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2024 HESI MATERNITY OB EXAM VERSION 7 WITH CORRECT ANSWERS |100% SCORES
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2024 HESI MATERNITY OB EXAM VERSION 7 WITH CORRECT ANSWERS |100% SCORES A primigravida at 40 weeks gestation is contracting q2 minutes and her cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The client is screaming, and her husband is alarmed. Which intervention should th...

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  • November 10, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
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  • 2024 hesi maternity ob exam version 7 with correct

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2024 HESI MATERNITY OB EXAM
VERSION 7 WITH CORRECT
ANSWERS |100% SCORES

A primigravida at 40 weeks gestation is contracting q2 minutes and her cervix is 9 cm

dilated and 100% effaced. The FHR is 120 beats/minute. The client is screaming, and

her husband is alarmed. Which intervention 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 - ANSWER✔✔-b. have delivery table set up


The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the

fetus is delivered vaginally, the nurse implements routine demise protocol and

identification procedures. What action is 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

Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED
Page 1/19

,d. encourage the mother to hold and spend time with her baby - ANSWER✔✔-

encourage the mother to hold and spend time with her baby


One week after missing her menstrual period, a woman performs an OTC pregnancy

test and it is positive. Which hormone is responsible for producing the positive result -

ANSWER✔✔-HCG


The father of a 3-day old infant who is breast feeding calls the postpartum help line to

report that his wife is acting strangely. She is irritable, cannot cope with the baby, and

frequently cries for no apparent reason. What information is most important for the

nurse to provide this father? - ANSWER✔✔-Contact the clinic if the behaviors continue

for more than two weeks or become worse.


Clients who are HIV positive are encouraged to bottle-feed their infants because -

ANSWER✔✔-the HIV virus is transmitted through breastmilk.


When fetal movements or contractions compress the umbilical cord, variable

decelerations can happen - ANSWER✔✔-Maternal repositioning can alleviate cord

compressions


A primigravida at 36 weeks gestation, who is Rh negative, experienced abdominal

trauma in a motor vehicle collision. Which assessment finding is more important for the

nurse to report to the HCP? - ANSWER✔✔-Positive fetal hemoglobin testing




Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED
Page 2/19

, Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation. She is

moderately obese and carrying twins and the nurse measures her fundal height at

27cm. During the previous visit 3 weeks ago, the fundal height measured at 28 cm.

Based on these findings, what should the nurse conclude? - ANSWER✔✔-Fundal height

measurement may indicate intrauterine growth retardation


The nurse is discussing involution with a postpartum client. Which statement best

indicates that the client understands the effect of breastfeeding on the resumption of

menstrual cycle? - ANSWER✔✔-While i am breastfeeding, my period may be delayed


A term multigravida who is receiving oxytocin (Pitocin) for labor augmentation, is

requesting pain medication. Review of the client's record indicates that she was

medicated 30 minutes ago with butorphanol (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 station. What action should the nurse implement? -

ANSWER✔✔-Instruct the client to use deep breathing during a contraction


While caring for a laboring client on continuous fetal monitoring. The nurse notes an

FHR pattern that falls and rises abruptly with a "V" shaped appearance. What action

should the nurse take first? - ANSWER✔✔-Change the maternal position


During the admission of a newborn, the nurse identifies a localized swelling that does

not cross the suture line on the posterior area of the parietal bone. What action should

the nurse implement? - ANSWER✔✔-Notify the pediatrician of the cephalhematoma

Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED
Page 3/19

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