OB MATERNITY HESI FINAL EXAM QUESTIONS AND ANSWERS NEXT GEN (NGN) GUARANTEED PASS LATEST UPDATE
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Course
OB MATERNITY HESI 2024/2025
Institution
OB MATERNITY HESI 2024/2025
Patient teaching is an important part of the maternity medic's role. Which factor has the greatest influence on successful teaching of the gravid patient? A. The patient's readiness to learn. B. The patient's educational background. C. The order in which the information is presented. D. The extent ...
4/20/23, 6:56 PM 1/21 OB/MATERNITY HESI EXAM 2 DIFFERENT V ERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN) GUARANTEED PASS LATEST UPDATE 2023 - 2024 Patient teaching is an important part of the maternity medic 's role. Which factor has the greatest influence on successful teaching of the gravid patient ? A. The patient 's readiness to learn. B. The patient 's educational background. C. The order in which the information is presented. D. The extent to which the pregnancy was planned A. The patient 's readiness to learn During a prenatal visit, the medic discusses with a patient the effects of smoking on the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to produce newborn s who have A. lower Apgar scores. B. lower birth weights. C. respiratory distress. D. a higher rate of congenital anomal ies B. lower birth weights A 26-year-old, gravida 2, para 1 patient is admitted to the hospital at 28 -weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The medic plans to monitor for which primary side effect of terbutaline sulfate? A. Drowsiness and bradycardia. B. Depressed reflexes and increased respirations. C. Tachycardia and a feeling of nervousness. D. A flushed, warm feeling and a dry mouth C. Tachy cardia and a feeling of nervousness. Terbutaline sulfate (Brethine), a beta- sympathomimetic drug, stimulates beta -adrenergic receptors in the uterine muscle to stop contractions. The beta -adrenergic agonist properties of the drug may cause tachycardia, inc reased cardiac output, restlessness, headache, and a feeling of "nervousness" 4/20/23, 6:56 PM 2/21 OB/MATERNITY HESI EXAM 2 DIFFERENT V ERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN) GUARANTEED PASS LATEST UPDATE 2023 - 2024 A mother who is breastfeeding her baby receives instructions from the medic . Which instruction is most effective to prevent nipple soreness? A. Wear a cotton bra. B. Increase nursing time gradually. C.Correctly place the newborn on the breast. D.Manually express a small amount of milk before nursing. C.Correctly place the newborn on the breast. A full term newborn is transferred to the medic ry from labor and delivery. Which information is MOST important for the medic to receive when planning immediate care for the newborn? a. Length of labor and method of delivery b. Newborn 's condition at birth and treatment received. C. Feeding method chosen by the parents. D. History of drugs given to the mother during labor. b. Newborn 's condition at birth and treatment received. Immediate care is most dependent on the newborn 's current status (i.e., Apgar scores at 1 and 5 minutes) and any treatment or resuscitation that was indicated In developing a teaching plan for expectant parents the medic plans to include formation about when the parents can expect the newborn s fontane ls to close. The medic bases the explanation on knowledge that for the normal newborn, the A. anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week. B. anterior fontanel closes at 5 to 7 months and the posterior by the en d of the second week. C. anterior fontanel closes at 8 to 11 months and the posterior by the end of the first month. D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month D. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month 4/20/23, 6:56 PM 3/21 OB/MATERNITY HESI EXAM 2 DIFFERENT V ERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN) GUARANTEED PASS LATEST UPDATE 2023 - 2024 When assessing a patient who is at 12 week gestation, the medic recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes? A. at 16 weeks gestation B.at 20 weeks gestation C. at 24 weeks gestation D. at 30 weeks gestation D. at 30 weeks gestation closest (of the options) to the time parents would be ready for such classes. Learning is facilita ted by an interested pupil! The couple is most interested in childbirth toward the end of the pregnancy when they are psychologically ready for the termination of the pregnancy, and the birth of their child is an immediate concern. The medic should encourage the laboring patient to begin pushing when A.there is only an anterior or posterior lip of cervix left. B.the patient describes the need to have a bowel movement. C.the cervix is completely dilated. D.the cervix is completely effaced C.the cervix is completely dilated. Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix can become edematous and may never completely dilate, necessi tating an operative delivery. Many primigravidas begin active labor 100% effaced and then proceed to dilate The medic is counseling a couple who has sought information about conceiving. For teaching purposes, the medic should know that ovulation usually occurs A.two weeks before menstruation. B.immediately after menstruation. immediately before menstruation. C. immediately before menstruation. D. three weeks before menstruation. A.two weeks before menstruation Ovulation occurs 14 days before the first day of the menstrual period. While ovulation can occur in the middle of the cycle, or 2 weeks after menstruation, this is only true for a female who has a perfect 28 -day cycle. For many women, the length of their menstrual cycle varies. The medi c instructs a laboring patient to use accelerated blow breathing. The patient begins to complain of tingling finger and dizziness. What action should the medic
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