HESI OB Maternity V1 Exam Questions with Answers
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HESI OB Maternity V1 Exam Questions with Answers

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Questions and Answers

What action should the nurse take first upon learning that the client drank coffee before a scheduled C-Section?

Inform the anesthesia care provider

Prior to the anesthesiologist's arrival, what should the nurse do when caring for a postpartum client exhibiting symptoms of a spinal headache?

Place procedure equipment at the bedside

Based on the newborn's physical findings, what condition should the nurse prioritize assessment for?

Hypoglycemia

What complication should the nurse suspect in a 35-week gestation infant with a respiratory rate of 72 breaths per minute, nasal flaring, grunting, and retractions?

<p>Transient tachypnea of the newborn</p> Signup and view all the answers

In a 42-week gestation client who has progressed rapidly after initiating oxytocin infusion, what should the nurse do next?

<p>Stop the oxytocin and initiate oxygen therapy</p> Signup and view all the answers

What is the purpose of testing the newborn's blood type?

<p>To decide if RhoGAM 50 is necessary</p> Signup and view all the answers

What condition did the nurse observe about the infant's delivery?

<p>The infant had molding on the head</p> Signup and view all the answers

Why is it important for the nurse to call these findings to the attention of the pediatrician?

<p>To determine the need for further medical intervention</p> Signup and view all the answers

In what scenario would oxytocin drip be prescribed?

<p>For a woman in her third trimester of pregnancy with hypotonic dystocia</p> Signup and view all the answers

What is the significance of a woman being Rh-negative in relation to her newborn?

<p>It indicates the need for RhoGAM 50 administration</p> Signup and view all the answers

Which assessment finding is most crucial for monitoring during active labor with hypotonic dystocia?

<p>Electronic fetal monitoring data</p> Signup and view all the answers

What condition is the client likely experiencing based on the symptoms described?

<p>Herpes simplex virus</p> Signup and view all the answers

What advice should the nurse give to a client who is breastfeeding and using the same diaphragm as before pregnancy?

<p>Use an alternative form of birth control until a new diaphragm can be obtained.</p> Signup and view all the answers

What is the priority nursing action for a primigravida who delivered a 9-pound infant vaginally after a 30-hour labor?

<p>Massage the fundus every 4 hours</p> Signup and view all the answers

What is the most appropriate action if a client reports using the same diaphragm postpartum?

<p>Recommend using spermicides with the diaphragm</p> Signup and view all the answers

What could be the consequence of a client continuing to use the same diaphragm postpartum?

<p>Greater likelihood of vaginal infections</p> Signup and view all the answers

Why is it important for a breastfeeding mother to use an alternative form of birth control until obtaining a new diaphragm?

<p>To reduce the risk of an unplanned pregnancy</p> Signup and view all the answers

How many factors related to contractions are mentioned in the text?

<p>Three</p> Signup and view all the answers

What aspect of contractions is discussed regarding intensity?

<p>Strength</p> Signup and view all the answers

Which factor refers to the duration of contractions?

<p>Length</p> Signup and view all the answers

What is interval in the context of contractions?

<p>The frequency between contractions</p> Signup and view all the answers

Which factor relates to how close or far apart contractions are?

<p>Interval</p> Signup and view all the answers

What intervention should the nurse implement when contractions are occurring every 5 minutes with a 20-second duration?

<p>Restart the oxytocin per oxytocin protocol</p> Signup and view all the answers

What makes the nurse realize a primigravida client is not in labor?

<p>Contractions stop when the client is walking</p> Signup and view all the answers

What action should the nurse take after observing regular contractions with cervical changes post misoprostol administration?

<p>Administer oxytocin 4 hours later</p> Signup and view all the answers

How many ml/hr should the nurse program the infusion pump to deliver when using Lactated Ringers 1,000 ml with Pitocin 20 units for a multigravida client?

<p>20 ml/hr</p> Signup and view all the answers

After a fetus dies in utero at 32 weeks gestation, what is the most important action for the nurse to take?

<p>Encourage the mother to hold and spend time with her baby</p> Signup and view all the answers

What should be done for a client at 36 weeks gestation following a minor vehicle collision?

<p>Monitor fetal heart rate for 24 hours</p> Signup and view all the answers

What is the correct dosage of phytonadione (Vitamin K1) in ml should the nurse administer to a newborn based on the information provided?

<p>0.4 ml</p> Signup and view all the answers

Why should the nurse withhold methylergonovine maleate (Methergine) from a postpartum client with a blood pressure of 149/90?

<p>Hypertension</p> Signup and view all the answers

Which activity would be most beneficial for a 16-year-old with juvenile rheumatoid arthritis (JRA) to strengthen and mobilize joints?

<p>Exercise in a swimming pool</p> Signup and view all the answers

What is the fetal heart rate and contraction pattern observed through the external fetal heart monitor in the presented case?

<p>Fetal heart rate of 120 beats/minute with irregular contractions every 10 to 15 minutes</p> Signup and view all the answers

What instruction would be most appropriate for the nurse to give to the family of a child with a lacerated forehead before suturing?

<p>&quot;Both parents and one sibling can stay at the child's bedside&quot;</p> Signup and view all the answers

In what scenario would a nurse encourage a client to include chicken in her diet?

<p>Iron-deficiency anemia</p> Signup and view all the answers

The nurse is administering methylergonovine maleate (Methergine) to a postpartum client. What finding would indicate that the nurse should withhold the drug?

<p>Positive Homan’s sign</p> Signup and view all the answers

Which medication is used as a tocolytic to decrease contractions in premature deliveries?

<p>Betamethasone (Celestone)</p> Signup and view all the answers

What is the recommended physical therapy regimen to strengthen and mobilize joints and surrounding muscles in a 16-year-old with juvenile rheumatoid arthritis (JRA)?

<p>Passive range of motion exercises</p> Signup and view all the answers

When should the nurse encourage a postpartum client to use Butorphanol (Stadol)?

<p>Every 20 minutes</p> Signup and view all the answers

For which assessment finding should the nurse prioritize care in a postpartum client receiving Betamethasone (Celestone)?

<p>Fetal movement felt by the client</p> Signup and view all the answers

What joint strengthening method should be avoided in a 16-year-old with juvenile rheumatoid arthritis (JRA)?

<p>High-impact weight training</p> Signup and view all the answers

Why would a breastfeeding infant, screened for congenital hypothyroidism, have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH)?

<p>The TSH is high because of the low production of T4 by the thyroid.</p> Signup and view all the answers

What should the nurse do first when a full-term infant in the nursery regurgitates and turns cyanotic?

<p>Stimulate the infant to cry.</p> Signup and view all the answers

When is the best time to administer a rubella vaccine to a client who is non-immune at 6-weeks’ gestation?

<p>Early postpartum, within 72 hours of delivery.</p> Signup and view all the answers

What is the most important assessment for a client receiving oxytocin to augment early labor each time the infusion rate is increased?

<p>Contraction pattern evaluation.</p> Signup and view all the answers

Which lunch choice made by a mother for her child taking digitalis and a diuretic for heart failure indicates understanding of the best diet?

<p>Peanut butter and banana sandwich with orange juice.</p> Signup and view all the answers

Which finding confirms to the nurse that a client is not in labor at a particular time?

<p>Contractions decrease with walking.</p> Signup and view all the answers

In a child admitted with diabetic ketoacidosis demonstrating Kussmaul respiration, what acid-base alteration is the increased respiratory rate compensating for?

<p>Metabolic acidosis</p> Signup and view all the answers

What action should the nurse prioritize if a 3-month-old infant's head circumference has increased significantly since birth?

<p>Palpate the anterior fontanel for tension and bulging</p> Signup and view all the answers

For a 5-year-old child with Reye's syndrome, what is the primary goal of treatment?

<p>Reduce cerebral edema and lower intracranial pressure</p> Signup and view all the answers

In a client whose labor is being augmented with oxytocin and requests an epidural for pain control, what should the nurse do first?

<p>Determine current cervical dilation</p> Signup and view all the answers

What is the most crucial assessment for a 16-year-old client admitted with eclampsia but not currently convulsing?

<p>Keep airway equipment at the bedside</p> Signup and view all the answers

What acid-base alteration is a client with Kussmaul respiration likely experiencing?

<p>Metabolic acidosis</p> Signup and view all the answers

What should be a priority intervention discussed with parents who have an autosomal dominant disorder and are concerned about future children inheriting the disorder?

<p>Discuss genetic counseling options</p> Signup and view all the answers

In a client with vomiting leading to the risk of metabolic alkalosis, what should be monitored closely?

<p>Potassium levels</p> Signup and view all the answers

If a child is exhibiting chorea or temporary movements, what is the most important advice regarding discipline?

<p>Use gentle discipline to support the child</p> Signup and view all the answers

What action may be necessary if a pregnant mother exhibits signs of metabolic alkalosis due to vomiting?

<p>Provide potassium supplements</p> Signup and view all the answers

What lifestyle change is recommended to promote safety in the home for a child experiencing decreased muscle tension?

<p>Reduce clutter and ensure clear pathways</p> Signup and view all the answers

Why are fine motor skill projects encouraged in children with decreased muscle tension?

<p>To improve hand-eye coordination</p> Signup and view all the answers

Study Notes

Maternity and Pediatric Nursing

Herpes Simplex Virus

  • Recognize symptoms of herpes simplex virus: shallow small vesicles on pubis, labia, and perineum

Birth Control

  • Use alternative form of birth control until new diaphragm can be obtained

Respiratory and Metabolic Acidosis

  • Kussmaul respiration is a compensatory mechanism for metabolic acidosis
  • Vomiting can lead to metabolic alkalosis related to loss of hydrochloric acid

Pediatric Nursing

  • Goal of treatment for Reye's syndrome: reduce cerebral edema and lower intracranial pressure
  • Promote kidney perfusion and normal blood pressure in Reye's syndrome

Labor and Delivery

  • Action to take when client is not in labor: contractions stop when client is walking
  • Action to take when client is in labor: administer oxytocin (Pitocin) 4 hours later
  • Priority nursing action after delivering a 9-pound infant vaginally: massage the fundus Q 4 hours

Postpartum Care

  • Importance of holding and spending time with the baby after fetus died in utero
  • Response to Rh-negative client: test newborn's blood type to determine need for RhoGAM

Pediatric Assessment

  • Abnormal head/chest ratio: call findings to the attention of the pediatrician
  • Action to take with hypotonic dystocia: monitor intensity, interval, and length of contractions

Newborn Care

  • Importance of Vitamin K1 administration: 0.5 mg IM to newborns upon admission
  • Action to take with transient tachypnea of the newborn: recognize respiratory rate of 72 breaths/minute, nasal flaring, grunting, and retractions

Medication Administration

  • When to withhold methylergonovine maleate (Methergine): blood pressure of 149/90
  • Importance of phytonadione (Vitamin K1) administration: 0.5 mg IM to newborns upon admission

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Prepare for the HESI OB Maternity Version 1 exam with this set of brand new questions and answers, including screenshots. The material comes from a test taken on March 7th, 2022, and is designed to help you achieve a high score.

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