HESI OB MATERNITY RN EXAM – QUESTIONS AND CORRECT ANSWERS AND ACTUAL HESI SCREENSHOTS FROM REAL EXAM

Page 1 of 28 1 HESI OB MATERNITY RN EXAM – QUESTIONS AND CORRECT ANSWERS AND ACTUAL HESI SCREENSHOTS FROM REAL EXAM At 14 -weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an I. T hirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. check the hematocrit results. b. Administer pal mediation. C. Increase the rate of IV fuids. d. Monto cient or contractions. C. Increase the rate of IV fuids. A woman who thinks she could be pregnant calls her neigh bor, a nurse, to ask wen she could use a home pregnancy test to diagnose pregnancy. Which response is best? A. a home pregnancy test can be used right after your first missed period b. these tests are most acuate after youhave mised your sacond period A. a home pregnancy test can be used right after your first missed period A client at 28 -weeks gestation calls the antepartal clinic and states that she ic experiencing a small amount of vaginal bleeding which she describes as Bright red. She further states that she is not experiencing a ny uterine contractions or abdominal pain. Which instruction should the nurse provide? A. Come to the clinic today for an ultrasound B. Go immediately to the emergency room Page 2 of 28 2 C. Lie on your left side for about one hour and see if the bleeding stops D. Bring a urine sample to the lab tomorrow to determine if you have a UTI A. Come to the clinic today for an ultrasound An expectant father tells the nurse he fears that his wife "is losing her mind." He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father? A. Reassure him that these are normal reactions to pregnancy and suggest that he discuss his concerns with the childbirth education nurse B. Help him to understand that his wife is experiencing normal symptoms of ambivalence about the pregnancy and no action is needed C. Ask him to observe his wife's behavior carefully for the next few weeks and report any similar behavior to the nurse D. Let him know that these are normal maternal/fetal bonding behaviors which occur once the mother feels fetal movement D. Let him know that these are normal maternal/fetal bonding behaviors which occur once the mother feels fetal movement The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment f indings, what intervention should the nurse implement? A. Insert an internal fetal monitor B. Assess for cervical changes q1h C. Monitor bleeding from IV sites D. Perform Leopold's maneuvers D. Perform Leopold's maneuvers Page 3 of 28 3 One hour after giving birth to an 8 -pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. HR is 84 bpm, BP 156/96. The M.D. prescribe Methergine 0.2 mg I M x 1. Which action should the nurse take immediately? A. Give the medication as prescribed and monitor for efficacy B. Encourage the client to breastfeed rather than bottle feed C. Have the client empty her bladder and massage her fundus D. Call the HP to question the prescription D. Call the HP to question the prescription The nurse should encourage the laboring patient to begin pushing when A. there is only an anterior or posterior lip of cervix left B. the client describes the need to have a BM C. the cervix is completely dilated C. the cervix is completely effaced C. the cervix is completely dilated A client at 32 -weeks gestation is hospitalized with severe pregnancy -induced hypertension (PI), and magnesium sulfate is prescribed to control the symptoms. Which ass essment finding indicates the therapeutic drug level has been achieved? A. 4+ reflexes B. Urinary output of 50 ml/hr C. A decrease in RR from 24 to 16 D. A decreased body temp C. A decrease in RR from 24 to 16 Twenty -four hours after admission to the newborn nursery, a full -term male infant develops localized edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the periosteum and skull which does not cross the sutu re line is a newborn variation known as