OB/MATERNITY HESI ASSIGNMENT EXAM WITH ANSWERS
1. At 10-weeks gestation, a high-risk multiparous client
with a family history of Down syndrome is admitted
for observation following a chorionic villi sampling
(CVS) procedure. What assessment finding requires
immediate intervention?
2. A client...
1. At 10-weeks gestation, a high-risk multiparous client A. Uterine cramp-
with a family history of Down syndrome is admitted ing
for observation following a chorionic villi sampling
(CVS) procedure. What assessment finding requires
immediate intervention?
2. A client states, "During the three months I've been D. The growing
pregnant, it seems like I have had to go to the bath- uterus is putting
room every five minutes." Which explanation should pressure on the
the nurse provide to this client? bladder.
3. The nurse assesses a male newborn and determines C. Assess the in-
that he has the following vital signs: axillary tem- fant's blood glu-
perature 95.1 F, heart rate 136 beats/minute, and a cose level
respiratory rate 48 breaths/minute. Based on these
findings, which action should the nurse take first?
4. An infant in respiratory distress is placed on pulse B. Begin humid-
ox. The O2 sat is 85%. What is the priority nursing ified oxygen via
intervention? hood
5. When assessing a newborn infant's heart rate, which C. Count the heart
technique is most important for the nurse to use? rate for at least
one full minute
6. The nurse prepares to administer an injection of vita- B. Explore the
min K to a newborn infant. The mother tells the nurse, mother's concerns
"Wait! I don't want my baby to have a shot." Which about the infant re-
response would be best for the nurse to make? ceiving an injec-
tion of vitamin K
7. The nurse is teaching a new mother about diet and A. Avoid alcohol
breastfeeding. Which instruction is most important to because it is ex-
include in the teaching plan? creted in breast
milk
8. Which nursing intervention best enhances mater- D. Encourage ear-
nal-infant bonding during the fourth stage of labor? ly initiation of
breast of formula
feeding
, OB/MATERNITY HESI ASSIGNMENT EXAM WITH ANSWERS
9. A client at 8-weeks gestation asks the nurse about D. The heart de-
the risk fora congenital heart defect (CHD) in her velops in the third
baby. Which response best explains when a CHD may to fifth weeks after
occur? conception
10. A client at 8-months gestation tells the nurse that she B. The fetus in
knows her baby listens to her, but her husband thinks utero is capable of
she is imagining things. What information should the hearing and does
nurse provide? respond to the
mother's voice
11. A client at 25-weeks gestation tells the nurse that she B. The fetus can
dropped a cooking utensil last week and her baby respond to sound
jumped in response to the noise. What information by 24-weeks ges-
should the nurse provide? tation
12. A woman whose pregnancy is confirmed asks the C. Secretes both
nurse what the function of the placenta is in early estrogen and
pregnancy. What information supports the explana- progesterone
tion that the nurse should provide?
13. Which cardiovascular findings should the nurse as- A. Decrease in
sess further in a client who is at 20-weeks gestation? pulse rate
14. A 31-year-old woman uses an over-the-counter (OTC) B. Using an an-
pregnancy test that is positive one week after a ticonvulsant for
missed period. At the clinic, the client tells the nurse epilepsy
she takes phenytoin (Dilantin) for epilepsy, has a his-
tory of irregular periods, is under stress at work, and
is not sleeping well. The client's physical examination
and ultrasound do not indicate that she is pregnant.
How should the nurse explain the most likely cause
for obtaining false-positive pregnancy test results?
15. Which gastrointestinal findings should the nurse be A. PICA
concerned about in a client at 28-weeks gestation?
16.16.
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