2023 HESI MATERNITY OB
EXAM VERSION 3 LATEST ALL
55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED
A+ (SCORE 1292)
A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANSWER>>>C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta covering
the entire cervical os (opening). The onset of uterine contractions
places the client at risk for dilation and placental separation,
which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion
of oxytocin (Pitocin) to augment early labor. the nurse should
discontinue the oxytocin infusion for which pattern of
contractions?
A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
B. Early labor with contractions every 5 minutes, lasting 40
seconds each
,C. Active labor with contractions every 31 minutes, lasting 60
seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70
to 80 seconds each - ANSWER>>>A. Transition labor with
contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin
infusion should be discontinued because placental perfusion is
impeded
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up
to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage
to prevent further complications
C. molding, caused by pressure during labor and will disappear
withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage -
ANSWER>>>A. a cephalhematoma, caused by forceps trauma
and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn,
usually arises within the first 24 hours after delivery. Trauma from
delivery causes capillary bleeding between the periosteum and
the skull.
The nurse is assessing a 3-day old infant with a
cephalohematoma in the newborn nursery. Which assessment
finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
,B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise - ANSWER>>>A.
Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the
bone and its covering, the periosteum. Due to the breakdown of
the red blood cells within a hematoma, the infant is at a greater
risk for jaundice, so a yellowish tinge to the skin should be
reported.
After each feeding, a 3-day-old newborn is spitting up large
amounts of Enfamil Newborn Formula, a nonfat cow's milk
formula. The pediatric healthcare provider changes the neonate's
formula to Simialc Soy Isomil formula, a soy protein isolate based
infant formula. What information should the nurse provide to the
mother about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies
with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is
needed with diarrhea
C. The new formula is a casein protein source that is low in
phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that
contains sucrose - ANSWER>>>D. Similac Soy Isomil Formula is
a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance
may be related to the lactose found in cow's milk formula and is
being replaced with the soy-based formula that contains sucrose,
which is well-tolerated in infants with milk allergies and lactose
intolerance.
, A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor -
ANSWER>>>B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status
(i.e., Apgar scores at 1 and 5 minutes) and any treatment or
resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role.
Which factor has the greatest influence on successful teaching of
the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned -
ANSWER>>>A. The client's readiness to learn
When teaching any client, readiness to learn is the most important
criterion. For example, the client with severe morning sickness in
the first trimester may not be "ready to learn" about labor and
delivery, but is probably very "ready to learn" about ways to
relieve morning sickness.
A women with Type 2 diabetes mellitus becomes pregnant, and
her oral hypoglycemic agents are discontinued. Which
intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of
her diabetes
EXAM VERSION 3 LATEST ALL
55 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED
A+ (SCORE 1292)
A client is admitted with the diagnosis of total placenta previa.
Which finding is most important for the nurse to report to the
healthcare provider immediately?
A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning on urination - ANSWER>>>C. Onset of uterine
contractions
Total (complete) placenta previa involves the placenta covering
the entire cervical os (opening). The onset of uterine contractions
places the client at risk for dilation and placental separation,
which causes painless hemorrhaging.
A 42-week gestational client is receiving an intravenous infusion
of oxytocin (Pitocin) to augment early labor. the nurse should
discontinue the oxytocin infusion for which pattern of
contractions?
A. Transition labor with contractions every 2 minutes, lasting 90
seconds each
B. Early labor with contractions every 5 minutes, lasting 40
seconds each
,C. Active labor with contractions every 31 minutes, lasting 60
seconds each
D. Active labor with contractions every 3 to 3 minutes, lasting 70
to 80 seconds each - ANSWER>>>A. Transition labor with
contractions every 2 minutes, lasting 90 seconds each
When oxytocin causes uterine hyperstimulation as evidence by
inadequate resting time between contractions, the oxytocin
infusion should be discontinued because placental perfusion is
impeded
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized edema on the right side of his
head. The nurse knows that, in the newborn, an accumulation of
blood between the periosteum and skull which does not cross the
suture line is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up
to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage
to prevent further complications
C. molding, caused by pressure during labor and will disappear
withing 2 to 3 days
D. a subdural hematoma which can result in lifelong damage -
ANSWER>>>A. a cephalhematoma, caused by forceps trauma
and may last up to 8 weeks
Cephalhematoma, a slight abnormal variation of the newborn,
usually arises within the first 24 hours after delivery. Trauma from
delivery causes capillary bleeding between the periosteum and
the skull.
The nurse is assessing a 3-day old infant with a
cephalohematoma in the newborn nursery. Which assessment
finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
,B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise - ANSWER>>>A.
Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the
bone and its covering, the periosteum. Due to the breakdown of
the red blood cells within a hematoma, the infant is at a greater
risk for jaundice, so a yellowish tinge to the skin should be
reported.
After each feeding, a 3-day-old newborn is spitting up large
amounts of Enfamil Newborn Formula, a nonfat cow's milk
formula. The pediatric healthcare provider changes the neonate's
formula to Simialc Soy Isomil formula, a soy protein isolate based
infant formula. What information should the nurse provide to the
mother about the newly prescribed formula?
A. The new formula is a coconut milk formula used with babies
with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is
needed with diarrhea
C. The new formula is a casein protein source that is low in
phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that
contains sucrose - ANSWER>>>D. Similac Soy Isomil Formula is
a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance
may be related to the lactose found in cow's milk formula and is
being replaced with the soy-based formula that contains sucrose,
which is well-tolerated in infants with milk allergies and lactose
intolerance.
, A full term infant is transferred to the nursery from labor and
delivery. Which information is most important for the nurse to
receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor -
ANSWER>>>B. Infant's condition at birth and treatment received
Immediate care is most dependent on the infant's current status
(i.e., Apgar scores at 1 and 5 minutes) and any treatment or
resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role.
Which factor has the greatest influence on successful teaching of
the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned -
ANSWER>>>A. The client's readiness to learn
When teaching any client, readiness to learn is the most important
criterion. For example, the client with severe morning sickness in
the first trimester may not be "ready to learn" about labor and
delivery, but is probably very "ready to learn" about ways to
relieve morning sickness.
A women with Type 2 diabetes mellitus becomes pregnant, and
her oral hypoglycemic agents are discontinued. Which
intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of
her diabetes
