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 (correct)

Inform the obstetrician immediately

Continue with the admission process as usual

Administer a headache medication

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

Prepare to administer IV fluids

Assist the client with breastfeeding

Notify the family immediately

Place procedure equipment at the bedside (correct)

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

Hypoglycemia (correct)

Respiratory distress syndrome

Sepsis

Jaundice

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?

Transient tachypnea of the newborn 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?

Stop the oxytocin and initiate oxygen therapy Signup and view all the answers

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

To decide if RhoGAM 50 is necessary Signup and view all the answers

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

The infant had molding on the head Signup and view all the answers

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

To determine the need for further medical intervention Signup and view all the answers

In what scenario would oxytocin drip be prescribed?

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

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

It indicates the need for RhoGAM 50 administration Signup and view all the answers

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

Electronic fetal monitoring data Signup and view all the answers

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

Herpes simplex virus 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?

Use an alternative form of birth control until a new diaphragm can be obtained. 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?

Massage the fundus every 4 hours Signup and view all the answers

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

Recommend using spermicides with the diaphragm Signup and view all the answers

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

Greater likelihood of vaginal infections 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?

To reduce the risk of an unplanned pregnancy Signup and view all the answers

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

Three Signup and view all the answers

What aspect of contractions is discussed regarding intensity?

Strength Signup and view all the answers

Which factor refers to the duration of contractions?

Length Signup and view all the answers

What is interval in the context of contractions?

The frequency between contractions Signup and view all the answers

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

Interval Signup and view all the answers

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

Restart the oxytocin per oxytocin protocol Signup and view all the answers

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

Contractions stop when the client is walking Signup and view all the answers

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

Administer oxytocin 4 hours later 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?

20 ml/hr 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?

Encourage the mother to hold and spend time with her baby Signup and view all the answers

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

Monitor fetal heart rate for 24 hours 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?

0.4 ml 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?

Hypertension 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?

Exercise in a swimming pool 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?

Fetal heart rate of 120 beats/minute with irregular contractions every 10 to 15 minutes 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?

"Both parents and one sibling can stay at the child's bedside" Signup and view all the answers

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

Iron-deficiency anemia 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?

Positive Homan’s sign Signup and view all the answers

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

Betamethasone (Celestone) 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)?

Passive range of motion exercises Signup and view all the answers

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

Every 20 minutes Signup and view all the answers

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

Fetal movement felt by the client Signup and view all the answers

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

High-impact weight training 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)?

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

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

Stimulate the infant to cry. 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?

Early postpartum, within 72 hours of delivery. 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?

Contraction pattern evaluation. 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?

Peanut butter and banana sandwich with orange juice. Signup and view all the answers

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

Contractions decrease with walking. 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?

Metabolic acidosis 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?

Palpate the anterior fontanel for tension and bulging Signup and view all the answers

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

Reduce cerebral edema and lower intracranial pressure 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?

Determine current cervical dilation 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?

Keep airway equipment at the bedside Signup and view all the answers

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

Metabolic acidosis 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?

Discuss genetic counseling options Signup and view all the answers

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

Potassium levels Signup and view all the answers

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

Use gentle discipline to support the child Signup and view all the answers

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

Provide potassium supplements Signup and view all the answers

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

Reduce clutter and ensure clear pathways Signup and view all the answers

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

To improve hand-eye coordination 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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Description

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.