Maternity/OB HESI Practice #2 Correct and Verified Answers Graded A.

• | P a g e

Maternity/OB HESI Practice #2 Correct and Verified Answers Graded A.

• The nurse is assessing a multigravid client at 12 weeks' gestation who has been admitted

to the emergency department with sharp right-sided abdominal pain and vaginal spotting.Which of the following should the nurse obtain about the client's history? Select all that apply.

• History of sexually transmitted infections.
• Number of sexual partners.
• Last menstrual period.
• Cesarean section.
• Contraceptive use.

Correct Answer: 1, 2, 3, 5

• On arrival at the emergency department, a client tells the nurse that she suspects that

she may be pregnant but has been having a small amount of bleeding and has severe pain in the lower abdomen. The client's blood pressure is 70/50 mm Hg and her pulse rate is 120 bpm. The nurse notifies the primary health care provider immediately because of the

possibility of:

• Ectopic pregnancy.
• Abruptio placentae.
• Gestational trophoblastic disease.
• Complete abortion.

Correct Answer: 1

• A primigravid client with class II heart disease who is visiting the clinic at 8 weeks'

gestation tells the nurse that she has been maintaining a low-sodium, 1,800-cal diet.Which of the following instructions should the nurse give the client?

• | P a g e

• Avoid folic acid supplements to prevent megaloblastic anemia.
• Severely restrict sodium intake throughout the pregnancy.
• Take iron supplements with milk to enhance absorption.
• Increase caloric intake to 2,200 cal daily to promote fetal growth.

Correct Answer: 4

• Which of the following anticoagulants would the nurse expect to administer when caring

for a primigravid client at 12 weeks' gestation who has class II cardiac disease due to mitral valve stenosis?

• Heparin.
• Warfarin.
• Enoxaparin.
• Ardeparin.

Correct Answer: 1

• When developing the collaborative plan of care with the health care provider for a

multigravid client at 10 weeks' gestation with a history of cardiac disease who was being treated with digitalis therapy before this pregnancy, the nurse should instruct the client about which of the following regarding the client's drug therapy regimen?

• Need for an increased dosage.
• Continuation of the same dosage.
• Switching to a different medication.
• Addition of a diuretic to the regimen.

Correct Answer: 2

• While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the

nurse would instruct the client to contact her primary health care provider immediately if the client experiences which of the following?

• Mild ankle edema.
• Emotional stress on the job.
• Weight gain of 1 lb (0.45 kg) in 1 week.

• | P a g e

• Increased dyspnea at rest.

Correct Answer: 4

• After instruction of a primigravid client at 8 weeks' gestation diagnosed with class I heart

disease about self-care during pregnancy, which of the following client statements would indicate the need for additional teaching?

• "I should avoid being near people who have a cold."
• "I may be given antibiotics during my pregnancy."
• "I should reduce my intake of protein in my diet."
• "I should limit my salt intake at meals."

Correct Answer: 3

• With plans to breast-feed her neonate, a pregnant client with insulin-dependent

diabetes asks the nurse about insulin needs during the postpartum period. Which of the following statements about postpartal insulin requirements for breast-feeding mothers should the nurse include in the explanation?

• They fall significantly in the immediate postpartum period.
• They remain the same as during the labor process.
• They usually increase in the immediate postpartum period.
• They need constant adjustment during the first 24 hours.

Correct Answer: 1

• A primigravid client with diabetes at 39 weeks' gestation is seen in the high-risk clinic.

The primary health care provider estimates that the fetus weighs at least 4,500 g (10 lb).The client asks, "What causes the baby to be so large?" The nurse's response is based on the understanding that fetal macrosomia is usually related to which of the following?

• Family history of large infants.
• Fetal anomalies.
• Maternal hyperglycemia.
• Maternal hypertension.

Correct Answer: 3

• | P a g e

• At 38 weeks' gestation, a primigravid client with poorly controlled diabetes and severe

preeclampsia is admitted for a cesarean birth. The nurse explains to the client that childbirth helps to prevent which of the following?

• Neonatal hyperbilirubinemia.
• Congenital anomalies.
• Perinatal asphyxia.
• Stillbirth.

Correct Answer: 4

• Before surgery to remove an ectopic pregnancy and the fallopian tube, which of the

following would alert the nurse to the possibility of tubal rupture?

• Amount of vaginal bleeding and discharge.
• Falling hematocrit and hemoglobin levels.
• Slow, bounding pulse rate of 80 bpm.
• Marked abdominal edema.

Correct Answer: 2

• A multigravid client diagnosed with a probable ruptured ectopic pregnancy is

scheduled for emergency surgery. In addition to monitoring the client's blood pressure before surgery, which of the following would the nurse assess?

• Uterine cramping.
• Abdominal distention.
• Hemoglobin and hematocrit.
• Pulse rate.

Correct Answer: 4

• A 36-year-old multigravid client is admitted to the hospital with possible ruptured

ectopic pregnancy. When obtaining the client's history, which of the following would be most important to identify as a predisposing factor?

• Urinary tract infection.
• Marijuana use during pregnancy.