1 | P a g e HESI OB MATERNITY 2024 -2025 ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit? a) Choking, coughing, and cyanosis. b) Projectile vomiting and cyanosis. c) Apneic spells and grunting. d) Scaphoid abdomen and anorexia. - ANSWER - a) Choking, coughing, and cyanosis. During a prenatal visit, the client is concerned about the effects smoking can have on the fetus. Which response by the nurse is most accurate regarding infants of mothers who smoke during pregnancy? a) these infants have lower Apgar scores when born. b) These infants have lower birth weights. 2 | P a g e c) Respiratory distress is seen initially. d) a higher rate of congenital anomalies. - ANSWER - b) These infants have lower birth weights. The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client whose last menstrual period started on December 1. Which date is most accurate? a) August 1. b) August 10. c) September 3. d) September 8 . - ANSWER - d) September 8. Ngele's Rule - ANSWER - from the last known menstrual period add a year subtract 3 months add 7 days A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately? a) Heart rate of 100 beats/minute. b) Variable fetal heart rate. 3 | P a g e c) Onset of uterine contractions. d) Burning on urination. - ANSWER - c) Onset of uterine contractions. Which action should the nurse 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. - ANSWER - a) Have the client empty her bladder. what helps to get an accurate fundal measurement - ANSWER - have the patient empty their bladder A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge? a) Supplementary iron is more efficiently utilized during pregnancy. b) It is difficult to consume 18 mg of additional iron by diet alone. c) Iron absorption is decreased in the GI tract during pregnancy. 4 | P a g e d) Iron is needed to prevent megaloblastic anemia in the last trimester. - ANSWER - b) It is difficult to consume 18 mg of additional iron by diet alone. While assessing a newborn the nurse observes diffuse edema of the soft tissues of the scalp that cross the suture lines. How should the nurse document this finding? a) Molding. b) Hemangioma. c) Cephalohematoma. d) Caput succedaneum. - ANSWER - d) Caput succedaneum. Caput succedaneum - ANSWER - is characterized by swelling of the soft tissues of the scalp that extends across suture lines Molding of the head - ANSWER - results from adjustment of the infant's skull structure, which allows for the passage of the infant's head through the birth canal and is a common occurence in vaginal deliveries Hemangioma - ANSWER - is a collection of blood vessels close to the skin
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