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HESI MATERNITY OB EXAM 2024 LATEST 2 DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN)GUARANTEED PASS €27,69
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HESI MATERNITY OB EXAM 2024 LATEST 2 DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN)GUARANTEED PASS

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HESI MATERNITY OB EXAM 2024 LATEST 2 DIFFERENT VERSIONS 110 QUESTIONS AND ANSWERS WITH RATIONALES NEXT GEN (NGN)GUARANTEED PASS

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  • 20 juni 2024
  • 45
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Page 1 of 45



OB MATERNITY HESI EXAM 2024 LATEST 2
DIFFERENT VERSIONS 110 QUESTIONS AND
ANSWERS WITH RATIONALES NEXT GEN
(NGN)GUARANTEED PASS

RATED

A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks gestation in
preterm labor. She is started on an IV solution of terbutaline (Brethine). Which assessment is
the highest priority for the nurse to monitor during the administration of this drug?

A. Materna blood pressure and respirations

B. Maternal and fetal heart rates

C. Hourly urinary output

D. Deep tendon relfexes - ANSWER-B. Maternal and fetal heart rates



Monitoring maternal and fetal heart rates is most important when terbutaline is being
administered. Terbutaline acts as a sympathomimetic agent that stimulates both beta 1
receptors (causing tachycardia, a side effect of the drug) and stimulation of beta 2 receptors
(causing uterine relaxation, a desired effect of the drug).



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) 0.25mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?

A. Drowsiness and bradycardia

B. Depressed reflexes and increased respirations


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,Page 2 of 45


C. Tachycardia and a feeling of nervousness

D. A flushed, warm feeling and a dry mouth - ANSWER-C. Tachycardia and a feeling of
nervousness




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".



A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse
knows that the most likely presenting symptom for a pediatric client with AIDS is

A. shortness of breath

B. joint pain

C. a persistent cold

D. organomegaly - ANSWER-C. a persistent cold



Respiratory tract infections commonly occur in the pediatric population. However, the child
with AIDS has a decreased ability to defend the body against these infections and often the
presenting symptom of a child with AIDS is a persistent cold.



A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could
use a home pregnancy test to diagnose pregnancy. Which response appropriate?

A. "A home pregnancy test can be used right after your missed period."

B. "These tests are most accurate after you have missed your second period."

C. "Home pregnancy tests often give false positives and should not be trusted."



2

,Page 3 of 45


D. "The test can provide accurate information when used right after ovulation." - ANSWER-A. "A
home pregnancy test can be used right after your missed period."



Home urine tests are based on the chemical detection of human chorionic gonadotrophin,
which begins to increase 6 to 8 days after conception, and is best detected at 2 weeks gestation
or immediately after the first missed period.



The nurse observes a new mother is rooming-in and caring for her newborn infant. Which
observation indicates the need for further teaching?

A. Cuddles the baby close to her

B. Rocks and soothes the infant in her arms

C. Places the infant prone in the bassinet

D. Wraps the baby in a warm blanket after bathing - ANSWER-C. Places the infant prone in the
bassinet




The mother should be instructed to avoid placing the infant prone which is associated with an
increased incidence of sudden infant death syndrome (SIDS).



The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client
whose last menstrual period started on December 1. Which date is most accurate?

A. August 1

B. August 10

C. September 3

D. September 8 - ANSWER-D. September 8




3

, Page 4 of 45


A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?"
Which explanation will the nurse provide?

A. "Weigh the baby daily, and if she is gaining weight, she is eating enough."

B. "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times a day."

C. "Offer the baby extra bottle milk after her feeding, and see if she is still hungry."

D. "If you're concerned, you might consider bottle feeding so that you can monitor her intake."
- ANSWER-B. "Your milk is sufficient if the baby is voiding pale straw-colored urine 6 to 10 times
a day."




The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the infant is
adequately hydrated.



A client with gestational hypertenstion is in active labor and receiving an infusion of magnesium
sulfate. Which drug should the nurse have available for signs of potential toxicity?

A. Oxytocin (Pitocin)

B. Calcium gluconate

C. Terbutaline (Brethine)

D. Naloxone (Narcan) - ANSWER-B. Calcium gluconate



Which nursing intervention would be 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



4

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