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HESI Practice Test OB
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HESI Practice Test OBClient teaching is an important part of the maternity nurse's role. Which factor has
the greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy is planned - ANSWER A. The client's
readiness to learn
A 38-week primagravida who works as a secretary and sits at a computer 8 hours
each day tells the nurse that her feet have begun to swell. Which instruction would
be most effective in preventing pooling of blood in the lower extremities?
A. Wear support stockings
B. Reduce salt in her diet
C. Move about every hour
D. Avoid constrictive clothing - ANSWER C. Move about every hour
During a prenatal visit, the nurse discusses with a client the effects of smoking on
the fetus. When compared with nonsmokers, mothers who smoke during pregnancy
tend to produce infants who have
A. lower Apgar scores
B. lower birth weights
C. respiratory distress
D. a higher rate of congenital anomalies - ANSWER B. lower birth weights
A 26-year old, gravida 2, para 1 client is admitted to the hospital at 28 weeks
gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine)
0.25mg SQ to stop her labor contractions. The nurse plans to monitor for which
primary side effect of terbutaline sulfate?
A. drowsiness and bradycardia
B. depressed reflexes and increased respirations
C. tachycardia and a feeling of nervousness
D. a flushed, warm feeling and a dry mouth - ANSWER C. tachycardia and a
feeling of nervousness
A mother who is breastfeeding her baby receives instructions from the nurse. Which
instruction is most effective to prevent nipple soreness?
A. wear a cotton bra
B. increase nursing time gradually
C. correctly place the infant on the breast
D. manually express a small amount of milk before nursing - ANSWER C. correctly
place the infant on the breast
,A full term infant is transferred to the nursery from labor and delivery. Which
information is most important for the nurse to receive when planning immediate care
for the newborn?
A. length of labor and method of delivery
B. infant's condition at birth and treatment received
C. feeding method chosen by the parents
D. history of drugs given to the mother during labor - ANSWER B. infant's condition
at birth and treatment received
In developing a teaching plan for expectant parents, the nurse plans to including
information about when the parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the normal newborn, the
A. anterior fontanel closes at 2-4 months and the posterior by the end of the first
week
B. anterior fontanel closes at 5-7 months and the posterior by the end of the second
week
C. anterior fontanel closes at 8-11 months and the posterior by the end of the first
month
D. anterior fontanel closes at 12-18 months and the posterior by the end of the
second month. - ANSWER D. anterior fontanel closes at 12-18 months and the
posterior by the end of the second month.
When assessing a client who is at 12-weeks gestation, the nurse recommends that
she and her husband consider attending childbirth preparation classes. When is the
best time for the couple to attend these classes?
A. at 16 weeks gestation
B. at 20 weeks gestation
C. at 24 weeks gestation
D. at 30 weeks gestation - ANSWER D. at 30 weeks gestation
The nurse should encourage the laboring client to begin pushing when
A. there is only an anterior or posterior lip of cervix left.
B. the client describes the need to have a bowel movement.
C. the cervix is completely dilated
D. the cervix is completely effaced - ANSWER C. the cervix is completely dilated
The nurse is counseling a couple who has sought information about conceiving. For
teaching purposes, the nurse should know that ovulation usually occurs
A. two weeks before menstruation
B. immediately after menstruation
C. immediately before menstruation
D. three weeks before menstruation - ANSWER A. two weeks before menstruation
The nurse instructs a laboring client to use accelerated-blow breathing. The client
begins to complain of tingling fingers and dizziness. What action should the nurse
take?
A. administer oxygen by face mask
B. notify the healthcare provider of the client's symptoms
C. have the client breathe into her cupped hands
, D. check the client's blood pressure and fetal heart rate - ANSWER C. Have the
client breathe into her cupped hands.
When preparing a class on newborn care for expectant parents, what content should
the nurse teach concerning the newborn infant born at term gestation?
A. Milia are red marks made by forceps and will disappear within 7-10 days
B. Meconium is the first stool and is usually yellow gold in color
C. Vernix is a white, cheesy substance, predominantly located in the skin folds
D. Pseudostrabismus found in newborns is treated by minor surgery. - ANSWER
C. Vernix is a white, cheesy substance, predominantly located in the skin fold
Twenty four hours after admission to the newborn nursery, a full-term male infant
develops localized edema on the right side of his head. The nurse knows that, in the
newborn, an accumulation of blood between the periosteum and skull which does
not cross the suture line in a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent further
complications
C. molding, caused by pressure during labor and will disappear within 2 to 3 days
D. a subdural hematoma which can result in lifelong damage - ANSWER A. a
cephalhematoma, caused by forceps trauma and may last up to 8 weeks
An expectant father tells the nurse he fears that his wife "is losing her mind." He
states she is constantly rubbing her abdomen and talking to the baby, and that she
actually reprimands the baby when it moves too much. What recommendation
should the nurse make to this expectant father?
A. Reassure him that these are normal reactions to pregnancy and suggest that he
discuss his concerns with the childbirth education nurse.
B. Help him to understand that his wife is experiencing normal symptoms of
ambivalence about the pregnancy and no action is needed.
C. Ask him to observe his wife's behavior carefully for the next few weeks and report
any similar behavior to the nurse at the next prenatal visit.
D. Let him know that these behaviors are part of normal maternal/fetal bonding
which occur once the mother feels fetal movement. - ANSWER D. Let him know
that these behaviors are part of normal maternal/fetal bonding which occur once the
mother feels fetal movement.
A new mother who has just had her first baby says to the nurse, "I saw the baby in
the recovery room. She sure has a funny looking head" Which response by the nurse
is best?
A. "This is not an unusual shaped head, especially for a first baby."
B. "It may look funny to you, but newborn babies are often born with heads like your
baby's."
C. "That is normal, the head will return to a round shape within 7 to 10 days."
D. "Your pelvis was too small, so the baby's head had to adjust to the birth canal." -
ANSWER C. "That is normal, the head will return to a round shape within 7 to 10
days."
A new mother asks the nurse, "How do I know that my daughter is getting enough
breast milk?" Which explanation will the nurse provide?
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