HESI Case Study OB Practice Exam Questions
With Correct Answers
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? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-the client's readiness to learn | | | |
a 38-week primigravida who works as a secretary and sits at a computer 8 hours
| | | | | | | | | | | | | | |
each days tells the nurse that her feet have begun to swell. which instruction
| | | | | | | | | | | | | |
would be most effective in preventing pooling of blood in the lower extremities? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-move about every hour
| | | | |
during a prenatal visit, the nurse discusses with a client the effects of smoking on
| | | | | | | | | | | | | | |
the fetus. when compared with nonsmokers, mothers who smoke during
| | | | | | | | | |
pregnancy tend to produce infants who have - CORRECT ANSWER✔✔-lower birth
| | | | | | | | | | |
weights
a 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
| | | | | | | | | | | | | |
gestation in preterm labor. she is given 3 doses of terbutaline sulfate (Brethine)
| | | | | | | | | | | | |
0.25mg subcutaneously to stop her labor contractions. the nurse plans to monitor
| | | | | | | | | | |
|for which primary side effect of terbutaline sulfate? - CORRECT ANSWER✔✔-
| | | | | | | | | |
tachycardia and a feeling of nervousness | | | | |
a mother who is breastfeeding her baby receives instructions from the nurse.
| | | | | | | | | | | |
which instruction is most effective to prevent nipple soreness? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-correctly place the infant on the breast | | | | | |
,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? - CORRECT ANSWER✔✔-infant's condition at birth and
| | | | | | | | | | |
treatment received |
in developing a teaching plan for expectant parents, the nurse plans to include
| | | | | | | | | | | | |
information about when the parents can expect the infant's fontanels to close.
| | | | | | | | | | | |
the nurse bases the explanation on knowledge that for the normal newborn, the -
| | | | | | | | | | | | |
|CORRECT ANSWER✔✔-anterior fontanel closed at 12 to 18 months and the
| | | | | | | | | | |
posterior by the end of the second month | | | | | | |
when assessing a client who is at 12-weeks gestation, the nurse recommends that
| | | | | | | | | | | |
she and her husband consider attending childbirth preparation classes. when is
| | | | | | | | | | | |
the best time for the couple to attend these classes? - CORRECT ANSWER✔✔-at
| | | | | | | | | | | | |
30-weeks gestation |
the nurse should encourage the laboring client to begin pushing when - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-the cervix is completely dilated | | | |
the nurse is counseling a couple who has sought information about conceiving.
| | | | | | | | | | | |
for teaching purposes, the nurse should know that ovulation usually occurs -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-two weeks before menstruation
| | | |
the nurse instructs a laboring client to use accelerated-blow breathing. the client
| | | | | | | | | | | |
begins to complain of tingling fingers and dizziness. what action should the nurse
| | | | | | | | | | | | |
take? - CORRECT ANSWER✔✔-have the client breathe into her cupped hands
| | | | | | | | | |
, when preparing a class on newborn care for expectant parents, what content
| | | | | | | | | | | |
should the nurse teach concerning the newborn infant born at term gestation? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-vernix is a white, cheesy substance, predominantly
| | | | | | | |
located in the skin folds | | | |
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 perisoteum and skull which
| | | | | | | | | | | |
does not cross the suture line is a newborn variation known as - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-a cephalhematoma, caused by forceps trauma and may last up to 8 | | | | | | | | | | | |
weeks
a expectant father tells the nurse he fears that his wife "is losing her mind." he
| | | | | | | | | | | | | | | |
states she is constantly rubbing her abdomen and talking to the baby, and that
| | | | | | | | | | | | | |
she actually reprimands the baby when it moves to much. what recommendation
| | | | | | | | | | | |
should the nurse make to this expectant father? - CORRECT ANSWER✔✔-let him
| | | | | | | | | | | |
know that these behaviors are part of normal maternal/fetal bonding which occur
| | | | | | | | | | |
once the mother feels fetal movement
| | | | | |
a new mother who has just had her first baby says to the nurse, "I saw the baby
| | | | | | | | | | | | | | | | | |
in the recovery room. she sure has a funny-looking head." which response by the
| | | | | | | | | | | | | |
nurse is best? - CORRECT ANSWER✔✔-"that is normal; the head will return to a
| | | | | | | | | | | | | |
round shape within 3 to 4 days."
| | | | | |
a new mother asks the nurse, "how do i know that my daughter is getting enough
| | | | | | | | | | | | | | |
breast milk?" which explanation will the nurse provide? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-"your milk is sufficient if the baby is voiding pale straw-colored | | | | | | | | | | |
urine 6 to 10 times a day."
| | | | | |
With Correct Answers
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? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-the client's readiness to learn | | | |
a 38-week primigravida who works as a secretary and sits at a computer 8 hours
| | | | | | | | | | | | | | |
each days tells the nurse that her feet have begun to swell. which instruction
| | | | | | | | | | | | | |
would be most effective in preventing pooling of blood in the lower extremities? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-move about every hour
| | | | |
during a prenatal visit, the nurse discusses with a client the effects of smoking on
| | | | | | | | | | | | | | |
the fetus. when compared with nonsmokers, mothers who smoke during
| | | | | | | | | |
pregnancy tend to produce infants who have - CORRECT ANSWER✔✔-lower birth
| | | | | | | | | | |
weights
a 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks
| | | | | | | | | | | | | |
gestation in preterm labor. she is given 3 doses of terbutaline sulfate (Brethine)
| | | | | | | | | | | | |
0.25mg subcutaneously to stop her labor contractions. the nurse plans to monitor
| | | | | | | | | | |
|for which primary side effect of terbutaline sulfate? - CORRECT ANSWER✔✔-
| | | | | | | | | |
tachycardia and a feeling of nervousness | | | | |
a mother who is breastfeeding her baby receives instructions from the nurse.
| | | | | | | | | | | |
which instruction is most effective to prevent nipple soreness? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-correctly place the infant on the breast | | | | | |
,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? - CORRECT ANSWER✔✔-infant's condition at birth and
| | | | | | | | | | |
treatment received |
in developing a teaching plan for expectant parents, the nurse plans to include
| | | | | | | | | | | | |
information about when the parents can expect the infant's fontanels to close.
| | | | | | | | | | | |
the nurse bases the explanation on knowledge that for the normal newborn, the -
| | | | | | | | | | | | |
|CORRECT ANSWER✔✔-anterior fontanel closed at 12 to 18 months and the
| | | | | | | | | | |
posterior by the end of the second month | | | | | | |
when assessing a client who is at 12-weeks gestation, the nurse recommends that
| | | | | | | | | | | |
she and her husband consider attending childbirth preparation classes. when is
| | | | | | | | | | | |
the best time for the couple to attend these classes? - CORRECT ANSWER✔✔-at
| | | | | | | | | | | | |
30-weeks gestation |
the nurse should encourage the laboring client to begin pushing when - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-the cervix is completely dilated | | | |
the nurse is counseling a couple who has sought information about conceiving.
| | | | | | | | | | | |
for teaching purposes, the nurse should know that ovulation usually occurs -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-two weeks before menstruation
| | | |
the nurse instructs a laboring client to use accelerated-blow breathing. the client
| | | | | | | | | | | |
begins to complain of tingling fingers and dizziness. what action should the nurse
| | | | | | | | | | | | |
take? - CORRECT ANSWER✔✔-have the client breathe into her cupped hands
| | | | | | | | | |
, when preparing a class on newborn care for expectant parents, what content
| | | | | | | | | | | |
should the nurse teach concerning the newborn infant born at term gestation? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-vernix is a white, cheesy substance, predominantly
| | | | | | | |
located in the skin folds | | | |
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 perisoteum and skull which
| | | | | | | | | | | |
does not cross the suture line is a newborn variation known as - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-a cephalhematoma, caused by forceps trauma and may last up to 8 | | | | | | | | | | | |
weeks
a expectant father tells the nurse he fears that his wife "is losing her mind." he
| | | | | | | | | | | | | | | |
states she is constantly rubbing her abdomen and talking to the baby, and that
| | | | | | | | | | | | | |
she actually reprimands the baby when it moves to much. what recommendation
| | | | | | | | | | | |
should the nurse make to this expectant father? - CORRECT ANSWER✔✔-let him
| | | | | | | | | | | |
know that these behaviors are part of normal maternal/fetal bonding which occur
| | | | | | | | | | |
once the mother feels fetal movement
| | | | | |
a new mother who has just had her first baby says to the nurse, "I saw the baby
| | | | | | | | | | | | | | | | | |
in the recovery room. she sure has a funny-looking head." which response by the
| | | | | | | | | | | | | |
nurse is best? - CORRECT ANSWER✔✔-"that is normal; the head will return to a
| | | | | | | | | | | | | |
round shape within 3 to 4 days."
| | | | | |
a new mother asks the nurse, "how do i know that my daughter is getting enough
| | | | | | | | | | | | | | |
breast milk?" which explanation will the nurse provide? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-"your milk is sufficient if the baby is voiding pale straw-colored | | | | | | | | | | |
urine 6 to 10 times a day."
| | | | | |
