OB/Maternity HESI Assignment exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• | P a g e

OB/Maternity HESI Assignment exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+ Here is the study guide formatted for a Word document. As requested, the first 10 questions have been rearranged (the order has been reversed for the first 10 to mix them up), and the correct answers are clearly indicated below each question.

NCLEX Study Guide

• A client at 8-months gestation tells the nurse that she knows her baby listens to her,

but her husband thinks she is imagining things. What information should the nurse provide?• Correct Answer: B. The fetus in utero is capable of hearing and does respond to the mother's voice

• A client at 8-weeks gestation asks the nurse about the risk for a congenital heart

defect (CHD) in her baby. Which response best explains when a CHD may occur?• Correct Answer: D. The heart develops in the third to fifth weeks after conception

• Which nursing intervention best enhances maternal-infant bonding during the

fourth stage of labor?

• Correct Answer: D. Encourage early initiation of breast of formula feeding

• The nurse is teaching a new mother about diet and breastfeeding. Which instruction

is most important to include in the teaching plan?

• Correct Answer: A. Avoid alcohol because it is excreted in breast milk

• The nurse prepares to administer an injection of vitamin K to a newborn infant. The

mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to make?• Correct Answer: B. Explore the mother's concerns about the infant receiving an injection of vitamin K

• | P a g e

• When assessing a newborn infant's heart rate, which technique is most important

for the nurse to use?

• Correct Answer: C. Count the heart rate for at least one full minute

• An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the

priority nursing intervention?

• Correct Answer: B. Begin humidified oxygen via hood

• The nurse assesses a male newborn and determines that he has the following vital

signs: axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48 breaths/minute. Based on these findings, which action should the nurse take first?

• Correct Answer: C. Assess the infant's blood glucose level

• A client states, "During the three months I've been pregnant, it seems like I have had

to go to the bathroom every five minutes." Which explanation should the nurse provide to this client?

• Correct Answer: D. The growing uterus is putting pressure on the bladder.

• At 10-weeks gestation, a high-risk multiparous client with a family history of Down

syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention?

• Correct Answer: A. Uterine cramping

• A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil

last week and her baby jumped in response to the noise. What information should the nurse provide?

• Correct Answer: B. The fetus can respond to sound by 24-weeks gestation

• A woman whose pregnancy is confirmed asks the nurse what the function of the

placenta is in early pregnancy. What information supports the explanation that the nurse should provide?

• Correct Answer: C. Secretes both estrogen and progesterone

• Which cardiovascular findings should the nurse assess further in a client who is at

20-weeks gestation?

• Correct Answer: A. Decrease in pulse rate

• | P a g e

• A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is

positive one week after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not sleeping well. The client's physical examination and ultrasound do not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive pregnancy test results?

• Correct Answer: B. Using an anticonvulsant for epilepsy

• Which gastrointestinal findings should the nurse be concerned about in a client at

28-weeks gestation?

• Correct Answer: A. PICA

• During a preconception counseling session for women trying to get pregnant in 3 to
• months, what information should the nurse provide?

• Correct Answer: B. Make sure to include adequate folic acid in the diet

• Which statement by a client who is pregnant indicates to the nurse an

understanding of the role of protein during pregnancy?• Correct Answer: A. "Protein helps the fetus grow while I am pregnant."

• A client in her second trimester of pregnancy asks if it is safe for her to have a drink

with dinner. How should the nurse respond to the client?• Correct Answer: D. Abstinence is strongly recommended throughout the pregnancy

• A female client who wants to deliver at home asks the nurse to explain the role of a

nurse-midwife in providing obstetric care. What information should the nurse provide?• Correct Answer: B. The pregnancy should progress normally and be considered low risk

• When discussing birth in a home setting with a group of pregnant women, which

situation should the nurse include about the safety of a home birth?

• Correct Answer: D. Medical backup should be available quickly in case of

complications

• The nurse is discussing the stages of labor with a group of women in the last month

of pregnancy and provides examples of different positional techniques used during the second stage of labor. Which position should the nurse address the best advantage of gravity during delivery?

• | P a g e

• Correct Answer: B. Squatting

• A client in the first stage of labor is using a shallow pattern of rapid breaths that is

twice the normal adult breathing rate. The client complains of feeling light headed, dizzy, and states that her fingers are tingling. What action should the nurse implement?

• Correct Answer: B. Help her breathe into a paper bag

• A client in active labor at 39-weeks gestation tells the nurse she feels a wet

sensation on the perineum. The nurse notices pale, straw-colored fluid with small white particles. After reviewing the fetal monitor strip for fetal disturbance, what action should the nurse take?

• Correct Answer: C. Perform a nitrazine test

• A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an

average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted.The intrauterine pressure is 65 to 70 mmHg at the peak. Based on this information, what action should the nurse implement?

• Correct Answer: D. Document the findings in the client record

• A multiparous client has been in labor for 8 hours when her membranes rupture.

What action should the nurse implement first?

• Correct Answer: B. Assess the fetal heart rate and pattern

• Which action should the nurse implement caring for a newborn immediately after

birth?

• Correct Answer: A. Keep the newborn's airway clear

• During an assessment of a multiparous client who delivered an 8 lb 7 oz infant 4

hours ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes. What action should the nurse implement next?

• Correct Answer: A. Perform fundal massage

• The nurse is assessing a full-term newborn's breathing pattern. Which findings

should the nurse assess further? (Select all that apply)

• Correct Answers:

• Chest breathing with nasal flaring