HESI OB/MATERNITY FINAL EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | EXAM ALREADY
GRADED A+ | LATEST EXAM UPDATE
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
a) Assess the husband's feelings about his wife's decision 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 breastfeeding as soon as possible
after delivery.
d) Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery.
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most 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.
c) Correctly place the infant on the breast.
The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform?
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.
b) Observe for an asymmetrical Moro (startle) reflex.
what is the most common cause of nipple soreness
incorrect positioning of the infant on the breast, e. g., grasping too little of the
areola or grasping only the nipple
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on
the thorax, back, and abdomen. 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.
c) Document the finding in the infant's record.
Erythema toxicum
is a newborn rash that is commonly referred to as "flea bites," but is a normal
finding that is documented in the infant's record, and requires no further
action.
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure 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.
c) Place the woman in a lateral position.
BP drop in an epidural
-immediately turn the woman to a lateral position, place a pillow or 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
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals 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.
c) Obtain a specimen for urine analysis.
preterm clients with uterine irritability and contractions
often suffer from a UTI so that should be either diagnosed or ruled out with a
urine analysis
A client with no prenatal care arrives at the labor unit screaming, "The baby
is coming!" The nurse performs a vaginal examination that reveals the cervix
is 3 centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
a) Gravidity and parity.
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions.
c) Date of last normal menstrual period.
used to mature lungs in a preterm
corticosteroids
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason
for implementing this nursing intervention?
a) Emptying the bladder during delivery is difficult 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 catheterization which increases
the chance of bladder infection.
b) An over-distended bladder could be traumatized during labor, as well as
prolong the progress of labor.
a full bladder during pregnancy
-impair the efficiency of the uterine contractions and impede the descent of
the fetus
-the bladder can be traumatized by the descent of the fetus
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs
a) two weeks before menstruation.
b) immediately after menstruation.
c) immediately before menstruation.
d) three weeks before menstruation.
a) two weeks before menstruation
when does typically ovulation occur
14 days before the first day of the menstrual period
what sequence should the nurse implement these nursing actions with a full
term client is demonstrating late decelerations
1. Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. call the healthcare provider
A Silverman-Anderson Index
VERIFIED AND WELL DETAILED ANSWERS | EXAM ALREADY
GRADED A+ | LATEST EXAM UPDATE
Just after delivery, a new mother tells the nurse, "I was unsuccessful
breastfeeding my first child, but I would like to try with this baby." Which
intervention is best for the nurse to implement first?
a) Assess the husband's feelings about his wife's decision 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 breastfeeding as soon as possible
after delivery.
d) Provide assistance to the mother to begin breastfeeding as soon as possible after
delivery.
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most 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.
c) Correctly place the infant on the breast.
The nurse identifies crepitus when examining the chest of a newborn who was
delivered vaginally. Which further assessment should the nurse perform?
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.
b) Observe for an asymmetrical Moro (startle) reflex.
what is the most common cause of nipple soreness
incorrect positioning of the infant on the breast, e. g., grasping too little of the
areola or grasping only the nipple
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on
the thorax, back, and abdomen. 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.
c) Document the finding in the infant's record.
Erythema toxicum
is a newborn rash that is commonly referred to as "flea bites," but is a normal
finding that is documented in the infant's record, and requires no further
action.
Twenty minutes after a continuous epidural anesthetic is administered, a
laboring client's blood pressure 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.
c) Place the woman in a lateral position.
BP drop in an epidural
-immediately turn the woman to a lateral position, place a pillow or 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
A client at 30-weeks gestation, complaining of pressure over the pubic area, is
admitted for observation. She is contracting irregularly and demonstrates
underlying uterine irritability. Vaginal examination reveals 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.
c) Obtain a specimen for urine analysis.
preterm clients with uterine irritability and contractions
often suffer from a UTI so that should be either diagnosed or ruled out with a
urine analysis
A client with no prenatal care arrives at the labor unit screaming, "The baby
is coming!" The nurse performs a vaginal examination that reveals the cervix
is 3 centimeters dilated and 75% effaced. What additional information is most
important for the nurse to obtain?
a) Gravidity and parity.
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contractions.
c) Date of last normal menstrual period.
used to mature lungs in a preterm
corticosteroids
The nurse caring for a laboring client encourages her to void at least q2h, and
records each time the client empties her bladder. What is the primary reason
for implementing this nursing intervention?
a) Emptying the bladder during delivery is difficult 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 catheterization which increases
the chance of bladder infection.
b) An over-distended bladder could be traumatized during labor, as well as
prolong the progress of labor.
a full bladder during pregnancy
-impair the efficiency of the uterine contractions and impede the descent of
the fetus
-the bladder can be traumatized by the descent of the fetus
The nurse is counseling a couple who has sought information about
conceiving. For teaching purposes, the nurse should know that ovulation
usually occurs
a) two weeks before menstruation.
b) immediately after menstruation.
c) immediately before menstruation.
d) three weeks before menstruation.
a) two weeks before menstruation
when does typically ovulation occur
14 days before the first day of the menstrual period
what sequence should the nurse implement these nursing actions with a full
term client is demonstrating late decelerations
1. Reposition the client
2. Increase IV fluid
3. Provide oxygen via face mask
4. call the healthcare provider
A Silverman-Anderson Index
