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HESI - OB/PEDS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
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HESI - OB/PEDS EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
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HESI - OB/PEDS EXAM REVIEWQUESTIONS WITH CORRECT ANSWERS
The nurse is discussing travel with a pregnant client. The client is in good health and the
fetus is developing normally. The nurse is correct to provide which recommendation?
A. Stop to walk every hour during car travel
B. Receive MMR vaccine prior to foreign travel
C. Avoid airport security checkpoints
D. Do not travel long distances during pregnancy - Answer-A. Stop to walk every hour
during car travel
It is generally safe for women to travel during low-risk pregnancies. During car travel,
the client should stop every hour and walk to prevent blood clots.
The nurse is educating client who has been diagnosed with pregnancy-induced
hypertension (PIH) and placed on a sodium restriction. Which statement by the client
indicates that the teaching has been effective?
A. "I should avoid eating potato chips."
B. "I should limit sodium intake to correct my hypotension."
C. "Too much sodium can cause central nervous system malformations."
D. "Consuming canned foods will help reduce my sodium levels." - Answer-A. "I should
avoid eating potato chips."
Sodium restriction is often not necessary for pregnant clients, unless they are at an
increase risk of pregnancy-induced hypertension (PIH). Teaching has been effective
when the client states that she should avoid potato chips, which are high in sodium and
low in nutrients.
The nurse is discussing risks associated with urinary changes during pregnancy with a
group of nursing students. Which information should the nurse share with the students?
A. Increased urinary stagnation causes urinary tract infections
B. Increased urinary frequency causes sodium depletion
C. Decreased nocturia causes sodium increases
D. Decreased urine output decreases blood pressure - Answer-A. Increased urinary
stagnation causes urinary tract infections
Clients will experience urinary changes throughout pregnancy. Stagnation of urine due
to anatomical changes due to the enlarging uterus placing pressure on the bladder
increases maternal risk of urinary tract infections.
, The nurse is caring for a pregnant client who also has a school-age child. The client is
concerned about preparing the child to be an older sibling. Which should the nurse
recognize as the most effective strategy for helping the older sibling adapt?
A. Show the child where and how to touch the baby
B. Involve the child in bringing the baby home
C. Encourage the child to interact with the baby
D. Feed the baby separately from the child - Answer-A. Show the child where and how
to touch the baby
The school-age child generally takes a more specific, or clinical interest in the mother's
pregnancy. Showing the child where and how to touch the baby is one way to help the
older child adapt to the new sibling.
The nurse is examining a client who believes she is pregnant. Which presumptive sign
should the nurse recognize as a possible indication of pregnancy?
A. Urinary frequency
B. Breast changes
C. Amenorrhea
D. Quickening - Answer-A. Urinary frequency
Presumptive signs of pregnancy include quickening, amenorrhea, breast changes, and
urinary frequency. The nurse should recognize that urinary frequency can be a sign of
pregnancy because the hCG hormone increases the blood flow to the kidneys during
pregnancy and the pressure of the enlarging uterus on the bladder during the first
trimester.
The nurse has administered Rh immune globulin to a client. The nurse should report
which adverse effect of this medication to the health care immediately?
A. Muscle pain
B. Insomnia
C. Bradycardia
D. Hypertension - Answer-D. Hypertension
Rh immune globulin works to suppress the immune response in a client with Rh
negative blood who may have been exposed to Rh positive blood from a previous Rh
positive fetus. The nurse should assess for hypertension in a client who has been
administered Rh immune globulin, as this is a potentially adverse effect of this
treatment.
Which condition should the nurse recognize as a contraindication to tocolytic therapy?
A. Cardiac disease
B. Tachypnea
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