1. A primigravida at 40 weeks gestation is contracting b. have delivery
q2 minutes and her cervix is 9 cm dilated and 100% table set up
effaced. The FHR is 120 beats/minute. The client is
screaming, and her husband is alarmed. Which inter-
vention should the nurse implement?
a. notify the rapid response team
b. have delivery table set up
c. ask the husband to step out
d. administer a PRN narcotic
2. The nurse is caring for a client whose fetus died in encourage the
utero at 32 weeks gestation. After the fetus is deliv- mother to hold and
ered vaginally, the nurse implements routine demise spend time with
protocol and identification procedures. What action is her baby
most important for the nurse to take?
a. Explain reasons consent for an infant autopsy is
needed
b. create a memory box of a baby's footprints and
photographs
c. determine if the mother desires a visit from the
clergy
d. encourage the mother to hold and spend time with
her baby
3. One week after missing her menstrual period, a HCG
woman performs an OTC pregnancy test and it is
positive. Which hormone is responsible for producing
the positive result
4. The father of a 3-day old infant who is breast feeding Contact the clinic if
calls the postpartum help line to report that his wife the behaviors con-
is acting strangely. She is irritable, cannot cope with tinue for more than
the baby, and frequently cries for no apparent reason. two weeks or be-
What information is most important for the nurse to come worse.
provide this father?
5. Clients who are HIV positive are encouraged to bot- the HIV virus
tle-feed their infants because is transmitted
, 2024 HESI MATERNITY OB EXAM VERSION 7
through breast-
milk.
6. When fetal movements or contractions compress the Maternal reposi-
umbilical cord, variable decelerations can happen tioning can allevi-
ate cord compres-
sions
7. A primigravida at 36 weeks gestation, who is Rh nega- Positive fetal he-
tive, experienced abdominal trauma in a motor vehicle moglobin testing
collision. Which assessment finding is more impor-
tant for the nurse to report to the HCP?
8. Calculated by Naegele's rule, a primigravida client is Fundal height
at 28 weeks gestation. She is moderately obese and measurement may
carrying twins and the nurse measures her fundal indicate intrauter-
height at 27cm. During the previous visit 3 weeks ago, ine growth retarda-
the fundal height measured at 28 cm. Based on these tion
findings, what should the nurse conclude?
9. The nurse is discussing involution with a postpar- While i am breast-
tum client. Which statement best indicates that the feeding, my period
client understands the effect of breastfeeding on the may be delayed
resumption of menstrual cycle?
10. A term multigravida who is receiving oxytocin Instruct the client
(Pitocin) for labor augmentation, is requesting pain to use deep
medication. Review of the client's record indicates breathing during a
that she was medicated 30 minutes ago with butor- contraction
phanol (Stadol) 2 mg and promethazine (Phenergan)
25 mg IV push. Vaginal exam reveals that the clients
cervical dilation is 3 cm, 70% effaced, and at a 0 sta-
tion. What action should the nurse implement?
11. While caring for a laboring client on continuous fetal Change the mater-
monitoring. The nurse notes an FHR pattern that falls nal position
and rises abruptly with a "V" shaped appearance.
What action should the nurse take first?
12.
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