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For
HESI PN MATERNAL NEW BORN OB EXAM
2023
, HESI PN MATERNAL NEW BORN OB
EXAM
VERSION 1
1. A nurse is caring for a client who is pregnant & is at the end of her first trimester.
The nurse should place the Doppler ultrasound stethoscope in which of the
following locations to begin assessing for the fetal heart tones (FHT)?
Just above the symphysis pubis.
2. A nurse is preparing to administer azithromycin to a client who is at 16 weeks of
gestation & has a positive chlamydia culture. The prescription states “Administer
azithromycin 1 g orally now.” Available is 250 mg tablets. How many tablets
should the nurse administer? (Round to the nearest whole number) 1 x 1000=
1000/250 = 4.
3. A nurse is assessing a client who is postpartum & has idiopathic
thrombocytopenia purpura (ITP). Which of the following findings should the
nurse expect? Decreased platelet count.
4. A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the
following findings should the nurse expect? Jitteriness.
5. A nurse in a women’s health clinic is providing teaching about nutritional intake
to a client who is at 8 weeks of gestation. The nurse should instruct the client to
increase her daily intake of which of the following nutrients? Iron.
6. A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching? “You can share your room
with your baby for the next few weeks.”
7. A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the
, nurse include in the teaching? “You should leave the diaphragm in place for at
least 6 hours after intercourse.”
8. A nurse is reviewing the medical record of a client who is postpartum & has
preeclampsia. Which of the following laboratory results should the nurse report
to the provider? Platelets 50,000/mm3.
9. A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client indicates an
understanding of the teaching? “I will eat foods that taste good instead of
balancing my meals.”
10. A nurse in the antepartum clinic is assessing a client’s adaption to pregnancy.
The client states that she is, “happy one minute & crying the next.” The nurse
should interpret the client’s statement as an indication of which of the
following? Emotional lability.
11. A nurse is caring for a client who is in labor & reports increasing rectal pressure.
She is experiencing contractions 2-3 minutes apart, each lasting 80-90 seconds,
& a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse
should identify that the client is in which of the following phases of labor?
Transition.
12. A nurse is reviewing laboratory results of a newborn who is 4 hours old. Which
of the following findings should the nurse report to the provider? Bilirubin 9
mg/dL.
13. A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. After notifying the provider, which of the following actions
should the nurse take next? Massage the client’s fundus.
14. A nurse in a prenatal clinic is caring for a client who reports that her menstrual
period is 2 weeks late. The client appears anxious & asks the nurse if she is
pregnant. Which of the following responses should the nurse make? “You can
miss your period for several other reasons. Describe your typical menstrual
cycle.”
, 15. A nurse is caring for a newborn who was transferred to the nursey 30 minutes
after birth because of mild respiratory distress. Which of the following actions
should the nurse take first? Verify the newborn’s identification.
16. A nurse is teaching a client who is at 36 weeks of gestation & has a prescription
for a nonstress test. Which of the following statements should the nurse include
in the teaching? “You will be offered orange juice to drink during the test.”
17. A nurse is teaching a postpartum client about steps the nurses will take to
promote the security & safety of the client’s newborn. Which of the following
statements should the nurse make? “Staff members who take care of your baby
will be wearing a photo identification badge.”
18. A nurse is assessing the newborn of a client who took a selective serotonin
reuptake inhibitor (SSRI) during pregnancy. Which of the following
manifestations should the nurse identify as an indication of withdrawal from an
SSRI? Vomiting.
19. A nurse is assessing a newborn following a circumcision. Which of the following
findings should the nurse identify as an indication that the newborn is
experiencing pain? Chin quivering.
20. A nurse is planning care for a client who is in labor & is requesting epidural
anesthesia for pain control. Which of the following actions should the nurse
include in the plan of care? Monitor the client’s blood pressure every 5 minutes
following the first dose of anesthetic solution.
21. A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of
gestation. Based on the chart findings & documentation, the nursing plan of care
should include which of the following actions? Administer terbutaline.
22. A nurse is teaching a client who is Rh negative about RH0(D) immune globulin.
Which of the following statements by the client indicates an understanding of
the teaching? “I will need this medication if I have an amniocentesis.”
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