2023 HESI OB MATERNITY VERSION 2 (V2) REAL EXAM LATEST UPDATE 2023 GUARANTEED A+

2023 HESI OB MATERNITY VERSION 2 (V2) REAL EXAM LATEST UPDATE 2023 GUARANTEED A+


A 38-week primigravida is admitted to labor and delivery after a non-reactive result on a non-
stress test (NST). The nurse begins a contraction stress test (CST) with an oxytocin infusion. Which
finding is most important for the nurse to report to the health care provider. - GVFFDYUTDSS-Spontaneous rupture of membranes.

A newborn with a respiratory rate of 40 breaths per minute at one minute after birth is
demonstrating cyanosis of the hands and feet. What action should a nurse take. - GVFFDYUTDSS-Continue to monitor

client tells the nurse that she thinks she's pregnant. Which signs or symptoms provide the best
indication that the client is pregnant. - GVFFDYUTDSS-Hegar's sign.

A newborns head circumference is 12 inches (30.5 cm) and his chest measurement is 13 inches
(33 centimeters). The nurse notes that this infant has no molding, and it was a bridge presentation
delivered by cesarean section. What action should the nurse take based on this data. - GVFFDYUTDSS-Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal.

A 30-year-old primigravida delivers a nine-pound (4082 gram) infant vaginally after a 30-hour
labor. What is priority nursing action for this client? - GVFFDYUTDSS-Observe for signs of uterine hemorrhage





A client with 26 weeks gestation was informed this morning that she has an elevated alpha fetal
protein (AFP) level. After the health care provider leaves the room, the client asks what she should do
next. What information should the nurse provide. - GVFFDYUTDSS-Explain that his sonogram should be scheduled for definitive results.

A woman who is 38 weeks gestation is receiving magnesium sulfate for severe preeclampsia. which
assessment finding warrants immediate intervention by the nurse? - GVFFDYUTDSS-Absent Patellar reflexes
A 2 year old child who is hospitalized has become withdrawn and quiet on the fourth day after admission. The parent expresses concern about this change in behavior. Which explanation should the practical nurse (PN) provide? The child is

a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - DCXDXHJASSYDHSSSFDS-Answer: A

Rationale:
In the despair stage of separation (A), the child exhibits signs of hopelessness and becomes quiet, withdrawn, and apathetic. Toddlers do not readily "adjust" to hospitalization (D) and separation from caregivers. During the detachment stage (B) which occurs after prolonged separation, the child becomes interested in the environment and begins to play. In the protest stage (C), the child is likely to cry and resist care by others, and is inconsolable.

A 3 year old boy cries, kicks, and clings to his father when the parents try to leave the hospital room. The parents express their concern to the practical nurse (PN). What response should the PN provide?

a) "It is not helpful for parents to stay with children during hospitalization."
b) "Your child's behavior indicates a need for a psychological consultation."
c) "You can avoid this if you wait to leave after your child falls asleep."
d) "Your child is showing a normal response to the stress of hospitalization." - DCXDXHJASSYDHSSSFDS-Answer: D

Rationale:
The child is exhibiting a healthy attachment to the father (D). Leaving while your child is asleep creates mistrust in the child (C). To minimize the child's stress hospital policy often require someone to stay with their child during hospitalization, not (A). The child's behavior represents the protest stage of separation and does not represent maladaptive behavior (B).



During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods should the nurse encourage the client to eat?

1
Liver and raisins

Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals - CDDSDGS-cheese and broccoli

need calcium

A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity?

1Oxygen

2Naloxone

3Calcium gluconate

4Suction equipment - CDDSDGS-calcium gluconate

The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid antagonist. Suction equipment may be necessary if the client has excessive secretions after a seizure. The priority intervention is trying to prevent a seizure.

A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is prescribed. For what therapeutic effect should the nurse monitor the client?

1increased blood pressure and pulse

2Reduction of pain in the perineal area

3Gradual cervical dilation as labor progresses

4Decreased frequency and duration of contractions - CDDSDGS-decreased frequency and duration of contractions

Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the uterus to reduce contractility, which in turn inhibits dilation and the frequency and duration of contractions. Although terbutaline may increase blood pressure and pulse, this is a side, not a therapeutic, effect requiring frequent assessments. Terbutaline is not an analgesic. It should stop cervical dilation rather than increase it.

greenish amniotic fluid indicates - CDDSDGS-meconium in amniotic fluid and dr should be notified immediately

pt on magnesium sulfide, what base line assessment is needed - CDDSDGS-repsiration rate

LOC is also affected but do not need a baseline

hydatidiform mole - CDDSDGS-causes extra large utereus

lepolds maneuver on patient with placental previa expects - CDDSDGS-high floating, presenting part

A client at 38 weeks gestation is admitted to labor and delivery with a complaint of
contraction 5 minutes apart while the client is in the bathroom changing into a hospital gown the nurse
hears the noise of a baby what should the nurse take first? - GVFFDYUTDSS-Push the call light for help

A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are observed on the monitoring strip. What does the nurse suspect as the cause of this change?

1Fetal acidosis

2Prolapsed cord

3Head compression

4uteroplacental insufficiency - CDDSDGS-prolapsed cord

This variable pattern with bradycardia is an ominous sign; it is indicative of cord compression, which can result in fetal hypoxia. Immediate intervention is required. Fetal acidosis occurs with uteroplacental insufficiency, not in response to a prolapsed cord. Early decelerations are associated with head compression and are benign. Late decelerations and tachycardia are associated with uteroplacental insufficiency, not a prolapsed cord.

heart burn while pregnant - CDDSDGS-don't take antacids with sodium