2022 HESI Maternity OB Exam Version 1 With Answers (65 Solved Questions)

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2022 HESI OB MATERNITY EXAM VERSION 1 A GRADE WITHUPDATED QUESTIONS AND ANSWERS1.A client at 37 weeks gestation presents to labor and delivery with contractionsevery two minutes the nurse observes several shallow small vesicles on her pubislabia and perineum.the nurse should recognize the clients is prohibitingsymptoms of which condition?1.German measles2. herpes simplex virus3.syphilis4.genital warts

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4. A client who had her first baby three months ago and is breastfeeding her infanttells the nurse that she is currently using the same diaphragm that she used beforebecoming pregnant.Which information should the nurse provide this client?Use alternative form of birth control until new diaphragm can be obtained.7. A 30- year-old primigravida delivers a 9-pound infant vaginally after a 30- hourlabor. Whatis the priority nursing action for this client?Massage the fundus Q 4 hours9.At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because shewanted to avoid getting aheadache. Which action should the nurse take first?Inform the anesthesia care provider10.The nurse is caring for a postpartum client who is exhibiting symptoms of aspinal headache 24 hours following delivery of a normal newborn. Prior to theanesthesiologist arrivalon the unit, which action should the nurse perform?- Place procedure equipment at bedside11.The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14ounces, has ahead circumference of 13 inches, and a chest circumference of 10inches. Based on these physical findings, assessment for which condition has thehighest priority?Hypoglycemia13.the nurse is caring for a 35 week gestation infant delivered by cesarean section 2hours ago.the nurse observes the infants respiratory rate is 72 breaths minute withnasal flaring, grunting, and retractions. the nurse should recognize these findingindicate which complication?- B – transient tachypnea of the newborn

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14.A primipara client at 42 weeks gestation is admitted for induction. within onehour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cmdilated, contractions are occuring every 1 minute with a 75 second duration.when nurse stops the oxytocin and starts oxygen. after 30 minutes of uterine rest,the contractions are occuring every 5 minutes with 20second duration. whichintervention should the nurse implement?Restart the oxytocin per oxytocin protocol15.A primigravida arrives at the observation unit of the maternity unit because shethinks she isin labor. the nurse applies the external fetal heart monitor anddetermines she is not in labor. What makes the nurse realize she is not in labor?Contractions stop when the client is walking16.A primigravida client with gestational hypertension and bishop score of 3 isscheduled for induction of labor. the nurse administers misoprostol at 0700 thenobserves regular contractionswith cervical changes at 0900 which action should thenurse take?- Administer oxytocin 4 hours later17.A multigravida client in labor is receiving oxytocin Pitocin 4mu/minute to helppromote aneffective contraction pattern. The available solution is Lactated Ringers1,000 ml with Pitocin 20 units. The nurse should program the infusion pump todeliver how many ml/hr?1218.The nurse is caring for a client whose fetus died in utero at 32 weeks gestation.After the fetus is delivered vaginally, the nurse implements routine demiseprotocol and identification procedures. What action is most important for thenurse to take?Encourage the mother to hold and spend time with her baby19.Following a minor vehicle collision, a client 36 weeks gestation is brought to the

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emergency center. She is lying supine on a backboard , is awake , denies anycomplaints. Herblood pressure is 80/50 mm Hg and heart rate is 130 beats permin. What action should the nurse implement first?Turn the board sideways to displace the uterus lateral

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20.A new mother asks the nurse about an area of swelling on her baby's head nearthe posteriorfontanel that lies across the suture line. How should the nurserespond?"This is called caput succedaneum. It will absorb and cause no problems."21.A client at 35 weeks gestation complains of a "pain whenever the babymoves." On assessment, the nurse notes the client's temperature to be 101.2 F,with severe abdominal oruterine tenderness on palpation. The nurse knows thatthese findings are indicative of what condition?Chorioamnionitis22.An unlicensed assistive personnel (UAP) reports to the charge nurse that aclient who delivered a 7-pound infant 12 hours ago is reporting a severeheadache. The client's bloodpressure is 110/70 mm hg, respiratory rate is 18breaths/minute, heart rate is 74 bpm, and temperature is 96.6F (37C). Theclient's fundus is firm and one fingerbreadth above the umbilicus. Whichaction should the charge nurse implement first?Notify the healthcare provider of the assessmentfindings23.the nurse is preparing to administer phytonadione to a newborn. whichstatement made bythe parents indicates understanding why the nurse isadministering this medication?Prevent Hemorrhagic disorders24.A 16-year-old gravida 1, para 0 client has just been admitted to the hospital with adiagnosisaf eclampsia. She is not presently convulsing. Which intervention shouldthe nurse plan to include in this client's nursing care plan?Keep an airway at the bedside25.a pregnant client presents to the antepartal clinic complaining of brownish vaginalbleeding.the nurse notes a greatly enlarged uterus and is complaining of severenausea. the client reports that period was about 2 and a half months ago vital signsare temperature 98.7 based on these findings what laboratory value should thenurse review?

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HcG values28. A women who is 38-weeks gestation is receiving magnesium sulfate for severepreeclampsia. Which assessment finding warrants immediate intervention from thenurse ?Sinus Tachycardia

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