OB HESI Practice Questions

OB "HESI" Practice Questions / Complete Study Guide / Actual Exam Questions & Correct Answers (Verified Detailed Answers) A Grade.Quiz____?D - Answer✓✓ A 30-year-old multiparous woman who has a 3-year-old boy and a newborn girl tells the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage both children when I get home." How should the nurse respond?

• "Tell the older child that he is a big boy now and should love his new

sister."

• "Ask friends and relatives not to bring gifts to the older sibling because

you do not want to spoil him."

• "Let the older child stay with his grandparents for the first six weeks to

allow him to adjust to the newborn."

• "Regression in behaviors in the older child is a typical reaction so he

needs attention at this time." Quiz____?A - Answer✓✓ A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first?

• Bathe the infant with an antimicrobial soap
• Measure the head and chest circumference

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• Obtain the infant's footprints
• Administer vitamin K

Quiz____?A - Answer✓✓ A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client's care?

• Patellar reflex 4+
• Blood pressure 158/80
• Four-hour urine output 240 ml
• Respiration 12/minute

Quiz____?A - Answer✓✓ A pregnany client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to provide this client?

• "Complete bedrest decreases oxygen needs and demands on the heart

muscle tissue."

• "We want your baby to be healthy, and this is the only way we can

make sure that will happen."

• "I know you're upset. Would you like to talk about some things you

could do while in bed?"

• "Labor is difficult and you need to use this time to rest before you have

to assume all child-caring duties." Page 2 of 54 2 / 4

Quiz____?CDF - Answer✓✓ The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client's bedside? (Select all that apply)

• Litmus paper
• Fetal scalp electrode
• A sterile glove
• An amnihook
• Sterile vaginal speculum
• Lubricant

Quiz____?D - Answer✓✓ The nurse is preparing to give an enema to a laboring client. Which client requires the most caution when carrying out this procedure?

• A gravida 6. para 5 who is 38 years of age and in early labor
• A 37-week primigravida who presents at 100% effacement, 3 cm

dilatation, and a -1 station

• A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station

admitted for induction of labor due to post dates

• A 40-week primigravida who is at 6 cm cervical dilatation and the

presenting part is not engaged Quiz____?D - Answer✓✓ Page 3 of 54 3 / 4

A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain relief. Which assessment finding is most important for the nurse to report to the healthcare provider?

• Cervical dilation of 5 cm with 90% effacement
• White blood cell count of 12,000/mm3
• Hemoglobin of 12 mg/dl and hematocrit of 38%
• A platelet count of 67,000/mm3

Quiz____?D - Answer✓✓ The nurse is calculating the estimated date of confinement (EDC) using Ngele's rule for a client whose last menstrual period started on December

• Which date is most accurate?
• August 1
• August 10
• September 3
• September 8

Quiz____?ABC - Answer✓✓ The nurse is performing a gestational age assessment on a full-term newborn during the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if the neonate is small for gestational age (SGA)? (Select all that apply.)

• Admission weight of 4 pounds, 15 ounces (2244 grams)
• Head to heel length of 17 inches (42.5 cm)

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