delivery of a normal newborn. Prior to the anesthesiologists arrival on the unit, which action
should the nurse perform?
A. Cleanse the spinal injection site.
B. Place procedure equipment at bedside.
C. Apply an abdominal binder.
D. Insert an indwelling Foley catheter. - (ANSWER)B. Place procedure equipment at bedside.
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor.
The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140
beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment
finding confirms to the nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
, C. Cervical dilations is 1cm.
D. Membranes are intact. - (ANSWER)A. Contractions decrease with walking.
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an effective
contraction pattern. The available solution is Lactacted Ringer's 1,000 mL with oxytocin 20 units. The
nurse should program the infusion pump to deliver how many mL/hr? - (ANSWER)12
A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for induction
of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical
changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. - (ANSWER)D. Begin oxytocin 4hrs after misoprostol
is given.
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is
delivered vaginally, the nurse implements routine fetal demise protocol and identification procedures.
Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs. - (ANSWER)B. Encourage the mother to
hold and spend time with her baby.
Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency
center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is
80/50 mmHg and heart rate is 130 bpm. Which action should the nurse implement first?
A. Palpate the abdomen for contractions.
B. Tilt the backboard sideways to displace the uterus laterally.
C. Obtain a blood sample for complete blood count.
D. Infuse 1,000 mL normal saline using a large bare IV. - (ANSWER)B. Tilt the backboard sideways to
displace the uterus laterally.
