HESI Obstetrics {Maternity} Practice EXAM QUESTIONS WITH VERIFIED SOLUTIONS
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Course
HESI Obstetrics
Institution
HESI Obstetrics
HESI Obstetrics {Maternity} Practice EXAM QUESTIONS WITH VERIFIED SOLUTIONS
HESI Obstetrics {Maternity} Practice EXAM QUESTIONS WITH VERIFIED SOLUTIONS
HESI Obstetrics {Maternity} Practice EXAM 2024-2025
QUESTIONS WITH VERIFIED SOLUTIONS
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
a. Lying prone with a pillow on the abdomen
b. Using a breast pump
c. Massaging the abdomen
d. Giving oxytocic medications - CORRECT ANSWER a. Lying prone with a pillow on the
abdomen
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who
commonly experience afterpains due to lack of uterine tone.
A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag
of water has broken. The nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What
action should the nurse implement next?
a. Ccmplete a sterile vaginal exam
b. Take maternal temperature every 2 hours
c. Prepare for an immediate cesarean birth
d. Obtain sterile suction equipment - CORRECT ANSWER a. Complete a sterile vaginal
exam
,HESI Obstetrics {Maternity} Practice EXAM 2024-2025
QUESTIONS WITH VERIFIED SOLUTIONS
A vaginal exam (A) should be performed after the rupture of membranes to determine
the presence of a prolapsed cord.
When explaining "postpartum blues" to a client who is 1 day postpartum, which
symptoms should the nurse include in the teaching plan? (Select all that apply.)
a. Mood swings
b. Panic attacks
c. Tearfulness
d. Decreased need for sleep
e. Disinterest in the infant - CORRECT ANSWER a. Mood swings
c. Tearfulness
"Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings (A), tearfulness (C), feeling
low, emotional, and fatigued.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted
for observation. She is contracting irregularly and demonstrates underlying uterine
, HESI Obstetrics {Maternity} Practice EXAM 2024-2025
QUESTIONS WITH VERIFIED SOLUTIONS
irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on
these data, which intervention should the nurse implement first?
a. Provide oral hydration
b. Have a complete blood count (CBC) drawn
c. Obtain a specimen for urine analysis
d. Place the client on strict bedrest - CORRECT ANSWER c. Obtain a specimen for urine
analysis
Obtaining a urine analysis (C) should be done first because preterm clients with uterine
irritability and contractions are often suffering from a urinary tract infection, and this
should be ruled out first.
A client in active labor complains of cramps in her leg. What intervention should the
nurse implement?
a. Ask the client if she takes a daily calcium tablet
b. Extend the leg and dorsiflex the foot
c. Lower the leg off the side of the bed
d. Elevate the leg above the heart - CORRECT ANSWER b. Extend the leg and dorsiflex
the foot
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