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HESI Maternity OB Exam Questions and Answers 2024.
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HESI Maternity OB Exam Questions and Answers 2024.
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1 1 lOMoAR cPSD|16485520 HESI Maternity OB Exam Questions and Answers 2024 1. The nurse is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the nurse take? ● Encourage voiding 2. Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and perineum? ● Pudendal block 3. When performing the daily head -to-toe assessment of a 1-day-old newborn, the nurse observes a yellow tint to the skin on the forehead, sternum and abdomen. Which action should the nurse take? ● Measure bilirubin levels using transcutaneous bilirubinometry 4. A woman at 36-weeks’ gestation who is Rh negative is admitted to labor and delivery reporting abdominal cra. She is placed on a strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor. Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding. Which nursing intervention has the highest priority? ● Assess the fetal heart rate & client's contraction pattern 5. Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement? ● Swaddle the infant in a warm blanket 2 2 6. A multiparous client is involuntarily pushing while being wheeled into the labor triage area. The nurse observes the fetal head presenting at the perineum. Which action should the nurse take? ● Apply suprapubic pressure 7. After two miscarriages, a client is Instructed to increase her daily intake of foods that includes folic acid. The client does not like green leafy vegetables and states she is allergic to soy. Which food should the nurse suggest that the client eat to obtain folic acid ● Strawberries 8. While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notes that the amniotic fluid is meconium stained. Which additional finding is most important for the nurse to report to the healthcare provider? ● Fetal heart rate of 100 to 110 beats/minute 9. A client at 35 weeks gestation complains of a "pain whenever the baby moves." On assessment, the nurse notes the client's temperature to be 101.20 F (38.4° C), with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of which condition? ● Chorioamnionitis 10. The nurse is caring for a client who is 10-weeks’ gestation and palpates the funds at 2 fingerbreadths above the pubic symphysis. The client reports nausea, vomiting, and scant dark brown vaginal discharge. Which action should the nurse take? ● Obtain HCG levels 11. A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the assistance of a nurse midwife. Two days later, the client calls the clinic to ask if itThe benefits of buying summaries with Stuvia:
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