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HESI OB/MATERNITY Practice Quiz Correct and Verified Answers Graded A
- The nurse assess a client admitted to the labor and delivery unit and obtains the
- insert a fetal monitor
- assess for cervical changes q1H
- monitor bleeding from IV sites
- perform Leopold's maneuvers
following data: BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?
Correct Answer: c. monitor bleeding from IV sites
- At 14-weeks gestation, a client arrives at the Emergency Center complaining of a
- Check the hematocrit results.
- Administer pain medication.
- Increase the rate of IV fluids.
- Monitor client for contractions.
dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next?
Correct Answer: c. Increase the rate of IV fluids.
- A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when
- a home pregnancy test can be used right after your first missed period
- these tests are most accurate after you have missed your second period
she could use a home pregnancy test to diagnose pregnancy. Which response is best?
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- home pregnancy tests often give false positives and should not be trusted
- the test can provide accurate information when used right after ovulation
- A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
Correct Answer: a. a home pregnancy test can be used right after your first missed period
The nurse knows that the most likely presenting symptom for a pediatric client with
AIDS is:
- shortness of breath
- joint pain
- a persistent cold
- organmegaly
Correct Answer: c. a persistent cold
- Twenty minutes after a continuous epidural anesthetic is administered, a laboring
- notify the healthcare provider or anesthesiologist
- continue to assess the blood pressure q5min
- place the woman in a lateral position
- turn off continuous epidural
client's blood pressure drops from 120/80 to 90/60. What action should the nurse take?
Correct Answer: c. place the woman in a lateral position
- In developing a teaching plan for expectant parents, the nurse plans to include
information about when the parents can expect the infant's fontanels to close. The
nurse bases the explanation on knowledge that for the normal newborn, the:
- anterior fontanel closes at 2 to 4 months and the posterior by the end of the first week
- anterior fontanel closes at 5 to 7 months and the posterior by the end of the week
- anterior fontanel closes at 8 to 11 months and the posterior by the end of the second
- anterior fontanel closes at 12 to 18 months and the posterior by the end of the second
week
month
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Correct Answer: d. anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month
- A client in active labor is admitted with preeclampsia. Which assessment finding is
- patellar reflex 4+
- blood pressure 158/80
- four hour urine output 240 ml
- respiration 12/minute
most significant in planning this client's care?
Correct Answer: a. patellar reflex 4+
- A 4 week old premature infant has been receiving epoetin alfa for the last three
- slowly increasing urine output over the last week
- respiratory rate changes from the 40s to the 60s
- changes in apical heart rate from the 180 to the 140s
- change in indirect bilirubin from 12 mg/dl to 8 mg/dl
weeks. Which assessment finding indicates to the nurse that the drug is effective?
Correct Answer: c. changes in apical heart rate from the 180 to the 140s
- A pregnant client tells the nurse that the first day of her last menstrual period was
- April 25, 2007
- May 9, 2007
- May 29, 2007
- June 2, 2007
August 2, 2006. Based on Nagele's rule, what is the estimated date of delivery?
Correct Answer: b. May 9, 2007
- The nurse is performing a AGA on a full-term newborn during the first hour of
- admission weight of 4 lbs 15 oz
transition using the Dubowitz scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40 weeks. Which findings should the nurse identify to determine if the neonate is SGA? (Select all that apply.)
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- head to heel length of 17 in
- frontal occipital circumference of 12.5 in
- skin smooth with visible veins and abundant vernix
- anterior plantar crease and smooth heel surfaces
- full flexion of all extremities in resting supine position
Correct Answer: a, b, c
- Immediately after birth a newborn infant is suctioned, dried, and placed under a
- initiate positive pressure ventilation
- intervene after one minute APGAR is assessed
- initiate CPR on the infant
- assess the infant's blood glucose level
radiant warmer. The infant has spontaneous respirations and the nurse assess an apical heart rate of 80 bpm and respirations 20. What action should the nurse perform next?
Correct Answer: a. initiate positive pressure ventilation
- A client with no prenatal care arrives at the labor unit screaming, "The baby is
- gravidity and parity
- time and amount of last oral intake
- date of last normal menstrual period
- frequency and intensity of contractions
coming!" The nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and 75?faced. What additional information is most important for the nurse to obtain?
Correct Answer: c. date of last normal menstrual period
- A multigravida client at 41 weeks gestation present in the labor and delivery unit
- biophysical profile
after a non-stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the nurse prepare the client for additional information about fetal status?
