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2024 HESI MATERNITY OB EXAM VERSION 5 WITH CORRECT ANSWERS |100% SCORES GRADES A+
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2024 HESI MATERNITY OB EXAM VERSION 5 WITH CORRECT ANSWERS |100% SCORES GRADES A+ Which nursing intervention is most helpful in relieving postpartum uterine contractions or "afterpains?" a. Lying prone with a pillow on the abdomen b. Using a breast pump c. Massaging the abdomen d. Giving oxy...

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  • November 10, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
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  • 2024 hesi maternity ob exam version 5 with correct

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2024 HESI MATERNITY OB EXAM VERSION 5 WITH
CORRECT ANSWERS |100% SCORES GRADES A+


Which nursing intervention is most helpful in relieving postpartum uterine

contractions or "afterpains?"


a. Lying prone with a pillow on the abdomen


b. Using a breast pump


c. Massaging the abdomen


d. Giving oxytocic medications - ANSWER✔✔-a. Lying prone with a pillow on the

abdomen


Lying prone (A) keeps the fundus contracted and is especially useful with multiparas,

who commonly experience afterpains due to lack of uterine tone.


A multigravida client arrives at the labor and delivery unit and tells the nurse that her

bag of water has broken. The nurse identifies the presence of meconium fluid on the

perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What

action should the nurse implement next?


a. Complete a sterile vaginal exam


b. Take maternal temperature every 2 hours


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,c. Prepare for an immediate cesarean birth


d. Obtain sterile suction equipment - ANSWER✔✔-a. Complete a sterile vaginal exam


A vaginal exam (A) should be performed after the rupture of membranes to determine

the presence of a prolapsed cord.


When explaining "postpartum blues" to a client who is 1 day postpartum, which

symptoms


should the nurse include in the teaching plan? (Select all that apply.)


a. Mood swings


b. Panic attacks


c. Tearfulness


d. Decreased need for sleep


e. Disinterest in the infant - ANSWER✔✔-a. Mood swings


c. Tearfulness


"Postpartum blues" is a common emotional response related to the rapid decrease in


placental hormones after delivery and include mood swings (A), tearfulness (C), feeling


low, emotional, and fatigued


A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted

for observation. She is contracting irregularly and demonstrates underlying uterine
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,irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based

on these data, which intervention should the nurse implement first?


a. Provide oral hydration


b. Have a complete blood count (CBC) drawn


c. Obtain a specimen for urine analysis


d. Place the client on strict bedrest - ANSWER✔✔-c. Obtain a specimen for urine

analysis


Obtaining a urine analysis (C) should be done first because preterm clients with uterine

irritability and contractions are often suffering from a urinary tract infection, and this

should be ruled out first


A client in active labor complains of cramps in her leg. What intervention should the

nurse implement?


a. Ask the client if she takes a daily calcium tablet


b. Extend the leg and dorsiflex the foot


c. Lower the leg off the side of the bed


d. Elevate the leg above the heart - ANSWER✔✔-b. Extend the leg and dorsiflex the foot




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, Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client

is capable) (B) and putting the heel of the foot on the floor is the best means of relieving

leg cramps.


The nurse is caring for a woman with a previously diagnosed heart disease who is in

the second stage of labor. Which assessment findings are of greatest concern?


a. edema, basilar rales, and an irregular pulse


b. Increased urinary output, and tachycardia


c. Shortness of breath, bradycardia, and hypertension


d. Regular heart rate, and hypertension - ANSWER✔✔-a. edema, basilar rales, and an

irregular pulse


Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation and

require immediate intervention.


The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as

a tool to assist her in conceiving a child. Which temperature pattern indicates the

occurrence of ovulation, and there for, the best time for intercourse to ensure

conception?


a. Between the time the temperature falls and rises


b. Between 36 and 48 hours after the temperature rises


c. When the temperature falls and remains low for 36 hours
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