2024 HESI OB MATERNITY PRACTICE

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2024 HESI OB MATERNITY PRACTICE

EXAM WITH 150 ACTUAL EXAM

QUESTIONS AND CORRECT ANSWERS

GRADED A+/ OB HESI MATERNITY REAL

EXAM 2024/2025 PREP TEST BANK (NEW!!)

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessments for which condition has the highest priority?

• Hyperbilirubinemia
• Polycythemia
• Hyperthermia
• Hypoglycemia - ANSWER-D. Hypoglycemia

While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notices that the amniotic fluid is meconium stained. Which additional finding is most important for the nurse to report to the healthcare provider?

• Maternal blood pressure of 130/85 mmHg.
• Fetal heart rate of 100 to 110 bpm.
• Vaginal exam reveals a cervix 6cm dilated.
• Contractions occurring every 2-3 minutes. - ANSWER-A. Maternal blood

pressure of 130/85 mmHg.

The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute 1 / 4

pg. 2 with nasal flaring, grunting, and retractions. The nurse should recognize these findings indicate which complication?

• Persistent pulmonary hypertension of the newborn.
• Transient tachypnea of the newborn.
• Meconium aspiration syndrome.
• Bronchopulmonary dysplasia. - ANSWER-B. Transient tachypnea of the

newborn.

A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client?

• After ceasing breastfeeding, the diaphragm should be resized.
• Avoid intercourse during ovulation until the size of the diaphragm has been

evaluated.

• If no more than 20 pounds was gained during pregnancy, the diaphragm is safe

to use.

• Use an alternate form of contraceptive until a new diaphragm is obtained. -

ANSWER-D. Use an alternate form of contraceptive until a new diaphragm is obtained.

The healthcare provider prescribes zidovudine 100mg po 5x daily for a pregnant woman who is HIV positive. How much do you administer? (?) - ANSWER-10

The nurse is preparing a young couple and their 24-hour-old infant for discharge from the hospital. In conducting discharge ...

• Ensure that they have the pediatric clinic's phone number.
• Provide the results of the infant's hearing test to the parents.
• Request a return demonstration of a diaper change. 2 / 4

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• Evaluate infant feeding technique prior to discharge. - ANSWER-D. Evaluate

infant feeding technique prior to discharge.

A 30-year-old primigravida delivers a 9-pound (4082 gram) infant vaginally after a 30-hour labor. What is the priority nursing action for this client?

• Gently massage the fundus every 4 hours.
• Observe for signs of uterine hemorrhage.
• Encourage direct contact with the infant.
• Assess the blood pressure for hypertension. - ANSWER-A. Gently massage the

fundus every 4 hours.

An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who delivers a 7-pound infant 12 hours ago is reporting a severe headache. The client blood pressure is 110/70 mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and temperature is 98.6F. The client's fundus is firm and one fingerbreadth above the umbilicus. Which action should the charge nurse implement first?

• Notify the healthcare provider of the assessment findings.
• Obtain a STAT hemoglobin and hematocrit.
• Assign a practical nurse (PN) to reassess the client's vital signs.
• Determine if the client received anesthesia during delivery. - ANSWER-A.

Notify the healthcare provider of the assessment findings.

A multiparous client with active herpes lesion is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse do first?

• Obtain blood cultures.
• Cover the lesion with a dressing.
• Administer penicillin.
• Prepare for a cesarean section. - ANSWER-D. Prepare for a cesarean section. 3 / 4

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A primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1 minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. What intervention should the nurse implement?

• Notify nursery about the client's response.
• Check for clonus in both feet.
• Stop oxygen per cannula.
• Restart oxytocin infusion rate per protocol. - ANSWER-D. Restart oxytocin

infusion rate per protocol.

At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action would the nurse take first?

• Ensure preoperative lab results are available.
• Inform the anesthesia care provider.
• Start prescribed IV with Lactated Ringer's.
• Contact the client's obstetrician. - ANSWER-B. Inform the anesthesia care

provider.

The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologists arrival on the unit, which action should the nurse perform?

• Cleanse the spinal injection site.
• Place procedure equipment at bedside.
• Apply an abdominal binder.
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