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2024 HESI MATERNITY OB EXAM VERSION 6 WITH CORRECT SOLUTIONS |100% SCORES
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2024 HESI MATERNITY OB EXAM VERSION 6 WITH CORRECT SOLUTIONS |100% SCORES The nurse is teaching a client with gestational diabetes about nutrition and insulin need for pregnancy. Which content should the nurse include in this client teaching plan? A) Insulin production is decreased during pregn...

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  • November 10, 2024
  • 40
  • 2024/2025
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  • 2024 hesi maternity ob exam version 6 with correct

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2024 HESI MATERNITY OB EXAM VERSION 6 WITH
CORRECT SOLUTIONS |100% SCORES


The nurse is teaching a client with gestational diabetes about nutrition and insulin need

for pregnancy. Which content should the nurse include in this client teaching plan?


A) Insulin production is decreased during pregnancy


B) increase daily caloric intake is needed


C) injection requirements remain the same


D) Blood sugars need less monitoring in the first trimester - ANSWER✔✔-B) increase

daily caloric intake is needed


A 38-week primigravida client who is positive for group A beta streptococcus receives a

prescription for cefazolin 2grams IV to be infused over 30mins. The medications

available in 2 grams/100ml of normal saline. The nurse should program the infusion

pump to deliver how many ml/hours? - ANSWER✔✔-1.6ml/hr.


When performing daily head to toe assessment of a 1-day old newborn the nurse

observes yellow tint to the skin on the forehead, sternum and abdomen. What action

should the nurse take?


A) measure bilirubin levels using transcutaneous bilirubinometer.


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Page 1/40

,B) review maternal medical records for blood type and Rh factor


C) Prepare the newborn for phototherapy


D) Evaluate cord a result - ANSWER✔✔-A) measure bilirubin levels using

transcutaneous bilirubinometer.


A new mother asks the nurse about an area of swelling on her baby head near the

posterior fontanel that lies across the suture lines. How should the nurse respond?


A) That's called caput succedaneum. It will absorb and cause no problems.


B) That is called a cephalohematoma. It will cause no problems.


C) That is called a cephalohematoma. It can cause jaundice as it is.


D)That is called caput succedaneum. It will have to be drained - ANSWER✔✔-A) That's

called caput succedaneum. It will absorb and cause no problems.


A 39-week gestational multigravida is admitted to labor and delivery spontaneous

rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam

indicates that the cervix is dilated 6cm, 90% effaced and the fetus is at a +2 station.

During the last 45 minutes the fetal heart rate has ranged between 170 and 180

beats/minute. What action


should the nurse implement?


A) Obtain a blood specimen for hemoglobin



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Page 2/40

,B) Take an oral maternal temperature


C) Straight Catheterize client


D) Send amniotic fluid for analysis - ANSWER✔✔-B) Take an oral maternal

temperature


An obviously pregnant woman walks into the hospital's emergency department

entrance shouting. "Help me! Help me! My baby is coming! I'm so afraid!" The nurse

determines if delivery is indeed imminent, what action is most important for the nurse

to take?


A) Determines the gestational age of fetus


B) Assess the amount and color of the amniotic fluid


C) Obtain peripheral IV access and begin administration of IV fluids


D) Provide clear concise instructions in a calm, deliberate manner - ANSWER✔✔-D)

Provide clear concise instructions in a calm, deliberate manner


A client who is 3 weeks postpartum tells the nurse. "I am so tired all the time. I didn't

know having a baby would be so hard." What response should the nurse provide.


a) It is common to feel exhausted for the first 3 months. Try to sleep when the baby

sleeps.


b) It is normal to feel tired for the first couple weeks. Be patient with yourself and rest

more.
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, c) You should not be doing any housework. Are any of your family members helping

you?


d) Adjusting to a new baby can be difficult. Tell me more about any help you are

receiving. - ANSWER✔✔-d) Adjusting to a new baby can be difficult. Tell me more

about any help you are receiving.


The home health nurse visits a client who delivered a full-term baby three days ago.

The mother reports that the infant is waking up every 2 hours to bottle feed. The nurse

notes white, curl-like patches on the newborns oral mucous membranes. What action

should the nurse implement?


A) Discuss the need for medication to treat curl-like oral patches


B) Suggest switching the infant's formula


C) Assess the baby's blood glucose level


D) Remind mother not put the baby to bed with a propped bottle - ANSWER✔✔-A)

Discuss the need for medication to treat curl-like oral patches


One hour after delivery the nurse is unable to palpate the uterine fundus of a client who

had an epidural and notes a large amount of lochia on the perineal pad. The nurse

massages at the umbilicus and obtains current vital signs. Which intervention should

the nurse implement next.


A) Document number of pad changes in the last hour

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