Exam (elaborations)
HESI OB 2024 EXAM QUESTIONS AND ANSWERS
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HESI OB 2024 EXAM QUESTIONS AND ANSWERS
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HESI OB 2024 EXAM QUESTIONS ANDANSWERS
A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at
discharge. Which of the following must the nurse include in her discharge teaching
regarding the vaccine? - Answer-A) The woman should not become pregnant for at
least 4 weeks
A 3-day-postpartum client questions why she is to receive the rubella vaccine before
leaving the hospital. Which of the following rationales should guide the nurse's
response? - Answer-A)The client's obstetric status is optimal for receiving the vaccine.
A patient, G2P1102, who delivered her baby 8 hours ago, now has a temperature of
100.2ºF. Which of the following is the appropriate nursing intervention at this time? -
Answer-D)Encourage intake of water and other fluids.
To prevent infection, the nurse teaches the postpartum client to perform which of the
following tasks? - Answer-B)Change the peripad at each voiding.
A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm and
warm to the touch. When asked when she last fed the baby her reply is, "I fed the baby
last evening. I let the nurses feed him in the nursery last night. I needed to rest." Which
of the following actions should the nurse take at this time? - Answer-A)Encourage the
woman exclusively to breastfeed her
A breastfeeding woman has been counseled on how to prevent engorgement. Which of
the following actions by the mother shows that the teaching was effective? - Answer-B).
She feeds her baby every 2 to 3 hours.
A 2-day-postpartum breastfeeding woman states, "I am sick of being fat. When can I go
on a diet?" Which of the following responses is appropriate? - Answer-D)"Many mothers
lose weight when they breastfeed because the baby consumes about 600 calories a
day."
A G2P2002, who is postpartum 6 hours from a spontaneous vaginal delivery, is
assessed. The nurse notes that the fundus is firm at the umbilicus, there is heavy
lochia, and perineal sutures are intact. Which of the following actions should the nurse
take at this time? - Answer-Notify the woman's primary health care provider.
A client informs the nurse that she intends to bottlefeed her baby. Which of the following
actions should the nurse encourage the client to perform? - Answer-Wear a supportive
bra 24 hours a day
, The nurse in the obstetric clinic received a telephone call from a bottlefeeding mother of
a 3-day-old. The client states that her breasts are firm, red, and warm to the touch.
Which of the following is the best action for the nurse to advise the client to perform? -
Answer-Intermittently apply ice packs to her axillae and breasts.
A multigravid, postpartum woman reports severe abdominal cramping whenever she
nurses her infant. Which of the following responses by the nurse is appropriate? -
Answer-. Discuss the action of breastfeeding hormones
The nurse is caring for a breastfeeding mother who asks advice on foods that will
provide both vitamin A and iron. Which of the following should the nurse recommend? -
Answer-11⁄2 cup raw broccoli.
A breastfeeding mother states that she has sore nipples. In response to the complaint,
the nurse assists with "latch on" and recommends that the mother do which of the
following? - Answer-Rotate infant positions at each feed
. Which of the following statements is true about breastfeeding mothers as compared to
bottlefeeding mothers? - Answer-Breastfeeding mothers have decreased incidence of
diabetes mellitus later in life.
A breastfeeding woman, 11⁄2 months postdelivery, calls the nurse in the obstetrician's
office and states, "I am very embarrassed but I need help. Last night I had an orgasm
when my husband and I were making love. You should have seen the milk. We were
both soaking wet. What is wrong with me?" The nurse should base the response to the
client on which of the following? - Answer-The same hormone stimulates orgasms and
the milk ejection reflex.
A client who is 3 days postpartum asks the nurse, "When may my husband and I begin
having sexual relations again?" The nurse should encourage the couple to wait until
after which of the following has occurred? - Answer-The client has had her six-week
postpartum check-up.
A breastfeeding client, 7 weeks postpartum, complains to an obstetrician's triage nurse
that when she and her husband had intercourse for the first time after the delivery, "I
couldn't stand it. It was so painful. The doctor must have done something terrible to my
vagina." Which of the following responses by the nurse is appropriate? -
Answer-"Women who breastfeed often have vaginal dryness. A vaginal lubricant may
remedy your discomfort."
The nurse monitors his or her postpartum clients carefully because which of the
following physiological changes occurs during the early postpartum period? - Answer-
Decreased blood volume
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