Exam (elaborations)

HESI Practice Test OB Questions and Correct Answers

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HESI OB

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HESI OB

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hesi practice test ob questions and correct answe

Institution HESI OB
Course HESI OB

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HESI Practice Test OB Questions and Correct
Answers
Client teaching is an important part of the maternity nurse's role. Which factor has

the greatest influence on successful teaching of the gravid client?

A. The client's readiness to learn

B. The client's educational background

C. The order in which the information is presented

D. The extent to which the pregnancy is planned

✓ ~~~ A. The client's readiness to learn

A 38-week primagravida who works as a secretary and sits at a computer 8 hours

each day tells the nurse that her feet have begun to swell. Which instruction would

be most effective in preventing pooling of blood in the lower extremities?

A. Wear support stockings

B. Reduce salt in her diet

C. Move about every hour

D. Avoid constrictive clothing

✓ ~~~ C. Move about every hour

During a prenatal visit, the nurse discusses with a client the effects of smoking on

the fetus. When compared with nonsmokers, mothers who smoke during pregnancy

tend to produce infants who have

,A. lower Apgar scores

B. lower birth weights

C. respiratory distress

D. a higher rate of congenital anomalies

✓ ~~~ B. lower birth weights

A 26-year old, gravida 2, para 1 client is admitted to the hospital at 28 weeks

gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine)

0.25mg SQ to stop her labor contractions. The nurse 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. tachycardia and a feeling of nervousness

A mother who is breastfeeding her baby receives instructions from the nurse. Which

instruction is most effective to prevent nipple soreness?

A. wear a cotton bra

B. increase nursing time gradually

C. correctly place the infant on the breast

D. manually express a small amount of milk before nursing

, ✓ ~~~ C. correctly place the infant on the breast

A full term infant is transferred to the nursery from labor and delivery. Which

information is most important for the nurse to receive when planning immediate care

for the newborn?

A. length of labor and method of delivery

B. infant'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. infant's condition at birth and treatment received

In developing a teaching plan for expectant parents, the nurse plans to including

information about when the parents can expect the infant's fontanels to close. The

nurse bases the explanation on knowledge that for the normal newborn, the

A. anterior fontanel closes at 2-4 months and the posterior by the end of the first

week

B. anterior fontanel closes at 5-7 months and the posterior by the end of the second

week

C. anterior fontanel closes at 8-11 months and the posterior by the end of the first

month

D. anterior fontanel closes at 12-18 months and the posterior by the end of the

second month.

, ✓ ~~~ D. anterior fontanel closes at 12-18 months and the posterior by the end of the
second month.

When assessing a client who is at 12-weeks gestation, the nurse 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

The nurse should encourage the laboring client 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 bowel movement.

C. the cervix is completely dilated

D. the cervix is completely effaced

✓ ~~~ C. the cervix is completely dilated

The nurse is counseling a couple who has sought information about conceiving. For

teaching purposes, the nurse should know that ovulation usually occurs

A. two weeks before menstruation

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