1 | P a g e HESI MATERNITY OB EXAM 2023 ACTUAL EXAM COMPLETE 55 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ A 38 -week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood i n the lower extremities? A. Wear support stockings B. Reduce salt in her diet C. Move about every hour D. Avoid constrictive clothing - ....ANSWER...C. Move about every hour RATIONALE: Pooling of blood in the lower extremities results from the enlarged ut erus exerting pressure on the 2 | P a g e pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. A 4-week -old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which assessment finding indicates to the nurse 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 D. Change in indirect bilirubin from 12 mg/dl to 8 mg/dl - ....ANSWER...C. Changes in apical heart rate from the 180s to the 140s RATIONALE: Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase in RBCs. Since the body has not had to compensate for anemia with an increased heart rate, changes in heart rate from high to normal is one indicator that Epogen is effective During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared with 3 | P a g e nonsmokers, mo thers 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 - ....ANSWER...B. lower birth weights lower birth weights RATIONALE: Smoking is associated with low -birth -
weight infants (B). Mothers are encouraged not to smoke during pregnancy. To date, significant relationships have NOT been found between smoking and lower Apgar scores, respiratory distress, a higher rate of congenital anomalies. A mother who is breast feeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness? A. Wear a cotton bra B. Increase nursing time gradually C. Correctly place the infant on the breast D. Manually express a small amount of milk before nursing - ....ANSWER...C. Correctly place the infant on the breast 4 | P a g e RATIONALE: The most common cause of nipple soreness is incorrect positioning In developing a teaching plan for expectant parents, the nurse plans to i nclude 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 A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week B. anterior fontanel closes at 5 to 7 months and the posterior by the end of the second week C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month - ....ANSWER...D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month RATIONALE: This should be memorized for NCLEX When assessing a client who is at 12 -weeks gestation, the nurse recomm ends that she and her husband consider
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