OB Maternity HESI EXIT Practice Exam 2023-2024 (V1-V2 110 Questions) Answered |Guarantee A+ score - CourseMerits (2023)

OB Maternity HESI EXIT Practice Exam 2023-2024 (V1-V2 110 Questions) Answered 100% |Guarantee A+ score 2023-2024

A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge?

A. supplementary iron is more efficiently utilized during pregnancy

B. it is difficult to consume 18 mg of additional iron by diet alone.

C. iron absorption is decreased in the GI tract during pregnancy

D. iron is needed to prevent megaloblastic anemia in the last trimester

A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response is appropriate?

A. "A home pregnancy test can be used right after your first missed period."

B. "These tests are most accurate after you have missed your second period."

C. "Home pregnancy tests often give false positives and should not be trusted."

D. "The test can provide accurate information when used right after ovulation."

A full-term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn?

A. the length of labor and method of delivery

B. the infant's condition at birth and treatment received

C. the feeding method chosen by the parents

D. the history of drugs given to the mother during labor

A client in active labor complains of cramps in her leg. What intervention should the nurse implement?

A. ask if she takes a daily calcium tablet

B. extend the leg and dorsiflex the foot

C. lower the leg off the side of the bed

D. elevate the leg above the heart

A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick and high. Based on this data, which intervention should the nurse implement first?

A. provide oral hydration

B. have a complete blood count (CBC) drawn

C. obtain a specimen for urine analysis

D. place the client on strict bedrest

A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client's care?

A. patellar reflex 4+

B. blood pressure 158/80

C. four-hour urine output 240 mL

D. respiration 12/minute

A 4 week old premature infant has been receiving epoetin alfa (Epogen) for the last 3 weeks. Which assessment finding indicates to the nurse that the drug is effective?

A. slowly increasing urinary output over the last week

B. respiratory rate changes from the 40s to the 60s.

C. changes in apical heart rate from the 180s to the 140s

D. change in indirect bilirubin from 12 mg/dl to 8 mg/dl

The healthcare provider prescribes terbutalne (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition?

A. gestational diabetes

B. elevated blood pressure

C. urinary tract infection

D. swelling in lower extremities

A client with no prenatal care arrives at the labor unit screaming, "the baby is coming!" The nurse performs a vaginal examination that reveals the cervix is 3 cm dilated and 75% effaced. What additional information is most important for the nurse to obtain?

A. gravidity and parity

B. time and amount of last oral intake

C. date of last normal menstrual period

D. frequency and intensity of contractions

The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 bpm, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?

A. insert an internal fetal monitor

B. assess for cervical changes q1h

C. monitor for bleeding from IV sites

D. perform Leopold's maneuvers

Immediately after birth, a newborn infant is suctioned, dried, and placed under a radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 bpm and respirations of 20 breaths/min. What action should the nurse perform next?

A. initiate positive pressure ventilation

B. intervene after the one minute Apgar is assessed

C. initiate CPR on the infant

D. assess the infant's blood glucose level

The nurse is preparing to give an enema to a laboring client. Which client would require the most caution when carrying out this procedure?

A. a gravida 6, para 5 who is 38 years of age an in early labor

B. a 37 week primigravida who presents at 100% effacement, 3 cm cervical dilation and a -1 station.

C. A gravida 2, para 1 who is at 1 cm cervical dilation and a 0 station admitted for induction of labor due to post dates

D. A 40-wk primigravida who is at 6 cm dilation and the presenting part is not engaged

The nurse is providing discharge for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink to white. The client asks, "What if I start having red bleeding after it changes?" What should the nurse instruct the client to do?

A. reduce activity level and notify the healthcare provider

B. go to bed and assume a knee-chest position

C. massage the uterus and go to the emergency room

d. do not worry as this is a normal occurance

One hour after giving birth to an 8 pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 bpm and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1. What action should the nurse take immediately?

A. give the medication as prescribed and monitor for efficacy

B. encourage the client to breast feed rather than bottle feed

C. have the client empty her bladder and then massage the fundus

D. call the healthcare provider to question the prescription

A client at 32 weeks gestation is diagnosed with preeclampsia. Which assessment is most indicative of an impending convulsion?

A. 3+ deep tendon reflexes

B. periorbital edema

C. epigastric pain

D. decreased urine output

A client at 32 weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue and a moist cough. Which question is most important for the nurse to ask this client?

A. "Which symptom did you experience first?"

B. "Are you eating large amounts of salty foods?"

C. "Have you visited a foreign country recently?"

D. "Do you have a history of rheumatic fever?"

A couple has been trying to conceive for 9 months without success. Which information obtained from the clients is most likely to have an impact on the couple's ability to conceive a child?

A. Exercise regimen of both partners includes running 4 miles each morning

B. history of having sexual intercourse 2-3x/wk.

C. The woman's menstrual period occurs every 35 days

D. They use lubricants with each sexual encounter to decrease friction

After each feeding, a 3-day old newborn is spitting up large amounts of Enfamil Newborn Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the neonate's formula to Similac Soy Isomil Formula, a soy protein isolate based on infant formula. What information should the nurse provide to the mother about the newly prescribed formula?

A. The new formula is a coconut milk formula used with babies with impaired fat absorption

B. Enfamil Formula is a demineralized whey formula that is needed with diarrhea

C. the new formula is a casein protein source that is low in pheynylalanine.

D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose.

The nurse is performing a gestational age assessment on a full-term newborn during the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40 weeks. What findings should the nurse identify to determine if the neonate is small for gestational age (SGA)? Select all that apply

A. admission weight of 4 pounds, 15 ounces (2244 grams)

B. head to heel length of 17 inches (42.5 cm)

C. Frontal occipital circumference of 12.5 in (31.25 cm)

D. Skin smooth with visible veins and abundant vernix

E. Anterior plantar crease and smooth heel surfaces

F. Full flexion of all extremities in resting supine position

The nurse is assessing a client who is having a non-stress test (NST) at 41 weeks gestation. The nurse determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occuring. What action should the nurse take?

A. check the client for urinary bladder distension

B. notify the healthcare provider of the nonreactive results

C. have the mother stimulate the fetus to move

D. ask the client if she has felt any fetal movement


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