HESI OB/MATERNITY Practice Quiz QUESTIONS WITH CORRECT ANSWERS
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HESI OB/MATERNITY
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HESI OB/MATERNITY
HESI OB/MATERNITY Practice Quiz
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdomi...
hesi obmaternity practice quiz questions with correct answers
hesi obmaternity
a client arrives at the emergency center complaining of a dull pain in the right lower q
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HESI OB/MATERNITY Practice Quiz
At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right
lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes
after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment
findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which
action should the nurse implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions. Correct Answer: C. Increase the rate of IV fluids
During a prenatal visit, the LPN/LVN 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
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies. Correct Answer: D. a higher rate of congenital anomalies.
Which action should the LPN/LVN implement when preparing to measure the fundal
height of a pregnant client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink. Correct Answer: A. Have the client empty her bladder.
The LPN/LVN 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. Correct Answer: B. Observe for an asymmetrical
Moro (startle) reflex.
One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large
and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is
156/96. The healthcare
provider prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take immediately?
A. Give the medication as prescribed and monitor for efficacy.
B. Encourage the client to breastfeed rather than bottle feed.
,C. Have the client empty her bladder and massage the fundus.
D. Call the healthcare provider to question the prescription. Correct Answer: D. Call the healthcare
provider to question the prescription.
The LPN/LVN is preparing to give an enema to a laboring client. Which client requires the most caution
when carrying out this procedure?
A. A gravida 6, para 5 who is 38 years of age and in early labor.
B. A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation, and a -1 station.
C. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor
due to post dates.
D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged.
Correct Answer: D. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is
not engaged.
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea,
fatigue, and a moist cough. Which question is most important for the LPN/LVN to ask this client?
A. Which symptom did you experience first?
B. Are you eating large amounts of salty foods?
C. Have you visited a foreign country recently?
D. Do you have a history of rheumatic fever? Correct Answer: D. Do you have a history of rheumatic
fever?
The LPN/LVN is assessing a client who is having a non-stress test (NST) at 41- weeks gestation. The nurse
determines that the client is not having
contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring.
What action should the nurse take?
A. Check the client for urinary bladder distention.
B. Notify the healthcare provider of the nonreactive results.
C. Have the mother stimulate the fetus to move.
D. Ask the client if she has felt any fetal movement. Correct Answer: D. Ask the client if she has felt any
fetal movement.
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80.
C. Four-hour urine output 240 ml.
D. Respiration 12/minute. Correct Answer: A. Patellar reflex 4+
The LPN/LVN assesses a client admitted to the labor and delivery unit and obtains the following data:
dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute,
cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the
nurse implement?
, A. Insert an internal fetal monitor.
B. Assess for cervical changes q1h.
C. Monitor bleeding from IV sites.
D. Perform Leopold's maneuvers. Correct Answer: C. Monitor bleeding from IV sites.
A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most
indicative of an impending convulsion?
A. 3+ deep tendon reflexes and hyperclonus.
B. Periorbital edema, flashing lights, and aura.
C. Epigastric pain in the third trimester.
D. Recent decreased urinary output. Correct Answer: A. 3+ deep tendon reflexes and hyperclonus.
Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. The
infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and
respirations of 20 breaths/ minute. What action should the LPN/LVN perform next?
A. Initiate positive pressure ventilation.
B. Intervene after the one minute Apgar is assessed.
C. Initiate CPR on the infant.
D. Assess the infant's blood glucose level. Correct Answer: A. Initiate positive pressure ventilation.
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history,
the client indicates that she has delivered premature twins, one full-term baby, and has had no
abortions. Which GTPAL should the LPN/LVN document in this client's record?
A. 3-1-2-0-3.
B. 4-1-2-0-3.
C. 2-1-2-1-2.
D. 3-1-1-0-3. Correct Answer: D. 3-1-1-0-3.
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating
this prescription, it is most important for the LPN/LVN to assess
the client for which condition?
A. Gestational diabetes.
B. Elevated blood pressure.
C. Urinary tract infection.
D. Swelling in lower extremities. Correct Answer: A. Gestational diabetes.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which
assessment finding indicates to the LPN/LVN that the drug
is effective?
A. Slowly increasing urinary output over the last week.
B. Respiratory rate changes from the 40s to the 60s.
C. Changes in apical heart rate from the 180s to the 140s.
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