Exam (elaborations)
OB HESI PRACTICE 2024 QUESTIONS WITH COMPLETE ANSWERS LATEST UPDATE 2024
Institution
HESI MATERNITY OB
OB HESI PRACTICE 2024 QUESTIONS WITH COMPLETE ANSWERS LATEST UPDATE 2024
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OB HESI PRACTICE 2024 QUESTIONS
WITH COMPLETE ANSWERS LATEST
UPDATE 2024
A ssmultiparous ssclient sshas ssbeen ssin sslabor ssfor ss8 sshours sswhen ssher
ssmembranes ssrupture. ssWhich ssaction ssshould ssthe ssnurse ssimplement ssfirst?
Prepare ssthe ssclient ssfor ssimminent ssbirth.
Assess ssthe ssfetal ssheart ssrate ssand sspattern.
Document ssthe sscharacteristics ssof ssthe ssfluid.
Notify ssthe ssclient's ssprimary sshealthcare ssprovider. ss- ssAnswer ssAssess ssthe
ssfetal ssheart ssrate ssand sspattern.
A ssprimigravida ssat ss37 ssweeks ssgestation sstells ssthe ssnurse ssthat ssher ss"bag
ssof sswater" sshas ssbroken. ssWhile ssinspecting ssthe ssclient's ssperineum, ssthe
ssnurse ssnotes ssthe ssumbilical sscord ssprotruding ssfrom ssthe ssvagina. ssWhich
ssaction ssshould ssthe ssnurse ssimplement ssfirst?
Administer ss10 ssL ssof ssoxygen ssvia ssface ssmask.
Give ssthe sshealthcare ssprovider ssa ssstatus ssreport.
Place ssthe ssclient ssin ssthe ssknee-chest ssposition.
Wrap ssthe sscord sswith ssgauze sssoaked ssin sssaline. ss- ssAnswer ssPlace ssthe
ssclient ssin ssthe ssknee-chest ssposition.
The ssnurse ssobserves ssa ssnew ssmother ssavoiding sseye sscontact sswith ssher
ssnewborn. ssWhich ssaction ssshould ssthe ssnurse sstake?
Ask ssthe ssmother sswhy ssshe sswon't sslook ssat ssthe ssinfant.
Observe ssthe ssmother ssfor ssother ssbonding ssbehaviors.
Examine ssthe ssnewborn's sseyes ssfor ssthe ssability ssto ssfocus.
Recognize ssthis ssas ssa sscommon ssreaction ssin ssnew ssmothers. ss- ssAnswer
ssObserve ssthe ssmother ssfor ssother ssbonding ssbehaviors.
A ssclient ssstates, ss"During ssthe ssthree ssmonths ssI've ssbeen sspregnant, ssit
ssseems sslike ssI sshave sshad ssto ssgo ssto ssthe ssbathroom ssevery ssfive ssminutes."
ssWhich ssexplanation ssshould ssthe ssnurse ssprovide ssto ssthis ssclient?
,The ssclient ssmay sshave ssa ssbladder ssor sskidney ssinfection.
Bladder sscapacity ssincreases ssduring sspregnancy.
During sspregnancy, ssa sswoman ssis ssespecially sssensitive ssto ssbody ssfunctions.
The ssgrowing ssuterus ssis ssputting sspressure sson ssthe ssbladder. ss- ssAnswer ssThe
ssgrowing ssuterus ssis ssputting sspressure sson ssthe ssbladder.
Which ssnursing ssaction ssshould ssbe ssimplemented sswhen ssintermittently ssgavage-
feeding ssa sspreterm ssinfant?
Allow ssthe ssformula ssto ssflow ssby ssgravity.
Avoid ssletting ssthe ssinfant sssuck sson ssthe sstube.
Insert ssfeeding sstube ssthrough ssnares.
Apply sssteady sspressure ssto ssthe sssyringe. ss- ssAnswer ssAllow ssthe ssformula ssto
ssflow ssby ssgravity.
A ssclient ssin ssher sssecond sstrimester ssof sspregnancy ssasks ssif ssit ssis sssafe ssfor
ssher ssto sshave ssa ssdrink sswith ssdinner. ssHow ssshould ssthe ssnurse ssrespond ssto
ssthe ssclient?
During ssthe sssecond sstrimester ssbeer sscan ssbe ssconsumed sswithout ssharm ssto
ssthe ssfetus.
Wine sscan ssbe ssconsumed ssseveral sstimes ssa ssweek ssafter ssthe ssfirst sstrimester.
Only ssone ssdrink sswith ssthe ssevening ssmeal ssis ssnot ssharmful ssto ssthe ssfetus.
Abstinence ssis ssstrongly ssrecommended ssthroughout ssthe sspregnancy. ss- ssAnswer
ssAbstinence ssis ssstrongly ssrecommended ssthroughout ssthe sspregnancy.
The ssnurse ssis ssteaching ssa ssnew ssmother ssabout ssdiet ssand ssbreastfeeding.
ssWhich ssinstruction ssis ssmost ssimportant ssto ssinclude ssin ssthe ssteaching ssplan?
Avoid ssalcohol ssbecause ssit ssis ssexcreted ssin ssbreast ssmilk.
Avoid ssspicy ssfoods ssto ssprevent ssinfant sscolic.
Increase sscaloric ssintake ssby ssapproximately ss500 sscalories/day.
Double ssprenatal ssmilk ssintake ssto ssimprove ssVitamin ssD sstransfer ssto ssthe ss-
ssAnswer ssAvoid ssalcohol ssbecause ssit ssis ssexcreted ssin ssbreast ssmilk.
A sspreterm ssinfant sswith ssan ssapnea ssmonitor ssexperiences ssan ssepisode ssof
ssapnea. ssWhich ssaction ssshould ssthe ssnurse ssimplement ssfirst?
Ventilate sswith ssan ssAmbu ssbag.
Perform ssnasal ssand ssairway sssuctioning.
Administer sssupplemental ssoxygen.
Gently ssrub ssthe ssinfant's ssfeet ssor ssback ssto ssstimulate ssrespirations ssand
ssplace ssin ssthe ssradiant sswarmer. ss- ssAnswer ssGently ssrub ssthe ssinfant's ssfeet
ssor ssback ssto ssstimulate ssrespirations ssand ssplace ssin ssthe ssradiant sswarmer.
, A ssclient ssdelivers sstwins, ssone ssis ssstillborn ssand ssthe ssother ssis ssrecovering ssin
ssan ssintensive sscare ssnursery. ssAs ssthe ssnurse ssprovides ssassistance ssto ssthe
ssbathroom, ssthe ssclient, sssoftly sscrying, ssstates, ss"I sswish ssmy ssbaby sscould
sshave sslived." ssWhich ssresponse ssis ssbest ssfor ssthe ssnurse ssto ssprovide?
"Don't ssbe sssad. ssYou'll ssneed ssto ssbe ssstrong ssto sscare ssfor ssyour sshealthy
ssbaby."
"Do ssyou sswant ssto ssgo ssto ssthe ssnursery ssand sssee ssyour ssbaby?"
"I ssam sssorry ssfor ssyour ssloss. ssDo ssyou sswant ssto sstalk ssabout ssit?"
"It ssis ssalways sssad ssto sslose ssa ssbaby. ssWould ssyou sslike ssme ssto sscall ssyour
ssminister?" ss- ssAnswer ss"I ssam sssorry ssfor ssyour ssloss. ssDo ssyou sswant ssto
sstalk ssabout ssit?"
A ssclient ssin ssthe ssfirst ssstage ssof ssactive sslabor ssis ssusing ssa ssshallow sspattern
ssof ssrapid ssbreaths ssthat ssis sstwice ssthe ssnormal ssadult ssbreathing ssrate. ssThe
ssclient ssreports ssfeeling sslight-headed ssand ssdizzy, ssand ssshe ssstates ssthat ssher
ssfingers ssare sstingling. ssWhich ssaction ssshould ssthe ssnurse ssimplement?
Notify ssthe sshealthcare ssprovider.
Help ssher ssbreathe ssinto ssa sspaper ssbag.
Administer ssoxygen ssvia ssnasal sscannula.
Tell ssthe ssclient ssto ssslow ssher ssbreathing. ss- ssAnswer ssHelp ssher ssbreathe ssinto
ssa sspaper ssbag.
A ssclient ssis ssreceiving ssan ssoxytocin ssinfusion ssfor ssinduction ssof sslabor. ssWhen
ssthe ssclient ssbegins ssactive sslabor, ssthe ssfetal ssheart ssrate ss(FHR) ssslows ssat
ssthe ssonset ssof ssseveral sscontractions sswith sssubsequent ssreturn ssto ssbaseline
ssbefore sseach sscontraction ssends. ssWhich ssaction ssshould ssthe ssnurse
ssimplement?
Insert ssan ssinternal ssmonitor ssdevice.
Change ssthe ssclient's ssposition.
Discontinue ssthe ssoxytocin ssinfusion.
Document ssthe ssfinding ssin ssthe ssclient ssrecord. ss- ssAnswer ssDocument ssthe
ssfinding ssin ssthe ssclient ssrecord.
A ssgravid ssclient ssdevelops ssmaternal sshypotension ssfollowing ssregional
ssanesthesia. ssWhich ssintervention(s) ssshould ssthe ssnurse ssimplement? ss(Select
ssall ssthat ssapply.)
Administer ssoxygen.
Increase ssIV ssfluids.
Perform ssa ssvaginal ssexamination.
Assist ssthe ssclient ssto ssa sssitting ssposition.
Place ssthe ssclient ssin ssa sslateral ssposition.
Monitor ssfetal ssstatus. ss- ssAnswer ssAdminister ssoxygen.