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OB/Maternity HESI Assignment exam with answers

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OB/Maternity HESI Assignment exam with answers A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action should the nurse implement next? ️️A. Determine the firmness of the fundus When assessing the integument of a 24 hour old newborn, the nurse notes a pi...

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  • November 19, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
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  • OB/Maternity HESI
  • OB/Maternity HESI
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OB/Maternity HESI Assignment exam
with answers
A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action

should the nurse implement next? ✔️✔️A. Determine the firmness of the fundus



When assessing the integument of a 24 hour old newborn, the nurse notes a pink papular rash

with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse

implement next? ✔️✔️C. Document the finding as erythema toxicum



The nurse is teaching a primigravida at 10 weeks gestation about the need to increase her intake

of folic acid. Which explanation should the nurse provide that supports preventative perinatal

care ✔️✔️C. Adequate folic acid during embryogenesis reduces the incidence of neural tube

defects



The nurse tells a client in her first trimester that she should increase her daily intake of calcium

to 1200 mg during pregnancy. The client responds, "I don't like milk." What dietary adjustments

should the nurse recommend? ✔️✔️B. Eat more green, leafy vegetables



A client at 35 weeks gestation visits the clinic for a prenatal check up. Which complaint by the

client warrants further assessment by the nurse? ✔️✔️A. Periodic abdominal pain

,A client at 28 weeks gestation is concerned about her weight gain of 17 pounds. What

information should the nurse provide this client? ✔️✔️D. The weight gain is acceptable for

the number of weeks pregnant



A multigravida client at 35 weeks gestation is diagnosed with pregnancy induced hypertension.

Which symptom should the nurse instruct the client to report immediately? ✔️✔️C. Blurred

vision



A 36 week gestation client with pregnancy induced hypertension is receiving an IV infusion of

magnesium sulfate. Which assessment finding should the nurse report to the healthcare provider?

✔️✔️D. Respiratory rate of 11 breaths/minute



Which procedure evaluates the effect of fetal movement on fetal heart activity? ✔️✔️D. Non-

stress test (NST)



The nurse notes a pattern of the fetal of the fetal heart rate decreasing after each contraction.

What action should the nurse implement? ✔️✔️A. Give 10 liters of oxygen via face mask



A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. Upon fundal assessment, the nurse

determines the uterus is boggy and is displaced above and to the right of the umbilicus. Which

action should the nurse implement? ✔️✔️D. Notify the healthcare provider

, A newborn infant who is 24 hours old is on a 4 hour feeding schedule of formula. To meet daily

caloric need, how many ounces are recommended at each feeding? ✔️✔️D. 3.5 ounces



A client delivers twins, one is stillborn and the other is recovering in intensive care nursery. As

the nurse provides assistance to the bathroom, the client softly crying, states, "I wish my baby

could have lived." Which response is best for the nurse to give? ✔️✔️C. "I am sorry for your

loss. Do you want to talk about it?"



A client who is at 24 weeks gestation presents to the emergency department holding her arm and

complaining of pain. The client reports she fell down the stairs. Which observation should alert

the nurse to a possible battering situation? ✔️✔️C. Other parts of her body have injuries that

are in different stages of healing



What assessment finding should the nurse report to the healthcare provider that is consistent with

concealed hemorrhage in an abruptio placenta? ✔️✔️B. Hard, board like abdomen



Which action is most important for the nurse to implement for a client at 36 weeks gestation with

vaginal bleeding? ✔️✔️C. Determine fetal heart rate and maternal vital signs



A multiparous client is bearing down with contractions and crying out, "The baby is coming!"

Which immediate action should the nurse implement? ✔️✔️B. Visualize the perineum for

bulging

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