HESI OB/Maternity
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Just after delivery, a new mother tells the
nurse, "I was unsuccessful breastfeed-
ing my first child, but I would like to try
with this baby." Which intervention is best
for the nurse to implement first?
a) Assess the husband's feelings about
his wife's decision to breastfeed their
baby. d) Provide assistance to the mother to
b) Ask the client to describe why she was begin breastfeeding as soon as possible
unsuccessful with breastfeeding her last after delivery.
child.
c) Encourage the client to develop a pos-
itive attitude about breastfeeding to help
ensure success.
d) Provide assistance to the mother to
begin breastfeeding as soon as possible
after delivery.
A mother who is breastfeeding her baby
receives instructions from the nurse.
Which instruction is most effective to pre-
vent nipple soreness?
a) Wear a cotton bra. c) Correctly place the infant on the
b) Increase nursing time gradually. breast.
c) Correctly place the infant on the
breast.
d) Manually express a small amount of
milk before nursing.
The nurse identifies crepitus when ex-
amining the chest of a newborn who
was delivered vaginally. Which further
assessment should the nurse perform?
a) Elicit a positive scarf sign on the af- b) Observe for an asymmetrical Moro
fected side. (startle) reflex.
b) Observe for an asymmetrical Moro
(startle) reflex.
c) Watch for swelling of fingers on the
affected side.
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d) Note paralysis of affected extremity
and muscles.
incorrect positioning of the infant on the
what is the most common cause of nip-
breast, e. g., grasping too little of the
ple soreness
areola or grasping only the nipple
A 24-hour-old newborn has a pink papu-
lar rash with vesicles superimposed on
the thorax, back, and abdomen. What
action should the nurse implement?
a) Notify the healthcare provider. c) Document the finding in the infant's
b) Move the newborn to an isolation nurs- record.
ery.
c) Document the finding in the infant's
record.
d) Obtain a culture of the vesicles.
is a newborn rash that is commonly re-
ferred to as "flea bites," but is a normal
Erythema toxicum
finding that is documented in the infant's
record, and requires no further action.
Twenty minutes after a continuous
epidural anesthetic is administered, a la-
boring client's blood pressure drops from
120/80 to 90/60. What action will the
nurse take?
a) Notify the healthcare provider or anes- c) Place the woman in a lateral position.
thesiologist immediately.
b) Continue to assess the blood pressure
q5 minutes.
c) Place the woman in a lateral position.
d) Turn off the continuous epidural.
-immediately turn the woman to a lateral
position, place a pillow or wedge under
the right hip to deflect the uterus
BP drop in an epidural -increase the IV fluid
-administer oxygen by face mask
-if it decreases further or remains lo then
notify the healthcare provider
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A client at 30-weeks gestation, complain-
ing of pressure over the pubic area, is ad-
mitted for observation. She is contracting
irregularly and demonstrates underlying
uterine irritability. Vaginal examination re-
veals that her cervix is closed, thick,
and high. Based on these data, which
c) Obtain a specimen for urine analysis.
intervention should the nurse implement
first?
a) Provide oral hydration.
b) Have a complete blood count (CBC)
drawn.
c) Obtain a specimen for urine analysis.
d) Place the client on strict bedrest.
often suffer from a UTI so that should be
preterm clients with uterine irritability
either diagnosed or ruled out with a urine
and contractions
analysis
A client with no prenatal care arrives at
the labor unit screaming, "The baby is
coming!" The nurse performs a vaginal
examination that reveals the cervix is
3 centimeters dilated and 75% effaced.
What additional information is most im-
c) Date of last normal menstrual period.
portant for the nurse to obtain?
a) Gravidity and parity.
b) Time and amount of last oral intake.
c) Date of last normal menstrual period.
d) Frequency and intensity of contrac-
tions.
used to mature lungs in a preterm corticosteroids
The nurse caring for a laboring client
encourages her to void at least q2h, and
records each time the client empties her
bladder. What is the primary reason for
implementing this nursing intervention?
a) Emptying the bladder during delivery
is difficult because of the position of the
presenting fetal part.
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b) An over-distended bladder could be
traumatized during labor, as well as pro-
long the progress of labor.
c) Urine specimens for glucose and pro- b) An over-distended bladder could be
tein must be obtained at certain intervals traumatized during labor, as well as pro-
throughout labor. long the progress of labor.
d) Frequent voiding minimizes the need
for catheterization which increases the
chance of bladder infection.
-impair the efficiency of the uterine con-
tractions and impede the descent of the
a full bladder during pregnancy fetus
-the bladder can be traumatized by the
descent of the fetus
The nurse is counseling a couple who
has sought information about conceiv-
ing. For teaching purposes, the nurse
should know that ovulation usually oc-
curs a) two weeks before menstruation
a) two weeks before menstruation.
b) immediately after menstruation.
c) immediately before menstruation.
d) three weeks before menstruation.
14 days before the first day of the men-
when does typically ovulation occur
strual period
what sequence should the nurse imple- 1. Reposition the client
ment these nursing actions with a full 2. Increase IV fluid
term client is demonstrating late deceler- 3. Provide oxygen via face mask
ations 4. call the healthcare provider
-total score ranges from 0 to 10
-a total score of 0 means the infant has
A Silverman-Anderson Index no dyspnea
-a total score of 10 indicates max respi-
ratory distress
The nurse is preparing to give an enema
to a laboring client. Which client would
require the most caution when carrying
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