HESI OB MATERNITY 2024 TEST BANK EXIT EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
HESI OB MATERNITY A newborn infant is brought to the
nursery from the birthing suite. The
2024 TEST BANK EXIT nurse notices that the infant is breathing
EXAM REAL EXAM satisfactorily but appears dusky. What
action should the nurse take first?
QUESTIONS AND A. Notify the pediatrician immediately
B. Suction the infant's nares, then the
CORRECT oral cavity
ANSWERS|AGRADE(CO C. Check the infant's oxygen saturation
rate
MPLTE WITH D. Position the infant on the right side - -
SOLUTIONS) -----CORRECT ANSWER -----C. Check
the infant's oxygen saturation rate
When possible, the nurse should first
obtain measurable objective data; an
oxygen saturation rate provides such
information.
Twenty minutes after a continuous FYI. The pediatrician should be notified
epidural anesthetic is administered, a if the oxygen saturation rate is below
laboring client's blood pressure drops 90%
from 120/80 to 90/60. What action will
the nurse take? The nurse is teaching breastfeeding to
A. Notify the healthcare provider or prospective parents in a childbirth
anesthesiologist immediately education class. Which instruction
B. Continue to assess the blood should the nurse include as content in
pressure q5 minutes the class?
C. Place the woman in a lateral position A. Begin as soon as your baby is born to
D. Turn off the continuous epidural - ----- establish a four-hour feeding schedule
-CORRECT ANSWER -----C. Place the B. Resting helps with milk production.
woman in a lateral position Ask that your baby be fed at night in the
nursery
These symptoms are suggestive of C. Feed your baby every 2 to 3 hours or
hypotension which is a side effect of on demand, whichever comes first
epidural anesthesia. Raising the foot of D. Do not allow your baby to nurse any
the bed will increase venous return and longer than the prescribed number of
provide blood to the vital areas. minutes - ------CORRECT ANSWER -----
Increasing the IV fluid rate using a C. Feed your baby every 2 to 3 hours or
balanced non-dextrose solution and on demand, whichever comes first
ensuring that the client is in a lateral
position are also appropriate Breastfeeding infants should be kept in
interventions, and then checking the the room with the mother and fed every
patients blood pressure. 2 to 3 hours or on demand--whichever
comes first.
,HESI OB MATERNITY 2024 TEST BANK EXIT EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
A client is admitted with the diagnosis of develops localized edema on the right
total placenta previa. Which finding is side of his head. The nurse knows that,
most important for the nurse to report to in the newborn, an accumulation of
the healthcare provider immediately? blood between the periosteum and skull
A. Heart rate of 100 beats/minute which does not cross the suture line is a
B. Variable fetal heart rate newborn variation known as
C. Onset of uterine contractions A. a cephalhematoma, caused by
D. Burning on urination - ------ forceps trauma and may last up to 8
CORRECT ANSWER -----C. Onset of weeks
uterine contractions B. a subarachnoid hematoma, which
requires immediate drainage to prevent
Total (complete) placenta previa further complications
involves the placenta covering the entire C. molding, caused by pressure during
cervical os (opening). The onset of labor and will disappear withing 2 to 3
uterine contractions places the client at days
risk for dilation and placental separation, D. a subdural hematoma which can
which causes painless hemorrhaging. result in lifelong damage - ------
CORRECT ANSWER -----A. a
A 42-week gestational client is receiving cephalhematoma, caused by forceps
an intravenous infusion of oxytocin trauma and may last up to 8 weeks
(Pitocin) to augment early labor. the
nurse should discontinue the oxytocin Cephalhematoma, a slight abnormal
infusion for which pattern of variation of the newborn, usually arises
contractions? within the first 24 hours after delivery.
A. Transition labor with contractions Trauma from delivery causes capillary
every 2 minutes, lasting 90 seconds bleeding between the periosteum and
each the skull.
B. Early labor with contractions every 5
minutes, lasting 40 seconds each The nurse is assessing a 3-day old
C. Active labor with contractions every infant with a cephalohematoma in the
31 minutes, lasting 60 seconds each newborn nursery. Which assessment
D. Active labor with contractions every 3 finding should the nurse report to the
to 3 minutes, lasting 70 to 80 seconds healthcare provider?
each - ------CORRECT ANSWER -----A. A. Yellowish tinge to the skin
Transition labor with contractions every B. Babinski reflex present bilaterally
2 minutes, lasting 90 seconds each C. Pink papular rash on the face
D. Moro reflex noted after a loud noise -
When oxytocin causes uterine ------CORRECT ANSWER -----A.
hyperstimulation as evidence by Yellowish tinge to the skin
inadequate resting time between
contractions, the oxytocin infusion
should be discontinued because Cephalohematomas are characterized
placental perfusion is impeded by bleeding between the bone and its
covering, the periosteum. Due to the
Twenty-four hours after admission to the breakdown of the red blood cells within
newborn nursery, a full-term male infant a hematoma, the infant is at a greater
,HESI OB MATERNITY 2024 TEST BANK EXIT EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
risk for jaundice, so a yellowish tinge to C. Feeding method chosen by the
the skin should be reported. parents
D. History of drugs given to the mother
After each feeding, a 3-day-old newborn during labor - ------CORRECT ANSWER
is spitting up large amounts of Enfamil -----B. Infant's condition at birth and
Newborn Formula, a nonfat cow's milk treatment received
formula. The pediatric healthcare
provider changes the neonate's formula
to Simialc Soy Isomil formula, a soy Immediate care is most dependent on
protein isolate based infant formula. the infant's current status (i.e., Apgar
What information should the nurse scores at 1 and 5 minutes) and any
provide to the mother about the newly treatment or resuscitation that was
prescribed formula? indicated.
A. The new formula is a coconut milk
formula used with babies with impaired Client teaching is an important part of
fat absorption the maternity nurse's role. Which factor
B. enfamil Formula is a demineralized has the greatest influence on successful
whey formula that is needed with teaching of the gravid client?
diarrhea A. The client's readiness to learn
C. The new formula is a casein protein B. The client's educational background
source that is low in phenylalanine C. The order in which the information is
D. Similac Soy Isomil Formula is a soy- presented
based formula that contains sucrose - --- D. The extent to which the pregnancy
---CORRECT ANSWER -----D. Similac was planned - ------CORRECT
Soy Isomil Formula is a soy-based ANSWER -----A. The client's readiness
formula that contains sucrose to learn
The nurse should explain that the When teaching any client, readiness to
newborn's feeding intolerance may be learn is the most important criterion. For
related to the lactose found in cow's milk example, the client with severe morning
formula and is being replaced with the sickness in the first trimester may not be
soy-based formula that contains "ready to learn" about labor and
sucrose, which is well-tolerated in delivery, but is probably very "ready to
infants with milk allergies and lactose learn" about ways to relieve morning
intolerance. sickness.
A full term infant is transferred to the A women with Type 2 diabetes mellitus
nursery from labor and delivery. Which becomes pregnant, and her oral
information is most important for the hypoglycemic agents are discontinued.
nurse to receive when planning Which intervention is most important for
immediate care for the newborn? the nurse to implement?
A. Length of labor and method of A. Describe diet changes that can
delivery improve the management of her
B. Infant's condition at birth and diabetes
treatment received
, HESI OB MATERNITY 2024 TEST BANK EXIT EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS|AGRADE(COMPLTE WITH SOLUTIONS)
B. Inform the client that oral B. An over-distended bladder could be
hypoglycemic agents are teratogenic traumatized during labor, as well as
during pregnancy prolong the progress of labor
C. Demonstrate self-administration of C. Urine specimens for glucose and
insulin protein must be obtained at certain
D. Evaluate the client's ability to do intervals throughout labor
glucose monitoring - ------CORRECT D. Frequent voiding minimizes the need
ANSWER -----A. Describe diet changes for catheterization which increases the
that can improve the management of her chance of bladder infection - ------
diabetes CORRECT ANSWER -----B. An over-
distended bladder could be traumatized
during labor, as well as prolong the
Diet modifications are effective in progress of labor
managing Type 2 diabetes during
pregnancy, and describing the
necessary diet changes is the most A full bladder can impair the efficiency of
important intervention for the nurse to the uterine contractions and impede
implement with this client. descent of the fetus during labor. Also,
because of the close proximity of the
A healthcare provider informs the bladder to the uterus, the bladder can be
charge nurse of a labor and delivery unit traumatized by the descent of the fetus.
that a client is coming to the unit with
suspected abruptio placentae. What The nurse identifies crepitus when
findings should the charge nurse expect examining the chest of a newborn who
the client to demonstrate? (Select all was delivered vaginally. Which further
that apply) assessment should the nurse perform?
A. Dark, red vaginal bleeding A. Elicit a positive scarf sign on the
B. Lower back pain affected side
C. Premature rupture of membranes B. Observe for an asymmetrical Moro
D. Increased uterine irritability (startle) reflex
E. Bilateral pitting edema C. Watch for swelling of fingers on the
F. A rigid abdomen - ------CORRECT affected side
ANSWER -----A. Dark, red vaginal D. Note paralysis of affected extremity
bleeding and muscles - ------CORRECT
D. Increased uterine irritability ANSWER -----B. Observe for an
F. A rigid abdomen asymmetrical Moro (startle) reflex
The nurse caring for a laboring client
encourages her to void at least q2h, and The most common neonatal birth trauma
records each time the client empties her due to a vaginal delivery is fracture of
bladder. What is the primary reason for the clavicle. Although an infant may be
implementing this nursing intervention? asymptomatic, a fractured clavicle
A. Emptying the bladder during delivery should be suspected if an infant has
is difficult because of the position of the limited use of the affected arm,
presenting fetal part malposition of the arm, an asymmetric
Moro reflex, crepitus over the clavicle,
