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HESI OB MATERNITY FINAL EXIT EXAM ALL 55 QUESTIONS & ANSWERS (SCREENSHOTS INCLUDED)
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HESI OB MATERNITY FINAL EXIT EXAM ALL 55 QUESTIONS & ANSWERS (SCREENSHOTS INCLUDED)
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lOMoARcPSD|34983377HESI OB MATERNITY FINAL 2023/2024 EXIT EXAM ALL 55 QUESTIONS &
ANSWERS (SCREENSHOTS INCLUDED ALREADY GRADED A)
1. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse
observes several shallow small vesicles on her pubis labia and perineum.
the nurse should recognize the clients is prohibiting symptoms of which condition?
1. German measles
2. herpes simplex virus
3. syphilis
4. genital warts
4. A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is
currently using the same diaphragm that she used before becoming pregnant. Which information should the
nurse provide this client?
Use alternative form of birth control until new diaphragm can be obtained.
7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hour labor. What is the priority
nursing action for this client?
Massage the fundus Q 4 hours
, lOMoARcPSD|34983377
9. At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the client tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action
should the nurse take first? Inform the anesthesia care provider
10. The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours
following delivery of a normal newborn. Prior to the anesthesiologist arrival on the unit, which action should
the nurse perform?
- Place procedure equipment at bedside
11. The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head
circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment
for which condition has the highest priority?
Hypoglycemia
13. the nurse is caring for a 35 week gestation infant delivered by cesarean section 2 hours ago. the nurse observes
the infants respiratory rate is 72 breaths minute with nasal flaring, grunting, and retractions. the nurse should
recognize these finding indicate which complication?
- B – transient tachypnea of the newborn
14. A primipara client at 42 weeks gestation is admitted for induction. within one hour after initiating an
oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occuring every 1 minute with a
75 second duration. when nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine rest, the
contractions are occuring every 5 minutes with 20 second duration. which intervention should the nurse
implement?
Restart the oxytocin per oxytocin protocol
, lOMoARcPSD|34983377
15. A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. the
nurse applies the external fetal heart monitor and determines she is not in labor. What makes the nurse realize
she is not in labor?
Contractions stop when the client is walking
16. A primigravida client with gestational hypertension and bishop score of 3 is scheduled for induction of
labor. the nurse administers misoprostol at 0700 then observes regular contractions with cervical changes at
0900 which action should the nurse take?
- Administer oxytocin 4 hours later
17. A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to help promote an effective
contraction pattern. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. The nurse should
program the infusion pump to deliver how many ml/hr?
12
18. 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?
Encourage the mother to hold and spend time with her baby
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