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2024 HESI MATERNITY OB EXAM VERSION 4 WITH CORRECT ANSWERS |A+ GRADES
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2024 HESI MATERNITY OB EXAM VERSION 4 WITH CORRECT ANSWERS |A+ GRADES During labor, the nurse determines that a full-term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Arrange in order.) - ANSWER-1. Reposition the client 2. In...

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  • November 10, 2024
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2024 HESI MATERNITY OB EXAM
VERSION 4 WITH CORRECT
ANSWERS |A+ GRADES

During labor, the nurse determines that a full-term client is demonstrating late

decelerations. In which sequence should the nurse implement these nursing actions?

(Arrange in order.) - ANSWER✔✔-1. Reposition the client


2. Increase IV fluids


3. Provide oxygen via face mask


4. Call the healthcare provider


To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal

blood supply, the laboring client should be repositioned (1) to displace the gravid

uterus and improve fetal perfusion. Secondly, to optimize oxygenation of the

circulatory blood volume, oxygen via face mask (2) should be applied to the mother.

Next, the IV fluids should be increased (3) to expand the maternal circulating blood

volume. Then, the primary healthcare provider should be notified (4) for additional

interventions to resolve the fetal stress.



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Page 1/25

,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 important for

the nurse to obtain? - ANSWER✔✔-Date of last normal menstrual period:


Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the

fetal heart pattern is reassuring, the healthcare provider may attempt to prolong the

pregnancy and administer corticosteroids to mature the lungs of the fetus.


A 38-week primigravida who works as a secretary and sits at a computer for 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? - ANSWER✔✔-

Move about every hour:


Pooling of blood in the lower extremities results from the enlarged uterus exerting


pressure on the pelvic veins. Moving about every hour will straighten out the pelvic


veins and increase venous return.


2. 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) 0.25 mg

subcutaneously to stop her labor contractions. The nurse plans to monitor for which

primary side effect of terbutaline sulfate? - ANSWER✔✔-Tachycardia and a feeling of

nervousness:



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Page 2/25

, Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-

adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic

agonist properties of the drug may cause tachycardia, increased cardiac output,

restlessness, headache, and a feeling of "nervousness"


When do the anterior and posterior fontanels close? - ANSWER✔✔-anterior fontanel

closes at 12 to 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? - ANSWER✔✔-30 weeks gestation:


at 30 weeks gestation is closest (of the options) to the time parents would be ready for


such classes. Learning is facilitated by an interested pupil! The couple is most


interested in childbirth toward the end of the pregnancy when they are psychologically


ready for the termination of the pregnancy, and the birth of their child is an immediate


concern


The nurse should encourage the laboring client to begin pushing when... -

ANSWER✔✔-the cervix is completely dilated:


Pushing begins with the second stage of labor, i.e., when the cervix is completely


dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix


Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED
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