2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions)

Learn from past exams with 2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers, featuring a collection of authentic test papers.

Alice Perry
Contributor
4.8
37
10 months ago
Preview (7 of 21 Pages)
100%
Log in to unlock

Page 1

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 1 preview image

Loading page ...

2023/2024 HESI Maternity OB Specialty Exam 55Q&A (V1) Updated Questions with 100 CorrectAnswersApatientisadmittedtothelaboranddeliveryunitwithcontractionsthatare3-5minutesapart,lasting60-70seconds.Shereportsthatsheisleakingfluid.Avaginalexamrevealsthathercervixis80percenteffacedand4cmdilatedanda-1station.TheLPN/LVNknowsthatthepatientisinwhichphase andstageoflabor?Latentphase,FirstStageActivePhase ofFirst StageLatentphaseofSecondStageTransitionAns:B) Active Phase ofFirstStageSecondstage=fulldilationuntilbirthToassessuterinecontractionstheLPN/LVNwouldAssesdurationfromthebeginningofthecontractiontothepeakofthesamecontraction,frequencybymeasuringthetimebetweenthebeginningofonecontractiontothebeginningofthenextcontraction.Assessfrequencyasthetimebetweentheendofonecontractionandthebeginningofthenextcontraction,durationasthelengthoftimefromthebeginningtotheendofcontractions,andpalpatetheuterusforstrengthAssessdurationfrombeginningtoendofeachcontraction.Assessthestrengthofthecontractionbytheexternalfetalmonitorreading.Measurefrequencybymeasuringthebeginningofonecontractiontoanother.

Page 2

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 2 preview image

Loading page ...

Page 3

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 3 preview image

Loading page ...

Assessdurationfrombeginningtoendofeachcontraction.,frequencybymeasuringthetimebetweenthebeginningsofcontractions,andpalpatethefundusoftheuterusforstrength.Ans:D)Assessdurationfrombeginningtoendofeachcontraction.,frequencybymeasuringthetimebetweenthebeginningsofcontractions,andpalpatethefundus ofthe uterus forstrength.Whichbasictypeofpelvisincludesthecorrectdescriptionandpercentageofoccurrenceinwomen?Platypelloid:flattened,wide,shallow;3%Anthropoid:resemblingtheape;narrower;10%Android:resemblingthemale;wideroval;15%Gynecoid:classicfemale;heartshaped;75%Ans:A)Platypelloid:flattened,wide,shallow;3%Whatpositionwouldbeleasteffectivewhengravityisdesiredtoassistin fetal descent?LithotomyWalkingKneelingSittingAns:A)LithotomyThefactorsthataffecttheprocessoflaborandbirth,knowncommonlyasthefivePs,include all EXCEPT:Passageway.Powers.Passenger.Pressure.

Page 4

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 4 preview image

Loading page ...

D)Pressure.Ans:::The5P'sare:Powers(contractions)Passengers(fetus&placenta)Passageway(birthcanal)Position(ofthemother)PsychologicalResponseWhileevaluatinganexternalmonitortracingofawomaninactivelabor,thenursenotes thatthefetalheartrate(FHR)forfivesequentialcontractionsbeginstodeceleratelateinthecontraction,withthenadirofthedecelerationsoccurringafterthepeakofthecontraction.TheLPN/LVNfirstpriorityisto:Notifythecare provider.AssistwithamnioinfusionChangethewoman'spositionInsertascalpelectrode.Ans:C)Changethewoman'spositionDuringlaborafetuswithanaverageheartrateof175beats/minovera 15-minuteperiodwould beconsideredtohave:Anormalbaselineheartrate.Bradycardia.Hypoxia.Tachycardia.Ans:D)Tachycardia.

Page 5

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 5 preview image

Loading page ...

AsaperinatalLPN/LVNyourealizethata fetalheartratethatistachycardic,isbradycardic,orhaslatedecelerationswithlossofvariabilityisnonreassuringandisassociatedwithCordcompressionHypotensionHypoxemia/acidemiaMaternaldruguse.Ans:C) Hypoxemia/acidemiaTheLPN/LVNprovidingcareforthelaboringwomanshouldunderstandthatamnioinfusionisusedtotreat:Fetaltachycardia.Fetalbradycardia.VariabledecelerationsLate decelerations.Ans:C)VariabledecelerationsThemostcommoncauseofdecreasedvariabilityinthefetalheartrate(FHR)thatlasts30minutesor lessis:FetalhypoxemiaFetalsleepcyclesAlteredcerebral bloodflow.Umbilicalcordcompression.Ans:B)FetalsleepcyclesWhileevaluatinganexternalmonitortracingofawomaninactivelaborwhoselaborisbeinginduced,thenursenotesthatthefetalheartrate(FHR)beginstodecelerateinaslowcurveattheonsetofseveralcontractionsandreturnstobaselinebeforeeachcontractionends. The

Page 6

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 6 preview image

Loading page ...

LPN/LVNshould:InsertaninternalmonitorDocumentthefindinginthepatient'srecord.DiscontinuetheoxytocininfusionChangethewoman'spositionAns:B)Documentthefindinginthepatient'srecord.Whatthreemeasuresshouldthe nurseimplementtoprovideintrauterineresuscitation?Selecttheresponsethatbestindicatesthepriority of actionsthatshould betaken.Repositionthemother,increaseintravenous(IV)fluid,andprovideoxygenviafacemask.Performavaginalexamination,repositionthemother,andprovideoxygen viaface mask.Administeroxygentothemother,increaseIV fluid,andnotifythecareprovider.Calltheprovider,repositionthemother,andperformavaginalexaminationAns:A)Repositionthemother,increaseintravenous(IV)fluid,andprovideoxygenviaface mask.Whenusingintermittentauscultation(IA)toassessuterineactivity,LPN/LVNshouldbeawarethat:TherestingtonebetweencontractionsisdescribedaseitherplacidorturbulentTheexaminer'shandshouldbeplacedoverthefundusbefore,during,andaftercontractions.Thefrequencyanddurationofcontractionsismeasuredinseconds

Page 7

2023-2024 HESI Maternity OB Exit Exam Version 1 With Answers (100 Solved Questions) - Page 7 preview image

Loading page ...

forconsistencyContractionintensityisgivenajudgmentnumberof1to7bythenurseandpatienttogether.Ans:B) Theexaminer'shandshouldbeplacedoverthefundusbefore,during,andafter contractions.PerinatalLPN/LVNarelegallyresponsiblefor:Applyingtheexternalfetalmonitorandnotifyingthecareprovider.Correctlyinterpretingfetalheartrate(FHR)patterns,initiatingappropriatenursinginterventions,anddocumentingtheoutcomes.Greetingthepatientonarrival,assessingher,andstartinganintravenous line.Makingsurethatthewomaniscomfortable.Ans:B)Correctlyinterpretingfetalheartrate(FHR)patterns,initiatingappropriatenursinginterventions,anddocumentingtheoutcomes.TheLPN/LVNprovidingcareforthelaboringwomanshouldunderstandthatlatefetalheartrate(FHR) decelerationsarecaused by:AlteredcerebralbloodflowSpontaneousruptureofmembranesUteroplacentalinsufficiencyUmbilicalcordcompressionAns:C)UteroplacentalinsufficiencyTheLPN/LVNprovidingcareforthelaboringwomanshouldunderstandthatvariablefetal heartrate(FHR)decelerationsarecausedby:Umbilicalcordcompression.
Preview Mode

This document has 21 pages. Sign in to access the full document!