OB HESI Maternity Version 4 Exam Questions and Verified Answers, 100% Guarantee Pass 2024
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1. An infant born at 37 weeks gestation, weighing 4.1 kg (9.04 pounds) is
2 hours old and appears large for gestational age, flushed, and tremulous.
Which procedure should the nurse follow to implement a glucose screening?
(Arrange the examination process from first on top to last on the bottom.)
1. Restrain the newborn's foot with your free hand.
2. Cleanse the puncture site on the lateral aspect of the heel.
3. Collect a spring-loaded automatic puncture device.
,4. Wrap the infant's foot with a heel warmer for 5 minutes Ans>1. Wrap the
infant'sfoot with a heel warmer for 5 minutes.
2. Collect a spring-loaded automatic puncture device.
3. Restrain the newborn's foot with your free hand.
4. Cleanse the puncture site on the lateral aspect of the heel.
2. Which cardiovascular findings should the nurse assess further in a client
who is at 20-weeks gestation?
a. Decrease in pulse rate.
b. Decrease in blood pressure.
c. Increase in heart sounds (S1, S2).
d. Increase in red blood cell production Ans>a. Decrease in pulse rate.
3. Which prescription should the nurse administer to a newborn to reduce
complications related to birth trauma?
a. Silver nitrate.
b. Erythromycin.
c. Ceftriaxone.
d. Vitamin KAns>d. Vitamin K.
,4. The nurse is assessing a full-term newborn's breathing pattern. Which
findings should the nurse assess further? (Select all that apply.) Select all that
apply
a. Shallow with an irregular rhythm.
b. Chest breathing with nasal flaring.
c. Diaphragmatic with chest retraction.
d. Abdominal with synchronous chest movements.
e. Rate of 58 breaths per minute.
f. Grunting is heard with a stethoscope Ans>b. Chest breathing with nasal
flaring.
c. Diaphragmatic with chest retraction.
f. Grunting is heard with a stethoscope.
,5. A newborn infant who is 24 hours old is on a 4-hour feeding schedule of
formula. To meet daily caloric needs, how many ounces are recommended at
each feeding?
a. 2 ounces.
b. 4 ounces.
c. 1.5 ounces.
d. 3.5 ounces Ans>3.5 ounces.
6. A primigravida at 37 weeks gestation tells the nurse that her "bag of water"
has broken. While inspecting the client's perineum, the nurse notes the umbili-
cal cord protruding from the vagina. Which action should the nurse implement
first?
a. Administer 10 L of oxygen via face mask.
b. Give the healthcare provider a status report.
c. Place the client in the knee-chest position.
d. Wrap the cord with gauze soaked in saline Ans>Place the client in the knee-
chestposition.
7. At 10 weeks gestation, a high-risk multiparous client with a family history
of Down syndrome is admitted for observation following a chorionic villi
,sampling (CVS) procedure. Which assessment finding requires immediate
intervention?
a. Uterine cramping.
b. Abdominal tenderness.
c. Systolic blood pressure less than 100 mmHg.
d. Intermittent nausea: Uterine cramping.
8. A client who is stable has family members present when the nurse enters
the birthing suite to assess the mother and newborn. Which action should the
nurse implement at this time?
a. Ask to meet with the client and infant without family members present.
b. Do a brief assessment for only the infant while family members are present.
c. Observe interactions of family members with the newborn and each other.
d. Reschedule the visit so that the mother and infant can be assessed private-
ly Ans>Observe interactions of family members with the newborn and each other.
9. A gravid client develops maternal hypotension following regional anesthe-
sia. Which intervention(s) should the nurse implement? (Select all that apply.)
Select all that apply
, a. Administer oxygen.
b. Increase IV fluids.
c. Perform a vaginal examination.
d. Assist the client to a sitting position.
e. Place the client in a lateral position.
f. Monitor fetal status Ans>Administer
oxygen.Increase IV fluids.
Monitor fetal status.
10. An infant with hyperbilirubinemia is receiving phototherapy. Which inter-
vention should the nurse implement?
a. Maintain NPO status.
b. Monitor temperature.
c. Apply skin lotion as prescribed.
d. Change the T-shirt every 3 hours Ans>Monitor temperature.
11. A client in labor receives an epidural block. Which intervention should the
nurse implement first?
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