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OB HESI Maternity Version 7 Exam Questions and Verified Answers, 100% Guarantee Pass 2024

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2024 OB HESI Maternity Version 7 Exam Questions and Verified Answers, 100% Guarantee Pass HESI OB Maternity Exam TEST BANK (600+ Ques & Ans) with (2023 / 2024) Questions and Verified Rationalized Answers, 100% Guarantee Pass 2024 HESI Maternity OB Version 5 Exam Questions and Verified Rationalized ...

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OB HESI MATERNITY VERSION 7 EXAM

Questions And Answers

100% Guarantee Pass



This Test Consists Of 55 Questions And Answers




1. A primigravida at 40 weeks gestation is contracting q2 minutes and her

cervix is 9 cm dilated and 100% effaced. The FHR is 120 beats/minute. The

client is screaming, and her husband is alarmed. Which intervention should

the nurse implement?

a. notify the rapid response team

,b. have delivery table set up

c. ask the husband to step out

d. administer a PRN narcotic

Answer>> b. have delivery table set up

2. The nurse is caring for a client whose fetus died in utero at 32 weeks

gestation. After the fetus is delivered vaginally, the nurse implements routine

demise protocol and identification procedures. What action is most important

for the nurse to take?

a. Explain reasons consent for an infant autopsy is needed

b. create a memory box of a baby's footprints and photographs

c. determine if the mother desires a visit from the clergy

d. encourage the mother to hold and spend time with her baby

Answer>> encourage the mother to hold and spend time with her baby

3. One week after missing her menstrual period, a woman performs an OTC

pregnancy test and it is positive. Which hormone is responsible for producing

the positive result

Answer>> HCG

4. The father of a 3-day old infant who is breast feeding calls the postpartum

help line to report that his wife is acting strangely. She is irritable, cannot cope

,with the baby, and frequently cries for no apparent reason. What information

is most important for the nurse to provide this father?

Answer>> Contact the clinic if the behaviors continue for more than two weeks or

become worse.

5. Clients who are HIV positive are encouraged to bottle-feed their infants

because

Answer>> the HIV virus is transmitted through breastmilk.

6. When fetal movements or contractions compress the umbilical cord, vari-

able decelerations can happen

Answer>> Maternal repositioning can alleviate cord com- pressions

7. A primigravida at 36 weeks gestation, who is Rh negative, experienced

abdominal trauma in a motor vehicle collision. Which assessment finding is

more important for the nurse to report to the HCP?

Answer>> Positive fetal hemoglobin testing

8. Calculated by Naegele's rule, a primigravida client is at 28 weeks gestation.

She is moderately obese and carrying twins and the nurse measures her

fundal height at 27cm. During the previous visit 3 weeks ago, the fundal height

measured at 28 cm. Based on these findings, what should the nurse con-

clude?

,Answer>> Fundal height measurement may indicate intrauterine growth

retardation

,9. The nurse is discussing involution with a postpartum client. Which state-

ment best indicates that the client understands the effect of breastfeeding on

the resumption of menstrual cycle?

Answer>> While i am breastfeeding, my period may be delayed

10. A term multigravida who is receiving oxytocin (Pitocin) for labor augmen-

tation, is requesting pain medication. Review of the client's record indicates

that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and

promethazine (Phenergan) 25 mg IV push. Vaginal exam reveals that the clients

cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the

nurse implement?

Answer>> Instruct the client to use deep breathing during a contraction

11. While caring for a laboring client on continuous fetal monitoring. The

nurse notes an FHR pattern that falls and rises abruptly with a "V" shaped

appearance. What action should the nurse take first?

Answer>> Change the maternal position

12. During the admission of a newborn, the nurse identifies a localized

swelling that does not cross the suture line on the posterior area of the parietal

bone. What action should the nurse implement?

Answer>> Notify the pediatrician of the cephalhematoma

, 13. 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?

Answer>> increase daily caloric intake is needed

14. A 38-week primigravida client who is positive for group A beta strepto-

coccus 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

15. 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.

b. review maternal medical records for blood type and Rh factor

c. Prepare the newborn for phototherapy

d. Evaluate cord Coombs test results

Answer>> a. measure bilirubin levels using transcu- taneous bilirubinometer.

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

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