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HESI OB EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
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HESI OB EXAM REVIEW QUESTIONS WITH CORRECT ANSWERS
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HESI OB EXAM REVIEW QUESTIONSWITH CORRECT ANSWERS
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal...
notifying the health care provider of the clients' condition, what information is most....
a. total amount of oxytocin infused
b. maternal blood pressure
c. apical pulse rate
d. time oxytocin infused - Maternal blood pressure
A community health nurse visits a family in which a 16-year-old unmarried daughter is
married with her first child and is at 32 weeks' gestation. The client tells the nurse that
she has been having intermittent back pain since the night before. What is the priority
nursing intervention?
a. Teach the client how to perform pelvic rock exercises and observe for correct
feedback
b. Determine what physical activities the client has performed in the past 24 hours
c. Ask the clients mother to call an ambulance
d. Ask the client if she has experienced any recent changes in vaginal discharge - Ask
the client if she has experienced any recent changes in vaginal discharge
A client with HSV is receiving zidovudine during labor. Which information should the
nurse provide to the client. - This treatment helps prevent the transmission of virus to
the fetus.
The nurse is preparing to draw blood from a newborn to obtain hemoglobin and
hematocrit levels. What is the best method to obtain this blood sample? - Use a lancet
to puncture the outer lateral aspect of the heel
In assessing a client diagnosed with preeclampsia who is receiving magnesium sulfate,
the nurse determines that her deep tendon reflexes are 1+, respiratory rate is 12
breaths/ minute, urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mEq/L
4.5 mmo/L. Based on those findings which intervention should the nurse implement. -
Stop the magnesium sulfate infusion immediately.
The nurse is assessing a client at 29 weeks gestation. Which assessment method
would provide the most accurate determination of fetal position. - Ultrasound
A client in labor states, " I think my water just broke!" The nurse notes that the umbilical
cord is on the perineum. What action should the nurse perform first? - Place the client in
Trendelenburg
, A client who is 14 days postpartum arrives to the clinic for a follow up examination. The
nurse is unable to palpate the uterine fundus. Which action should the nurse take. -
Document the normal finding.
Following an amniocentesis, the client verbalizes several complaints. What reported
finding indicates to the nurse the client is experiencing a complication from the
amniocentesis. - Low back pain with pelvic cramping
A client who is positive for Neisseria gonorrhea vaginally delivered an infant. What
medication should the nurse administer? - Erythromycin ointment
The current vital signs for a primipara who delivered vaginally during the previous shift
are: temperature 100.4 F, heart rate 58 beats/ minute, respiratory rate 16 breaths/
minute, and blood pressure 130/ 74 mm Hg. What action should the nurse implement? -
Document these vital signs
which content should the nurse plan to include in a nutrition class for pregnant
adolescents - Take folic acid supplements daily
Increase food intake by 300 to 400 calories/ day
Take iron and calcium supplements daily
After placing a 36- week- gestation newborn in an isolette and drying the infant with
several blankets, what should the nurse implement next? - Place erythromycin
ophthalmic ointment in both eyes
While on the delivery table, a primipara tells the nurse that she wishes to breastfeed her
infant. To assist the new mother with her goal which intervention is best for the nurse to
implement? - Evaluate the infants suckling reflexes then give the infant to the mother
The nurse is assessing a pregnant client who reports she smokes one pack of
cigarette's per day. The client believes she is six-months pregnant, but is unsure of the
date of her last menstrual period. Which method of assessment provides the best
estimate of gestational age. - Ultrasonography
A primigravida client is in the fourth stage of labor after the delivery of a newborn male
infant. Which information should the nurse provide? - Techniques to breastfeed
Prior to performing a postpartum assessment, the client tells the nurse, " I have pain in
my stiches." The nurse notes that there is a mid-line episiotomy. Which action should
the nurse take first? - Visualize the perineum and check the episiotomy
A single woman is scheduled for a thyroid scan using radioactive iodine. She confesses
to the nurse that she may be pregnant and plans to have an abortion right away if the
pregnancy is confirmed. She insists that the nurse keep this information confidential.
What action should the nurse take? - Explain to the client that the procedure will need to
be canceled until confirmation is obtained that the client is not pregnant.
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