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OB HESI EXAMS 1 version 1,2,3 LATEST UPDATE DETAILED SOLUTIONS WITH NGN
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OB HESI EXAMS 1 version 1,2,3 LATEST UPDATE DETAILED SOLUTIONS WITH NGN
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OB HESI EXAMS 1 version 1,2,3 LATEST UPDATE DETAILED SOLUTIONSWITH NGN
1. A postpartum patient who has had a vaginal birth asks the nurse, “I was
wondering if my cervix will return to its previous shape before I had the baby?”
Which is the best response by the nurse? Ans. The cervix
will now have a slit-like shape.
2. A patient who is 6 months pregnant has sought medical attention, saying she felldown the stairs. Which
scenario would cause an emergency department nurse to suspect that the woman has been battered?
Ans. The woman has injuries on various parts of her body that are indifferent stages of
healing.
3. The nurse is reviewing the principles of family-centered care with a primiparouspatient. Which patient
statement will the nurse need to correct?
Ans. “Because childbirth is normal, after my baby’s birth our familydynamics will not
change.”
4. The nurse in labor and birth is caring for a Muslim patient during the active phaseof labor. The nurse
notes that the patient quickly draws away when touched. Which intervention should the nurse implement?
Ans. Limit touching to a minimum because physical contact may not beacceptable in her
culture.
5. The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse
explain is responsible for milk production after the birth ofthe placenta?
Ans. Prolactin.
6. A patient tells the nurse at a prenatal interview that she has quit smoking, and only has one glass of
wine with dinner. Which response by the nurse will be mosthelpful in promoting a lifestyle change?
Ans. “You have made some good progress toward having a healthy baby.
Let’s talk about the changes you have made.”
7. A 35-year-old patient has an amniocentesis performed to identify whether herbaby has a
chromosomal defect. Which statement indicates that the patient understands the situation?
Ans. “When all the lab results come back, my husband and I will make adecision about the
pregnancy.”
8. The patient indicates to the clinic nurse that she is trying to become pregnant. The clinic nurse
reviews the patient’s chart and notes the following laboratory values: Blood type O−, RPR nonreactive,
rubella non-immune, HCT 35%. Which laboratory value is most concerning to the nurse?
Ans. Rubella non-immune.
,9. One of the assessments performed in the birth room is checking the umbilicalcord for blood
vessels. Which finding is considered to be within normal limits? Ans. Two arteries and one vein.
10.The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding
dizygotic twin development should the nurse include in theteaching session?
Ans. Dizygotic twins arise from two fertilized ova and may be the same sexor different sexes.
11.The nurse is explaining the function of the placenta to a pregnant patient. Whichstatement indicates to
the nurse that further clarification is necessary?
Ans. “The placenta helps maintain a stable temperature for my baby.”
12.An expectant mother says to the nurse, “When my sister’s baby was born, it was
covered in a cheese-like coating. What is the purpose of this coating?” The correct response by the
nurse is to explain that the purpose of vernix caseosa is toAns. protect the fetal skin from the amniotic
fluid.
13.A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is
the nurse’s best response?
Ans. “Oxygen-rich blood is delivered through the umbilical vein to the
baby.”
14.During vital sign assessment of a pregnant patient in her third trimester, the patient complains of
feeling faint, dizzy, and agitated. Which nursing interventionis most appropriate?
Ans. Have the patient turn to her left side and recheck her blood pressurein 5 minutes.
15.A pregnant woman notices that she is beginning to develop dark skin patches onher face. She denies
using any different type of facial products as a cleansing solution or makeup. What would the priority
nursing intervention be in response
to this situation?
Ans. Let the patient know that this is a common finding that occurs duringpregnancy.
16. While providing education to a primiparous patient regarding the normal changesof pregnancy, what is an
important information for the nurse to share regarding Braxton Hicks contractions?
Ans. These occur throughout pregnancy, but you may not feel them untilthe third trimester.
17. Physiologic anemia often occurs during pregnancy due toAns. Dilution of
hemoglobin concentration.
,18. Which comment made by a patient in her first trimester indicates ambivalentfeelings?
Ans. “I wanted to become pregnant, but I’m scared about being a mother.”
19. An expectant patient in her third trimester reports that she developed a strong tie
to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse
interprets this as the development of which maternaltask of pregnancy?
Ans. Developing attachment with the baby.
20. The patient has just learned that she is pregnant and overhears the gynecologistsaying that she has a
positive Chadwick’s sign. When the patient asks the nurse what this means, how would the nurse respond?
Ans. “This sign occurs normally in pregnancy, when estrogen causesincreased blood
flow in the area of the cervix.”
21. An expected change during pregnancy is a darkly pigmented verticalmidabdominal line.
The nurse recognizes this alteration as
Ans. Linea nigra.
22. Which finding is a positive sign of pregnancy?Ans.
Visualization of fetus by ultrasound.
23. Which advice to the patient is one of the most effective methods for preventingvenous stasis?
Ans. Rest often with the feet elevated.
24.A gravida 1 patient at 32 weeks of gestation reports that she has severe lower
back pain. What should the nurse’s assessment include?
Ans. Observation of posture and body mechanics.
25. When documenting a patient encounter, which term will the nurse use todescribe the woman
who is in the 28th week of her first pregnancy?
Ans. Primigravida.
26. Determine the obstetric history of a patient in her fifth pregnancy who has hadtwo spontaneous
abortions in the first trimester, one infant at 32 weeks’ gestation, and one infant at 38 weeks’ gestation.
Ans. G5 T1 P1 A2 L2.
27. The nurse is scheduling the next appointment for a healthy primigravida currentlyat 28 weeks gestation.
When will the nurse schedule the next prenatal visit?
Ans. 2 weeks.
28. Which type of cutaneous stimulation involves massage of the abdomen?Ans. Effleurage.
, 29. Which patient would require additional calories and nutrients? Ans. A 20-year-old
female who had a vaginal birth 5 months ago and isbreastfeeding.
30. Which effect is a common response to both smoking and cocaine use in thepregnant patient?
Ans. Vasoconstriction.
31. What does a birth plan help the parents accomplish? Ans. Taking an
active part in planning the birth experience.
32. When explaining the recommended weight gain to your patient, the nurse’s
teaching should include which statement?
Ans. “Weight gain in pregnancy is based on the patient’s prepregnant bodymass index.”
33. Uncontrolled maternal hyperventilation during labor results inAns. Respiratory
alkalosis.
34.A pregnant patient asks the nurse if she can double her prenatal vitamin dosebecause she does not
like to eat vegetables. What is the nurse’s response regarding the danger of taking excessive vitamins?
Ans. Has toxic effects on the fetus.
35. Which technique would provide the best pain relief for a pregnant woman with anocciput posterior
position?
Ans. Sacral pressure.
36. Which fetal position may cause the laboring patient increased back discomfort?Ans. Left occiput
posterior.
37. Which physiologic event is the key indicator of the commencement of true labor?Ans. Cervical dilation
and effacement.
38. To improve placental blood flow immediately after the injection of an epiduralanesthetic, the nurse
should
Ans. Place a wedge under the woman’s right hip.
39. The clinic nurse is reviewing charts on prenatal patients. Which patient historiesindicate that a
referral to a genetic counselor is warranted? (Select all that
apply.)
Ans. -A family history of unexplained stillbirths, -A patient with a family history of birth defects,
-A patient who is a carrier of an X-linked disorder.
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