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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.

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2023/2024 HESI Maternity OB Specialty Exam 55Q&A (V1) Updated Questions with 100 CorrectAnswers•Apatientisadmittedtothelaboranddeliveryunitwithcontractionsthatare3-5minutesapart,lasting60-70seconds.Shereportsthatsheisleakingfluid.Avaginalexamrevealsthathercervixis80percenteffacedand4cmdilatedanda-1station.TheLPN/LVNknowsthatthepatientisinwhichphase andstageoflabor?•Latentphase,FirstStage•ActivePhase ofFirst Stage•LatentphaseofSecondStage•TransitionAns:B) Active Phase ofFirstStageSecondstage=fulldilationuntilbirth•ToassessuterinecontractionstheLPN/LVNwould•Assesdurationfromthebeginningofthecontractiontothepeakofthesamecontraction,frequencybymeasuringthetimebetweenthebeginningofonecontractiontothebeginningofthenextcontraction.•Assessfrequencyasthetimebetweentheendofonecontractionandthebeginningofthenextcontraction,durationasthelengthoftimefromthebeginningtotheendofcontractions,andpalpatetheuterusforstrength•Assessdurationfrombeginningtoendofeachcontraction.Assessthestrengthofthecontractionbytheexternalfetalmonitorreading.Measurefrequencybymeasuringthebeginningofonecontractiontoanother.

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•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?•Lithotomy•Walking•Kneeling•SittingAns:A)Lithotomy•Thefactorsthataffecttheprocessoflaborandbirth,knowncommonlyasthefivePs,include all EXCEPT:•Passageway.•Powers.•Passenger.•Pressure.

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D)Pressure.Ans:::The5P'sare:•Powers(contractions)•Passengers(fetus&placenta)•Passageway(birthcanal)•Position(ofthemother)•PsychologicalResponse•Whileevaluatinganexternalmonitortracingofawomaninactivelabor,thenursenotes thatthefetalheartrate(FHR)forfivesequentialcontractionsbeginstodeceleratelateinthecontraction,withthenadirofthedecelerationsoccurringafterthepeakofthecontraction.TheLPN/LVNfirstpriorityisto:•Notifythecare provider.•Assistwithamnioinfusion•Changethewoman'sposition•Insertascalpelectrode.Ans:C)Changethewoman'sposition•Duringlaborafetuswithanaverageheartrateof175beats/minovera 15-minuteperiodwould beconsideredtohave:•Anormalbaselineheartrate.•Bradycardia.•Hypoxia.•Tachycardia.Ans:D)Tachycardia.

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•AsaperinatalLPN/LVNyourealizethata fetalheartratethatistachycardic,isbradycardic,orhaslatedecelerationswithlossofvariabilityisnonreassuringandisassociatedwith•Cordcompression•Hypotension•Hypoxemia/acidemia•Maternaldruguse.Ans:C) Hypoxemia/acidemia•TheLPN/LVNprovidingcareforthelaboringwomanshouldunderstandthatamnioinfusionisusedtotreat:•Fetaltachycardia.•Fetalbradycardia.•Variabledecelerations•Late decelerations.Ans:C)Variabledecelerations•Themostcommoncauseofdecreasedvariabilityinthefetalheartrate(FHR)thatlasts30minutesor lessis:•Fetalhypoxemia•Fetalsleepcycles•Alteredcerebral bloodflow.•Umbilicalcordcompression.Ans:B)Fetalsleepcycles•Whileevaluatinganexternalmonitortracingofawomaninactivelaborwhoselaborisbeinginduced,thenursenotesthatthefetalheartrate(FHR)beginstodecelerateinaslowcurveattheonsetofseveralcontractionsandreturnstobaselinebeforeeachcontractionends. The

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LPN/LVNshould:•Insertaninternalmonitor•Documentthefindinginthepatient'srecord.•Discontinuetheoxytocininfusion•Changethewoman'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:•Therestingtonebetweencontractionsisdescribedaseitherplacidorturbulent•Theexaminer'shandshouldbeplacedoverthefundusbefore,during,andaftercontractions.•Thefrequencyanddurationofcontractionsismeasuredinseconds

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forconsistency•Contractionintensityisgivenajudgmentnumberof1to7bythenurseandpatienttogether.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:•Alteredcerebralbloodflow•Spontaneousruptureofmembranes•Uteroplacentalinsufficiency•UmbilicalcordcompressionAns:C)Uteroplacentalinsufficiency•TheLPN/LVNprovidingcareforthelaboringwomanshouldunderstandthatvariablefetal heartrate(FHR)decelerationsarecausedby:•Umbilicalcordcompression.
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