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2024 HESI MATERNITY OB EXAM VERSION 2 LATEST ALL 100 QUESTIONS AND CORRECT ANSWERS
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2024 HESI MATERNITY OB EXAM VERSION 2 LATEST ALL 100 QUESTIONS AND CORRECT ANSWERS
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2024 HESI MATERNITY OB EXAM VERSION 2LATEST ALL 100 QUESTIONS AND CORRECT
ANSWERS
Terms in this set (100)
drinks wine 3 to 4 times/week
follows a vegetarian diet
A 24-year-old client who
uses ibuprofen daily
is planning to become
pregnant comes to the
Rationale:
clinic for an evaluation.
The use of alcohol and prescription and over-the-
When assessing the client,
counter drugs can be harmful to a growing fetus. Thus
which finding would alert
the nurse would need to address these areas with the
the nurse to implement
client. If the client was still smoking, then that too
measures to reduce the
would need to be addressed. Healthy nutrition is
client's risk for problems
important, but being a vegetarian does not
during pregnancy? Select
necessarily indicate that the client is a nutritional risk.
all that apply.
A BMI of 22 is considered normal and would not pose
a problem.
After discussing various condoms
methods of contraception
with a client and her Rationale:
partner, the nurse Condoms are a barrier method of contraception. In
determines that the addition to providing a physical barrier for sperm,
teaching was successful they also protect against STIs. Oral contraceptives,
when they identify which tubal ligation, and intrauterine systems provide no
contraceptive method as protection against STIs.
providing protection
against sexually
transmitted infections
(STIs)?
, Mother had gestational hypertension during
pregnancy.
After reviewing a client's Rationale:
history, which factor A family history of gestational hypertension, such as a
would the nurse identify mother or sister, is considered a risk factor for the
as placing her at risk for client. Having a twin sister or having a sister-in-law
gestational hypertension? with gestational hypertension would not increase the
client's risk. If the client had a history of preeclampsia
in her first pregnancy, then she would be at risk in her
second pregnancy.
After teaching a group of menstrual period
adolescent girls about
female reproductive Rationale:
development, the nurse Menarche is defined as the establishment of
determines that teaching menstruation. It does not refer to the woman's first
was successful when the sexual experience, full hormonal cycle, or sign of
girls state that menarche is breast development.
defined as a woman's first:
After teaching a group of prolactin
pregnant women about
breastfeeding, the nurse Rationale:
determines that the After birth and expulsion of the placenta, prolactin
teaching was successful stimulates the production of milk. Placental estrogen
when the group identifies and progesterone stimulate the development of the
which hormone as mammary glands during pregnancy. Gonadotropin-
important for the releasing hormone induces the release of follicle-
production of breast milk stimulating hormone and luteinizing hormone to assist
after birth? with ovulation.
, Human chorionic gonadotropin (hCG)
After teaching a pregnant
Rationale:
woman about the
The placenta produces hCG, which is the basis for
hormones produced by
pregnancy tests. This hormone preserves the corpus
the placenta, the nurse
luteum and its progesterone production so that the
determines that the
endometrial lining is maintained. Human placental
teaching was successful
lactogen modulates fetal and maternal metabolism
when the woman identifies
and participates in the development of the breasts for
which hormone produced
lactation. Estrogen causes enlargement of the
as being the basis for
woman's breasts, uterus, and external genitalia and
pregnancy tests?
stimulates myometrial contractility. Progesterone
maintains the endometrium.
"I need to eat foods high in fiber."
Rationale:
Iron supplements can lead to constipation, so the
After teaching a pregnant woman needs to increase her intake of fluids and
woman with iron high-fiber foods. Milk inhibits absorption and should
deficiency anemia about be discouraged. Vitamin C-containing fluids such as
her prescribed iron orange juice are encouraged because they promote
supplement, which absorption. Ideally the woman should take the iron on
statement indicates an empty stomach to improve absorption, but many
successful teaching? women cannot tolerate the gastrointestinal
discomfort it causes. In such cases, the woman should
take it with meals. Iron typically causes the stool to
become black and tarry; there is no need for the
woman to notify her primary care provider.
, Assessment of a pregnant cocaine
woman and her fetus
reveals tachycardia and Rationale:
hypertension. There is also Cocaine use produces vasoconstriction, tachycardia,
evidence suggesting and hypertension in both the mother and fetus. The
vasoconstriction. The effects of marijuana are not yet fully understood.
nurse would question the Alcohol ingestion would lead to cognitive and
woman about use of behavioral problems in the newborn. Heroin is a
which substance? central nervous system depressant.
linea nigra
Rationale:
Assessment of a pregnant
Linea nigra refers to the darkened line of
woman reveals a
pigmentation down the middle of the abdomen in
pigmented line down the
pregnant women. Striae gravidarum refers to stretch
middle of her abdomen.
marks, irregular reddish streaks on the abdomen,
The nurse documents this
breasts, and buttocks. Melasma refers to the
as which finding?
increased pigmentation on the face, also known as
the "mask of pregnancy." Vascular spiders are small,
spiderlike blood vessels that appear usually above the
waist and on the neck, thorax, face, and arms.
pica
Rationale:
Assessment of a pregnant Pica refers to the compulsive ingestion of nonfood
woman reveals that she substances such as ice. Quickening refers to the
compulsively craves ice. mother's sensation of fetal movement. Ballottement
The nurse documents this refers to the feeling of rebound from a floating fetus
finding as: when an examiner pushes against the woman's cervix
during a pelvic examination. Linea nigra refers to the
pigmented line that develops in the middle of the
woman's abdomen.
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