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  • November 11, 2024
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OB HESI MATERNITY VERSION 5 EXAM

Questions And Answers

100% Guarantee Pass



This Test Consists Of 55 Questions And Answers


1. Which nursing intervention is most helpful in relieving postpartum uterine

contractions or "afterpains?"

a. Lying prone with a pillow on the abdomen

b. Using a breast pump

c. Massaging the abdomen

,d. Giving oxytocic medications

Answer>> a. Lying prone with a pillow on the abdomen


Lying prone (A) keeps the fundus contracted and is especially useful with multiparas,

who commonly experience afterpains due to lack of uterine tone.

2. A multigravida client arrives at the labor and delivery unit and tells the

nurse that her bag of water has broken. The nurse identifies the presence of

meconium fluid on the perineum and determines the fetal heart rate is between

140 to 150 beats/minute. What action should the nurse implement next?

a. Ccmplete a sterile vaginal exam

b. Take maternal temperature every 2 hours

c. Prepare for an immediate cesarean birth

d. Obtain sterile suction equipment

Answer>> a. Complete a sterile vaginal exam


A vaginal exam (A) should be performed after the rupture of membranes to deter-

mine the presence of a prolapsed cord.

3. When explaining "postpartum blues" to a client who is 1 day postpartum,

which symptoms should the nurse include in the teaching plan? (Select all

that apply.)

,a. Mood swings

b. Panic attacks

c. Tearfulness

d. Decreased need for sleep

e. Disinterest in the infant

Answer>> a. Mood swings

c. Tearfulness


"Postpartum blues" is a common emotional response related to the rapid decrease

in placental hormones after delivery and include mood swings (A), tearfulness (C),

feeling low, emotional, and fatigued.

4. A client at 30-weeks gestation, complaining of pressure over the pubic area,

is admitted for observation. She is contracting irregularly and demonstrates

underlying uterine irritability. Vaginal examination reveals that her cervix is

closed, thick, and high. Based on these data, which 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

Answer>> c. Obtain a specimen for urine analysis


Obtaining a urine analysis (C) should be done first because preterm clients with

uterine irritability and contractions are often suffering from a urinary tract infection,

and this should be ruled out first.

5. A client in active labor complains of cramps in her leg. What intervention

should the nurse implement?

a. Ask the client if she takes a daily calcium tablet

b. Extend the leg and dorsiflex the foot

c. Lower the leg off the side of the bed

d. Elevate the leg above the heart

Answer>> b. Extend the leg and dorsiflex the foot


Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the

client is capable) (B), and putting the heel of the foot on the floor is the best means

of relieving leg cramps.

6. The nurse is caring for a woman with a previously diagnosed heart disease

,who is in the second stage of labor. Which assessment findings are of greatest

concern?

a. edema, basilar rales, and an irregular pulse

b. Increased urinary output, and tachycardia

c. Shortness of breath, bradycardia, and hypertension

d. Regular heart rate, and hypertension

Answer>> a. Edema, basilar rales, and an irregular pulse


Edema, basilar rales, and an irregular pulse (A) indicate cardiac decompensation

and require immediate intervention.

7. The nurse is teaching a woman how to use her basal body temperature

(BBT) pattern as a tool to assist her in conceiving a child. Which temperature

pattern indicates the occurrence of ovulation, and therefor, the best time for

intercourse to ensure conception?

a. Between the time the temperature falls and rises

b. Between 36 and 48 hours after the temperature rises

c. When the temperature falls and remains low for 36 hours

d. Within 72 hours before the temperature falls

Answer>> a. Between the time the temper- ature falls and rises

, In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24

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